Impact of a Learning Collaborative Approach on Influenza and Pneumococcal Immunization Rates in US Adults: A Mixed Methods Approach

An Adult Immunization Best Practices Learning Collaborative: Impact, Scale Up, and Spread

“…Lessons learned from the formal qualitative analysis collected during the pilot program 11 were leveraged to inform collaborative Cohorts 2 and 3 (current study). Interventions and self-identified best practices were recorded during Cohort 1 and organized into a framework that was provided to Cohorts 2 and 3.…”

“…The study intervention was the learning collaborative approach taken to improve adult vaccination rates over 3 one-year collaborative periods and is reported in detail elsewhere. 11 Briefly, the learning collaboratives were led by an expert advisory committee and included in-person meetings, webinars, sharing of best practices, education, site visits, goal setting, outreach and coaching, peer-to-peer learning, case studies, and clinical outcome measurement. Participating organizations were encouraged to choose from a selection of strategies to improve their vaccination rates including, but not limited to, nurse standing orders, use of a 1-way or 2-way state vaccination information system registry, patient and provider education, patient outreach, EHR registries, health maintenance and best practice alerts, working with specialists, working with pharmacies, designating provider champions, and identifying and learning from high performers.…”

“…Participating organizations chose a variety of strategies. Learnings from the pilot study 11 were heavily leveraged in Cohorts 2 and 3 in the spirit of progressive and iterative learning. Although a total of 39 organizations participated in either Cohort 2 or 3, only 9 were included in this study because of their data availability in the aforementioned Optum data set.…”

“…The results of the first pilot collaborative (Cohort 1) are reported elsewhere. 11 In an effort to scale up and spread improvements realized in the pilot program, 2 subsequent collaboratives (Cohorts 2 and 3) leveraged learnings from pilot Cohort 1, which included a formal qualitative component that identified organizational, individual, cultural, and contextual factors that influenced the success of the programs. The current study examined the ability to scale up and spread the findings from the 7-site pilot program (Cohort 1) to 39 additional health care organizations that participated in 2 subsequent collaboratives (Cohorts 2 and 3) by applying IHI's Framework for Spread.…”

Virtual quality improvement collaborative with primary care practices during COVID-19: a case study within a clinically integrated network

“…QICs are structured learning initiatives with multiple practices where interdisciplinary QI teams provide: ongoing training and feedback; a model for improvement with measurable targets; guidance on small tests of change; structured activities; and opportunities for cross-site learning and communication 1 2. For QICs involving primary care practices, common performance metrics include chronic health conditions (eg, diabetes, depression)1–3 and preventive services (eg, immunisations, cancer screening) 4–7. Despite high-quality evidence (ie, randomised clinical trials) for QIC effectiveness on care delivery and patient outcomes still being nascent,1 8 QICs remain a popular improvement approach.…”