1. QI SuSTAINABILITY
Diane liu, MD

2. HOLDING THE GAINS – KEY STRATEGIES
Ownership
System engineering
Measure
Sponsorship

3. 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. SYSTEMS ENGINEERING Hardware sustainability of HPV initiation
Consider standing orders in EMR
Integrate HPV vaccine standard operating procedures into clinic policy
Train newly hired staff to include HPV as routine adolescent schedule
Train newly hired staff about continuous quality improvement (measuring HPV initiation as part of overall quality care)

5. 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 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. SPONSORSHIP
Communicate with ‘decision-makers’ who can continue 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. THANK YOU
Utah Pediatric Partnership to Improve Healthcare Quality (UPIQ)
Diane Liu, MD (Director)
Dawn Bentley, RN (Quality Improvement Specialist)