influenza vaccination strategies amy groom, mph ihs immunization program manager [email protected]
TRANSCRIPT
Influenza Vaccination Strategies
Amy Groom, MPHIHS Immunization Program Manager
Agenda
• Overview - Amy Groom– IHS Flu Coverage Data– Summary of resources and best practices
• Navajo Area – Successful influenza vaccination strategies – Diana Hu
• Nashville Area– Area perspective – Nichole Blackfox– Perspective from the field
• Sandra Day – Poarch Creek• Debbie Roshon – MicMac
Mid-Season EstimatesU.S. vs. IHS Flu Coverage Data
U.S. Estimates as of Nov. 2011*
IHS Estimates as of Dec. 5th, 2011**
IHS Estimates as of Jan 14th , 2012**
Overall (≥ 6 months) 36.3% 25.2% 29.9%
Children (6mos-17 yrs)
36.7% 25.8% 31.5%
Adults (≥ 18 yrs) 36.2% 24.9% 29.3%
65+ years 62.3% 37.8% 43.5%
*Based on self –reported vaccine status. Full report available at: http://www.cdc.gov/flu/professionals/vaccination/national-flu-survey.htm **Based on patient medical record. Reports available at: www.ihs.gov/flu
Flu Vaccine Coverage By IHS AreaJanuary 14th, 2012
All Ages (6 months +)
U.S. Estimate: 36.3%
National Resources
• Flu vaccine finder, educational materials– www.cdc.gov/flu– www.flu.gov
• Immunization Action Coalition – sample standing orders, provider materials – www.immunize.org
• Effective Strategies to Promote Influenza Vaccine Uptake Among Culturally Diverse Populations - Joint AHIP/CDC/HHS recorded webinar. http://media.beaconlive.com/doAuth
• Walgreens influenza voucher initiative
IHS Resources• Available at www.ihs.gov/flu• Public Service Announcements
– Wes Studi– California Rural Indian Health Board– IHS Director
• Posters and Fact Sheets with AI/AN people• Flu Presentation for community members• Tool Kits
– Tribal Head Start/Early Childhood Education programs– Community Vaccination Guide
Best Practices
Best Practices
• Increase access to vaccine– Flu Immunization protocols and standing orders – Walk in flu clinics/streamlined registration– Extended clinic hours, weekends/evenings– Clinics in the community
• Schools, chapter houses, casinos, grocery stores– Hire additional staff/overtime authorization– Pharmacist immunizers– Mass vaccination clinics for emergency preparedness
• Collaborations between IHS, Tribes, state/local health departments, schools
• Vaccine promotion - start early!– Local radio, newspapers, tribal newsletters– Community education (PHNs, CHRs)
Best Practices cont. • Review the data– Influenza report in the RPMS Immunization
Package– IHS Influenza Awareness System (IIAS) weekly
reports• Influenza-like illness trends• Flu vaccine doses administered and coverage
• Utilize Reminder Recall - “Not Current” list in the RPMS Influenza Report
Next Steps• Our population is at high risk from flu - we must do better!• Review current flu vaccination opportunities
– Standing orders?– Walk in opportunities?– Pharmacist immunizers?
• Review vaccine coverage data THROUGHOUT the season– Reminder Recall strategies for those not vaccinated
• Educate providers AND the community about the importance of flu vaccination
• Influenza vaccination is a TEAM effort.