Process step | Baseline condition | PDSA 1 | PDSA 2 | PDSA 3 | PDSA 4 | PDSA 5 |
Combining clinical assessment and vaccination processes in PODs | Administration split screen data entry method | Clinical assessors supported by vaccinator computer administration | FIFO buffer queue and info/FAQs for queuing clients | Merge NBS administration with security and pinnacle administration with PODs | ||
Security(a) | 240 | 240 | 240 | 240 | 240 | – |
Administration(b) | 300 | 300 | 90 | 90 | 90 | – |
Security and administration(a+b) | 540 | 540 | 330 | 330 | 330 | 190 |
Clinical assessment | 360 | – | – | – | – | – |
Vaccination | 120 | – | – | – | – | – |
Clinical assessment and vaccination(c) | 480 | 240 | 240 | 210 | 150 | 210 |
Total processing time(a+b+c) | 1020 | 780 | 570 | 540 | 480 | 400 |
% Change in total processing time from baseline | – | −23.5% | −44.1% | −47.1% | −52.9% | −60.8% |
PDSA, plan do study act; POD, point of dispensing .