1. Sustainability Diane Liu, MD The Utah pediatric partnership to improve healthcare quality
Thank you for inviting me to share information about UPIQ’s model for contributing to healthcare delivery changes/improvement. UPIQ is a formal organization but the way we carry out our work in the community can be considered a type of model – and the model is rooted in science. I titled my presentation M&Ms for a reason – which I’ll talk about later.

2. No conflicts to disclose

3. Sustainability pearls
Ownership
Systems Engineering
Measure
Sponsorship
For example, the QI team is defined as: A group of individuals that work together on the QI project. They have shared goals with mutual accountability for the project’s outcome. They are responsible for planning and conducting tests of change, collecting and managing data. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff.
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(The team is defined by their shared goals and mutual accountability for the QI project outcome. QI team members are typically responsible for planning and conducting tests of change and/or data collection and management. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff, etc.)

4. One individual continues to champion HPV initiation
ownership
One individual continues to champion HPV initiation
Integrated into their job description
Reviews data (see measure slide)
Periodically communicates the status of HPV data at staff meetings
Promotes celebrating efforts to hold the gains
For example, the QI team is defined as: A group of individuals that work together on the QI project. They have shared goals with mutual accountability for the project’s outcome. They are responsible for planning and conducting tests of change, collecting and managing data. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff.
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(The team is defined by their shared goals and mutual accountability for the QI project outcome. QI team members are typically responsible for planning and conducting tests of change and/or data collection and management. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff, etc.)

5. Hardware sustainability of HPV initiation Standing orders in EMR
Systems engineering
Hardware sustainability of HPV initiation
Standing orders in EMR
Integrate HPV vaccine standard operating procedures into clinic policy
Train newly hired staff
include HPV as routine adolescent schedule
continuous quality improvement (measuring HPV initiation as part of overall quality care)
For example, the QI team is defined as: A group of individuals that work together on the QI project. They have shared goals with mutual accountability for the project’s outcome. They are responsible for planning and conducting tests of change, collecting and managing data. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff.
****
(The team is defined by their shared goals and mutual accountability for the QI project outcome. QI team members are typically responsible for planning and conducting tests of change and/or data collection and management. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff, etc.)

6. Measure Simplify and streamline any ongoing measurement
Reduce the number to the most meaningful if processes are in place
For HPV since we only looked at initiation of vaccine in ages years (boys and girls) you could continue to use same measure
Reduce the frequency of measuring
Once the project ends, consider a follow-up measure period at 1 month, 3 months, 6 months, 1 year
For example, the QI team is defined as: A group of individuals that work together on the QI project. They have shared goals with mutual accountability for the project’s outcome. They are responsible for planning and conducting tests of change, collecting and managing data. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff.
****
(The team is defined by their shared goals and mutual accountability for the QI project outcome. QI team members are typically responsible for planning and conducting tests of change and/or data collection and management. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff, etc.)

7. Build culture of quality and safety within your practice
sponsorship
Communicate with ‘decision-makers’ to support quality care delivery to patients
Develop HPV presentations to align with other quality vaccine goals within the practice
Build culture of quality and safety within your practice
For example, the QI team is defined as: A group of individuals that work together on the QI project. They have shared goals with mutual accountability for the project’s outcome. They are responsible for planning and conducting tests of change, collecting and managing data. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff.
****
(The team is defined by their shared goals and mutual accountability for the QI project outcome. QI team members are typically responsible for planning and conducting tests of change and/or data collection and management. Members of the QI team may include, physicians, nurses, pharmacists, data managers, administrative staff, etc.)