Prevention and Public Health Fund Nevada Adult Immunization - - PowerPoint PPT Presentation

Prevention and Public Health Fund “Nevada Adult Immunization Partnership & Improvement Project”

Outline

■ Adult immunizations overview ■ Standards for Adult Immunization ■ Nevada overview ■ Grant goals, objectives and activities ■ Resources ■ Q and A

Adults Need Shots too?

■ Healthy adults largely unaware they should be seeking vaccination

– Think vaccines are for kids, old people, or those with poor health – Haven’t heard about other vaccine-preventable diseases (whooping cough, shingles, HPV, etc.) that affect adults

■ Not getting recommendations for vaccination from their healthcare professionals ■ Adult vaccination services beyond influenza/pneumococcal may not be offered by all healthcare providers

■ The role of pharmacies in adult vaccination expanding (beyond flu) ■ Vaccinations are increasingly offered at work and community sites

Adult Vaccines

■ Influenza (flu) ■ Td or Tdap ■ Zoster ■ Pneumococcal ■ Other vaccines are determined by factors such as:

– Health conditions (e.g., diabetes, heart disease) – Job (e.g., healthcare worker) – International travel – Vaccine history

Adult Immunization Disparities

■ Lower vaccine coverage among

–

Hispanics and African Americans compared to non-Hispanic Caucasians

–

Uninsured

–

Lower incomes

■

For newly insured adults

– Affordable Care Act (ACA) requires non-grandfathered private plans to include coverage for ACIP-recommended vaccines – Especially important to conduct assessment among newly insured

Adult Immunization Standards

■ Stresses that all providers, including those that don’t provide vaccine services, have a role in ensuring patients are up-to-date on vaccines ■ Acknowledges that:

– Adult patients may see many different healthcare providers, some of whom do not stock some

• r all vaccines

– Adults may get vaccinated in a medical home, at work, or retail setting

■ Aim is to avoid missed opportunities and keep adult patients protected from vaccine-preventable diseases

■ Calls to action for healthcare professionals

– Assess immunization status of all patients in every clinical encounter. – Strongly Recommen mmend vaccines that patients need. – Admini inister needed vaccines or Refe fer to a provider who can immunize. – Documen ment vaccines received by patients, including entering immunizations into immunization registries

What Can We Do as a Community?

■ Create an environment that encourages adults to:

– Set an example for others by educating themselves about recommended vaccines – Ask healthcare providers or pharmacists about what vaccines are needed – Be persistent in seeking vaccination as not all healthcare providers offer vaccination

■ Remind family, loved ones, and co-workers about the importance of being up-to-date on vaccines that adults need ■ Improving frequency of vaccine assessment and recommendations may help reduce disparities ■ Get involved with the Adult Immunization Task Force!

Nevada Grant Background

■ Nevada law mandates entry of vaccine administration into NV WebIZ (Nevada’s SIIS) for both adults and children ■ Nevada continues to have high uninsured rates and low vaccination rates for adults ■ Nevada is ranked 46th for primary care physicians per capita ■ 36% of Nevadans and 2/3 of rural-frontier residents live in a primary care HPSA ■ Nevada has a projected 17% increase by 2017 in population aged 65 years and older ■ Nevada’s Asian population has increased by 116% and its Hispanic population by 82% ■ Nevada Pharmacists are currently vaccinating: From April 1, 2014 – March 31, 2015, 270,406 vaccines were administered

Overall Project Goal

■ Nevada Adult Immunization Partnership & Improvement Project Improve knowledge and expand implementation of The Standards for Adult Immunization (aka “Standards”), increase usage of 317-funded vaccines for eligible groups and increase overall adult immunization rates by at least 2%.

Objectives

■ Increase the number of clinic sites implementing the Standards ■ Improve the ability and process to provide vaccines on-site or the ability and process to refer to other provider sites ■ Improve and expand the ability and practice of providers to routinely and accurately document adult vaccinations in Nevada WebIZ ■ Develop and implement strategies to best utilize available Section 317 vaccine to expand access to uninsured adults ■ Increase the amount of quality, adult vaccine-related online resources ■ Increase social marketing in adult vaccine promotion and disease prevention

Activities

■ Hire Adult Immunization Coordinator to work at the State level and a Southern Nevada Adult Outreach Nurse to work in Clark County. ■ Convene Adult Immunization Task Force with 4 subcommittees: – Community Health Centers, FQHC and Health Districts – Pharmacies – Large Healthcare Systems – Nonprofit, Community and Faith-based ■ Distribute online Knowledge, Attitudes, Beliefs, and Behaviors (KABB) survey ■ Collaborate with HealthInsight QIN-QIO on reducing disparities and improving immunization rates and assessment of immunization status for Nevada Medicare beneficiaries.

■ Provider Education Activities

– Develop and distribute Adult Immunization Toolkit (customized for each target group) – Develop AFIX model for participating providers – Provide reminder/recall cards and postage where necessary – Conduct continuing education via webinar and in-person summit

■ Community Activities

– Develop communications plan for community, online and clinic-level consumer health information resources – Promote 317 Vaccine access points to eligible adults

Evaluation

■ Number of pharmacies, community health centers and healthcare systems participating in project and related data ■ Types and amount of information distributed; web page visits; social media metrics and media impressions Measureable outcomes in alignment with Healthy People 2020 goals. These include, but are not limited to: ■ Influenza: Increase the percentage of adults aged 18 years and older and pregnant women who are vaccinated annually ■ Pneumococcal: Increase the percentage of adults; noninstitutionalized adults aged 65 years and older; noninstitutionalized high-risk adults aged 18 to 64 years; and institutionalized adults (persons aged 18 years and older in long-term or nursing homes) who are vaccinated ■ Zoster: Increase the percentage of age-appropriate adults who are vaccinated

Next Steps – Immediate Future

■ Hire and train the contracted State employee ■ Convene the initial Task Force, develop the meeting schedule and create the Work Groups – Respond to post-webinar email form! http://goo.gl/forms/wjxt68vg0i ■ Develop and distribute the pre-project “KABB” survey ■ Gather baseline rates using NV WebIZ data

Resources

■ CDC handouts for providers about how to implement the Standards

cdc.gov/vaccines/hcp/adults/for-practice/standards/index.html

■ National Foundation for Infectious Diseases

adultvaccination.org

■ American College of Obstetricians and Gynecologists

immunizationforwomen.org

■ American Pharmacists Association

pharmacist.com/immunization-resources

■ National Adult Immunization Plan

hhs.gov/nvpo/national-adult-immunization-plan