CONTINUOUS QUALITY IMMUNIZATION IMPROVEMENT PROCESS
What is the Continuous Quality Immunization Improvement Process?
CQIIP

The Continuous Quality Immunization Improvement Process (CQIIP) is a process used to assist immunization operations with meeting compliance in the 8 Standards for Military Immunizations IAW the Department of Defense (DOD) Joint Immunization Regulation/Instruction (Immunization and Chemoprophylaxis for the Prevention of Infectious Diseases- AR 40-562/BUMEDINST 6230.15B/AFI 48-110_IP/CG COMDTINST M6230.4G) and the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) General Recommendations on Immunization. The standards are located in Appendix B of the Joint Immunization Regulation/Instruction. The CQIIP is an adaption of the CDC’s Quality Standards and Guidance for Program Evaluation in Adult Immunization Programs in Non-traditional settings (March 2000).

The Defense Health Agency’s (DHA’s) Immunization Healthcare Branch (IHB) further developed the immunization guidance and created a user-friendly tool to assist facilities in assessing their compliance with the immunization standards, ensuring that they use the best clinical practices when administering vaccines. The DHA’s IHB has 19 Immunization Healthcare Specialist (IHSs) geographically located around the World to assist with getting started with the CQIIP.

References:

  1. Joint Immunization Regulation/Instruction (AR 40-562/BUMEDINST 6230.15B/AFI 48-110_IP/CG COMDTINST M6230.4G, Immunization and Chemoprophylaxis for the Prevention of Infectious Diseases, 07 Oct 2013)
  2. CDC Advisory Committee on Immunization Practices (ACIP) General Recommendations on Immunization (January 2011): http://www.cdc.gov/mmwr/pdf/rr/rr6002.pdf
  3. CDC’s Adult Immunization Programs in Non-traditional settings: Quality Standards and Guidance for Program Evaluation (March 2000): http://www.cdc.gov/mmwr/PDF/rr/rr4901.pdf
  4. National Vaccine Advisory Committee: Standards for Child & Adolescent Immunization Practices (2003)
  5. National Vaccine Advisory Committee: Standards for Adult Immunization Practices (March/April 2014): http://www.publichealthreports.org/issueopen.cfm?articleID=3145
What is the CQIIP Tool?

The CQIIP Customer Tool is the first step of a two-step process. The CQIIP Customer tool asks questions about each of the eight standards to help identify areas of improvement and provides a snapshot of the current process of the Immunization Program.

The CQIIP Customer Tool is NOT an inspection, but instead should be used by the Services as a quality improvement mechanism to ensure immunizations are administered in accordance with DOD policies and the CDC ACIP’s General Recommendations on Immunization.

The second step of the process consists of the IHS’s review of CQIIP Customer Tool and IHS site visit. This step begins when your IHS receives your CQIIP Customer tool and/or your IHS contacts you to coordinate a face-to-face visit. During this visit, the IHS will assist your site in implementing a safe and effective immunization program that reflects the eight Standards for Military Immunizations. The IHS will also share best practices, immunization resources, information, and knowledge as well as provide verbal recommendations for any shortfalls identified during the visit. Approximately 7-10 days after the visit, the IHS will provide a written After Action Report (AAR) of his or her findings and recommendations.

For additional information see the CQIIP Instructions for preparing the CQIIP Customer Tool.

How can I download the CQIIP Tool and instructions?
Where can I get help with the Continuous Quality Immunization Improvement Process?
Your IHB Immunization Healthcare Specialist can assist you with completing the CQIIP Customer tool, answer your immunization related questions, support you with vaccine temperature compromises, or troubleshoot any DOD-Immunization Tracking System (ITS) issues. To locate your IHS click on the map below and click on your state or country to identify who your IHS is and his/her contact information.

Contact a IHB Immunization Healthcare Specialist

Map


Locate a IHB Immunization Healthcare Specialist to assist you with your vaccine questions or ITS issues.