L.J Tan, MS, PhD Immunization Action Coalition Chief Strategy Officer THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
|
|
- Gloria Britney Nash
- 5 years ago
- Views:
Transcription
1 L.J Tan, MS, PhD Immunization Action Coalition Chief Strategy Officer THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
2 Disclosure The Immunization Action Coalition has been responsible for all aspects of content development for the enclosed presentation and all other assets supporting the Take a Stand program. Any questions should be directed to the Immunization Action Coalition. Pfizer is supporting this initiative because it provides focus on the importance of adult immunization. Pfizer has had no role in the creation of content for this presentation or other assets supporting the Take a Stand program workshops and therefore accepts no responsibility for the content.
3 Outline Review the burden of adult vaccinepreventable diseases in the United States Review adult vaccination coverage in the United States Discuss standing orders and the components of a standing orders protocol Review evidence that standing orders improve vaccination rates How do standing orders benefit medical practices?
4 The Burden of Adult Vaccine-Preventable Diseases
5 Burden of Vaccine-preventable Disease Among U.S. Adults Influenza 3,000 to 49,000 total influenza-related deaths per year 1 80% 90% of deaths among adults 65 years and older 2 Invasive pneumococcal disease (IPD) 3 33,900 total cases/ 3,700 total deaths in % of IPD and nearly all IPD deaths among adults Pertussis in ~24,000 cases >5,000 among adults 20 years of age and older Hepatitis B 5 3,050 acute cases reported in 2013 ~19,800 estimated Zoster 6 ~1 million cases of zoster annually U.S. 1. CDC. Estimates of Deaths Associated with Seasonal Influenza United States, MMWR. 010;59(33): Kostova, D., et al. Influenza Illness and Hospitalizations Averted by Influenza Vaccination in the United States, id= /journal.pone CDC. Active Bacterial Core Surveillance CDC Provisional Pertussis Surveillance Report. ds/pertuss-surv-report-2014.pdf. 5. CDC. Viral Hepatitis Surveillance United States. urveillance/commentary.htm#hepatitisb 6. CDC. Prevention of Herpes Zoster. MMWR (RR 5): 1 30.
6 Cost Burden of 4 Adult Vaccine-Preventable Diseases to the U.S. (65 years and older) McLaughlin, JM., Tan, L., et al J Prim Prev Aug;36(4): ~$15 billion annually based on zoster, pneumococcal disease, influenza, and pertussis
7 There are evidence-based adult vaccination recommendations
8 Recommended Adult Vaccines
9 Recommended Adult Vaccines (cont.)
10 The vaccines are effective
11 Vaccine Effectiveness in Adults Vaccine effectiveness (VE) varies by vaccine type, the disease outcome, and the age or health of the person vaccinated Zoster (shingles) VE: 51% against shingles, 66% against post-herpetic neuralgia (PHN), and almost 80% against most prolonged and extreme cases of PHN 1 PCV13 (pneumococcal conjugate vaccine) VE: 45% against vaccine-type pneumococcal pneumonia, and 75% against vaccine-type invasive pneumococcal disease among adults age 65 years 2 1 Oxman MN, et al. NEJM 2005;352: Bonten MJ, et al. NEJM 2015;372:
12 Vaccine Effectiveness in Adults (cont.) Influenza vaccine: varies annually based on antigenic match and also age and health of person being vaccinated about 60 70% in younger adults and about 30% in adults 65 years and older against medically-attended influenza with a good match 1 Hepatitis B vaccine: 90% effectiveness after completing a 3-dose series, though lower in persons with diabetes (e.g., 90% with diabetes and age <40 years, 80% with diabetes and years, 65% if years and <40% if 70 years or older 2 ) 1. CDC. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices United States, MMWR 2013; 62(RR07); CDC. Use of hepatitis B vaccine for adults with diabetes mellitus. MMWR 2011;60:
13 Vaccination of Pregnant Women: Two-For-One Influenza vaccination of pregnant women Reduce risk of influenza illness in pregnant women Reduce risk of influenza illness, fevers and influenza hospitalizations in infants during first 6 months of life Vaccinate with inactivated flu vaccine (not live vaccine) during pregnancy 1 Tdap vaccination of pregnant women Vaccinate in 3 rd trimester to transfer antibody to infant prior to birth Prevents pertussis in mom and protects infant Tdap vaccination during pregnancy estimated to be 93% effective in preventing pertussis in infants <2 months old 2 Pregnant women should NOT routinely receive any live vaccines (e.g., live influenza vaccine, MMR, varicella or shingles vaccines) 1. CDC. MMWR 2014; 63(32); Dabrera G, et al. Clin Infect Dis. 2015; 60 (3):
14 Yet We Are Failing to Vaccinate our Adult Population!
15 Adult Immunization Coverage Rates, National Health Interview Surveys, Tetanus past 10y, age 65 Tetanus past 10y, age Pneumococcal, age 65 Pneumococcal, age at high risk Zoster, age % 37.5% 70.3% New Mexico 2014 coverage in red : Healthy People 2020 target Percent Williams, W.W. et al. MMWR Surveillance Summary 2016;65:1 36.
16 Adults with Diabetes Who Received 3 Doses Hepatitis B Vaccine, by Age, National Health Interview Surveys, yrs yrs Percent Williams, W.W. et al. MMWR Surveillance Summary 2016;65:1 36.
17 Influenza Vaccination Coverage Among U.S. Adults, Past Four Seasons - BRFSS Group (%) (%) (%) (%) Persons > 18 yrs * Persons yrs, all Persons yrs, high risk Persons yrs * Persons 65 yrs * Persons 65 yrs (N.M.) * * Statistically significant declines from the previous season.
