Transcript NVPO Webinar Series: Project Successes and Challenges May 7, 2013 Welcome and Overview • Bruce Gellin, M.D., M.P.H. • Shary M.

NVPO Webinar Series: Project
Successes and Challenges
May 7, 2013
Welcome and Overview
• Bruce Gellin, M.D., M.P.H.
• Shary M. Jones, Pharm.D., M.P.H., BCPS CDR—
U.S. Public Health Service National Vaccine
Program Office
• Alaysia Phillips, M.P.H.—JBS International,
Inc.
Presenters
• Kendra Grounds, R.N.—Wabash County Health
Department
• Lisa Kritz, M.S.W., M.B.A.—Illinois Maternal and Child
Health Coalition
• Mary Hagstad, R.N., M.S.N., CNS—Licking County Health
Department
• Kari Lebeda Townsend, M.A.—Polk County Health
Department
Bruce G. Gellin, M.D., M.P.H.
Deputy Assistant Secretary for Health and Director
National Vaccine Program Office
U.S. Department of Health and Human Services
Insert Video here
Wabash County Health Department
Immunizations for Life
Kendra Grounds, R.N.
Disease Prevention Supervisor
Wabash County Health Department
[email protected]
Successes
• TransactRx—Provides the ability to check copay for shingles
vaccine and bill Medicare Part D
• Increase in the number of shingles vaccine requests and
administrations
• Medical director signed standing order for administration
of pneumonia vaccine
• Decrease in missed HPV vaccination appointments
since using EZText for appointment reminders
Challenges
• Challenges
• Timing of project—Hard to target influenza during
spring and summer
• Collecting data (e.g., number of people reached,
number of clients completing HPV series)
• No interest in the pneumonia vaccine
Lessons Learned/Best Practices
• Giving away small promotional items
captures people’s attention (e.g., syringe
pens).
Evaluation/Measurable Outcomes
• Increase in public awareness—14 outreach events
since February 2013, only 3 outreach events in the
same time period last year
• Increase in the number
of Tdap and shingles
vaccines administered
Closing
• Next Steps
– Increase promotion of HPV vaccine during May
and June (coincides with school registrations
and required immunizations)
– Develop better method for tracking data
Chicago Area Immunization Campaign—A Project of
the Illinois Maternal and Child Health Coalition
CAIC Adolescent Project HPV (CAP-HPV)
Lisa Kritz, M.S.W., M.B.A.
Immunization Campaign Director
Illinois Maternal and Child Health Coalition/Chicago Area
[email protected]
Successes
•
February 22, 2013, adolescent immunization stakeholders meeting, included
21 representatives—
–
Respiratory Health Association, Erie Family Health, Illinois Academy of Family Physicians,
Chicago Public Schools, Heartland/Northwestern, Illinois Coalition for School Health Centers,
Chicago Department of Public Health, Illinois Department of Public Health, University of
Chicago, Illinois Chapter of the American Academy of Pediatrics
• Provider survey
–
176 respondents
• March 7, 2013, HPV Webinar
–
–
–
Partnered with the Illinois Chapter of American Academy of Pediatrics and the Illinois Critical
Access Hospital Network
Guest speaker, Eileen Dunne, M.D., M.P.H., Centers for Disease Control and
Prevention
137 participants on the statewide Webinar
• HPV blog post on the Sex-Ed Loop http://bit.ly/YprQWb
Challenges
• Large benchmarking project showed minimal work
being done around adolescent immunizations, and
none of the existing work appears to be a good fit
for the populations in Chicago
• Adolescent focus groups
– Adolescents gave conflicting information.
Lessons Learned/Best Practices
• When creating a toolkit, it is best to ask intended
recipients what information would be most useful
to them.
• Be flexible.
• School requirements improve vaccination
rates.
Evaluation/Measurable Outcomes
• Adolescent project still in progress
Closing
• Next Steps
– Adolescent-focused general meeting scheduled for May
15, 2013
– Field test materials
– Finalize and distribute materials
• Contact Information
Kelly McKenna
[email protected]
312-491-8161, Ext. 35
Licking County Health Department
Licking County Vaccine Initiative
Mary Hagstad, R.N., M.S.N., CNS
Nursing Director
Licking County Health Department
[email protected]
Successes
• Partnered with Merck’s Patient Assistance Program
to provide Gardasil for clients who cannot afford it
• Ohio Department of Health is supplying Tdap for
clients who are caretakers of infants
• Using TransactRx to help clients with Medicare Part
D pay for Zostavax
• Staff have bought into this initiative!
Challenges
• Vaccines remain costly for some.
• Staff have a difficult time incorporating the
initiative into their clinical time.
• Many clients end up not being vaccinated.
• The local aging program was not receptive to
an onsite clinic.
Lessons Learned/Best Practices
• Staff need to buy in to the program from the
beginning. This means including key players in the
planning of the project.
• Vaccines need to be offered “in the moment.”
Clients typically do not return for them.
• More time needs to be built into the clinical
setting to accommodate this project.
Evaluation/Measurable Outcomes
• A total of 158 people have been impacted (excluding
the month of April).
• The questionnaires show that only 20 percent (10
people) of those seeking immunizations at the health
department since February were there because of a
vaccine promotion via the Vaccine Initiative.
– Seven people came for Tdap, one came for HPV
(Gardasil), and one came for Zostavax.
Closing
• Next Steps
– Will attend a senior citizen fair in May
 Hope to promote the Tdap for caretakers of infants
 Hope to promote the Zostavax vaccine
– Will attend the county fair this summer, and will
promote all three vaccines at that time
– Will continue to use the STD clinic and at-risk
pregnancy program to promote these vaccines
Polk County Health Department
Polk County Pertussis (Tdap) Vaccination Project
Kari Lebeda Townsend, M.A.
Disease Prevention Supervisor
Polk County Health Department
[email protected]
Successes
• Positive response from individuals, organizations, and groups
• Partnering with the African American Leadership Forum, health
unit
• Drake University student intern with interest in Pertussis
• Donation of Tdap
• Collaboration with ELIM Christian Fellowship Church Community
to offer an open community clinic and awareness promotion
• Opportunity to offer a comprehensive awareness and
education campaign
Challenges
• Identifying organizations reaching African Americans
through activities or events that draw significant
participant numbers for a community-based clinic
• Difficulty identifying a local African American family to
offer a personal story/testimonial on importance of
pertussis vaccination
• Vaccine safety concerns not often raised by
partners and stakeholders
Lessons Learned/Best Practices
• Identifying a spokesperson from each community
clinic partner to take the lead promoting awareness
and the clinic event
• Importance of obtaining input on awareness
messages and materials
• Opportunity to work with faith-based
organizations/churches
Evaluation/Measurable Outcomes
Include, but not Limited to—
• Number of partners/stakeholders involved in project
• Number of announcements and media opportunities
• Number of community-based vaccination clinics
• Number of Tdap vaccinations given
• Feedback from partners/stakeholders
• Satisfaction survey results
Closing
• Next Steps
– Continue to distribute information and
awareness/educational materials.
– Implement focused awareness/education campaign
using media and materials.
– Conduct four community-based clinics in May and
June.
– Analyze feedback and evaluate efforts.
Question and Answer Session
• Please send questions via WebEx chat box.
Please visit http://nvpo.jbsinternational.com to
view Webinar recordings and presentations.
Next Webinar: May 28, 2013, 2:00 p.m. (ET)