TIP Stakeholder Meetings Presented to The Texas Immunization Stakeholder Workgroup

1. TIP Stakeholder MeetingsPresented to The Texas Immunization Stakeholder Workgroup Anna C. Dragsbaek President/CEO May 20, 2010

2. Background on Immunization Stakeholder Meetings • Conducted eight town hall meetings in 2008 • Distributed Survey to over 700 stakeholders • Culminated in Texas Immunization Summit • 200+ stakeholder attended • Shared meetings results, best practices, and recommendations • Published guide: Texans Speak Out: How to Improve Immunization Rates

3. Legislative Accomplishments • SB 346 by Chairwoman Jane Nelson (R - Flower Mound):  Adults may now enter their information into the state immunization registry, ImmTrac. • SB 347 by Chairwoman Jane Nelson (R - Flower Mound):  Allows Texas to share information with other states if there is an emergency in Texas that forces Texans to surrounding states.  • HB 4189 by Chairman Patrick Rose (D - Dripping Springs):  Effective January 2010, any student entering a dormitory for the first time must have the meningitis vaccine.

4. 2010 Immunization Stakeholder Meetings • Objectives • Share hot topics in immunization on the national front • Discuss immunization challenges • Learn how to be an effective immunization advocate

5. 2010 Immunization Stakeholder Meetings Completed Meeting Scheduled Meetings Abilene – June 2 Fort Worth – June 9 Galveston – June 14 McAllen – June 16 Brownsville – June 16 Austin – June 18 • Houston • El Paso • Dallas • San Antonio

6. Stakeholder Meetings and Public Engagement • Public engagement through stakeholder meetings ensure continuous improvement of the immunization delivery system Exchange informational need through informal dialogue Communicate through legislative/grassroots efforts Identify opportunities and evaluate policy options

7. Stakeholder Meeting Highlights • Private Practice Barriers • Cost and reimbursement of vaccines • Lack of public acceptance of vaccine recommendations • Lack of interface between electronic medical record and immunization registry

8. Stakeholder Meeting Highlights • ImmTrac • Opt-in vs. opt-out • Data quality and other technical issues • Lack of provider participation; need for improved promotion efforts • Need for increased functionality during H1N1 • Interoperability between registry and EMR

9. Stakeholder Meeting Highlights • Border Issues • Need for border collaboration during H1N1 • Influx of residents due to drug raids; inadequate documentation of vaccination and insufficient resources to handle demand

10. Stakeholder Meeting Highlights • H1N1 • Lack of awareness on vaccine availability, confusion about priority groups • Vaccine hesitancy and lack of trust in H1N1 led to decreased uptake • Supply could not accommodate demand • Complex pre-registration and ordering process

11. Stakeholder Meeting Highlights • Healthcare Worker Vaccination • Need to implement training for all levels of healthcare providers • Share best practices from across the state • Modify messages to encourage HCW vaccination, “vaccine is like a glove”

12. Stakeholder Meeting Highlights • Vaccine Hesitancy • Anti-vaccine groups continue to gain momentum • Need to combat anti-vaccine messages with experience and personal testimony

13. Next Steps • Answer survey online • Watch the website for action items: www.immunizeUSA.org • Attend the Summit this Fall—September 30 & Oct 1 in FORT WORTH! • Tell your story!

14. Contact Information Anna C. Dragsbaek: acdragsbaek@immunizeUSA.org Nidhi M. Nakra: nnakra@immunizeUSA.org Maureen Moore: mmoore@immunizeUSA.org