sustainable adult immunization activities
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Sustainable Adult Immunization Activities. Julie Morita, M.D. Medical Director, Immunization Program Chicago Department of Public Health. Total population: 2.7 million* NH-White: 45% NH-Black: 33% Hispanic: 29% Area of Chicago: 229 square miles. Chicago. * 2010 US Census. - PowerPoint PPT PresentationTRANSCRIPT
PowerPoint Presentation
Sustainable Adult Immunization Activities
Julie Morita, M.D.Medical Director, Immunization ProgramChicago Department of Public Health
1ChicagoTotal population: 2.7 million*NH-White: 45%NH-Black: 33%Hispanic: 29%
Area of Chicago: 229 square miles
* 2010 US Census2Prevention and Public Health FundAdult Initiative, CDCJuly 1, 2012-December 31, 2013Required projectsPharmaciesWorkplace
Optional projectsCommunity Health Centers
Funding: $740,0003Sustainable ActivitiesVaccinate Illinois WeekLocalized celebration of National Influenza Vaccination Week
Community Health Center (CHC) InitiativeQuality improvement interventionsVaccine provision 317, local funds
CHC 265,000Public information campaign VIW 30,0004Increase community demand for vaccinationsMass and small mediaOutreach and tracking of clients
Enhance access to vaccination services
Include interventions directed at providersEducational activities
Community Based Interventions Implemented in CombinationIndependent, nonfederal, unpaid group appointed by Centers for Disease Control and Prevention (CDC)
Members represent research, practice, and policy expertise in community preventive services, public health, health promotion, and disease prevention
5Vaccinate Illinois WeekLocal observance of National Influenza Vaccination Week, December 8 - 14, 2013PartnersState and local health departmentsProfessional organizations (ACP, AAP, AAFP, ACOG)Blue Cross Blue Shield of IllinoisPharmacies (Walgreens, CVS, Osco)Immunization coalitionMedicare QIO
6Print and Outdoor Ads RadioSocial Media
Flyer distribution (electronically, in-person)
Community Outreach
7Traditional media (Chicago)Newspapers (e.g., RedEye Sun Times, Tribune)2 million readers600,00 impressionsRadio (WGCI, WVAZ, WGRB, WNUA)19,000 listeners6 million impressionsTraditional media (outside Chicago)Several earned media interviews (radio, newspaper)N/ASocial mediaFacebook, Twitter70,000 reachedOutreachCanvassed communities, CTA transit bus and train (Red, Blue, Green and Pink) line around flu clinic sites. Also, canvassed Thompson Center and Ford City Mall before clinics. 6,126 people; 111 businesses, 459 homes
8Increasing Access to VaccinesCDPH clinics
Universities of Chicago and Illinois sitesIDPH clinics
Walgreens
Flu vaccine voucher: 28,000 Chicago area9ClinicsCommunity-based (CDPH, Walgreens, U of C)1,000 (Chicago) vaccinatedRetail pharmacies17.5% increase from 2011 (Walgreens)Illinois outside Chicago VouchersCommunity organizations receiving vouchers 11 counties (19 organizations) 1,654 vouchers distributedChicago Flu Clinic Locator
www.chicagoflushots.org
CDPH clinics, retail pharmacies including CVS, Dominicks, Osco and WalgreensMore than 2,500 visits and more than 10,000 clicks on sites. 10Provider InterventionsDisease and Vaccine UpdatesNewsletter articlesProfessional organizationsVaccines for Children ProgramBlue Cross Blue Shield of Illinois
Influenza Disease Update WebinarCDC and Families Fighting Flu speaker
11Provider educationWebinar or in person trainings300Print or electronic newsletters30,000SummaryPublic Health can bring together partners from many sectors
Partners bring resources
Coordinated and consistent messaging facilitates communication
Expansion to early and late season, 2014-201512Community Health Center (CHC) InitiativeMonthly, CDPH convened CHC staff to guide interventions and provide technical assistance
Alliance of Chicago Community Health ServicesNetwork of CHCs (7) with 15 sitesBeloved Community Family Wellness Center1 siteNear North Health Services Corporation6 sites
Alliance- vision to promote thoughtful use of health information technology in the Safety Net to promote access, improve quality and efficiency 100K ~ 50 locationsNear North Health Services 8 locations 80KBeloved Community Family Wellness Center 1 location 85K
13InterventionsQuality improvement initiatives that incorporated electronic health record (EHR) modificationsCoverage levels using EHR dataStanding orders, patient and/or provider remindersInterface with immunization information system (IIS)
CDPH provided Tdap, pneumococcal, influenza hepatitis B and zoster vaccines317 and local funds
CDPH used local and 317 funds to purchase Tdap, influenza and hep A/B vaccines for participating CHCs 14AgencySitesCoverage levelsVaccines
Interventions
InterfaceAlliance(7 CHCs)
15Pre and post intervention coverage levels determinedTdap InfluenzaPPV23Hep BZosterEducational materialsEHR huddle reports*Order sets*Patient remindersProvider reminders* TrainingCentricity ICARE in production
Beloved
1Coverage levels determined monthlyTdap InfluenzaPPV23Hep BZosterPatient remindersProvider reminders* (huddle reports, color chart flags)Standing orders*Training Next Gen ICARE *Near North
6Pre and post intervention coverage levels determinedTdap Influenza PPV23 Hep BZosterEducational materialsPatient reminders Provider reminders*Standing orders*Training
Centricity ICARE in production* Public Health Node state funded program to assist with development of interface 10 FQHCS with 48 sites participatingCDPH provided guidance for coverage level determinationsFQHCs struggled with doing thisCDPH evaluated CoCasa as potential tool for adult immunization coverage levels influenza, pneumococcal vaccines not includedCDPH created programs to determine adult immunization coverage levels will determine baseline coverage levels for clinics while they are creating own programs for their EHRs15Vaccine DistributionAgency NameHep BTdapZosterPneumoInfluenzaAlliance7051,5301,3401,5956,600Beloved025060230150Near North5201,0555651,3051,90016SummaryCHCs reluctant to invest in adult vaccine systems because vaccine supply inconsistent
CDPH provided vaccine Addressed vaccine insecurity Vaccine linked to technical assistance
CDPH will make adult vaccine available to CHCs through an application process
1. Alliance is a lead IT agency for 11 FQHCs high level of EHR support, low level of engagement of staff at individual FQHCsBeloved is a small FQHC with low level EHR support and high level of engagement of staff
2. 2/3 contracts issued
3. CoCasa to be updated. Interim solution is CDPH program. 17DiscussionHouseFlu_2010_30_RadioCDCRadio, track 11030093.281