Quality Improvement

General practices should be engaging in continual quality improvement activities to improve the quality of care and safety for patients. These activities can be aimed at improving practice structures, systems processes and clinical care.

Free SMS recall – Quality Improvement (QI) programs 2025

GoShare Pneumococcal recall program

People aged 70+ and over are eligible for a free single dose of Prevenar 13 vaccine on the NIP. These people are also eligible for a free annual dose of Fluad Quad vaccine.

General practices are encouraged to register for the GoShare 2025 Pneumococcal Vaccination Recall Program which allows a unique opportunity to send a free SMS recall to offer both the Fluad Quad and Prevenar 13 to eligible patient aged 70 years and over. These vaccines are safe to be co-administered.

GoShare COVID-19 recall program

GoShare invite you to REGISTER your practice to participate in a new QI Activity: COVID-19 vaccination recall program for adults aged 75 years and older.

The program uses GoShare to send a personalised SMS to patients aged 75 years and over who received their last COVID-19 vaccine over 6 months ago. The SMS template provided includes a link to information to help the patient understand why their age puts them at increased risk of serious illness from COVID-19 and a call to action to book an appointment at your practice.

To learn more about the program, please see Program Brief.

CESPHN have created a QI activity recording template to accompany the activity.

Immunisation Quality Improvement Activities

Immunisation QIA Collection – AIR010A reports

This collection of Immunisation Quality Improvement (QI) activities uses the AIR010A Due/Overdue Immunisation by Practice reports, extracted from the Australian Immunisation Register (AIR).

Immunisation QI activities in this collection include:

Adult vaccination QI activities: Pneumococcal vaccination recall for adults aged 70-80, Shingles vaccination recall for adults aged 65-75, MMR vaccination recall for people born after 1966 (and before 1994)
Adolescent vaccination QI activities: HPV vaccination recall for adolescents aged 15-25, DTP vaccination recall for adolescents aged 15-20, MenACWY vaccination recall for adolescents aged 15-20
Childhood vaccination QI activities: Childhood vaccination recall for children aged <5 years for all recommended antigens

CESPHN can support practices in implementing various Immunisation QI activities, with straightforward and practical guidance from our Immunisation Officers. Contact immunisation@cesphn.com.au

Download: Immunisation QIA collection: QI activities using AIR010A reports
Download: Immunisation QIA record of QI activity

Childhood Immunisation QIA

Participating practices will be provided with:

An Overdue Report – listing children aged 0 – 5 years living in the CESPHN region who have not completed their childhood immunisation schedule, as recorded on the Australian Immunisation Register (AIR). All children listed on your practice’s report had their last vaccination by a provider at your practice, and no immunisation records have been uploaded to AIR since. 
An Immunisation QIA Workbook – which provides a step-by-step guide on addressing children on your report, examples of overdue scenarios and how to resolve these; and a QI record template to document activity.
PIPQI documentation – The workbook also serves as a valuable resource for documenting your practice’s participation in continuous quality improvement in collaboration with CESPHN, in accordance with the PIP QI Incentive Guidelines.
One-on-one support – the Immunisation team can provide training to both clinical and non-clinical staff to build their skills and confidence to participate in QI activities.

The QIA Immunisation workbook walks you through how to improve childhood immunisation rates at your practice and troubleshoot some common issues that may be affecting your immunisation rates.

Receive monthly overdue reports: Register

Maternal vaccination QI activities

Immunisation during pregnancy helps protect the health of the baby and mother against communicable diseases. Encouraging uptake can be used as a simple QI activity by using the following template guides:

Influenza Vaccination in Adults 65+

QI template: Influenza vaccination 65+ | Data quality QI

Pneumococcal Vaccination in Adults

General practices are invited to register to participate in a Pneumococcal Vaccination Recall Program for adults aged 70 years and over a simple QI activity to enhance patient care through a free patient recall initiative. This program was a great success in 2024 and will continue to be funded for 2025. More information here

Immunisation clinical audits

Immunisation clinical audits are activities that systematically review aspects of a GP’s clinical performance against defined best-practice guidelines in the Australian Immunisation Handbook. These RACGP approved CPD activities take approximately 5 hours to complete:

Webinar recordings

3 June 2024: How to use clinical audit tools CAT4 and POLAR to identify eligible patients for free NIP flu vaccines and how to use reports to monitor flu vaccine uptake as a quality improvement activity

22 August 2023: A practical discussion on using Quality Improvement activities to meet CPD activity requirements – practical examples of MO and RP activities, how CESPHN can support with QI activities, clinical audit tools, PIP QI, PDSA Templates, and case studies from general practice.

Improve data quality

See our AIR/PRODA page for more guides on how to improve data quality for immunisation records. This can be considered a quality improvement activity.