NVPO Webinar Series: Project Successes and Challenges May 7, 2013

1. NVPO Webinar Series: Project Successes and Challenges May 7, 2013

2. Welcome and Overview • Bruce Gellin, M.D., M.P.H. • Shary M. Jones, Pharm.D., M.P.H., BCPS CDR—U.S. Public Health Service National Vaccine Program Office • Alaysia Phillips, M.P.H.—JBS International, Inc.

3. Presenters • Kendra Grounds, R.N.—Wabash County Health Department • Lisa Kritz, M.S.W., M.B.A.—Illinois Maternal and Child Health Coalition • Mary Hagstad, R.N., M.S.N., CNS—Licking County Health Department • Kari Lebeda Townsend, M.A.—Polk County Health Department

4. Bruce G. Gellin, M.D., M.P.H.Deputy Assistant Secretary for Health and DirectorNational Vaccine Program OfficeU.S. Department of Health and Human Services Insert Video here

5. Wabash County Health DepartmentImmunizations for Life Kendra Grounds, R.N. Disease Prevention Supervisor Wabash County Health Department kgrounds@wabashhealth.org

6. Successes • TransactRx—Provides the ability to check copay for shingles vaccine and bill Medicare Part D • Increase in the number of shingles vaccine requests and administrations • Medical director signed standing order for administration of pneumonia vaccine • Decrease in missed HPV vaccination appointments since using EZText for appointment reminders

7. Challenges • Challenges • Timing of project—Hard to target influenza during spring and summer • Collecting data (e.g., number of people reached, number of clients completing HPV series) • No interest in the pneumonia vaccine

8. Lessons Learned/Best Practices • Giving away small promotional items captures people’s attention (e.g., syringe pens).

9. Evaluation/Measurable Outcomes • Increase in public awareness—14 outreach events since February 2013, only 3 outreach events in the same time period last year • Increase in the number of Tdap and shingles vaccines administered

10. Closing • Next Steps • Increase promotion of HPV vaccine during May and June (coincides with school registrations and required immunizations) • Develop better method for tracking data

11. Chicago Area Immunization Campaign—AProject of the Illinois Maternal and Child Health CoalitionCAIC Adolescent Project HPV (CAP-HPV) Lisa Kritz, M.S.W., M.B.A. Immunization Campaign Director Illinois Maternal and Child Health Coalition/Chicago Area lkritz@ilmaternal.org

12. Successes • February 22, 2013, adolescent immunization stakeholders meeting, included 21 representatives— • Respiratory Health Association, Erie Family Health, Illinois Academy of Family Physicians, Chicago Public Schools, Heartland/Northwestern, Illinois Coalition for School Health Centers, Chicago Department of Public Health, Illinois Department of Public Health, University of Chicago, Illinois Chapter of the American Academy of Pediatrics • Provider survey • 176 respondents • March 7, 2013, HPV Webinar • Partnered with the Illinois Chapter of American Academy of Pediatrics and the Illinois Critical Access Hospital Network • Guest speaker, Eileen Dunne, M.D., M.P.H., Centers for Disease Control and Prevention • 137 participants on the statewide Webinar • HPV blog post on the Sex-Ed Loop http://bit.ly/YprQWb

13. Challenges • Large benchmarking project showed minimal work being done around adolescent immunizations, and none of the existing work appears to be a good fit for the populations in Chicago • Adolescent focus groups • Adolescents gave conflicting information.

14. Lessons Learned/Best Practices • When creating a toolkit, it is best to ask intended recipients what information would be most useful to them. • Be flexible. • School requirements improve vaccination rates.

15. Evaluation/Measurable Outcomes • Adolescent project still in progress

16. Closing • Next Steps • Adolescent-focused general meeting scheduled for May 15, 2013 • Field test materials • Finalize and distribute materials • Contact Information Kelly McKenna kmckenna@ilmaternal.org 312-491-8161, Ext. 35

17. Licking County Health DepartmentLicking County Vaccine Initiative Mary Hagstad, R.N., M.S.N., CNS Nursing Director Licking County Health Department mhagstad@lickingcohealth.org

18. Successes • Partnered with Merck’s Patient Assistance Program to provide Gardasil for clients who cannot afford it • Ohio Department of Health is supplying Tdap for clients who are caretakers of infants • Using TransactRx to help clients with Medicare Part D pay for Zostavax • Staff have bought into this initiative!

19. Challenges • Vaccines remain costly for some. • Staff have a difficult time incorporating the initiative into their clinical time. • Many clients end up not being vaccinated. • The local aging program was not receptive to an onsite clinic.

20. Lessons Learned/Best Practices • Staff need to buy in to the program from the beginning. This means including key players in the planning of the project. • Vaccines need to be offered “in the moment.” Clients typically do not return for them. • More time needs to be built into the clinical setting to accommodate this project.

21. Evaluation/Measurable Outcomes • A total of 158 people have been impacted (excluding the month of April). • The questionnaires show that only 20 percent (10 people) of those seeking immunizations at the health department since February were there because of a vaccine promotion via the Vaccine Initiative. • Seven people came for Tdap, one came for HPV (Gardasil), and one came for Zostavax.

22. Closing • Next Steps • Will attend a senior citizen fair in May • Hope to promote the Tdap for caretakers of infants • Hope to promote the Zostavax vaccine • Will attend the county fair this summer, and will promote all three vaccines at that time • Will continue to use the STD clinic and at-risk pregnancy program to promote these vaccines

23. Polk County Health DepartmentPolk County Pertussis (Tdap) Vaccination Project Kari Lebeda Townsend, M.A. Disease Prevention Supervisor Polk County Health Department kari.lebedatownsend@polkcountyiowa.gov

24. Successes • Positive response from individuals, organizations, and groups • Partnering with the African American Leadership Forum, health unit • Drake University student intern with interest in Pertussis • Donation of Tdap • Collaboration with ELIM Christian Fellowship Church Community to offer an open community clinic and awareness promotion • Opportunity to offer a comprehensive awareness and education campaign

25. Challenges • Identifying organizations reaching African Americans through activities or events that draw significant participant numbers for a community-based clinic • Difficulty identifying a local African American family to offer a personal story/testimonial on importance of pertussis vaccination • Vaccine safety concerns not often raised by partners and stakeholders

26. Lessons Learned/Best Practices • Identifying a spokesperson from each community clinic partner to take the lead promoting awareness and the clinic event • Importance of obtaining input on awareness messages and materials • Opportunity to work with faith-based organizations/churches

27. Evaluation/Measurable Outcomes Include, but not Limited to— • Number of partners/stakeholders involved in project • Number of announcements and media opportunities • Number of community-based vaccination clinics • Number of Tdap vaccinations given • Feedback from partners/stakeholders • Satisfaction survey results

28. Closing • Next Steps • Continue to distribute information and awareness/educational materials. • Implement focused awareness/education campaign using media and materials. • Conduct four community-based clinics in May and June. • Analyze feedback and evaluate efforts.

29. Question and Answer Session • Please send questions via WebEx chat box.

30. Please visit http://nvpo.jbsinternational.com to view Webinar recordings and presentations.Next Webinar: May 28, 2013, 2:00 p.m. (ET)