Background and Significance: Vaccination hesitancy is a barrier to pediatric health. Current pediatric influenza vaccination rates nationwide fall below the national recommendations. Purpose: The purpose of this quality improvement (QI) project was to reduce parent influenza vaccine hesitancy through provider education and the use of Motivational Interviewing techniques with the Motivational Interview Tool to Improve Vaccination Adherence MOTIVE-Flu algorithm point-of-care tool. The MOTIVE-Flu tool, an established tool, was used for this project with permission from the tool's creators (Cole et al., 2021) and with the support of Cedarville University. The intended project outcome was to increase seasonal influenza vaccination rates by 10%; data analysis compared the participating provider's 2020 vaccination acceptance rate to its 2021 vaccination acceptance rate. Methods: De-identified aggregate quantitative data provided by the organizational data manager and the participating medical assistant at a pediatric outpatient clinic were reviewed. The total number of encounters during this project period was 177. Statistical analysis was performed and compared to the participating provider's previous influenza vaccine data. Implementation: Implementation occurred from October to December 2021 within the typical peak influenza vaccine administration season during each pediatric primary care visit for children aged 6 months through 17 years. Use of the MOTIVE-Flu motivational interviewing intervention tool assisted in identifying individualized barriers and facilitating education. Outcomes: Project outcomes produced an inference, resulting in an acceptance rate of 65.3% and a refusal rate of 34.6%. This underscores the importance of this intervention project, which demonstrated increases in flu vaccination. The intended project outcome was to increase seasonal influenza vaccination rates by 10% based on Z23.0 code use. Data analysis comparing the participating provider's 2020 vaccination acceptance rate to the 2021 vaccination acceptance rate resulted in an 11% improvement. Statistical analysis comparing the participating provider to other clinic providers' 2021 Z23 code use indicated a 17% higher use, proving statical significance. Project outcomes based on antidotal data produced an inference acceptance rate of 65.3% and a refusal rate of 34.6%. Implications: Pediatric primary care plays an important role to patients by promoting vaccinations. Vaccination is of critical importance in reducing pediatric influenza morbidity and mortality, reducing the spread of influenza within the community, and decreasing health care costs. [ABSTRACT FROM AUTHOR]