kunkel-afs community pharmacy immunizations - immunize utah
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Community Pharmacy Community Pharmacy I i tiI i tiImmunizations Immunizations
Strengthening Partnerships Through Reporting
Pharmacy’s Unique ContributionPharmacy’s Unique Contribution
• Over 56K US community pharmacies• All 50 states authorize pharmacists to All 50 states authorize pharmacists to
vaccinate• Extended hours of operationExtended hours of operation• Equivalent of the US population enters a
pharmacy each weekp y• No appointment necessary
Tool KitTool Kit
• Nationally recognized immunization training program – disease epidemiology, i l i h i i immunology, vaccine characteristics, emergency responseDi t t ll i & R hi t fil • Disease states, allergies & Rx history on file
• Careful screening i i i• Reminder & Flagging systems in place
• Marketing Funds (est. $40MM in 2010-11 Flu S )Season)
Healthcare acceptance of Healthcare acceptance of pharmacy-based immunization.
Pharmacy ImmunizationsPharmacy Immunizations
The success of immunization The success of immunization registries is dependent on broad
ti i ti f i i ti participation of immunization providers and comprehensive enrollment of persons vaccinated.Department of Health and Human Services: Healthy People 2010: Understanding and Improving Health. 2nd edition. Washington, DC: US Government Printing Office; 2000US.
Pharmacy Immunization ReportingPharmacy Immunization Reporting
Before June 2012 After June 2012
• Yellow Immunization • All Pharmacy based Cards
• Wallet Cards
yimmunizations are required to be reported to the Utah • Dear Dr. Fax letter
• Met local standards f d lt
reported to the Utah State Immunization Registry (USIIS) within
for adult immunizations
g y ( )one week of administration
Barriers to Registry ParticipationBarriers to Registry Participation
• Cost and Staffing • Redundant with existing
recording system• Not compatible with
computer system• Not aware/trained• Not enough patients to justify
Clark et al. BMC Public Health 2006 6:33 doi:10.1186/1471-2458-6-33
Next StepsNext Steps
ImplementationImplementation
• Training• Registering Sites• Redundant data entry• Time constraints (Work Flow)( )• Staffing• Poor early reporting ratesPoor early reporting rates
Interface DevelopmentInterface Development
• 12 month project with software developers• Direction and collaboration with Utah
Immunization Program • Gap analysis • Required “walking over” pharmacy billing
codes to medical billing codes• Testing and QA
Tracking SuccessTracking Success
• “Go live” August 10, 2013• YTD entries 3,256• September entries 2,879• Monitoring % entriesg• Positive store feedback
Potential Contribution from Potential Contribution from Community Pharmacy Community Pharmacy ‐‐ UtahUtah
>150,000
Pharmacy based annual influenza immunization in UtahPharmacy based annual influenza immunization in Utah