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