18 Ramifications Exist When We Fail to Vaccinate Adults Beyond the impact to the health of the public, our ineffectiveness in immunizing adults: Creates disincentive for manufacturers to enter the market Leaves the chronically ill vulnerable Creates disparities in access to care Absence of commitment exacerbates existing barriers to immunization for those in the lower socio-economic strata and for racial and ethnic minorities
19 Vaccination Disparities National Health Interview Survey 2013* Vaccination Group % Vaccinated Whites Disparity, Blacks Disparity, Hispanics Disparity, Asians Pneumo, HR yrs Pneumo, 65 yrs Tetanus, yrs Tetanus, yrs Tetanus, 65 yrs Tdap, 19 yrs Tdap, yrs Tdap, 65 yrs HepA, yrs HepB, yrs Herpes Zoster, 60 yrs HPV, Females yrs Tdap, HCP 19 yrs HepB, HCP 19 yrs *Williams, W.W., et al MMWR 64(04);95-102
20 Other Ramifications Exist By failing to prepare, we are preparing to fail - Benjamin Franklin Leaves us vulnerable during times of crisis when the ability to reach 250 million adults with vaccines/medications is crucial Pandemic influenza Our failure to successfully immunize adults in healthy times predicts our failure to immunize them in times of crisis
21 Factors Associated with Low Vaccination Among Adults Patient factors May not have regular health care provider or only see specialists Inconvenient access, competing social and economic demands Many adults years of age still unaware of ACA vaccination coverage, and many still remain uninsured Provider factors Many other health issues compete with preventive services Lack of provider recommendation Lack of effective reminders to offer vaccinations System factors Fewer requirements for vaccination (e.g., by employers) State regulations differ on who can vaccinate and what vaccines are allowed (e.g., pharmacists, visiting nurse associations) Complex adult vaccine schedule
22 Meta-Analysis of Interventions to Increase Use of Adult Immunization Intervention Odds Ratio* Organizational change (e.g., standing orders, separate clinics devoted to prevention) 16.0 Provider reminder 3.8 Provider education 3.2 Patient financial incentive 3.4 Patient reminder 2.5 Patient education 1.3 *Compared to usual care or control group, adjusted for all remaining interventions Stone E. Ann Intern Med 136:641-51, 2002
23 New NVAC Standards for Adult Immunization Practice Calls to action for health care professionals Assess immunization status of all patients in every clinical encounter. Strongly recommend vaccines that patients need. Administer needed vaccines or refer to a provider who can immunize. Document vaccines given to patients, including entering them into immunization registries when available.
24 So here s where we are with adult vaccine preventable diseases Substantial burden of disease in adults for which vaccines are available Vaccination rates low among adults in U.S. New Standards for Adult Immunization Practice emphasize the importance of assessing need for vaccines and providing vaccinations Without assessment, it s hard to vaccinate!
25 What can we do? U.S. Community Preventive Services Task Force highlights the use of systems-based interventions to improve immunization rates, including the implementation of standing orders Many tools and resources available to: Educate patients on the importance of vaccination Take A Stand : first of its kind national initiative to assist practices to implement vaccination standing orders
26 What are standing orders?
27 Standing Orders What Are They? Written protocols, approved by a physician or other authorized practitioner, that authorize nurses, pharmacists, or other health care personnel (where allowed by state law,) to: Assess a patient s need for vaccination Administer the vaccine without a clinician s direct involvement with the individual patient at the time of the interaction
28 Significance of State Law Immunization Practice = Medical Practice All states have laws governing how physicians delegate medical tasks to health professionals Laws may address: The medical practice eligible for delegation Which professionals may participate Level of required supervision Where the practice may occur Broad variability among states No state authorizes all NPHPs to assess, prescribe and administer vaccines
29 Immunization Practice: New Mexico Professional Assessment Prescription Administration Certified Nurse Midwife Nurse Practitioner Clinical Nurse Specialist OWN AUTHORITY OWN AUTHORITY OWN AUTHORITY Medical Assistant DELEGATED DELEGATED DELEGATED Registered Nurse DELEGATED OWN AUTHORITY SILENT DELEGATED Pharmacist SILENT DELEGATED DELEGATED Physician Assistant DELEGATED DELEGATED DELEGATED Practical Nurse DELEGATED SILENT SILENT
30 Immunization Practice in Law: New Mexico Professional Certified Nurse Midwife Clinical Nurse Specialist Nurse Practitioner Medical Assistant Practical Nurse Registered Nurse Pharmacist Physician Assistant Summary May Assess patients, Prescribe and Administer drugs and medication under own authority as outlined in the New Mexico Midwives Association in diverse settings. May perform a medical act that a reasonable and prudent physician would find within the scope of sound medical judgment to delegate. The delegating physician is responsible for the medical acts and must be present in the office when the medical act is performed by the Medical Assistant. May assess patients under direction of a registered nurse, physician or dentist. May participate in the development and modification of patient s care plan May Assess patients under own authority and administer medications (vaccines under case law) as prescribed by an authorized professional. May Prescribe and Administer vaccines and immunizations in accordance with written Protocols. May perform only acts as assigned by the supervising physician. May Prescribe and Administer dangerous drugs under direction of supervising physician
31 Standing Orders A Solution to Missed Opportunities & Low Immunization Rates! The goal of using standing orders is to increase vaccination coverage by: Reducing missed opportunities in your practice Routinizing vaccination by making it a program rather than relying on an individual clinician s order for each dose of vaccine Empowering nurses (or other legally qualified individuals) to manage your vaccination program Freeing up clinician time
32 Who Recommends Use of Standing Orders? Community Preventive Services Task Force Recommends standing orders to increase vaccination coverage among adults and children on the basis of strong evidence of effectiveness. Applicable to patients in both inpatient and outpatient settings where improvements in coverage are needed. Advisory Committee on Immunization Practices (ACIP) Recommends standing orders for influenza and pneumococcal vaccinations and several other adult vaccines. And the Centers for Medicare and Medicaid Services (CMS)
33 US Community Services Task Force: Healthcare Provider- or System-Based Strategies Intervention Provider reminder systems when used alone Provider assessment and feedback Standing orders Provider education when used alone Health care-based interventions when implemented in combination Status of Task Force Review Recommended (Strong evidence) Recommended (Strong evidence) Recommended (Strong evidence) Insufficient evidence Recommended (Strong evidence)
34
35
36 Use of Standing Orders In 2009, only 42% of physicians reported using standing orders for adult influenza vaccination Only 23% reported consistently using standing orders for both influenza vaccine and pneumococcal polysaccharide vaccine Zimmerman et al. Am J Prev Med 2011; 40(2):144-8
37 Use of Standing Orders Most important factors associated with greater likelihood of a practice consistently using standing orders: Being aware of the ACIP recommendations or Medicare regulations regarding adult immunizations Agreeing that standing orders are effective and having an office staff that works well together and is open to innovation Being a family physician Having an electronic medical record Having two or more clinical staff per physician having an immunization champion in the practice Zimmerman et al. Am J Prev Med 2011; 40(2):144-8
38 Use of Standing Orders Lack of standing orders implementation may be due to: Weak or no organizational support Small size of the clinical support staff relative to providers Concerns about legal ramifications of SOs Zimmerman et al. Am J Prev Med 2011; 40(2):144-8
39 Barriers to the Use of Standing Orders Yonas et al. J Healthcare Quality 2012;34:34-42
40 Vaccine Injury Compensation Program Established by National Childhood Vaccine Injury Act (1986) Provides no-fault compensation for specified injuries that are temporally related to specified vaccinations Program has greatly reduced the risk of litigation for both providers and vaccine manufacturers Covers all routinely recommended childhood vaccines, including those administered to adults
