Immunization Quality Improvement for Providers

Backgroun of mountain range and pine trees under Oregon IQIP Immunization Quality Improvement for Providers

Oregon IQIP is part of CDC’s national Vaccines for Children (VFC) provider-level immunization quality improvement (QI) program. It promotes and supports provider-level strategies designed to help increase on-time vaccination of children and adolescents. IQIP is a 12-month process in which VFC providers collaborate with IQIP consultants to identify QI strategies to increase vaccine uptake by improving and enhancing vaccination workflow.

Select ”Best Practice” Strategies

Schedule the next vaccination visit before the patient leaves the provider location.
Leverage immunization information system (IIS) to improve immunization practice.
Give a strong vaccine recommendation.
Strengthen vaccination communications.
Recommend HPV Series starting at age 9.

Receive Custom Coverage Rates

Enjoy Tailored Support Throughout the Cycle

Site Visit	2- & 6-Month Check-ins	12-Month Check-in
Observe workflow; review initial coverage rate. Select QI Strategies. Provide technical assistance. Choose strategy implementation plan action items.	Review/update progress toward strategy implementation. Provide technical assistance. Review and update strategy implementation plan. Review coverage rates at 6 months.	Review/update progress toward strategy implementation. Provide technical assistance. Review year-over-year coverage rate change.

Realize Practice Benefits and Improvements

Improved childhood and adolescent immunization rates.
CEU credits available through the AAMA.
Compliance with CCO incentive metrics.
Insights into current immunization “best practices.”
Optimized Immunization workflow.
Increased staff confidence with vaccine-hesitant patients.

Scheduling IQIP at Your Site

If you are interest in bringing IQIP to your VFC-participating clinic, please contact our help desk and ask to be connected with the IQIP team:

Oregon Help Desk: 1-800-980-9431
Oregon Help Desk Email: vfc.help@odhsoha.oregon.gov

IQIP & Quality Improvement Resources

CDC IQIP Page: Home of the national IQIP program. Includes key resources, implementation guides, and provider tools.

ALERT IIS Training Page: Oregon ALERT offers a variety of on-demand training modules (required registration) and tip sheets related to their report options. One report that aligns especially well with IQIP is the Reminder/Recall report which supports timely outreach to patients who are overdue.

Oregon CCO Resource Guide: A practical reference for Coordinated Care Organizations (CCOs), health systems, and medical providers. Offers best-practice QI recommendations for improving immunization rates.

Institute for Healthcare Improvement (IHI): The “Model for Improvement” is the foundational framework used by the IQIP program. This resource outlines the Plan-Do-Study-Act (PDSA) cycle and other core QI tools.

Washington State HPV @ 9 Resource Page: Washington State Department of Health provides a comprehensive collection of HPV@9 materials, including provider tools, communication strategies, and implementation resources.

Understanding Motivational Interviewing (MI): Motivational Interviewing is an evidence-based approach to behavior change often recommended in immunization counseling. This resource provides a clear overview of MI, clarifies common misconceptions, and offers guidance for further learning.

Studies Linking IQIP-style Intervention to Improved Vaccination Rates

Liu, J., Zhang, Y., Chen, X., & Patel, R. (2025). Estimating the effects of interventions on increasing vaccination: Systematic review and meta-analysis.BMJ Global Health, 10, e017142.

Siddiqui, F. A., Khan, M. S., Rahman, A., & Thomas, R. (2022). Interventions to improve immunization coverage among children and adolescents: A meta-analysis.Pediatrics, 149(Suppl 6), e2021053852D.

Aviraj, K. S., Wasnik, A., Gupta, L., Ranjan, A., & Suresh, H. (2025). Effectiveness of interventions to improve vaccine efficacy: A systematic review and meta-analysis.Systematic Reviews, 14(1), Article 105.

Jacobson Vann, J. C., Jacobson, R. M., Coyne‐Beasley, T., Asafu‐Adjei, J. K., & Szilagyi, P. G. (2018). Patient reminder and recall interventions to improve immunization rates.Cochrane Database of Systematic Reviews, 2018(1), CD003941.

Gagneur, A., Gutnick, D., Berthiaume, P., Diana, A., Rollnick, S., & Saha, P. (2024).From vaccine hesitancy to vaccine motivation: A motivational interviewing-based approach to vaccine counselling. Human Vaccines & Immunotherapeutics, 20(1), Article 2391625.