Date of Graduation

Fall 12-12-2025

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Dr. Robert Patterson, DNP, MSN, RN

Abstract

A quality improvement project was implemented at an urban community health clinic primarily serving low-income, underinsured, and Latinx individuals. The site had a history of poorly organized flu vaccine rollout and low vaccination rates among the patient population. Seasonal influenza infects millions of people across the US each year, resulting in hundreds of thousands of deaths (Garza et al., 2023), and vaccination is the best prevention. Electronic health record training has been shown to reduce user burnout and improve efficiency (Gordon et al., 2022). The QI project aims to increase medical assistant satisfaction with the flu vaccine rollout by 15%, from 65% to 80%, and the clinic flu vaccination rate by 5%, from 10% to 15%. The intervention will be implemented October 1, 2025, and post-intervention data collection will be completed November 5, 2025. A multimodal intervention was designed to address the electronic health record workflow inefficiencies, increase staff satisfaction, and improve vaccination rates. The intervention included 1) streamlined patient appointment flu vaccine documentation, 2) addition of the “Immunization Clinic” function within the electronic health record to be used during Flu Clinic, 3) development of standardized training tip sheets, and 4) electronic health record staff training. Post-intervention staff satisfaction increased by 12% and vaccination rates increased by 7.7%. The QI project team created new standardized electronic health record workflows and training tip sheets for flu vaccine documentation. The continued collection of vaccination rate data for subsequent years is needed to assess the long-term impact of the workflow change.

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