41 What are the components of a standing orders protocol?
42
43 Components of a Standing Orders Protocol A comprehensive standing order should include these elements: Who is targeted to receive the vaccine How to determine if a patient needs or should receive a particular vaccination (e.g., indications, contraindications, and precautions) Provision of any federally required information (e.g., Vaccine Information Statement) Procedures for preparing and administering the vaccine (e.g., vaccine name, schedule for vaccination, appropriate needle size, vaccine dosage, route of administration)
44 Components of a Standing Orders Protocol (cont.) A comprehensive standing order should include these elements: How to document vaccination in the patient record A protocol for the management of any medical emergency related to the administration of the vaccine How to report possible adverse events occurring after vaccination Authorization by a physician or other authorized practitioner
45 Components of a Standing Orders Protocol (1) Who is targeted to receive the vaccine assessing the need
46 Components of a Standing Orders Protocol (2) How to determine if the patient can receive a particular vaccination (e.g., screen for contraindications and precautions)
47
48 Components of a Standing Orders Protocol (3) Provision of federally required information: the Vaccine Information Statement
49
50 Components of a Standing Orders Protocol (4) Prepare to administer the vaccine (e.g., by choosing appropriate vaccine product, needle size, and route of administration)
51 Components of a Standing Orders Protocol (5) Specific guidance for administration of the vaccine (e.g., right patient, right vaccine, right age group, right dose, right route, and right site)
52 Components of a Standing Orders Protocol (6) How to document vaccination in the patient record
53
54 Components of a Standing Orders Protocol (7) A protocol for the management of any medical emergency related to the administration of the vaccine
55 58
56 Components of a Standing Orders Protocol (8) How to report possible adverse events occurring after vaccination
57 vaers.hhs.gov
58 Components of a Standing Orders Protocol (9) Authorization: In general, standing orders are approved by an institution, physician, or authorized practitioner. State law or a regulatory agency might authorize other healthcare professionals to sign standing orders.
59 Do standing orders improve vaccination rates?
60 Are Standing Orders Effective? Based on a review of 29 studies ( ) that examined standing orders either alone or combined with other activities, the Community Preventive Services Task Force found: Used alone, standing orders increased adult vaccination coverage by a median of 17 percentage points (range, 13% to 30%) Used in combination with other interventions,* standing orders increased adult vaccination coverage by a median of 31 percentage points (range, 13% to 43%) * Such as expanding access in healthcare settings, client reminder and recall systems, clinic-based education, provider education, provider reminder and recall systems, or provider assessment plus feedback
61 Are Standing Orders Effective? (cont.) Based on a review of 29 studies ( ) that examined standing orders either alone or combined with other activities, the Community Preventive Services Task Force found:* Standing orders were effective in increasing vaccination rates when implemented in a range of clinical settings, among various providers and patient populations Standing orders were effective for vaccine delivery to children (universally recommended vaccinations) and adults (influenza and pneumococcal) And a study modeling influenza and pneumococcal vaccination in the over 65 population also showed cost effectiveness - $14,171 per quality adjusted life-year (QALY) gained # * # Lin et al. Am J Manag Care. 2013;19(1):e30-e37
62 Example 1: Use of Standing Orders for Influenza Vaccine in an Ambulatory Care Setting No Standing Order Standing Order Percentage of Patients Vaccinated With and Without a Standing Order Goebel LJ et al. J Am Geriatr Soc 2005;53:
63 Example 2: Impact of Standing Orders on Adolescent Vaccination Rates, Denver Health, 2013
64 How do standing orders benefit medical practices?
65 Standing Orders in Clinical Practice Efficiency Clinician time is not required to assess vaccination needs and issue verbal or written orders to vaccinate Nurses (or others) take charge of vaccination program Increased number of patients seen = increased income stream Patient safety Improved vaccine coverage, less vaccine-preventable disease
66 Implementing Standing Orders in Your System and/or Practice
67 IAC s Brand New Standing Orders Implementation Guidance org/catg.d/p3067.pdf 70
68 10 Steps For Implementing Standing Orders 1. Discuss the benefits of implementing standing orders protocols with the leadership (medical director, clinicians, clinic manager, lead nurses) in your medical setting. Perform audit of current immunization rates 2. Identify the person who will take the lead and be in charge of your standing orders program. 3. Reach agreement about which vaccine(s) your practice will administer using standing orders. 4. Create standing orders protocols for the vaccine(s) you want to administer.
