Vermont Preventive Services Initiative (VPSI)

Baby peaking out of blanketCompleted in June 2003, the goal of VPSI was to optimize the health of Vermont children by initiating and supporting measurement-based efforts to assist pediatric and family practices to improve their delivery of preventive services. Practices were recruited to participate in improvement activities measuring current performance and formed collaborative learning groups of practices on how to best achieve change and provide tools and materials supporting clinical practice improvement and on-going support.

Preventive services measured include:

  • immunizations
  • tuberculosis risk assessment and screening
  • lead screening
  • anemia risk assessment and screening
  • tobacco risk exposure
  • sleep position risk identification and dental screening by age two
  • blood pressure
  • dental and vision screening by age four

Monthly collaborative conference phone calls and semi-annual learning sessions were held with participating practices and community members to enhance the capacity of participants to implement, spread, and measure change throughout their environment.


VPSI data analysis shows significant improvement in the following areas:

  • Environmental tobacco smoke risk assessment increased from 33% to 66%
  • Lead screening increased 15%
  • Tuberculosis risk assessment increased from 19% to 42%
  • Varicella immunization increased from 81% to 88%
  • Vision screening rates in 4-year olds increased from 63% to 76%