Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it s the only thing that ever has.

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Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it s the only thing that ever has. Margaret Mead

The Massachusetts Immunization Action Partnership (MIAP) represents the combined effort of the Immunization Initiative of the Massachusetts Chapter of the American Academy of Pediatrics (MCAAP-II), the Immunization Program of the Massachusetts Department of Public Health (MDPH) and individuals who share the mission to protect all citizens from vaccine-preventable diseases. MIAP aims to reduce vaccine-preventable disease and increase immunization levels in our state by promoting, coordinating and enhancing public and private strategies and activities that provide education and resources for immunizing the people of Massachusetts, especially children. Immunization performance and strong primary care/community partnerships are the cornerstones to prevention of many communicable diseases. This full-day pediatric conference provides up-to-date information on the fast-changing field of immunization with an emphasis on new vaccines and general immunization updates. At the end of the conference, participants should be able to: List four current topics and recommendations related to immunizations nationally and in Massachusetts. Describe two recent changes to regulations in Massachusetts related to immunizations. Recognize three factors that influence a parent s decision to vaccinate. Describe approaches for working with parents with vaccine hesitancy. Identify two recent trends in in vaccine-preventable disease epidemiology in Massachusetts. Discuss the initial steps that should be taken in response to a suspected vaccinepreventable disease outbreak. Explain the rationale for an immunization registry, the timeframe for statewide roll out and the process for enrollment. Describe the functionality of the new Massachusetts Immunization Information System (MIIS) and providers legal responsibilities for reporting. Discuss the transition of MDPH s current vaccine ordering system and annual provider enrollment to a new online ordering and enrollment system that will be integrated into the MIIS. List two immunization practices that are critical to the safe and effective storage and administration of vaccines, as identified by the case studies presented. Describe the steps to take in the case of a temperature excursion in a refrigerator or freezer where the vaccine is stored. Outline the elements required for proper documentation of vaccine administration and review common documentation errors and omissions. Know how to screen patients for contraindications and precautions to vaccines. Review the difference between a vaccine adverse event and vaccine administration error and where to file each report and when. Identify common vaccine administration errors and apply solutions to these errors. Explain one approach to immunizing children who are new to a practice and may have gotten off schedule. Identify vaccines frequently used to protect travelers from preventable diseases. Be familiar with the vaccinations legally required for travel and how these must be documented.

The target audience includes physicians, nurse practitioners, nurses, physician assistants, medical assistants, community outreach and public health workers, immunization coalition members, and office staff who work in pediatric health care settings, health care and civic organizations. The Bureau of Infectious Disease Prevention, Response and Services, Massachusetts Department of Public Health, designates this Live activity for a maximum of 5.25 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. The Bureau of Infectious Disease Prevention, Response and Services, Massachusetts Department of Public Health is accredited by the Massachusetts Medical Society to provide continuing medical education for physicians. This program has been offered by the Bureau of Infectious Disease Prevention, Response and Services, Massachusetts Department of Public Health. A maximum of 5.25 contact hours for this program will be provided in accordance with the regulations governing continuing education requirements for the following Boards of Registration: Board of Registration in Nursing (CMR 244 5.00) Pharmacists may receive up to 5.25 AMA PRA Category 1 Credit in accordance with 247CMR 4.00. Cynthia McReynolds 781-895-9850 cmcreynolds@mms.org www.mcaap.org/immunization.php

Welcome Ronald Samuels, MD, MPH Associate Director of the Primary Care Center, Children s Hospital, Boston State and National Immunization Update Regulations, Policies and Current Events* Susan M. Lett, MD, MPH Medical Director, MDPH Immunization Program Session 1 Vaccine Preventable Disease Epidemiology Presenter will discuss recent trends in vaccine-preventable disease epidemiology in Massachusetts and will discuss the initial steps that should be taken in response to a suspected vaccine preventable disease outbreak. MDPH Immunization Epidemiologist(s) Session 2 Massachusetts Immunization Information System (MIIS): Coming Soon to an Office Near You!* Presenters will explain the rationale for an immunization registry and the time frame for the statewide roll-out. Presenters also will describe the functionality of the new MIIS as well as providers legal responsibilities. Carly Coppola, MPH, User Support Associate, MDPH Immunization Program Session 3 Power Outages, Expired Vaccine and VFC Screening, Oh My! Case Studies and Best Practices in Vaccine Storage, Handling and Usage* Presenters will describe the steps to take in case of a temperature excursion in a refrigerator or freezer where the vaccine is stored. Presenters also will explain the main goals and major activities of an immunization program site visit to a provider office. Bob Morrison, Vaccine Manager, MDPH Immunization Program Kathleen Shattuck, MPH Assessment Coordinator, MDPH Immunization Program Session 4 Vaccine 101 Presenter will outline the elements required for proper documentation of vaccine administration and review common documentation errors and omissions. Presenter will discuss how to screen patients for contraindications and precautions to vaccines. Presenter also will review the difference between a vaccine adverse event and vaccine administration error and where to file each report and when. Mary Conant-Cantor, RN, BSN, Nurse Manager, MDPH Immunization Program

