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