Implementing a Flu Protection Campaign in a Community Setting. Shona Gallagher Flu Protection Campaign Project Lead

Transcription

1 Implementing a Flu Protection Campaign in a Community Setting Shona Gallagher Flu Protection Campaign Project Lead

2 To promote awareness of the vaccine, increase knowledge regarding the reasons why staff and at risk groups should avail of it To increase the uptake of vaccine among all staff in CHO Area 1. National target of 40% Campaign Aims To promote the flu vaccine across communities and key at risk groups across CHO 1 To actively target and improve uptake of vaccine of residents in all LTCFs- at least a 75%

3 To establish an Oversight Group and 3 Local Implementation Groups to guide and support implementation To improve all returns to HPSC as per required timeframes and requirements Key Objectives To improve access to the vaccine for all HCWs via Occupational Health and Peer Vaccination clinics To develop and implement a Flu Communications Plan To identify Flu Champions

4 Secure Funding for Campaign Establish Leadership and roll out groups Communicate Nationally and with other CHO areas and Hospital Groups Collate data and returns Locally and Nationally Flu Action Plan Link with Internal and External Agencies to assist and support Incorporate Guidance on how to best prevent, detect and control an Influenza outbreak in LTCFs Ensure 75% uptake of all residents Improve availability, accessibility and uptake amongst all staff

5 Structure CHO 1 Management Team Oversight Group Communications Sub Group Peer Vaccinator Sub Group Local Implementation Groups

6 Promote the safety and efficacy of the vaccine Inform staff on how to prevent the spread of flu Tackle the flu myths The responsibility lies with each individual staff member to avail of the vaccine Key Messages Prevention of the spread of flu is equally as important as hand hygiene Staff put themselves, their patients and family members at risk by choosing not to avail of the vaccine Protection against flu is everyone s responsibility. Please protect yourselves, your loved ones and those around you

7 Governance Structures Planning August Timeline Launch Campaign Start Clinics October Run full Campaign Clinics, Talks, Communications Focus Groups Returns Oct-Feb Evaluation Focus Groups Returns Planning for next season Conference Launch end of Sept Run Campaign until season end March Mar- Aug September

8 2016 and 2017 Flu Season Local Uptake

9 Uptake for residents and respite patients in residential facilities in CHO 1 Residents Respite 95% vaccinatedtarget 75% 85% vaccinatedtarget 75% 12 of 46 LTCFs returned data to date= 26% return rate for residents Note: 17 of 42 LTCFs returned data for Staff Uptake= 40% return

10 Cho 1 Uptake- March 2017 As of 23 rd March 2016: Note: The total staff number is inclusive of OH, HP, PH numbers Donegal, Sligo Leitrim Area Total vaccinated To date Head count% Last years final uptake Required for 40% Head Count Sligo Leitrim % (2203) % Based on this years staff numbers 881 Donegal % (2693) % Based on this years staff numbers 1,077 Cavan Monaghan % TBC 559 (1398) Total CHO 1 1,134 18% TBC 2,520 (6356)

11 OH and Peer Vaccinator Clinics As of end of Jan 2017 OH Clinics Peer V Clinics AMO clinics Total Clinics Total vac. by all Total vac. by Peer Vs Average per Peer V clinic Total CHO 1 Sept-Jan (44 returned)

12 External Facilitator to Evaluate Campaign Staff Survey Monkey and paper Questionnaire Evaluation Stats comparison Focus groups Staff DONs, ADONs, CNMs, Managers Peer vaccinators

13 Staff Focus Groups- Key findings Staff morale has an impact as did recent structural changes Staunch anti-vaccine sites recognisable Need for transparency- costs, targets Need for clear messaging as to why staff are being asked to get vaccine Where manager supports, this filters down campaign not working for frontline staff All had seen clinic times and incentives Staff asking for focus groups and recommending them for campaign Training required to facilitate focus groups

14 Management Focus Groups- key findings Whose role is it to promote the vaccine? Can impact on the employer-manager relationship Data returns Prioritisation of flu against other items Anti-vaccine attitudes can be difficult to deal with, especially if it s a culture amongst staff in an area

15 Successes Project Lead in place Governance Challenges Representation from each Division Flu Plan and sub plans in place Representation from wide range of services 1 forum for decision making on CHO wide basis- Worked well together Regular update reports from Project Lead LIGS that were well attended especially with management and frontline staff resulted in more positive engagement Membership from key areas Seen as add-on not as core work Substantial work involved in being a member of the group and some people on oversight group and two sub-groups Attendance dwindled as the campaign progressed Local implementation groups were established too late, gaps in representation from some services

16 Recommendations A Project Manager/Co-ordinator is essential Establish and agree on terms of reference and membership Meet early in the season for planning purposes Establish a timeline for the meetings and campaign

