Barry S. Lachman, MD, MPH Medical Director 11/4/2011 The Issue Vaccine utilization rates remain low The ACIP has endorsed universal vaccination Influenza.
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Transcript Barry S. Lachman, MD, MPH Medical Director 11/4/2011 The Issue Vaccine utilization rates remain low The ACIP has endorsed universal vaccination Influenza.
Barry S. Lachman, MD, MPH
Medical Director
11/4/2011
The Issue
Vaccine utilization rates remain low
The ACIP has endorsed universal vaccination
Influenza has a high impact on Medicaid STAR
plans in the first quarter of every year
Influenza poses an increased risk in pregnant
women
Cocooning has been proposed as a strategy to
improve protection against disease spread
Pregnant Women and Children
under Age 1
Influenza poses increased risk in pregnant women
Influenza has an increased risk in children under one
year
Influenza vaccine cannot be given under on six
months
Vaccination of pregnant women has been shown to
lower risk in their children under a year
Influenza vaccine is safe during pregnancy
OB providers often do not provide immunizations
Targeted Populations
Pregnant women and their children under one year
Children under 18
Parents and other household members
PCHP Response:Pregnant
Women
Produce a brochure in collaboration with Merck Vaccines
to promote immunization of pregnant women for pertussis
and influenza
Provide the brochure to offices of community ob providers
in the Parkland Community Health Plan
Medical Director academic detailing to high volume
community providers on vaccination during pregnancy
Parkland Hospital which accounts for 2/3 of PHCP 22,000
deliveries per year (1:1000 US births!) routinely offers
pertussis and influenza vaccine
PCHP Response: Children
Expansion of the partnership with Pfizer Vaccines to
use Televox automated calls and reminder cards for
immunization from present 12-18 month olds to all
children in PCHP under age 5
Working on developing a similar partnership for
children over age 5 with another vaccine manufacturer
PCHP Response: Adult Cocooning
The issue – many parents of PCHP members are
uninsured
Possible response – provide vaccine vouchers to
parents of PCHP members
Barrier – Rules on use of Medicaid funds for non
members
PCHP is exploring this strategy further
Contact Information
For further information contact
Barry S. Lachman, MD, MPH,
Medical Director PCHP
[email protected]
214-266-2104