Immunization Registry September 24, 2019 12:00 PM 1:00 PM Central - - PowerPoint PPT Presentation

A Shot in the Arm for Immunization Registry

September 24, 2019 12:00 PM – 1:00 PM Central

Webinar Objectives

• Summarize the value of immunizations for

personal and population health.

• Recognize the role of the pharmacist for

vaccination administration.

• Prioritize immunization registry

implementation.

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Featured Presenters

Stephan Schroeder, MD, CMD, CMQ Medical Director South Dakota Foundation for Medical Care Jeff Jacobson, Pharm D Southpointe Pharmacy, Fargo, ND Tammy LeBeau IIS Coordinator, South Dakota Department of Health

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Vaccines in the Adult Immunization Schedule*

Vaccines Haemophilus influenzae type b vaccine Hepatitis A vaccine Hepatitis A and hepatitis B vaccine Hepatitis B vaccine Human papillomavirus vaccine Influenza vaccine, inactivated Influenza vaccine, live attenuated Influenza vaccine, recombinant Measles, mumps, and rubella vaccine Meningococcal serogroups A, C, W, Y vaccine Meningococcal serogroup B vaccine Pneumococcal 13-valent conjugate vaccine Pneumococcal 23-valent polysaccharide vaccine Tetanus and diphtheria toxoids Tetanus and diphtheria toxoids and acellular pertussis vaccine Varicella vaccine Zoster vaccine, recombinant Zoster vaccine live Abbreviations Hib Hep A HepA-HepB HepB HPV vaccine llV LAIV RIV MMR MenACWY MenB-4C MenB-FHbp PCV13 PPSV23 Td Tdap VAR RZV ZVL Trade names ActHIB Hiberix Havrix Vaqta Twinrix Engerix-B Recombivax HB Heplisav-B Gardasil 9 Many brands FluMist Quadrivalent Flublok Quadrivalent M-M-R II Menactra Menveo Bexsero Trumenba Prevnar 13 Pneumovax Tenivac Td vaccine Adacel Boostrix Va riv ax Shingrix Zostavax *Administer recommended vaccines if vaccination history is incomplete or unknown. Do not restart or add doses to vaccine series for extended intervals between doses. The use of trade names is for identification purposes only and does not imply endorsement by the ACIP or CDC.

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2017-2018 Flu Season: Flu Burden and Flu Burden Averted by Vaccination

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Figure 2. Early and End-of-Season Flu Vaccination Coverage Among Adults, United States, 2014-November 20 8

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Basics of Immunization Information Systems (llSs)

Parents and general public use the information to enroll children in schools and day care and to determine if they need vaccinations. Doctors and health care providers use llSs to determine which vaccinations are needed and to care for patients. Public health uses the informa- tion to develop programs that increase vaccination coverage and decrease the harm caused by vaccine-preventable diseases.

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Role of the Pharmacist in Vaccination Administration

Origins

• APhA first guidelines in 1997
• Originally began in 2002 in ND through NDSU
• 20 hour course for certification
• Renew every 2 years

Origins

• Written protocol agreement with physician or

nurse practitioner

• Valid Prescription Order
• All vaccinations in ages 11 and up
• Flu vaccination in ages 8 and up originally
• Currently ages 5 and up can be vaccinated

Pharmacists Role

• Improve Vaccination Rates through:
• Access
• Education

Access

• Numerous pharmacies in the state
• Walk in basis
• Extended hours
• Copay at time of vaccination

Education

• Provide education in person/on phone
• Stress importance of vaccinations
• Combat misconceptions
• Access to NDIIS allows us to discuss forecasted

immunizations

Insurance Coverage

• Determining Insurance coverage
• Commercial Insurance
• Part B
• Part D
• Medicare Advantage Plans

Insurance Coverage

• Commercial
• Anyone not covered by Medicare
• Formulary coverage
• Administration fee

Insurance Coverage

• Medicare Part B covers the following

immunizations:

• Hepatitis B vaccine (for patients at high or

intermediate risk)

• Influenza virus vaccine
• Pneumococcal pneumonia vaccine
• Vaccines directly related to treatment of an injury
• r direct exposure to a disease or condition

Insurance Coverage

• Medicare Part D potentially covers any

vaccinations not covered by Part B

• Shingrix
• Even some that could be covered by Part B
• Pneumococcal – Advantage Plan
• Tetanus – depends on vaccination (Part D) or

injury (Part B)

Pharmacist’s Value

• Per Drug Topics October 2016, adult flu

vaccinations in US pharmacies rose from 6% in 2004 to 25% in 2015

• Increase in vaccination rates from all causes

not just pharmacies

• Years 2000-2016 Influenza ages 18 and older from

28.7% to 40.9

• Years 2000-2016 Pneumo ages 18 and older from

15.4% to 22.9%

Pharmacists Value

• Lessen the burden on providers and nursing

staff

• More access and education = higher

vaccination rates

SOUTH DAKOTA IMMUNIZATION INFORMATION SYSTEM

SDIIS

Statewide Immunization Information System – web based real time exchange:

OVERVIEW

 SDIIS was implemented in 1995 as a dial upsystem  Converted to a web application in 2005 Current Status:

• Over 1,160,000 Patient Records
• 14,863,340 Individual Shots Recorded
• 1162 Facilities Actively Utilizing the SDIIS
• 310 Facilities connected via HL7 bi-directional Interface
• Over 5500 individual users

BENEFITS

• Sharing of Immunization Records
• Complete Immunization History
• Recommend Functionality
• Reminder/Recall
• Vaccine Ordering Functionality
• Vaccine Management
• Vaccine Recall
• Immunization Coverage Reports
• Missed Opportunities

TYPES OF FACILITIES UTILIZING SDIIS

• Clinics
• Hospitals
• Pharmacies
• Nursing Homes
• Schools/Colleges
• Adjustment Training Centers/DOC
• Daycare Centers/Head Start
• Out of State Clinics/schools bordering South Dakota

CONTACT INFORMATION

Tammy LeBeau Radhika Saripalli Tammy.lebeau@state.sd.us Radika.Saripalli@state.sd.us 605-773-4783 605-773-7473

Kansas IIS Contact

Kansas Immunization Program WebIZ Immunization Helpdesk – 877-296-0464 Email – kdhe.ImmunizationRegistry@ks.gov http://www.kdheks.gov/immunize

Nebraska IIS Contact

Ernad Klipic NE Department of Health and Human Services Phone: 402-471-1448 Email: Ernad.Klipic@nebraska.gov NeSIIS Help Desk: (888) 433-2510 http://dhhs.ne.gov/Pages/Immunization.aspx

North Dakota IIS Contact

Molly A. Howell ND Department of Health, Disease Control Phone: 701-328-4556 Email: mahowell@nd.gov http://www.ndhealth.gov/Immunize/NDIIS/

South Dakota IIS Contact

Radhika Saripalli South Dakota Department of Health Phone: 800-592-1861 Email: Radhika.saripalli@state.sd.us https://doh.sd.gov/family/childhood/immunizati

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A Shot in the Arm for Immunization Registry

September 24, 2019 12:00 PM – 1:00 PM Central https://greatplainsqin.org