17 30 Peer Vaccinators Trained Established links with CNME & NMPDU Emergency kit and protocol established Evaluation set out clear objectives for next season Peer Vaccination CHO 1 specific paperwork and safeguarding All peer vaccinators wish to continue Clinics ran from Nov-Feb in 4 counties Peer Vaccinator Focus Groups Cavan Monaghan increase in availability = increase in uptake

18 Vaccine Availability Successes Peer Vaccination up & running-first time this year, all new recruits Increase in clinics (Occupational Health clinics doubled in Sligo/Leitrim) Occupational Health combined Flu clinic with Hep B clinics from January Clinics at peoples place of work Drop-in clinics Occupational Health hospitals and St. Johns Talk with vaccination clinic afterwards Targeting specific care groups/divisions eg. PHN, Home Support Peer Vaccinators from each division- MHS, ID, OPS, LTCF, PHN All peer vaccinators in Cavan/Monaghan were managers 2 peer vaccinators working together on same site/buddy system Peer Vaccinators advocates for the vaccine, individual approach Clinic notices and Posters Allocation of Flu Bus and plan for next season Use of text messaging service in Cavan Monaghan re: clinic time/area

19 Vaccine Availability Challenges Peer Vaccinators: Further clarity required on promotional role Two Peer vaccinators working together (coming from different areas), meant delays/no clinics/ impact on release and staffing/ increase timing for clinics Logistics: Ordering and receiving the vaccine, communication with national cold chain Needed fridges and Oxygen for all clinics No budget for Emergency kits To be run on a cost neutral basis Peer awareness of peer medical history = deterrant for some Anti-vaccine culture in some areas which meant staff went to different locations to receive the vaccine

20 Vaccine Availability Recommendations Continue the Peer Vaccination programme and expand on it Increase Occupational Health Clinics, if possible Include information talks with clinics attached Target staff meetings and have these scheduled throughout the season Start clinics end of Sept Expand on the use of Text Messaging for clinic times/areas Use a whole system approach as opposed to targeting staff. Further engage with the community and general public, ensure they understand the importance of health care workers and the public taking the vaccine Celebrate successes and communicate these across the system Look at voucher system/reimbursement if have had vaccine outside of HSE Resilience training for Peer Vaccinators

21 Incentives Poster and brochure campaign Video/Animation Campaign Media Campaign (papers, radio, ) Briefings and Staff meetings Comms Plan Staff Involvement Groups Media Coverage Flu Talk DVD Flu Songs Communication Packs-Shared drive Sligo IT collaboration Launches LCD screens Communications for Senior Management NHS Flu Fighter Campaign links

22 Communication Challenges to frontline staff was not successful Representation from ICT on Comms Group Some s too large and dependent on operating system for viewing Some areas have poor network connection Influence of social media in relation by the anti-vaccine campaign was not counter-balanced YouTube/ Social Media not utilised in campaign Poster dissemination glitches and monitoring Issues relating to flu fatigue ie. how much to send Staff queries on cost of flashy campaign Lost impact of good speeches not recorded Media not utilised as much as could have been- radio, newspapers etc Flu not on all staff agendas Some staff reporting being pressured to get the vaccine

23 Communication Recommendations Leadership at all levels across the system- Top down as well as bottom up approach Campaign on agenda of all staff meetings Celebrate the successes, focus on the positives Increase use of social media Further recognition of the role of GPs, engage with ICGP IT support is central to the success of the campaign- engage with National Comms, ICT Nationally and Locally Engage with and expand on Flu Champions Practical changes to current campaign : Posters at the back of toilet doors Section in staff newsletter A media schedule for the year Keep s shorter and more positive Develop animation/ a day in the life use of YouTube, LCD Screens, Screensavers. Record speeches for use. Use of Jabometer for healthy competition Grab&jab and small huddle lunches Use of Tarp at main hospital locations/ traffic sites

24 Key Successes in the Campaign Liaising with HPSC regularly New data base established Focus groups with managers HPSC Returns Learning & Changes for the Future Challenges, Blocks & Difficulties Only 40% returned Staff not seeing this as their role Needed accurate reporting locally re: returns, storage, data collation Returns need to be the responsibility of the service manager, with a named person in each service ie. clear accountability KPI Clarification (clear KPIs for the Flu Campaign/returns) Link with other areas on how they manage their returns On going liaison with the HPSC How to accurately capture those vaccinated outside of HSE

25 Some community services 100% uptake, others 80% Cavan Monaghan 100% returns to HPSC Nearly doubled % uptake in Sligo Leitrim 17 of 42 requested LTCFs in CHO 1 returned ½ way data-40% Database agreed upon and to be set up for data collation across CHO 1 CHO 1 Uptake Successes 22% first time vaccinated in Sligo Leitrim Now have staff number baseline and % uptake baseline for entire CHO 1 Each service in CHO 1 now broken down into categories as well as LTCFs Some LTCFs surpassed 40% and others over 30%

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28 Thank you!