69 10 Steps For Implementing Standing Orders 5. Hold a meeting to explain your new standing orders program to all staff members. 6. Determine the role various staff members will play in implementing/using standing orders. 7. Determine your standing orders operational strategy. 8. Identify strategies and publicize your program to your patients. 9. Start vaccinating! 10. Review your progress.
70 Summary: Standing Orders Protocols Standing orders can improve vaccine coverage levels among adults in a variety of settings Use of standing orders is endorsed by major vaccine policy-making institutions Standing orders are not difficult to implement, but require the buy in of everyone in the office Use of standing orders is facilitated by having an Immunization Champion on the staff
71 Standing Orders for all routine vaccines are available on the IAC website
72 Take A Stand Resources Read IAC publications Visit IAC websites Standing Orders Protocol Templates - Stay ahead of the game! Subscribe to IAC weekly updates
73 THANK YOU!
Session 2 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
Session 2 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization Action Coalition has been responsible for all aspects of content development for the enclosed presentation
More informationSession 2 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
Session 2 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization Action Coalition has been responsible for all aspects of content development for the enclosed presentation
More informationSession 1 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
Session 1 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization Action Coalition has been responsible for all aspects of content development for the enclosed presentation
More informationThank you for coming to our Houston Workshop THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
Thank you for coming to our Houston Workshop THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Session 1 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization
More informationStanding Orders Protocols Increase Adult Immunizations
Standing Orders Protocols Increase Adult Immunizations William Atkinson, MD, MPH Associate Director for Immunization Education Immunization Action Coalition Saint Paul, Minnesota Immunization Action Coalition
More informationSession 1 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
Session 1 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization Action Coalition has been responsible for all aspects of content development for the enclosed presentation
More informationOutline. Why Adult Immunization Matters. Recommended Adult Vaccines: Age Based. Why Do We Vaccinate? Footnotes. Risk Based
Why Adult Immunization Matters Outline CDC Recommended Adult Vaccines Burden of U.S. adult vaccine preventable disease Vaccine effectiveness in adults Adult immunization coverage rates Ramifications of
More informationImplementing Standing Orders Protocols Making a Difference in Immunization Rates
Implementing Standing Orders Protocols Making a Difference in Immunization Rates Litjen (L.J.) Tan, MS, PhD Chief Strategy Officer Immunization Action Coalition Co-Chair National Adult and Influenza Immunization
More informationThe State of Adult Immunizations in the United States
The State of Adult Immunizations in the United States Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition Co-Chair, National Adult and Influenza Immunization Summit Adult Immunization
More informationImmunization Across the Lifespan: Vaccinating Adults in the United States
Immunization Across the Lifespan: Vaccinating Adults in the United States Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition Co-Chair, National Adult and Influenza Immunization
More informationStanding Orders and Adult Immunizations: A Foundation for Improving Coverage Rates
Standing Orders and Adult Immunizations: A Foundation for Improving Coverage Rates Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition Co-Chair, United States Adult and Influenza
More informationThe State of Adult Immunizations in the United States
The State of Adult Immunizations in the United States Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition Co-Chair, National Adult and Influenza Immunization Summit Adult Immunization
More informationPresenter Disclosure Information
Disclosure The Immunization Action Coalition has been responsible for all aspects of content development for the enclosed presentation and all other assets supporting the Take a Stand program. Any questions
More informationAddressing the morbidity, mortality, and cost associated with adult vaccine preventable diseases
Addressing the morbidity, mortality, and cost associated with adult vaccine preventable diseases Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition Co-Chair, National Adult
More informationAdults Need Vaccines, Too! Strategies for Increasing Adult Vaccination Rates
Adults Need Vaccines, Too! Strategies for Increasing Adult Vaccination Rates Vivian Huang, MD, MPH Director, Adult Immunization & Emergency Preparedness Bureau of Immunization New York City Department
More informationThe State of Adult Immunizations in the United States
The State of Adult Immunizations in the United States Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition Co-Chair, National Adult and Influenza Immunization Summit June 13
More informationImproving Adult Immunizations Through Implementing the Standards for Adult Immunization Practice
Improving Adult Immunizations Through Implementing the Standards for Adult Immunization Practice Vaccines for Adults Program (VFA) Webinar June 28, 2018 Goals of Presentation Provide information on Burden
More informationPlatforms. Adolescent Immunization Update and the 16 Year Old Platform. Advisory Committee on Immunization Practices (ACIP)
Adolescent Immunization Update and the 16 Year Old Platform William Atkinson, MD, MPH Associate Director for Immunization Education Immunization Action Coalition Advisory Committee on Immunization Practices
More informationAdult Immunizations Carolyn B. Bridges, MD
Adult Immunizations Carolyn B. Bridges, MD Immunization Services Division National Center for Immunization and Respiratory Diseases CDC November 2012 National Center for Immunization & Respiratory Diseases
More informationMaking Progress Towards Improving Adult Immunizations
Making Progress Towards Improving Adult Immunizations May 10, Carolyn B. Bridges, MD Immunization Services Division National Center for Immunization and Respiratory Diseases Centers for Disease Control
More informationProtecting against vaccinepreventable. this together
Protecting against vaccinepreventable diseases We are in this together Canadian Immunization Conference December 4, 2014 Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition
More informationWHY WE RE HERE. Melinda Wharton, MD, MPH Director, Immunization Services Division. National Center for Immunization & Respiratory Diseases
National Center for Immunization & Respiratory Diseases WHY WE RE HERE Melinda Wharton, MD, MPH Director, Immunization Services Division AIM Leadership Conference February 8, 2017 Vaccines save lives.
More informationACIP Meeting Update, New Recommendations and Pending Influenza Season
ACIP Meeting Update, New Recommendations and Pending Influenza Season February 17 th 2011 www.immunizetexas.com ACIP Upcoming Agenda and New Recommendations ACIP (February 23-24 th 2011) Topics for meeting
More informationHow are Adult Immunizations paid for in the United States?
