Association of Immunization Managers. Corporate Alliance Presentation. April 24, 2018

Transcription

1 Association of Immunization Managers Corporate Alliance Presentation April 24, 2018

2 Webinar Tech-Tips Choose EITHER your telephone or your computer s microphone and speakers. If you are dialing in on telephone, enter audio pin # your pin#. Click either: USE Telephone for cell phone or land line OR USE Mic & Speakers for computer audio and voice

3 Discussion All lines will be unmuted during the discussion portion of the call. PLEASE remember to mute your line if you are not speaking Mute the line by muting your phone, or computer mic, or by clicking the green microphone button the Go To Webinar control panel Type question in Question Box and AIM Staff will read your question to the panelist.

4 Claire Hannan Executive Director

5 Immunization Program Management 101 Presentation Overview U.S Immunization System: Public-Private partnership Operationalizing at the State/Territorial/Local Level Hot Topics, Priorities in 2018 for Program Managers AIM Organization and Conference Preview

6 Public-Private Partnership: At a Glance

7 Pediatric Vaccines Recommended for Children 0-6 Years of Age Doses Distributed by Funding Source Calendar Year 2016 Section 317 Program 0.4% Other including Private Sector 49.5% Vaccines for Children Program (VFC) 45.7% State Purchases 4.4% Source: Biologics Surveillance Data Represents a national summary of self-reported distribution data by the vaccine manufacturers. The data are an estimate of the annual national distribution and does not equal administration. Reported data may be incomplete and include possible over-reporting or under-reporting of distribution data and may not reflect all vaccines or manufacturers. Other represents all purchases not on CDC contracts, including private, health insurance, and government purchases through other mechanisms. A proportion of MMR, Varicella and PCV13 vaccines may be utilized in adults older than age 18 years. Data do not include influenza vaccine doses. Updated April 20, 2018

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9 Vaccines for Children (VFC) Program

10 Vaccines for Children Program Diphtheria Haemophilus influenzae type b Hepatitis A Hepatitis B Human papillomavirus Influenza Measles Meningococcal Mumps Pertussis (whooping cough) Pneumococcal Poliomyelitis Rotavirus Rubella Tetanus Varicella 1.

11 Vaccines for Children Program Eligibility Children under the age of 19 that are: Medicaid-eligible Uninsured American Indian or Alaska Native Underinsured* (FQHC, RHC)

12 MP MH PL FM PR AS GU VI Cities: New York City, Philadelphia, Washington, D.C., Chicago, Houston & San Antonio Territories: American Samoa, Guam, the Republic of Marshall Islands, Micronesia, 12 the Northern Mariana Islands, Palau, Puerto Rico, the Virgin Islands

13 Section 317 Program

14 Section 317 Grants Program Vaccines/Operations Supports Immunization infrastructure: IIS, outreach, disease surveillance, outbreak control, and education. Supplemental funding to assist awardees in implementing activities. Funding amount awarded varies & depends on the annual amount appropriated by Congress & carryover funds from the prior year. Section 317-purchased vaccine has been directed towards meeting the needs of priority populations including underinsured children not eligible for VFC, and uninsured adults.

15 Immunization Program FY 2017 Final FY 2018 Omnibus FY2019 President s Budget FY2019 +/- FY2018 $606.1 M $610.8M $520.8M -$90.0M Budget Authority $281.8M $286.5 $ $234.3M PPHF $324.2M $324.4M $0M -$324.4M Source: Centers for Disease Control and Prevention

16 State Funds

17 2017 AIM Annual Survey State Vaccines/Operations Funding Programs that received State/Local funds for Vaccine Purchase in Grant Year 2016 (n=53) Programs that received State/Local funds for Operations/Infrastructure in Grant Year 2016 (n=53) 16, 30% 26, 49% 27, 51% Vaccine purchase - Yes Vaccine purchase - No 37, 70% Operations/Infrastructure - Yes Operations/Infrastructure - No

18 Operationalizing. Section 317 and VFC Programs at the awardee level

19 Vaccine Purchase Policies VFC Program provides all ACIPrecommended vaccines to private providers only for use among VFC-eligible children. The private providers do not receive 317* or state/local funded vaccine for non-vfc eligible children. VFC & Underinsured Select Underinsured children with respect to vaccines are served by the immunization program using 317* and/or state/local funding to cover selected vaccines for the underinsured. Underinsured children must be referred to an FQHC, RHC, or deputized local health department to receive the selected vaccines that are covered using 317* and/or state/local funding. VFC & Underinsured Universal Select Universal Underinsured children with respect to vaccines are treated like VFCeligible children because the immunization program uses 317* and/or state/local funding to cover all ACIPrecommended vaccines. This enables underinsured children to receive all ACIP-recommended vaccines from any VFCenrolled provider (instead of having to refer underinsured children to an FQHC, RHC, or deputized local health department for vaccinations). All children, regardless of insurance status, receive almost all ACIPrecommended vaccines free of charge via the state/local immunization program, with the exception of one or more selected vaccines. In universal-select states, only VFC-eligible children receive all the selected vaccines free of charge at any VFC-enrolled provider (public or private). The program covers the non-vfc children with 317* and state/local funds as best as they can. Or parents of will pay for these selected vaccines out-of-pocket. All children, regardless of insurance status, receive all ACIP-recommended vaccines free of charge via the state/local immunization program. The immunization program uses a combination of VFC, 317*, and state/local funds to purchase vaccine for all children in the state. Children may be vaccinated by any VFCenrolled provider (public and private).

