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Oregon Adult Immunization Special Project. 2012-2013. Lane County Public Health . AISP Program Contact: Heather Young, RN 541-682-8711 heather.young@co.lane.or.us Communicable Disease Program Nursing Supervisor: Cindy Morgan, RN, WHCNP 541-682-3931 cindy.morgan@co.lane.or.us.
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Lane County Public Health AISP Program Contact: Heather Young, RN 541-682-8711 heather.young@co.lane.or.us Communicable Disease Program Nursing Supervisor: Cindy Morgan, RN, WHCNP 541-682-3931 cindy.morgan@co.lane.or.us
Project Goals • Strengthen Oregon’s adult immunization infrastructure to increase access to adult vaccines • Partner with: • Pharmacies • Non-healthcare employers • Healthcare institutions • Community Health Centers • Long Term Care Facilities
Adult Immunization Special Project Sponsors • Sponsored by the Centers for Disease Control and Prevention and the National Center for Immunizations and Respiratory Diseases • Administered through states and local health departments (LHDs) • Oregon: 32 out of 36 counties participating
Lane County Project Objectives: • Work with Pharmacies (9) • Initiate or increase Influenza and/or Tdap adult immunization by 10% of more • Assist with ALERT IIS training as needed • Work with Non-Healthcare Employers (10) • Improve relationships with large businesses • They will offer at least one employee flu and/or Tdap vaccination program
Lane County Project Objectives: • Work with Community Health Centers(9) • Expand adult flu and/or Tdap immunization services • Work with Healthcare Institutions • Improve healthcare worker flu vaccination • Increase coverage rate by 10% • Address hospitals first
Lane County Project Objectives: • Work with Long Term Care Facilities (12+) • Increase employee flu vaccinations by 10% from 2011-2012 baseline rates .....Where are we now?
Healthcare Personnel Flu Vaccination Rates in Oregon • Hospitals • 2010-2011: 65% • 2011-2012 69% • Ambulatory Surgery Centers • 2011-2012: 64% • Long Term Care Facilities • 2010-2011 52% • 2011-2012 51%
What AreLane County LTCF Averages? • 12 LTCFs in data • Employee vaccination: 60% • Credentialed non-employees: 42% • Other Non-Employees: 40% • Average overall facility rate: 63%
Although Lane County LTCFs are above the state average, ...for our patients, families, coworkers, and ourselves.... We Can Do Better!
Healthcare PersonnelNational Goals: • CDC, ACIP, and HICPAC recommend that ALL health care workers be vaccinated annually for influenza • Healthy People 2010 Goal: 60% • Healthy People 2015 Goal: 70% • Healthy People 2020 Goal: 90% • Higher flu vaccine rates among staff can reduce flu related illness and deaths!
Out of 12 LTCFs in Lane Countyincluded in the data: • 42% (5/12) are meeting Healthy People 2010 target of ≥ 60% HCP flu vaccination • 25% (3/12) are meetingHealthy People 2015 target of ≥ 70% HCP flu vaccination • 17% (2/12) are meetingHealthy People 2020 target of ≥ 90% HCP flu vaccination
How can we work together to improve these rates? • Building success through partnership • SOAR: Strengths, Opportunities, Aspirations, Results • For your facility, identify: • Current strengths & capabilities • Current needs • Current barriers • Determine project strategy and activities • Evaluate 2012-2013 outcomes • Plan next year’s program
Evidence-Based Strategies: Increase HCP flu vaccination rates by: • offering vaccines low-cost or free • on-site vaccination • multiple delivery times • convenient delivery • requirements and declinations
Other Ideas: • Promotional campaigns • Mail, email, pager reminders • Verbal reminders • Mandatory in-service • Educational video or webinar • Offer incentives (coffee cards, etc.) • Friendly competition • Celebrate success!
Project Resources: • State web page has many resources http://public.health.oregon.gov/PreventionWellness/VaccinesImmunization/Pages/SpecProj.aspx • Including • Specialized Toolkits • Flu Webinar for LTC employee education • Baseline Reports: • Declination forms
Additional Resources: • Oregon Flu Communications Toolkit http://public.health.oregon.gov/PreventionWellness/VaccinesImmunization/ImmunizationProviderResources/Pages/FluToolkit.aspx • CDC Seasonal Influenza page: http://www.cdc.gov/flu/ • CDC print/video/audio/web resources http://www.cdc.gov/flu/freeresources/index.htm