Faculty Disclosure. Kerry Kernen, MPA, MSN, RN

Transcription

1 Faculty Disclosure Kerry Kernen, MPA, MSN, RN Ms. Kernen has listed no financial interest/arrangement that would be considered a conflict of interest. Update on Teen Immunization Education Series (TIES) Kerry Kernen, MPA, MSN, RN Division Chief, Community Health/Nutrition Services 1

2 Role of DCHD and Immunizations Safety Net Provider Uninsured Underinsured Provide: pediatric, adolescent and some adult vaccines Education, information, technical assistance, support for area healthcare providers DCHD Vaccine Funding NDHHS and Immunization Action Program (IAP) Pediatric and Adolescent Vaccines NDHHS and 317 Funding Designated Adult Vaccines (Hepatitis B, Hepatitis A, Tdap and MMR) 2

3 Teen Immunization Education Series Launch from State of Ohio (American Academy of Pediatrics, Ohio Chapter Vision to bring this to Douglas County, NE and continue to improve our adolescent vaccination rates Objectives of the TIES Program Describe diseases prevented through adolescent immunization Review immunization schedules for adolescents Review issues related to vaccinating adolescents, such as strategies and safety Discuss TIES Best Practices Introduce Plan-Do-Study-Act Worksheet What s New HPV Vaccine 2-Dose Schedule 2 doses for adolescents ages 9 through 14 3 doses for adolescents ages 15 and up 9vHPV is now the only HPV vaccination available in the U.S. Meningococcal Vaccinations MenB vaccination approved in 2015 with Category B recommendation 3

4 Four Vaccines Are Recommended for ALL Preteens at Age 11 or 12 Years NE Coverage Rates DHHS NIS-Teen Data - Adolescents/Teens (13-17 years) 4

5 Components of TIES Program Geared toward health care providers and office staff (Medical Assistants, LPNs, RNs) Length of presentation: 1 hour Education on four (4) main adolescent vaccines HPV Meningococcal Pertussis (Tdap) Influenza Components of TIES Program What the disease is, types, risk factors causes, incidence, morbidity/mortality connection, transmission and impact to females/males (HPV) Vaccine Recommendations: age, schedule, any special situations (ie, medical, breastfeeding, ect.), safety, screening (contraindications/precautions), exemptions, ect. General adolescent vaccine safety information 5

6 What Convinces Parents to Have Child Receive Vaccines? Supporting Providers in Increasing Adolescent Vaccination Rates Talking to Parents About Vaccines Using Vaccine Information Sheets Tdap, Meningococcal and HPV vaccines can all be administered at the same healthcare visit Documentation into NESIIS Utilize tracking, reminder and recall systems (NESIIS and/or EHR can assist) Standing Orders Schedule next appointment for next dose before leaving the office Use all visits as opportunities for adolescent immunizations 6

7 TIES Best Practices for Increasing Vaccine Rates Use an immunization REMINDER and RECALL system for every patient. Have someone you consider your go to person for vaccine questions (ie, DCHD). Give all vaccines that are due, regardless of the number of injections. Allow shots to be given to adolescents with minor illnesses like colds, diarrhea or low-grade fever. Allow patients to come in for an immunization-only visits. Give age-appropriate vaccines even when no vaccine record is available. Screen for valid contraindications and precautions. TIES Best Practices for Office Operations Have a free Assessment-Feedback-Incentive-eXchange (AFIX) measurement of your immunization rates within the past year. Become a Vaccines for Children (VFC) provider. Provide a current Vaccine Information Statement (VIS) to parents prior to an immunization at every visit and allow them to take it home. Have a written plan for protecting vaccines in case of a power outage. Use the NESIIS registry to check immunization status and enter immunization information. Check vaccine status at every office visit. Have materials available to address vaccine concerns. 7

8 Assessment, Feedback, Incentives and exchange: AFIX Data on vaccination coverage Feedback to providers, discuss practice procedures and opportunities for improvement strategies Incentives as motivation Regular follow-up with providers to monitor QI Thank you. 8