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School-Located Immunization Program Jennifer Brickley, RN ECH and - - PowerPoint PPT Presentation
School-Located Immunization Program Jennifer Brickley, RN ECH and - - PowerPoint PPT Presentation
School-Located Immunization Program Jennifer Brickley, RN ECH and SEMN Region Immunization Program Coordinator Objectives O Review national immunization goals O Discuss strategies for increasing immunization rates O Introduce the
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Healthy People 2020 Goals
O Increase percentage of children and
adults vaccinated annually against influenza
O 2008: 25.8% of elementary school age
children nationally received flu vaccine
O 2013: 55% of elementary school age
children nationally received flu vaccine
O 2020: 80% is goal
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Community Preventative Services Task Force
O Improve vaccinations by:
O Enhancing access: Vaccines in schools O Increasing demand: Combination
community-based interventions
O System interventions: “Standing Orders”
O SLIP program utilizes all of the above
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SLIP
O 2009 Partnership initiated
O Mayo Clinic O Olmsted Medical Center O Olmsted County Public Health Services O Olmsted County public and private schools
O Shared goal: To create an opportunity for
all school age children in Olmsted County to be vaccinated for seasonal influenza
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SLIP Objectives
O Build long term collaboration to vaccinate
school-aged children against influenza
O Increase first time vaccinations for
populations currently not seen in clinics
O Decrease influenza-like illnesses for
students and teachers
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SLIP Objectives
O Increase “herd immunity” by vaccinating
children who are most likely to spread disease
O Reach children where they are O Provide convenience for parents
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SLIP Growth
O 2009:
O 2 pilot schools participating O 851 total students enrolled O 20% vaccinated
O 2014
O 36 schools participating O 15,830 total students enrolled O 39% vaccinated
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5 10 15 20 25 30 35 40 45 1000 2000 3000 4000 5000 6000 7000 2009 2010 2011 2012 2013 2014 Number of Schools/Percent Vaccinated Number of Students Vaccinated
School-Located Immunization Program
Students Vaccinated Percent Vaccinated Number of Schools
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2015 Slip Plan
O Increase school coverage in Olmsted
County
O All elementary schools O All middle schools O All private and some public high schools
O Future goals -- 2016
O Include public high schools in ISD 535 O Include HPV vaccination for grades 4 - 6
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How Does SLIP Work?
O Registration completed online or by paper
O SEMIC website houses online registration
O Mayo Clinic, OMC and OCPHS nurses
travel to schools with all supplies needed
O Registrations O Vaccine O Refrigerators O Computers
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How Does SLIP Work?
O Volunteers usher children to designated
site within the school
O Children are screened and vaccinated
O Parent has completed screening prior
O Immunizations entered in to medical
record via remote access
O Immunizations are billed as part of the
process
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How Does SLIP Work?
O Children are not vaccinated if
O Screening form cannot be verified O Child refuses
O Some effort is made to vaccinate
O Medical issues are identified
O Child is sick that day O Inconsistent report of asthma history
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How Does SLIP Work?
O All children receive a form to take home
O “Your child was vaccinated” O “Your child did not receive the flu vaccine”
O Attempts are made to notify parents if
child did not receive the vaccine
O Email from school O Phone call from school or SLIP staff
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SLIP Challenges
O Coordination between multiple groups
O Scheduled monthly meetings
O Communication related to schools
O ISD 535 -- large district -- increased
workload for LSNs
O Populations vary by school O Timing can affect parent participation O No centralized contact
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SLIP Challenges
O Disruption of school time
O Most schools are completed within 2 hours O Students are absent from class <30
minutes
O Decentralization of students in middle/high
O Earlier start time
O Maintenance of internet connectivity
O Resort to paper form if unable to chart O Chart after clinics completed
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SLIP Challenges
O Supply of staff
O Mayo Clinic
O Permanent, supplemental flu staff O Increased to 29 nurses for next year O Staff assist with practice flu clinics
O Olmsted Medical Center
O Limited staff O Close immunization clinic for 4 weeks
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SLIP Challenges
O Recruitment of volunteers
O Parent-help can be good and bad O Solutions sought for standardized volunteer
group
O Scheduling issues
O Individual school schedules O Nurse staffing O Vaccine availability
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Summary
O National immunization goals O Strategies for increasing immunization
rates
O School-Located Immunization Program
(SLIP)
O SLIP program challenges O Question and answer panel
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