How are Adult Immunizations paid for in the United States? Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition Co-Chair, National Adult and Influenza Immunization Summit February
More informationAdult Immuniza-on Update
Adult Immuniza-on Update Maggie Zettle, PharmD Lieutenant, United States Public Health Service Management Analyst, National Vaccine Program OfBice U.S. Department of Health and Human Services Overview
More informationAdult Immunizations & the Workplace
Adult Immunizations & the Workplace Samuel B. Graitcer, MD Office of Associate Director for Adult Immunizations Immunization Services Division National Center for Immunization & Respiratory Diseases Immunization
More informationVaccinology Overview. Complexity of the Vaccine Approval Process Including Lessons Learned
Vaccinology Overview Complexity of the Vaccine Approval Process Including Lessons Learned Larry K. Pickering, MD, FAAP, FIDSA, FPIDS August 18, 2018 Faculty Disclosure Information In the past 12 months,
More informationAdult Immunization Rates
Adult Immunization Rates California Immunization Coalition Summit May 5, 2014 Eileen Yamada, MD, MPH California Department of Public Health Immunization Branch Adult Immunization Rates California Data
More informationUPDATE ON IMMUNIZATION GUIDELINES AND PRACTICES
DISCLOSURES UPDATE ON IMMUNIZATION GUIDELINES AND PRACTICES Nothing to disclose Kylie Mueller, Pharm.D., BCPS Clinical Specialist, Infectious Diseases Spartanburg Regional Medical Center LEARNING OBJECTIVES
More informationImproving Immunization Rates
Improving Immunization Rates Donna L. Weaver, RN, MN, Nurse Educator National Center for Immunization and Respiratory Diseases Brentwood, TN July 31, 2009 Disclosures The speaker is a federal government
More informationOctober 11, Disclosures. I have no financial interest in, or conflict with, the manufacturer of any product discussed in this CME activity.
Adult Immunizations New York State Updates Christine Compton, MD, MPH Medical Director New York State Department of Health Bureau of Immunization October 11, 2017 2 Disclosures I have no financial interest
More informationJon Temte, MD/PhD Chair Wisconsin Council on Immunization Practices Professor of Family Medicine and Community Health
Jon Temte, MD/PhD Chair Wisconsin Council on Immunization Practices Professor of Family Medicine and Community Health University of Wisconsin School of Medicine and Public Health Grand Rounds September
More informationImproving Medicare Beneficiary Immunization Assessment and Vaccine Rates for: Influenza Herpes Zoster Pneumococcal Pneumonia
Improving Medicare Beneficiary Immunization Assessment and Vaccine Rates for: Influenza Herpes Zoster Pneumococcal Pneumonia Thomas Lemme, PA-C, MA, MBA 19 th Annual Nassau-Suffolk Adult Immunization Coalition
More informationNational Vaccine Plan: From Strategy to Implementation
National Vaccine Plan: From Strategy to Implementation July 26, 2011 Sarah Landry Senior Advisor, National Vaccine Program Office Office of the Assistant Secretary for Health Department of Health and Human
More informationHealthcare Personnel Immunization Recommendations
Healthcare Personnel Immunization Recommendations Kathleen Harriman, PhD, MPH, RN California Department of Public Health Immunization Branch Vaccine Preventable Disease Epidemiology Section kathleen.harriman@cdph.ca.gov
More informationIndiana Immunization Task Force Progress Report
Indiana Immunization Task Force Progress Report Report Published December 2009 Progress Report Published May 31, 2012 2344 Broadway Street, Indianapolis, IN 46205 Tel: 317-628-7116 Email: director@vaccinateindiana.org
More informationVaccination not just for kids anymore. Karen Foren Lake, PhD, RNC, CNP Michigan Nurses Association
Vaccination not just for kids anymore Karen Foren Lake, PhD, RNC, CNP Michigan Nurses Association Disclosure to Participants Successful Completion of this Continuing Nursing Education Activity In order
More informationU.S. Adult Immunization Program
National Center for Immunization & Respiratory Diseases U.S. Adult Immunization Program Carolyn B Bridges, MD Immunization Services Division NCIRD, CDC March 6, 2017 Outline Overview of US adult vaccine
More informationDr Stewart Reid. General Practitioner Ropata Medical Centre Wellington
Dr Stewart Reid General Practitioner Ropata Medical Centre Wellington 7:15-8:10 Medicines New Zealand Breakfast Session Adult Vaccination The Poor Cousin Adult Vaccination The poor cousin Stewart Reid
More informationAdult Immunization. Let s talk about: New York State Updates
Adult Immunization New York State Updates Diana Joyce, RN MPA BSN Adult & Adolescent Immunization Coordinator NYSDOH Bureau of Immunization October 27, 2016 2 Let s talk about: NYS Adult Influenza and
More informationVaccine Finance. Overview of stakeholder input and NVAC working group draft white paper. Walt Orenstein, MD
Vaccine Finance Overview of stakeholder input and NVAC working group draft white paper Walt Orenstein, MD Consultant to the National Vaccine Program Office July 24, 2008 Number of Vaccines in the Routine
More informationThe Affordable Care Act (ACA) and Immunizations Discussing the Challenges
The Affordable Care Act (ACA) and Immunizations Discussing the Challenges Litjen (L.J) Tan, MS, PhD Chief Strategy Officer, Immunization Action Coalition Co-Chair, National Adult and Influenza Immunization
More informationSeptember 14, All Medical Providers and Health Care Facilities. NYSDOH Bureau of Immunization
September 14, 2009 TO: FROM: All Medical Providers and Health Care Facilities NYSDOH Bureau of Immunization HEALTH ADVISORY: Novel H1N1 Influenza Vaccine Information Please distribute to the Infection
More informationNational Adult Immunization Coordinators Partnership Quarterly Conference Call April 7, 2015 (2:00-3:00 EST) Meeting Minutes