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22 Section 317 Program Vaccine purchase awards: Uninsured adults Underinsured children (meeting federal definition) Children/adults through mass clinic exercise Operation/infrastructure awards: Cooperative agreements funding IIS, education, outbreak control, etc (staff, contractors, IT) 5 year grant periods, renewed annually, July 1 through June 30 Governed by requirements and mandatory reporting

23 Immunization Program Operations Manual (IPOM) Includes core documentation regarding their funding and federal personnel (public health advisors, project officers, and vaccine advisors). Each Core Component has: 26 Required Awardee Objective >40 Required Reporting Elements >35 Required Performance Measures Required/suggested: activities, performance measure. Reporting requirements and suggested reporting elements.

24 Immunization Program Operations Manual (IPOM) Immunization Program Operations Manual (IPOM) outlines requirements and recommendations focused on five core components of an immunization program:

25 Section 317: Important Things to Know Cooperative Agreement Funding Methodology NOFO Annual Report IIS Annual Report (ISAR) e-gratis

26 Vaccines for Children Program Vaccine Operations AFIX

27 . VFC Operations Guide

28 . Module 1- Eligibility

29 Module 2- Provider Recruitment and Enrollment.

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31 Module 3- Quality Assurance and Program Accountability.

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33 Source: Washington State Immunization Program

34 . Module 4- Vaccine Management

35 Source: VT Immunization Program

36 Module 5- Fraud and Abuse. All awardees are required to implement a written fraud and abuse policy for the VFC program. The policy MUST address: prevention, detection, investigation, and resolution of fraud and abuse allegations.

37 Module 6- Program Improvement

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39 AFIX: Assessment, Feedback, Incentives & exchange

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43 Requirement Recap AFIX Annual Report Annual CDC Site Visit Annual Federal Financial Report (FFR, SF-425) AR: (AI/AN) AR: (IISAR) AR: Adolescent AR: Adult AR: Highlights AR: Perinatal Hep B AR: Preparedness-Pandemic FLU AR: Surveillance AR: Vaccine Safety Cost and Affordability Tool egratis Cooperative Agreement egratis End of Year Report egratis Post Award Management (PAM) FFY Vaccine Spend Plan Flu-Pre-Book IIS Business Plan Immunization Program Evaluation (IPE) IP Budget Year Financial Report (FFR) Monthly Vaccine Spend Plan Updates Population Estimate Survey PPHF Quarterly Reports School Coverage Reports VFC Compliance PEAR Reports AR: Annual Report

44 Org Charts

45 Q&A

46 2018 Program Manager Outlook Hot Topics & Priorities

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48 Informed Consent

49 Bills introduced in 2018 related to Immunization Exemptions, etc: o 15 States o 46 Bills Allowing Philosophical Exemptions Requiring Written Consent before Vaccination Prohibiting Health Department from denying an exemption Prohibiting implementation of new vaccine mandates or requirements

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51 2017 AIM Annual Survey Upcoming Priorities for the next 12 months Increase the number of providers using digital data loggers Increase HPV rates Implement PPHF grants Improve VFC accountability Identify and address low coverage rates Implement Meaningful Use/Interoperability Improve vaccine storage and handling Increase the number of VFC providers using IIS Increase coverage rates for older adolescents (16-18 yrs) Work with coalitions Increase coverage rates for pregnant women Increase the number of adult providers using IIS Increase adult rates Improve pandemic preparedness Increase implementation of the adult immunization standards Address vaccine safety/hesitancy Partner with community vaccinators Support upcoming legislative activities Increase the number of pharmacists using IIS Implement/enhance billing at local health departments Increase the number of school located vaccination clinics Enroll pharmacists as VFC providers Work with payers to expand reimbursement for complimentary immunization services Change vaccine financing policy

52 ACIP Recommendations Inclusion of live attenuated influenza vaccine (LAIV) for the upcoming flu season. Two dose Hepatitis B Vaccine with a adjuvant. Prevention of Hepatitis B Virus Infection in the United States. Use of Herpes Zoster Vaccine. Use of a Third Dose of Mumps Virus-Containing Vaccine in Persons at Increased Risk for Mumps During anoutbreak.

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54 Corporate Alliance Benefits/ Upcoming 2018 Benefits

55 Katelyn Wells, PhD Research & Development Director

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58 NIC Networking Reception Monday, May :30PM - 7:30PM Max Lager s : Walking distance

59 AIM Leadership in Action Conference June 4-7, 2018 San Diego, California Please note the following conference events that involve Corporate Alliance Members: Monday, June 4th 5:30-8:00 PM: AIM Executive Committee/Corporate Alliance Member Meeting Tuesday, June 5th 5:30-8:00 PM: AIM Business Reception (note: this is only for Platinum and Gold members) Tuesday and Wednesday, June 5-6th: Exhibits Wednesday, June 6th 3:30-5:00: Partner & Exhibit Reception

60 AIM Leadership in Action Conference Corporate Alliance Check List Register on AIM website Complementary registrations based on member level Consider donating raffle item Plan for exhibit set-up and break-down Set-up: Monday, June 4th, :00 pm 9:00 pm and Tuesday, June 5 th, :00 am - 8:00am Tear-down: 5:30 pm 10:00 pm on Wednesday, June 6 th Plan exhibit space accordingly Coordinate shipping and receiving with hotel boxes should not arrive before June 1 st. Plan for your AV and electricity needs Know your audience review the provided attendee list

61 Q&A