1. Q UALITY I MPROVEMENT P ROGRAM (QIP) E FFECTIVE UTILIZATION OF THE C ALIFORNIA I MMUNIZATION R EGISTRY (CAIR) Facilitator Dr. Robert Moore, PHC Chief Medical Officer Panelists Alicia Kelley, Director of Planning and Education Beatriz Vargas Henao, Pediatric Immunization Coordinator Dana Valley, Associate Director of Quality Improvement 1

2. O BJECTIVES Facilitated discussion Q&A session 2

3. Q UESTION 1 What workflow did you use for entering old vaccinations (not previously entered into CAIR)? Were they entered before, during or after the visit? 3

4. Q UESTION 2 Did anyone double check the provider's vaccination orders to be sure they matched what was needed? How did this work? Did you use the feature of CAIR that lists which vaccines are needed for that visit? 4

5. Q UESTION 3 What was the workflow for having the vaccines ordered and drawn up, in relation to the discussion of vaccines needed by the child? 5

6. Q&A 6

7. Q UESTION 4 Did you use a handwritten vaccine record or did you print out the vaccination record from CAIR? 7

8. Q UESTION 5 Do you use CAIR to monitor your vaccine inventory or do you use a duplicate system? 8

9. Q UESTION 6 Although vaccinations can be administered by Medical Assistants in California, they need to be verified for accuracy by a licensed provider: Nurse, physician, non- physician clinician, PharmD are options. How do you handle this workflow? 9

10. Q UESTION 7 Did you use the feature in CAIR that generates a list of patients that is due for vaccination to seek out these patients? How did you use this? 10

11. Q&A 11

12. T HANK YOU FOR YOUR PARTICIPATION AND DON ’ T FORGET TO COMPLETE OUR EVALUATION ! QIP Contact: QIP@partnershiphp.org 12