Clinical Quality Concepts: A Case Study

Children come into the world defenseless and vulnerable. The lifelong health of a child begins with what type of defense can be built up. Childhood vaccine schedules are the first step in healthcare for children. A vaccine schedule is a calendar with a combination of vaccines at set intervals and ages for children to receive from birth to six years old *******. The recommended combination of vaccines on the schedule minimizes the amount of times a child needs to get vaccines. Maximizing the number of vaccines a child receives at a time guarantees by school age, the child will meet requirements for enrolling in school. The childhood vaccination schedule was created to be beneficial for children.

Research done by the Centres for Disease Control and Protection (CDC) has shown that the MMR vaccine, or the measles-mumps-rubella vaccine, is 93% effective against measles after one dosage, and 97% effective after two doses. Moreover, the Varicella (chickenpox) vaccine is shown to be 98% effective after two doses, and the hepatitis B vaccine is shown to be over 90% effective in infants, children and adults alike. Despite the fact that the aforementioned vaccines aren’t 100 percent effective, their high success rates still prove that vaccines are extremely effective, thus making them essential to maintaining children’s

“In California has already sickened more than 5,270 infants and killed nine, in 2010, the highest record since 1955.” (Steven Reinberg, HealthDay 2010) CDC recommends that, “all adults 18-64 in contact with infants or working in health care receive a TDap within two years of their last tetanus vaccination, and that other adults in the same age range be offered the vaccine 10 years or more after their last tetanus shot.” (CDC, 2011)

Providing immunization to human beings by vaccination is one of the greatest achievements in the public health field. It is responsible for a significant increase in the quality of life for children in 21st century compared to the previous era. Childhood vaccination is usually provided at a young age as a routine service in specific clinics or other health facilities. Children are required to receive specific scheduled vaccinations shortly after they are born. Vaccinations can also be received in specific public campaigns where a specialized trained team provide vaccines to people in a targeted area for a few days or even weeks. The purpose of these is to provide maximum protection to the population in a short amount of time. Despite this,

Secondly, are parents following the recommended vaccination schedule for their children? The CDC (2016) recommends children receive the first dose between 12 and 15 months of age with the second dose being administered at four to six years of

The MMR vaccination is used to protect individuals from not only mumps but also measles and rubella (Harris, 2016). Vaccines are an example of active prevention methods. Active prevention requires a change in behavior, whereas passive prevention does not (Friis & Sellers, 2014). While newborns are often vaccinated if left unvaccinated it is up to the adult to obtain a vaccination to receive protection from mumps. In the situation stated in the article, 90% of school-aged youth and 40% of adults were vaccinated (Harris, 2016). To decrease chances of obtaining mumps the remaining 60% of adults and 10% of school-aged children will have to actively seek out one of the 50 vaccine clinics set up by the state. Even after receiving a dose of the vaccine

Immunisation requirements are met when a child has received the recommended vaccines for his or her age. The program would like to achieve a national

In the US, recommended for infants and children, pertussis is called DTaP vaccine is based. Diphtheria, tetanus, whooping cough: This is a combined vaccine protecting from the three diseases. For maximum protection against pertussis, children need five DTaP shots basis. The first three first two shots, are given to 4, 6 months. The fourth shot is provided between age 15 and 18 months, children enter school before the fifth shot is given at age 4-6 years. Parents may also be possible to keep them away from people who cough or cold symptoms, protect children.

 Delivering high quality care means using resources as effectively as possible to deliver the best outcomes for patients. Leaders at all levels of trust need to deliver high quality care including safe, patients care with financial balance, while striving to operate more efficiently and effectively.

Smith et al, (2010) state for successful partnership working a mutual understanding between of local context are required, as well as understanding the responsibilities and accountability around reporting mechanisms. It can ensure improvement in the quality of care by shared decision making, this can be done in ensuring a plan of care is put in place on transition when care is integrated (DH, 2013). The NHS organisations and local authorities are making progress in finding solutions to share service user’s information (Ham & Walsh, 2013).

Tdap vaccine protects against 3 serious diseases: tetanus (lockjaw), diphtheria, and pertussis (whooping cough). Preteens should get this vaccine at ages 11 – 12.

In order to prevent health issues to children immunizations are required. Immunizations are a service invented to prevent people from receiving live threatening diseases. Heathy people have reached their goal of 80% percent coverage to infant and children (Kotch, 151). Immunizations can be costly but according to the American Academy of Pediatrics every grade milestone a child goes, he or she has to receive the required immunizations to keep surrounding children and children in the school safe from various diseases or infections. “In the United Stated children 36-48 months includes three vaccines for prevention of polio; four diphtheria/ tetanus/acellular pertussis; one measles, mumps,

The MMR vaccine is one that protects against three diseases which are measles, mumps, and rubella. This vaccine is typically given to kids anywhere from ages one to twelve years old. Combination vaccines take two or more vaccines that could be given individually and are put into one shot. It is obvious that children dread going to the doctors and getting shots. However, with combination vaccines, it allows children to receive only one shot, instead of two or more separate shots – and still get the same protection. There have been questions raised if combination vaccines are just as effective as the individual vaccines since the vaccines are combined into one shot. The answer is yes, they are still just as effective. Before a combination vaccine

Vaccinations prevent against potentially deadly diseases. Just a few of these diseases include Diphtheria, Tetanus, and Pertussis (DTaP), Polio, Measles, Mumps, and Rubella (MMR), Haemophilus Influenzae type B (HIB), Varicella (Chickenpox), Hepatitis B, and Pneumococcal Conjugate Vaccine (PCV). These are the main eight diseases that children should be protected against. To prevent many possible outbreaks and the unnecessary harm of any children many schools will require vaccinations from these main diseases before they

According to the Society for Adolescent Medicine (2006, 332), one of the greatest contributing preventive health care strategies in improving the health of adolescents has been the use of vaccines against infection and transmittal diseases. Due to the use of these vaccinations; rates of diseases have significantly decreased throughout the United States (ibid, 332). Immunizations are generally considered a safe method to prevent and control the widespread of diseases, especially among vulnerable populations like children. The development of vaccinations is often recognized as a significant medical development of the twentieth century that has saved continues lives of future generations. The Center for Disease Control (CDC) advocates that children should receive nine vaccines by six months of age. However, there are “no United States federal laws that mandate vaccinations, but all 50 states require certain vaccinations for children entering public schools. Although, there are many exemptions to these laws” (ProCon 2017, 1). Policies should be implemented to provide and make it mandatory for adolescents above the age of six to receive vaccinations. There are several reasons: immunizations save children’s lives, the ingredients within each vaccine tend to be safe, vaccines rarely have an adverse effect, and there is a decline of a possible disease outbreak (ibid, 1).