Implementing Expanded Seasonal Influenza Meeting Healthcare and Other Settings Overall Goal Getting every patient ( matter where they get immunized.

Report
Implementing Expanded
Seasonal Influenza Meeting
Healthcare and Other Settings
Overall Goal
Getting every patient
(<18yo) vaccinated no
matter where they get
immunized.
Targeted Groups – Workgroup Two
Mass vaccinators
Provider organizations
Community partners
Pharmacists
Overcoming Barriers
Time-frame
Missed opportunities
Demand
Misperceptions
Laws / Regulations
Current Influenza
Vaccination Rates
Walking the Talk
Thinking out of the box
Lifespan Vaccination
Compensation
Access
Medical Home
Rates after Expansion of
Seasonal Influenza Vaccination
Challenge / Barrier
Time Frame and small
percentage of kids
coming in
Missed opportunities
Lack of parental demand
Solutions / Input
Reminder recall from
trusted provider
Registry use and target
messages
Rx-label / vial reminders
Funding for communitybased approaches
Provider education
Expand types of providers
Consistent messages
Education & consistent
messaging from gov’t & their
provider
Challenge / Barrier
Misperceptions
(patients) about
vaccines / dx and
value
“Walking the Talk” by
providers
Solutions / Input
Adolescent directed messages
Risk vs benefit
It’s a yearly vaccine
Increase recognition of dx
Risk vs benefit
Have physicians talk to other
physicians @ pt cases
Mandate for HCP and staff
Make vaccination standard of care
Make it an OSHA issue
HEDIS measure and public report
carding of provider IZ
Medical education about extending
season & vaccine
Look at medical / nursing / phcy
school education
Challenge / Barrier
Out of box thinking
Solutions / Input
Get vaccinated where comfortable
Tools to providers
CME requirement vs Volunteer
Service for licensure
Models besides schools (San Diego
Youth Program; CMA Fdn – Girl Scouts
project) – utilize community service
requirements
Coupons from merchants
Insurer-issued vouchers
“School-placed”; “Faith-placed”;
“work-placed” programs
Incentivize families by insurers
Challenge / Barrier
Compensation and
Recognition
Solutions / Input
Cost of reminder systems
Types of practitioners
Lifespan coverage
SCHP vs VFC program eligibility
Incentivize performance
Expand VFC providers to nontraditional providers
Vaccinations need to be profitable
Incentivize performance
Compensation for counseling
Vaccines on consignment / extend
terms
Who assumes risk?
Challenge / Barrier
Lack of easy access
and/or lack of medical
home
Administrative burden
Solutions / Input
Is the medical home the patient? –
need to articulate it is not a facility or
control
Communication systems between
providers of care
Reporting (self-reporting vs system
documentation)
Compensate for education,
counseling, paperwork
Publish efficient models / success
stories
Standing orders (STAND on CHART)
Allow other providers to IZ
IZ clinics are efficient / more
frequency and regularity
Tools / templates / algorithms for flow
and vaccine ordering
Challenge / Barrier
Staffing capacity
Vaccine safety
concerns
Liability concerns
Solutions / Input
Offer clinics / appt / build into flow
Hard to add into already packed
practice
Collaborative opportunities between
community providers & private practice
Better reimbursement leads to better
staffing
Utilize empty offices @ certain times
and have volunteers staff
Need models for volunteer programs
that work
Consistent and credible messages
Ability to give to whole family
Challenge / Barrier
Legal / regulatory
concerns
How do you deal with
adolescents?
Documentation
Concern about supply
(wastage, shortage,
sources)
Solutions / Input
Messages to policymakers
Access to school data
Standing orders / protocols
Who can vaccinate and age
restrictions
Who indemnifies volunteers & mass
vaccinators
Address risk-management
restrictions
Messages targeted to adolescents
and delivered by peers
To patient, to provider, to registry?
Risk assumption?
They’re coming…will we be ready...

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