Measuring and Tracking Change – Flu Vaccination
Measurement is central to successful quality improvement (QI), as it provides evidence of change, which can further guide widespread practice and/or health system implementation.
The measurements can include outcomes, from vaccination rates to smaller process change indicators, including tracking documentation of vaccine denials, distribution of patient education materials, recommendations to patients to get a flu vaccine, and administration of flu vaccines.
Measures can be generated by the IT department (weekly reports), manual chart sampling, or contemporaneous tracking (eg, MA or nurse marks a form for each documentation they provide).
In addition, measurements are integral to the Plan-Do-Study-Act (PDSA) plan, as early evidence of success shown in a Run Chart can enable recommendations to expand the process to a larger part of the practice or health care system.
Tracking changes from a PDSA plan can be done through a Run Chart (ie, a graph that displays observed data in a time sequence).