Website: www.izsummitpartners.org/naicp/ 2:00-2:05 Welcome and housekeeping Lisa H. Randall, JD, MPH Lisa called the group to order at 2:00 p.m. and proceed to welcomed participants. She reminded everyone
More informationSeptember 10, To Whom It May Concern:
September 10, 2018 Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1691-P P.O. Box 8010, Baltimore, MD 21244-8010 RE: CMS-1691-P Medicare Program; End-Stage
More informationWashtenaw County Community Mental Health HEALTH CARE PERSONNEL (HCP) VACCINES (RECOMMENDED EMPLOYEE IMMUNIZATIONS)
Washtenaw County Community Mental Health HEALTH CARE PERSONNEL (HCP) VACCINES (RECOMMENDED EMPLOYEE IMMUNIZATIONS) PURPOSE To reduce the risk of exposure of Washtenaw County Community Mental Health (CMH)
More informationDeaths/yr Efficacy Use Prev Deaths/yr. Influenza 36,000 70% 60% 18,000. Pneumonia 40,000 60% 40% 20,000 HBV 6,000 90% 30% 4,000
Tetanus, Diptheria, Pertussis,! Measles, Mumps, Rubella, Varicella, HPV, Polio Meningococcus, Pneumococcus,! Influenza, Hepatitis B, Hepatitis A,! H influenza, Rabies, Typhoid,! Yellow Fever, Japanese
More informationCalifornia Immunization Coalition 2018 Summit Karen Smith, MD, MPH, Director California Department of Public Health
California Immunization Coalition 2018 Summit Karen Smith, MD, MPH, Director California Department of Public Health California Department of Public Health 1 It takes a broad coalition of partners to: Stop
More informationAdults need immunizations too!
Adults need immunizations too! Medicaid coverage, cost sharing, and provider reimbursement for ACIP-recommended immunizations for adults ABA Health Law Section Webinar January 16, 2018 Centers for Disease
More informationAdult Immunization. Allison McGeer, MSc, MD, FRCPC Sinai Health System, University of Toronto
Adult Immunization Allison McGeer, MSc, MD, FRCPC Sinai Health System, University of Toronto CFPC COI Templates: Slide 1 DISCLOSURE OF FINANCIAL SUPPORT and CONFLICT OF INTEREST This lecture has received
More informationVaccine Preventable Diseases Among Adults
Vaccine Preventable Diseases Among Adults Stephanie Borchardt, MPH, PhD Wisconsin Immunization Program Division of Public Health Wisconsin Department of Health Services November 17, 2016 At a Glance Burden
More informationInfluenza: A recap of the season
Influenza: A recap of the 2012 2013 season March 22, 2013 Debra Blog MD, MPH Director Division of Epidemiology What are we going to talk about The 2012 13 Influenza Vaccine Influenza Activity and Surveillance
More informationTennessee Immunization Program Updates
Tennessee Immunization Program Updates Kelly L. Moore, MD, MPH Medical Director, TN Immunization Program Tennessee Association of School Nurses Murfreesboro, Tennessee November 3, 2011 Objectives Recent
More informationUpdate on Vaccine Recommendations. Objectives. Childhood Immunization Schedule At the Turn of the Century. New Horizons in Pediatrics April 30, 2017
Centers for for Disease Disease Control Control and and Prevention Prevention National Center for Immunization and Respiratory Diseases Update on Vaccine Recommendations New Horizons in Pediatrics April
More informationMA Adult Immunization Update
MA Adult Immunization Update May 21, 2013 Donna Lazorik, RN, MS MA Department of Public Health Donna Lazorik, RN, Immunization Program, MDPH Consultant Grant Research/Support Speaker s Bureau Major Stockholder
More informationMandates and More. Julie Morita, M.D. Deputy Commissioner Chicago Department of Public Health. Chicago Department of Public Health
Mandates and More Julie Morita, M.D. Deputy Chicago Department of Public Health Why are vaccines required for school entry? School Vaccine Requirements Small pox vaccine required in Massachusetts 1855
More informationAdult Immunizations. Business Health Care Group (BHCG) April 25, Cathy Edwards. Immunization Program Advisor
Adult Immunizations Business Health Care Group (BHCG) April 25, 2012 Cathy Edwards Immunization Program Advisor Wisconsin Department of Health Services Division of Public Health 1 Adult Immunizations WHY
More informationBeyond Seasonal Influenza
HHS Adult Immunization Task Force - Disparities Workgroup Beyond Seasonal Influenza adult immunizations(tetanus, varicella, HPV, zoster, MMR, pneumococcal, meningococcal, and hepatitis A+B) A NATION FREE
More informationVaccines and Adults: Our Collective Challenge Webinar
Vaccines and Adults: Our Collective Challenge Webinar Questions 1. What documentation would a pediatrician need to immunize adult parents to avoid some risk since they are non-patients of the practice
More informationCigna Drug and Biologic Coverage Policy
Cigna Drug and Biologic Coverage Policy Subject Routine Immunizations Table of Contents Coverage Policy... 1 General Background... 2 Coding/Billing Information... 3 References... 7 Effective Date... 4/15/2018
More informationThe English immunization programme
The English immunization programme Mary Ramsay Head of Immunisation Public Health England National Health Service Constitution (2009) You have the right to receive the vaccinations that the Joint Committee
More informationAdult Immunization and Standards for Immunization Practice
Centers for Disease Control and Prevention National Center for Immunization and Respiratory Diseases Adult Immunization and Standards for Immunization Practice JoEllen Wolicki, BSN, RN Nurse Educator Immunization
More informationOpportunities for Developing Measures for Adult Vaccines
Opportunities for Developing s for Adult Vaccines May 15, 2012 National Adult Immunization Summit Tilithia McBride Avalere Health LLC Why s? VA Program Demonstrates Success of ment to Improve Vaccination
More informationPublic Statement: Medical Policy. Effective Date: 01/01/2012 Revision Date: 03/24/2014 Code(s): Many. Document: ARB0454:04.
