SUSTAINABILITY DIANE LIU MD THE UTAH PEDIATRIC PARTNERSHIP

SUSTAINABILITY DIANE LIU, MD THE UTAH PEDIATRIC PARTNERSHIP TO IMPROVE HEALTHCARE QUALITY ©UNIVERSITY OF UTAH HEALTH,

No conflicts to disclose ©UNIVERSITY OF UTAH HEALTH,

SUSTAINABILITY PEARLS • • Ownership Systems Engineering Measure Sponsorship 3 ©UNIVERSITY OF UTAH HEALTH,

OWNERSHIP • One individual continues to champion HPV initiation • Integrated into their job description • Reviews data (see measure slide) • Periodically communicates the status of HPV data at staff meetings • Promotes celebrating efforts to hold the gains 4 ©UNIVERSITY OF UTAH HEALTH,

SYSTEMS ENGINEERING • Hardware sustainability of HPV initiation • Standing orders in EMR • Integrate HPV vaccine standard operating procedures into clinic policy • Train newly hired staff – include HPV as routine adolescent schedule – continuous quality improvement (measuring HPV initiation as part of overall quality care) 5 ©UNIVERSITY OF UTAH HEALTH,

MEASURE • Simplify and streamline any ongoing measurement • Reduce the number to the most meaningful if processes are in place – For HPV since we only looked at initiation of vaccine in ages 11 -12 years (boys and girls) you could continue to use same measure • Reduce the frequency of measuring – Once the project ends, consider a follow-up measure period at 1 month, 3 months, 6 months, 1 year 6 ©UNIVERSITY OF UTAH HEALTH,

SPONSORSHIP • Communicate with ‘decision-makers’ to support quality care delivery to patients • Develop HPV presentations to align with other quality vaccine goals within the practice • Build culture of quality and safety within your practice 7 ©UNIVERSITY OF UTAH HEALTH,

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