Presenter Status

Resident/Psychology Intern

Abstract Type

QI

Primary Mentor

Abiye Okah

Start Date

8-5-2023 12:30 PM

End Date

8-5-2023 12:45 PM

Presentation Type

Oral Presentation

Description

Problem Statement/Question: There have been a multitude of approaches to vaccine hesitancy in regard to childhood vaccinations. In light of the COVID-19 pandemic there was a noticeable decline in influenza vaccination among children aged 6 months to 18 years. The influenza vaccination rate in the pediatric resident continuity clinic at Children’s Mercy Hospital was below the national average for pediatric patients.

Background/Project Intent (Aim Statement): The aim of this study is to increase the percentage of patients aged 6 month and older currently enrolled in ROYAL clinic receiving at least one influenza vaccine from 38.6% to 55% by January 1, 2023.

Methods (include PDSA cycles): This study was conducted at the resident continuity clinic at Children’s Mercy Hospital (ROYAL clinic). A process map detailing when in the clinic setting is a patient and their family receiving information regarding the influenza vaccine. Pediatric residents were tasked with addressing the importance of the influenza vaccine to all eligible patients.

Results: There were 1034 eligible patients who had a primary care appointment within the ROYAL clinic from October 2022 through December 2022. The vaccination rate increased from 38.6% to 52.7% after the intervention.

Conclusions: In this study, there was an appreciable increase in the percentage of patients receiving the influenza vaccine with the increased emphasis from pediatric resident physicians detailing the benefits with families. Influenza vaccine hesitancy is due to a multitude of reasons including but not limited to public misinformation, access to healthcare, and low risk perception. Prior studies assessing the influenza vaccine hesitancy have utilized the health belief model to obtain a better understanding for low influenza vaccination rates. The process map created in this study highlights several areas where future PDSA cycles can be performed to continue influencing the influenza vaccine rates within this special patient population. Use of the health belief model within this clinic could further highlight future areas of focus on the influenza vaccine rate and the COVID-19 vaccine rate.

Additional Files

1414_Brittany Moore-Presentation-Abstract.pdf (149 kB)
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May 8th, 12:30 PM May 8th, 12:45 PM

Influencing Influenza Immunization: QI Project in a Pediatric Resident Continuity Clinic

Problem Statement/Question: There have been a multitude of approaches to vaccine hesitancy in regard to childhood vaccinations. In light of the COVID-19 pandemic there was a noticeable decline in influenza vaccination among children aged 6 months to 18 years. The influenza vaccination rate in the pediatric resident continuity clinic at Children’s Mercy Hospital was below the national average for pediatric patients.

Background/Project Intent (Aim Statement): The aim of this study is to increase the percentage of patients aged 6 month and older currently enrolled in ROYAL clinic receiving at least one influenza vaccine from 38.6% to 55% by January 1, 2023.

Methods (include PDSA cycles): This study was conducted at the resident continuity clinic at Children’s Mercy Hospital (ROYAL clinic). A process map detailing when in the clinic setting is a patient and their family receiving information regarding the influenza vaccine. Pediatric residents were tasked with addressing the importance of the influenza vaccine to all eligible patients.

Results: There were 1034 eligible patients who had a primary care appointment within the ROYAL clinic from October 2022 through December 2022. The vaccination rate increased from 38.6% to 52.7% after the intervention.

Conclusions: In this study, there was an appreciable increase in the percentage of patients receiving the influenza vaccine with the increased emphasis from pediatric resident physicians detailing the benefits with families. Influenza vaccine hesitancy is due to a multitude of reasons including but not limited to public misinformation, access to healthcare, and low risk perception. Prior studies assessing the influenza vaccine hesitancy have utilized the health belief model to obtain a better understanding for low influenza vaccination rates. The process map created in this study highlights several areas where future PDSA cycles can be performed to continue influencing the influenza vaccine rates within this special patient population. Use of the health belief model within this clinic could further highlight future areas of focus on the influenza vaccine rate and the COVID-19 vaccine rate.