Immunization for Immunocompromised Patients: We developed a partnership with several pediatric specialists who care for patients with conditions that compromise their immune systems (e.g., transplant, lupus, HIV). Because of their immunocompromised condition they cannot follow the immunization standard guidelines recommended by the Centers for Disease Control and Prevention and American Academy of Pediatrics. However, these patients are at higher risk of serious consequences if they are not fully immunized. The baseline assessment found immunization rates for several vaccines to be very low (around 20%). We designed and implemented a quality improvement/performance improvement (QI/PI) protocol that included all-staff education and systems changes to identify the immunization status of patients as they arrived for appointments. The project included several PDSA cycles (Plan Do Study Act) in order to reach the goal of 80% immunization rate. The final immunization rate was approximately 88%. Learn more.