The Collaborative Experience & the Path to Improvement

ENROLLMENT FOR THE 2016-2018 COLLABORATIVE IS NOW CLOSED

The NYS Higher Ed Immunization Collaborative is patterned on the Institute for Healthcare Improvement (IHI)’s Breakthrough Series Collaborative Model (Figure 1). Using an “all teach, all learn” philosophy, Collaboratives include onboarding, team coaching, face-to-face meetings, and web-based meetings where teams learn from our expert faculty and each other. The full schedule of activities can be found at: https://collegehealthqi.nyu.edu/upcoming-programs/immunization-collaborative/schedule/.

Teams will be trained in the Model for Improvement, a framework for testing, implementing, and spreading changes and innovations.  It includes use of plan-do-study-act (PDSA) cycles or rapid cycle improvement — allowing teams to start small, adapt the evidence-base to their local settings, and implement only those changes that result in improvement. Teams use data to monitor their improvement efforts and are provided with support and coaching throughout the 18 month collaborative.

BTS Model Formatted v2

Throughout the Collaborative, participants will have access to:

  • Guidance and coaching from expert faculty on the key content and methodologies necessary to design models, processes, and strategies that optimize vaccination rates among students. This guidance will be customized to each college’s unique context, resource availability, assets, and student population.
  • Guidance on using the Model for Improvement, including testing, implementing, and scaling up new models, processes, and strategies, with a focus on achieving sustainable improvements.
  • Support around measurement strategies and collecting, tracking, and analyzing data.  Receive individualized feedback charts about your team’s improvement progress.
  • Coaching to build each team’s capability to learn what works in its setting, using the methodologies and knowledge in the Collaborative.
  • Expertise of colleague teams participating in the Collaborative
  • An Online Resource Center, including access to tools, forms, and other aids to help with implementation of key areas of care.
  • Communication methods to keep participants connected to the faculty and to colleagues at other participating sites

The following team factors are associated with successful outcomes:

  • Connecting the goal of the Collaborative to a strategic initiative of the college or university.
  • Providing a forum for regular interaction between the Collaborative team and a senior leader to review progress, discuss barriers, and obtain support needed.
  • Forming an improvement team. Membership of the team does not need to be limited to college or university staff and may involve community partners.  Examples include but are not limited to physicians, nurses, nurse practitioners, immunization compliance staff, student affairs professionals, pharmacists, health promotion professionals, office staff, medical assistants, administrators, private practices, hospitals, non-profit organizations, and/or local health department colleagues.
  • Engagement of staff and/or community partners in efforts to increase vaccination rates including testing changes and tracking measures to drive improvement.
  • Freed up time for team members to participate in Learning Sessions, team meetings, cross training, and to implement and test changes.
  • Develop internal quality improvement strategies to sustain change and promote innovation.
  • Complete all onboarding activities prior to Learning Session 1.
  • Participation in Collaborative Learning Sessions and webinars to share with and learn from others.
  • Submission of monthly Team Progress Reports to share information with Collaborative faculty and other participants.  These reports allow you to document details of changes made and data used to study the impact of these changes.