1. Commitment to Vaccinating Children

2. Where we came from and where we are going
UDS measure Childhood Immunizations
Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three H influenza type B (HiB); three hepatitis B (Hep B); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday (Bphc.hrsa.gov, 2019)
% Lifesping, 45.43% State of Indiana
% Lifespring, 33.78% State of Indiana
% Lifespring

3. Starting Point
2015, FQHC opens. Small pediatric population. We were not stocking vaccines. We were not VFC and we referred out to our local community health partners.
-Next step, PDSA on vaccines to pilot full childhood immunizations at the Jeffersonville location. Pilot was successful.
-Next step-Implementing vaccinations at the Austin and Salem location.
-Next and Current Step-becoming a VFC site.
-Bidirectional registry

4. Interventions that have worked
Having Nurse or Medical Assistant pull a CHIRP on each pediatric patient before EVERY visit. This allows us while seeing an acute patient to schedule the patient back for well child and immunizations.
Buying and stocking vaccines.
Working with our community partners such things as Head Start physicals.
Scheduling the next set of injections before the patient leaves.
Reminder calls day before appointment.

5. Barriers
COST$$$$. In the past year, we have spent $42, on children's vaccines alone.
Smaller centers may have issues with using lots of vaccines before they expire as many require purchase in lots of 10.
TIME. Without an EMR/CHIRP interface, it is time intensive.
NYAP physicals
Border town between IN and KY
Current lack of EMR and CHIRP integrations.

6. Current Workflow with CHIRP
MA/LPN preplans visit for ALL pediatric encounters by pulling CHIRP before and giving to the provider.
Provider reviews CHIRP and makes suggestion to parents.
Vaccines are administered when appropriate.
Vaccines are documented in EMR by provider.
MA/LPN then updates CHIRP with what is given.

7. On the horizon EMR/CHIRP integration VFC application in final stages
Inc pediatric population

8. Citation
Bphc.hrsa.gov. (2019). Health Center Data & Reporting | Bureau of Primary Health Care. [online] Available at: [Accessed 25 Jul. 2019].