ARBenefits Approval: 01/01/2012 Effective Date: 01/01/2012 Revision Date: 03/24/2014 Code(s): Many Medical Policy Title: Immunization Coverage Document: ARB0454:04 Administered by: Public Statement: 1.
More informationPreventive Care ALASKA NATIVE HEALTH STATUS REPORT 13
Preventive Care ALASKA NATIVE HEALTH STATUS REPORT 13 14 ALASKA NATIVE HEALTH STATUS REPORT Highlights Approximately half (56.5%) of Alaska Native adults received dental care in the past year. Approximately
More informationHealth Care Worker Vaccinations, 2011: EXTENDED CARE FACILITIES
Health Care Worker Vaccinations, 2011: EXTENDED CARE FACILITIES Karen K Hoffmann, RN, MS, CIC, FSHEA. Clinical Instructor, Division of Infectious Diseases University of North Carolina at Chapel Hill Associate
More informationNeil S. Silverman, MD Clinical Professor, Obstetrics and Gynecology David Geffen School of Medicine at UCLA Chair, ACOG Committee on Obstetric
Neil S. Silverman, MD Clinical Professor, Obstetrics and Gynecology David Geffen School of Medicine at UCLA Chair, ACOG Committee on Obstetric Practice Bulletins Vaccine Importance and Strategies Children
More informationSTATE OF NEVADA DIVISION OF PUBLIC & BEHAVIORAL HEALTH
STATE OF NEVADA DIVISION OF PUBLIC & BEHAVIORAL HEALTH Immunization Program 4150 Technology Way Suite 210 Carson City Nevada 89706 FACILITY INFORMATION Facility Name: Shipping Address: Vaccines for Children
More informationJanuary 17, Re: Secretary s Advisory Committee on National Health Promotion and Disease Prevention Objectives for Healthy People 2030
January 17, 2019 Don Wright, MD, MPH, FAAFP Deputy Assistant Secretary for Health Office of Disease Prevention and Health Promotion Department of Health and Human Services Tower Building 1101 Wootton Parkway,
More informationVaccinations for Adult and Adolescent Women
Vaccinations for Adult and Adolescent Women Eliseo J. Pérez-Stable, MD Professor of Medicine DGIM, Department of Medicine University of California, San Francisco July 3, 2013 Declaration of full disclosure:
More informationCalifornia Department of Public Health California Department of Public Health California Department of Public Health
2012 CIC Education Hour: January 24, 2012 Navigating Adolescent Vaccinations through Private and Safety Net Providers Contact Information Claudia Aguiluz, VFC Program Coordinator Claudia.aguiluz@cdph.ca.gov
More informationVaccine Preventable Diseases
Olmsted County, Minnesota Community Health Improvement Plan 2018 2020 Vaccine Preventable Diseases Data Profile Making the Healthy Choice the Easy Choice A Collaborative Community Effort Led by: Olmsted
More informationEffect of Full Use of Adult Immunizations. Vaccinations for Adult and Adolescent Women. Trends in Vaccine-Preventable Diseases Post Vaccine
Vaccinations for Adult and Adolescent Women Eliseo J. Pérez-Stable, MD Professor of Medicine DGIM, Department of Medicine University of California, San Francisco July 3, 2013 Declaration of full disclosure:
More informationImmunization Program Managers Meeting 2010
Immunization Program Managers Meeting 2010 Stewards in a Time of Change Anne Schuchat, MD RADM, US Public Health Service Assistant Surgeon General Director, National Center for Immunization and Respiratory
More informationASANTE WIDE Document Number 400-EH-0312
Document Title: IMMUNE STATUS PROGRAM Date of Origin: 05/2010 ASANTE WIDE Document Number 400-EH-0312 Rev 1 Document Type Policy Procedure Department of Origin: Health Effective Date: 09/2011 Owner (Department):
More informationHealthy People 2020 objectives were released in 2010, with a 10-year horizon to achieve the goals by 2020.
Appendix 1: Healthy People 2020 Immunization-related Objectives Healthy People provides science-based, 10-year national objectives for improving the health of all Americans. For three decades, Healthy
More informationACIP Developing Vaccine Recommendations and Policy in the US
VPD: Policy, Practice, Preparedness Conference An inside View of ACIP Vaccine Recommendations Larry K, Pickering, MD, FAAP, FIDSA July 23, 2012 National Center for Immunization & Respiratory Diseases Office
More informationFAQs about Changes to DHR Immunization Rules and Regulations
FAQs about Changes to DHR Immunization Rules and Regulations 1. What are the new immunization rules changes? The new immunization rules changes include 1 new definition and changes in 4 vaccine requirements.
More informationVaccination Guidelines Sipho Dlamini Division of Infectious Diseases & HIV Medicine University of Cape Town Groote Schuur Hospital
Vaccination Guidelines Sipho Dlamini Division of Infectious Diseases & HIV Medicine University of Cape Town Groote Schuur Hospital 4 th Southern African HIV Clinicians Society Conference / 24-27 October
More informationVaccines for Primary Care Pneumococcal, Shingles, Pertussis
Vaccines for Primary Care Pneumococcal, Shingles, Pertussis Devang Patel, M.D. Assistant Professor Chief of Service, MICU ID Service University of Maryland School of Medicine Pneumococcal Vaccine Pneumococcal
More informationThe story of modern vaccines begins in 1749, when Dr. Edward Jenner observed that milkmaids exposed to cowpox later subsequently not contract
1 The story of modern vaccines begins in 1749, when Dr. Edward Jenner observed that milkmaids exposed to cowpox later subsequently not contract smallpox. Dr. Jenner used fluids from a cow s blisters to
More informationPreventive care covered with no cost sharing Get checkups, screenings, vaccines, prenatal care, contraceptives and more with no out-of-pocket costs
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions NOTE: Aetna Choice follows the recommendations of the United States Preventive Services Task Force (USPSTF).
