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Mini-Grant Application: Quality Improvement in the Area of Immunizations

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Mini-Grant Application: Quality Improvement in the Area of Immunizations Catherine Shoults, M.P.H., Kansas Health Institute Kansas Public Health Conference – PowerPoint PPT presentation

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Title: Mini-Grant Application: Quality Improvement in the Area of Immunizations


1
Mini-Grant Application Quality Improvement in
the Area of Immunizations
  • Catherine Shoults, M.P.H., Kansas Health
    Institute
  • Kansas Public Health Conference
  • September 20th, 2011

2
Presentation Outline
  • Part One Overview of Immunize Kansas Kids
  • Part Two Why a quality improvement grant and
    overview of QI grant
  • Part ThreeDetails of IKK QI grant

Slide 1
3
Part One Overview of Immunize Kansas Kids
4
What is IKK
  • Partnership between
  • Kansas Department of Health and the Environment
  • Kansas Health Foundation
  • Kansas Health Institute
  • Coalition supports innovative, collaborative, and
    sustainable methods to increase
  • age-appropriate immunization rates
  • for Kansas children

Slide 3
5
Part Two Why a quality improvement grant and
overview of QI grant
6
Why QI Grant
  • Supports the mission of IKK
  • Innovative
  • Forum for agencies to test their ideas
  • Collaborative
  • Grantees can be individual agency or coalition
  • Sustainable
  • Grantees can determine best practices

Slide 5
7
Goal for Grantees
  • Your goal is not to
  • immediately fix a problem
  • but to identify the problem
  • and determine the best intervention
  • to address the issue

Slide 6
8
IKKs Goal for QI Grants
  • Short-term goals
  • Identify most effective intervention through the
    use of the QI process and tools
  • Intermediate goals
  • Create a community within the grantees that uses
    QI in their public health activities
  • Long-term goals
  • Improve vaccination rates in Kansas
  • Change the approach to vaccination problems

Slide 7
9
Why participate in QI grant
  • Health care has show that QI can
  • Effectively manage resources
  • Save time
  • Save money
  • This grant will help you
  • Find the root cause of your immunization problem
  • Determine and optimize a solution
  • Teach you how to integrate QI into your work

Slide 8
10
Plan-Do-Study-Act Cycle
  • Institute for Healthcare Improvement
  • Utilizes a cycle that answers
  • What are we trying to accomplish?
  • What changes can we make that will result in
    improvement?
  • How will we know that change is an improvement?

Slide 9
11
Cycle of Improvement
ID problem and generate idea
Small tests of change
Analyzing what works
Adjust and do it again
Slide 10
12
Plan-Do-Study-Act Cycle
Seven Stages of the Cycle
Plan
  • Select problem or improvement opportunity
  • Describe the current process
  • Describe all possible causes of problem
  • Agree on the root cause(s) to address
  • Develop workable solutions and action plan
  • Targets or measures to know if the change is an
    improvement

Slide 11
13
Plan-Do-Study-Act Cycle
Seven Stages of the Cycle
Do
  1. Implement the solutions or process changes
  2. Review and evaluate the result of the change
  3. Reflect and act on learnings

Study
Act
Slide 12
14
Part Three Details of IKK QI Grant
15
Project Goal
  • Identify and address an issue that creates a
    barrier to the effective delivery of immunization
    services

Slide 14
16
Project details
  • Grants range from 5,000-10,000
  • Regional or multicenter applicants can apply for
    larger amounts
  • Project must be completed in 12 months
  • Expected time range is 6-8 months
  • Up to 10 projects awarded

Slide 15
17
Your organization should apply if
  • You deliver immunization services
  • You coordinate or support vaccination activities
  • Grants can also be submitted jointly as a
    partnership between providers
  • or as an effort by a public health preparedness
    region

Slide 16
18
Your project must
  • Utilize the Institute for Healthcare
    Improvements system for accelerating improvement
  • Plan Explore the problem and identify possible
    solutions
  • Do Implement on a small scale
  • Study Analyze results
  • Act Modify and Implement again on a larger scale

Slide 17
19
Example PDSA
  • The county health department sponsors a vaccine
    drive every year and they have found that parents
    and children often leave because the line is too
    long
  • Plan The health department wants to try a
    standing vaccine drive
  • Do The health department offers both a standing
    line at one vaccination drive and an optimized
    sitting line at their next drive
  • Study During the drive, the health department
    recorded how many people went through each line
    and if any people left before getting their
    vaccination
  • Act The standing sitting model was found to
    have more people go through and less people leave
    prior to vaccination so all health department
    drives follow that model

Slide 18
20
Your project must
  • Incorporate promising and evidence-based
    practices or policies for the delivery of
    immunization services

Evidence-based practice the use of information
whose effectiveness has been established through
research
Slide 19
21
Evidence-based practice
  • Home visits to increase vaccination rates
  • Vax programs in schools/ child care areas
  • Vax programs in WIC settings
  • Client or family incentive rewards
  • Client reminder and recall system
  • Providers assessment and feedback
  • Provider reminders

Source CDCs Community Guide
Slide 20
22
Your project must
  • Include measurable objectives

Measurable Objectives These items should show
what you want to do, how you will quantify it,
and the timeframe of completion
Slide 21
23
Measurable objectives should be
  • SMART
  • Specific
  • Measurable
  • Actionable
  • Realistic
  • Timed

For example The September 2011 vaccine drive
will have a wait time for vaccination no longer
than twenty minutes per child
Slide 22
24
Your project must
  • Include methods for evaluating changes that occur
    as a result of the project

Example of methods for evaluation Comparing the
line throughput time before and after the
intervention
Slide 23
25
Overview of Requirements
  1. Center your project around the PDSA Cycle
  2. Consider using promising or evidence-based
    practices
  3. Create measurable objectives
  4. Include evaluation in your proposal

26
What the fundscan be used for
  • Direct and personnel costs
  • Personnel (salaries and benefits)
  • Travel
  • Printing/Supplies
  • Telephone
  • Other direct costs

Slide 24
27
What the funds cannot be used for
  • Infrastructure Improvements
  • Software
  • Hardware
  • Furniture
  • Construction
  • Subsidizing purchase of vaccines
  • Lobbying

Slide 25
28
Dates and deadlines
  • Rolling submission
  • December 31, 2011 last day to submit proposal
    for this cycle
  • Within thirty days we will suggests improvements,
    accept, or reject the proposal
  • If your proposal is rejected, you can submit a
    new proposal
  • Only one proposal per entity will be funded

Slide 26
29
Contact information
  • Email immunize_at_khi.org for a grant proposal
    template
  • Electronically submit proposal to
    immunize_at_khi.org 
  • In the subject line please put 2011-12 IKK QI
    Proposal

Slide 27
30
Technical assistance
  • KHI is available to help guide you through this
    process
  • Feel free to contact immunize_at_khi.org if you have
    any questions

Slide 28
31
(No Transcript)
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