Improving VFC and AFIX Site Visit Efficiency
Initially, the Whatcom County Health Department (WCHD) team conducted a detailed review of the Vaccines for Children (VFC) compliance and Assessment, Feedback, Incentives, and eXchange (AFIX) site visit process flow that identified redundant and inefficient steps, including internal tracking forms and an optional individualized summary letter that was given to each provider clinic after its VFC or AFIX site visit. Several potential solutions were identified, including using laptops during the VFC and AFIX site visits, creating an electronic system for on-site reporting to VFC clinic staff and the Washington State Department of Health (DOH), and completing the provider summary reports in the field rather than at the office. Completing these reports electronically eliminated the need for printing, copying, and mailing them to DOH and the clinic. Pre– and post–VFC and AFIX site visit and process times were calculated for each public health nurse. The results showed that for the VFC site visits, the average visit and process time was reduced from 7.25 to 6.71 hours, thus saving 0.54 hours per visit. In addition, a gain of 0.67 hours of staff time was achieved because printing, copying, and mailing of VFC reports were eliminated. Overall, using field computers during the provider VFC site visit provided modest cost and time savings in reporting findings to providers and the DOH. Pre– and post–AFIX site visit and process times remained the same. In addition, the immunization program’s internal forms were reviewed. Because several forms contained redundant information, all were eliminated, and one VFC and AFIX site visit tracking form was developed.
Simmons, A. Public Health Quality Improvement Exchange. Improving VFC and AFIX Site Visit Efficiency. Fri, 02/27/2015 - 12:39. Available at http://phqix.org/content/improving-vfc-and-afix-site-visit-efficiency. Accessed September 26, 2020.
Background and Aim
Planning and Execution Details