More informationRoutine Adult Immunization: American College of Preventive Medicine Practice Policy Statement, updated 2002
Routine Adult Immunization: American College of Preventive Medicine Practice Policy Statement, updated 2002 Ann R. Fingar, MD, MPH, and Byron J. Francis, MD, MPH Burden of suffering Vaccines are available
More informationHPV VACCINATION ROUTINELY RECOMMENDING CANCER PREVENTION
National Center for Immunization & Respiratory Diseases HPV VACCINATION ROUTINELY RECOMMENDING CANCER PREVENTION Melinda Wharton, MD, MPH Director, Immunization Services Division Mississippi Primary Health
More informationthe benefits and potential side effects of pneumococcal immunization; and
F883 483.80(d) Influenza and pneumococcal immunizations 483.80(d)(1) Influenza. The facility must develop policies and procedures to ensure that- (i) Before offering the influenza immunization, each resident
More informationThese slides are the property of the presenter. Do not duplicate without express written consent.
Cancer Survivorship Protecting Against Vaccine Preventable Diseases Heidi Loynes BSN, RN Immunization Nurse Educator Michigan Department of health and Human Services (MDHHS) loynesh@michigan.gov Are Vaccine-Preventable
More informationWhat s New With Immunizations
What s New With Immunizations 2018 Annual Update COURTNEY A. ROBERTSON, PHARMD, BCPS CLINICAL ASSISTANT PROFESSOR UNIVERSITY OF LOUISIANA AT MONROE COLLEGE OF PHARMACY Disclosures No financial disclosures
More informationQuality Metrics & Immunizations
Optimizing Patients' Health by Improving the Quality of Medication Use Quality Metrics & Immunizations Hannah Fish, PharmD, CPHQ Discussion Objectives 1. Describe the types and distribution of quality
More informationVaccines They re not Just for Kids
Mid-Maryland Internal Medicine 187 Thomas Johnson Dr., Suite 4 Frederick, MD 21702 www.midmarylandinternalmedicine.com Vaccines They re not Just for Kids Getting immunized is a lifelong job. Vaccines are
More informationBenefit Interpretation
Benefit Interpretation Subject: Part B vs. Part D Vaccines Issue Number: BI-039 Applies to: Medicare Advantage Effective Date: May 1, 2017 Attachments: Part B Vaccines Diagnosis Code Limits Table of Contents
More information'Contagious Comments' Department of Epidemiology
'Contagious Comments' Department of Epidemiology Vaccine-Preventable Diseases in Colorado s Children, 27 Sean O Leary MD, Elaine Lowery JD MSPH, Carl Armon MSPH, James Todd MD Vaccines have been highly
More informationThe University of Toledo Medical Center and its Medical Staff, Residents, Fellows, Salaried and Hourly employees
Name of Policy: Policy Number: Department: Approving Officer: Responsible Agent: Scope: Healthcare Worker Immunizations 3364-109-EH-603 Infection Prevention and Control Hospital Administration Medical
More informationIncreasing Adult Immunization Rates in the US Through Data and Quality: A Roadmap
Increasing Adult Immunization Rates in the US Through Data and Quality: A Roadmap Avalere Health An Inovalon Company November 16, 2017 In Partnership with GSK Agenda 1 2 3 4 5 Welcome & Introductions Overview:
More informationIMMUNIZATION PROGRAM & INCREASING RATES
IMMUNIZATION PROGRAM & INCREASING RATES Rebecca Martinez, BSN, RN NDHHS Immunization Program Manager Disclaimers Funding for this meeting was made possible in part by the Centers for Disease Control and
More informationShingrix (zoster vaccine recombinant, adjuvanted) NEW PRODUCT SLIDESHOW
Shingrix (zoster vaccine recombinant, adjuvanted) NEW PRODUCT SLIDESHOW Introduction Brand name: Shingrix Generic name: Zoster vaccine recombinant, adjuvanted Pharmacological class: Shingles vaccine Strength
More informationISSUING AGENCY: Regulation and Licensing Department - Board of Pharmacy, Albuquerque, NM. [ NMAC - N, ; A, ]
TITLE 16 CHAPTER 19 PART 26 OCCUPATIONAL AND PROFESSIONAL LICENSING PHARMACISTS PHARMACIST PRESCRIPTIVE AUTHORITY 16.19.26.1 ISSUING AGENCY: Regulation and Licensing Department - Board of Pharmacy, Albuquerque,
More informationImmunize children and adults against vaccine-preventable disease in
PHD/CHSB & SH CHSB: Yvette Wright x1274, Teresa Moberly x1242 SHB: Helen Nace x1655, Jennifer Toma x8156 Program Purpose Program Information Immunize children and adults against vaccine-preventable disease
More informationPneumococcal Vaccination. Bottom Line. Gangrene from Pneumococcal Bacteremia
Vaccination MSHO Performance Improvement Project Kristin L. Nichol, MD, MPH, MBA Professor of Medicine, University of Minnesota Chief of Medicine, Minneapolis VA Medical Cente Chair, MCAI Bottom Line disease
More informationVaccine-Preventable Diseases in Colorado s Children 2009 Sean O Leary MD, Carl Armon PhD, Joni Reynolds, RNC, MSN, James Todd MD
State of the Health of Colorado s Children Vaccine-Preventable Diseases in Colorado s Children 29 Sean O Leary MD, Carl Armon PhD, Joni Reynolds, RNC, MSN, James Todd MD Vaccines have been highly effective
More informationImmunization Accomplishments and Challenges, 2017
National Center for Immunization & Respiratory Diseases Immunization Accomplishments and Challenges, 2017 Cindy Weinbaum MD MPH Acting Director, Immunization Services Division Texas Immunization Conference
More information