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Operating Off-Site Vaccination Campaigns

Operating Off-Site Vaccination Campaigns. Kristen Carroll, MPH – NC Immunization Branch Jeanna Condron-Cheek, RN – Brunswick County Lydia Lyon, RN – Union County. Agenda. Branch projects Tips on off-site clinics Brunswick County projects Union County projects Questions.

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Operating Off-Site Vaccination Campaigns

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  1. Operating Off-Site Vaccination Campaigns Kristen Carroll, MPH – NC Immunization Branch Jeanna Condron-Cheek, RN – Brunswick County Lydia Lyon, RN – Union County

  2. Agenda • Branch projects • Tips on off-site clinics • Brunswick County projects • Union County projects • Questions

  3. Why consider school-locatedvaccination? • Providers may not be able to accommodate so many new patient visits • Convenient for parents • May be convenient/practical for vaccinators • Many children are found in schools • Schools can usually accommodate mass vaccination clinics • School nurses may be able to assist and be supportive

  4. Challenges • Vaccinating outside of the medical home may reduce the incentive to see provider • Burden and opportunity costs can be high • School nurses – often overworked and understaffed • Health department staff – often overworked and understaffed • Teachers and school administrators – concerned about the disruption and time away from class • Finding the time and know-how to start a program can be intimidating

  5. Past success in school collaborations • Hepatitis B initiative • Started in 1995; 10 year initiative • Vaccinated more than 500,000 6th graders • Flu pilot project 2008-2009 • 4 counties provided nasal flu vaccine to students during in-school clinics • Vaccinated over 3000 students • 39% Elementary students; 29% Middle school students; 16% High school students

  6. Flu Vaccination in Schools 2009-2010 American Recovery and Reinvestment Act (ARRA)

  7. ARRA • ARRA funds designed to stimulate economy; strengthen healthcare; reduce healthcare costs through prevention • NC Immunization Branch applied for funding to increase the number of children and adolescents who receive seasonal influenza vaccinations

  8. Why School flu clinics? • Immunization Branch was universal-select at that time; we could not provide children over 5 flu vaccine • Vaccinating children from the flu protects the community at large • Past successful experiences in working with school clinics

  9. Project details • Branch collaborated with interested local health departments (LHDs) and districts to carry out project • LHDs were required to collaborate with their local public and/or private schools to offer in-school influenza clinics • LHDs were encouraged to use funding to retain and/or create positions to support their project

  10. Reporting Requirements of LHDs for ARRA • Number of schools participating in project • Grades included in the in-school clinic efforts • Enrollment per grade per school (students offered influenza vaccine) • Vaccine formulation used • Total number of doses administered to students per grade and school • Total number of doses administered to faculty per school • Enter all inventory, wastage, and doses administered into NCIR • Specific use of ARRA operating funds awarded to the county/district including • Creation/retention of jobs • Goods • Travel

  11. Final data Data represents information from 66 participating LHDs and Districts. *Not all participants reported a breakdown by grade

  12. Data Summary

  13. Reported Challenges • Delay of receiving vaccine • H1N1 • Getting permission forms back and legible • Too much paperwork • Staff overworked • Strict reporting

  14. Reported Successes • Great collaboration with schools • Vaccinating many people who would not be otherwise • Many students vaccinated for the first time • Educating people about the flu • Parents were happy the vaccine was given at school

  15. Where do we go from here?

  16. Branch Policy on Off-site Clinics (memo dated 5/6/11) Local health departments may administer NCIP vaccine offsite as long as the following conditions are met: • Vaccines must be transported properly and held at proper temperatures while offsite • Frozen vaccines may only be taken with a portable freezer unit that meets guidelines • Vaccines taken offsite must be returned to the approved storage unit by the end of the day that the vaccine was taken offsite • Only patients 0 through 18 years of age may be administered vaccines in an offsite setting (flu may be an exception) • Vaccines administered must be reported via the NCIR; and • Vaccines must be administered according to current coverage criteria

  17. Off-site clinic Tips • Do not plan a clinic date until you have vaccine on hand • Clinics can be in schools, childcares, community centers, etc • Communicate with providers in your region about clinics • Use the NCIR for private vaccine doses; it helps with recalls and ordering trends

  18. New challenges • As of July 2010, NCIP is VFC only • Introduction of billing into clinics • Provide vaccine to children and/or adults • Think of how to best serve the community • After hour clinics • Advertising • Working with community organizations

  19. Hold Questions until the end

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