Welcome to Smart Shots

Smart Shots is a quality improvement project developed by Joe Brusatto, a Doctor of Nursing Practice student.

The project aims to demonstrate the value and feasibility of implementing vaccine forecasting clinical decision support in pediatric primary care with minimal investment using an innovative, low-cost, evidence-based report in the patient chart.

Focusing on the Challenge of
Pediatric Immunization Management

Evaluating and planning immunizations for children is a complex, time-consuming and cognitively burdensome task for providers.

EHRs often fail to live up to the promise of improving the provider experience. Some immunization management designs add to cognitive workload, contributing to heuristic decision-making, errors, and provider burnout.
Read more about the challenge

Addressing the Problem with the
Smart Shots Report

Smart Shots is a CDS-generated report that analyzes immunization data in the patient chart to determine vaccination status, identify gaps, and forecast vaccination needs.

The report implements the same CDS technology used by immunization registries and is optimized for the cognitive work of immunization management.
Read more about the Smart Shots intervention

A Project Designed to
Benefit Providers

Thie project has been designed with the aim of reducing provider cognitive workload and task time while improving their confidence when managing immunizations.

While patients are likely to experience improved care, this project's outcome measures are focused on the demonstrating the impact of evaluated vaccine forecasting CDS on provider experience.
Read more about the project's outcome measures.