Research ArticleOriginal Research

Improving Immunization Rates Using Lean Six Sigma Processes: Alliance of Independent Academic Medical Centers National Initiative III Project

Hussaini Hina-Syeda, Christina Kimbrough, William Murdoch and Tsveti Markova
Ochsner Journal September 2013, 13 (3) 310-318;

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Figures

  • Figure 1.
    Figure 1.

    Baseline data showing immunization core measure compliance rates prior to intervention.

    Core IMM-1a – Pneumococcal Immunization (PPV23) – Overall Rate.

    Core IMM-1b – Pneumococcal Immunization (PPV23) – Age 65 and Older.

    Core IMM-1c – Pneumo Immunization (PPV23) – High-Risk Population (6-64 years).

    Core IMM-2 – Influenza Immunization.

  • Figure 2.
    Figure 2.

    Fishbone diagram demonstrating potential error sources in key contributors to immunization process.

    CMS, Centers for Medicare & Medicaid Services; EMR, electronic medical record.

  • Figure 3.
    Figure 3.

    Pareto chart demonstrating that 3 key defects drive 100% of errors.

  • Figure 4.
    Figure 4.

    Snapshot of the new nursing assessment form for immunization in the electronic medical record.

  • Figure 5.
    Figure 5.

    Postintervention data showing improvement in immunization core measure compliance rates.

    Core IMM-1a – Pneumococcal Immunization (PPV23) – Overall Rate.

    Core IMM-1b – Pneumococcal Immunization (PPV23) – Age 65 and Older.

    Core IMM-1c – Pneumo Immunization (PPV23) – High-Risk Population (6-64 years).

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