Session 5 Challenging Immunization Scenarios Presenter will review approaches to immunizing children new to a practice, as well as discussing immunization recommendations in high risk circumstances. Ronald Samuels, MD, MPH Associate Director of the Primary Care Center, Children s Hospital, Boston Lessons from The Panic Virus Exploring Vaccine Hesitancy in the Digital Age Presenter will discuss vaccine anxiety. Presenter will discuss communication strategies for dealing with vaccine hesitancy. Seth Mnookin, author, The Panic Virus: The True Story Behind the Vaccine-Autism Controversy + + Seth Mnookin will be signing copies of his book, The Panic Virus: The True Story Behind the Vaccine-Autism Controversy, during the afternoon break (from 2:15-2:45 p.m.) The book can be purchased for the discounted price of $20. Payment by cash and check only will be accepted. Repeated Sessions: Session 1 - Vaccine Preventable Disease Epidemiology Session 2 Massachusetts Immunization Information System (MIIS)* Tseli Mohammed, MS User Support Associate, MDPH Immunization Program Session 3 - Power Outages, Expired Vaccine and VFC Screening, Oh My! Case Studies and Best Practices in Vaccine Storage, Handling and Usage* Additional Afternoon Breakout Session: Session 4 Travel Vaccines Non-Traditional Vaccines Presenter will identify vaccines frequently used to protect travelers from preventable diseases and will discuss how administration of these vaccinations must be documented. Larry Madoff, MD Director, Division of Epidemiology and Immunization, MDPH *Sessions marked with an asterisk qualify as risk management. Changes to the program may be made before the conference date.

$60 Registration online or with payment postmarked by September 27, 2012 $85 After September 27, 2012 registration online or on-site registration (On-site payment by cash or check only) Full-day conference fee includes: Continental breakfast and lunch buffet Conference materials To Register: Online at: www.mcaap.org/immunization.php OR By mail: complete and detach the adjacent registration form and mail with payment to: MCAAP Immunization Initiative 860 Winter Street Waltham, MA 02451 Cancellations will be accepted through September 27, 2012 (a $10.00 administrative fee will be charged on all refunds). Refunds will not be processed for no shows. The Best Western Royal Plaza Hotel; Telephone: (508) 460-7000 181 Boston Post Road West, Marlborough, MA 01752-1883 From Boston: Mass Pike (I-90) West to Exit 11A (Route 495 North). Take Route 495 North to Exit 24B (Route 20) toward Northborough. Drive 1.1 miles, hotel is on right. From Worcester: Route 290 East to exit 26A (Route 495 South). Take 495 South to Exit 24B (Route 20) toward Northborough. Drive 1.1 miles, hotel is on right. From Sturbridge: Mass Pike (I-90) East to exit 11A (Route 495 North). Take Route 495 North to Exit 24B (Route 20) toward Northborough. Drive 1.1 miles, hotel is on right. From I-495 North or South: Exit 24B (Route 20) toward Northborough Drive 1.1 miles, hotel is on right. From Connecticut: Route 84 North to Mass Turnpike (I-90) East to Exit 11A (Route 495); Route 495 North to Exit 24B (Route 20) toward Northborough. Drive 1.1 miles, hotel is on right.

Please note: this is a pediatric conference. Please print your name as you would like it to appear on your name badge. First Name MI Last Name Degree Position/Title Company/Organization Street Address City State Zip Phone (required) Email (required) Please indicate the breakout sessions you would like to attend (Choose only one for the morning and only one for the afternoon): Vaccine Preventable Disease Epidemiology Massachusetts Immunization Information System (MIIS) Power Outages, Expired Vaccine and VFC Screening, Oh My! Case Studies and Best Practices in Vaccine Storage, Handling and Usage Vaccine 101 Challenging Immunization Scenarios Vaccine Preventable Disease Epidemiology Massachusetts Immunization Information System (MIIS) Power Outages, Expired Vaccine and VFC Screening, Oh My! Case Studies and Best Practices in Vaccine Storage, Handling and Usage Travel Vaccines/Non- Traditional Vaccines Registration fee: $60 per person when postmarked by September 27, 2012 ($85 on-site registration). Refunds will not be processed for no shows. Please mail your completed registration form with payment (made payable to MCAAP Immunization Initiative) to: MCAAP Immunization Initiative, 860 Winter Street, Waltham, MA 02451 If you are a person with a disability who requires accommodation, please contact Cynthia McReynolds by September 27, 2012. Phone: 781-895-9850 E-mail: cmcreynolds@mms.org