Problem: Delayed pneumococcal and influenza vaccinations are a concern at a solo primary care office for patients 65 and older, highlighted by national data showing high mortality rates from influenza and pneumonia in this age group. In this solo primary care provider's office, the 2022 vaccination rates were 85% for the pneumococcal vaccine and 51% for the influenza vaccine among patients 65 and older. The main root cause of this issue is the limited time availability, as identified by the provider operating the solo practice. Purpose: This Quality Improvement (QI) project aimed to increase vaccination rates using the 4 Pillars Practice Transformation Program, focusing on strategies like Convenience, Patient Communication, Enhanced Vaccination System, and Motivation. Methods: Over a 15-week period, comprising 1 week of education and 14 weeks of implementation, evaluation, and data collection, the project focused on stakeholder education, staff motivation, distribution of educational materials, and immunization screenings during patient visits. Influenza vaccines were administered on-site, and referrals for pneumococcal vaccines were directed to a designated pharmacy. Results: The influenza vaccination rate increased from 51% to 60.5%. The rate was 70.6% up to Week 11, after which it declined due to vaccine exhaustion. Of 278 eligible patients, 224 were screened (80.6%). Among pneumococcal vaccine candidates, 38 patients were eligible; 25 accepted referrals, while 13 declined. The patient age range was 65-87, with a median of 69.5. Conclusions: The project notably improved vaccination rates in a solo primary care setting, achieving significant progress despite challenges like survey revision and vaccine exhaustion. The multifaceted approach led to substantial improvements in both screening and vaccination rates. This success offers valuable insights into public health practices, highlighting the potential to enhance vaccination rates and reduce vaccine-preventable diseases among elderly populations, thereby contributing to improved public health outcomes.