Improving Compliance with CMS Global Immunization Measure in the Pediatric Population

Saturday, 16 November 2013

Katherine D. K. Anderson, RN, BS, MS, CNL
Denise A. Sackinger, MN, RN, CNS
Acute Pediatrics, Randall Children's Hospital at Legacy Emanuel, Portland, OR

Learning Objective 1: Learner will be able to describe the CMS Global Immunization Measure as it applies to pediatric patients.

Learning Objective 2: Learner will be able to identify a multidisciplinary approach to increasing compliance with the CMS Global Immunization Measure.

Randall Children’s Hospital at Legacy Emanuel (RCH) is a large not-for-profit facility serving patients from across the Pacific Northwest. Patients have varying medical and surgical diagnoses requiring hospital care. As part of a quality improvement initiative RCH has sought to improve compliance with the CMS Global Immunization Measure in the pediatric population. This measure focuses on screening and immunizing children ages zero to eighteen for the influenza and pneumococcal polysaccharide vaccinations. In the United States on average 20,000 children under the age of five are hospitalized for influenza related complications and likewise pneumococcal disease is responsible for over 100,000 hospitalizations annually with young children and high-risk pediatric patients having the highest incidence of serious disease. This project firstly focused on standardizing, streamlining, and simplifying the screening process done by the bedside nurse. The second focus was on the ordering and administration of the immunizations when deemed appropriate for the patient. Staff education, tracking, and a multidisciplinary approach were used to evaluate and improve on the processes. On-going work is being done with a multidisciplinary team to include, nurses, physicians, nurse practitioners, case management, and leadership to ensure that our patients are not only being properly screened but also to allow healthcare providers to feel empowered to provide these vaccinations to the pediatric population we care for.