Vaccine at a Time The advancement of the pharmacist role in - - PowerPoint PPT Presentation
Protecting Lives, One Vaccine at a Time The advancement of the pharmacist role in vaccination administration. R. Kylea Goff PharmD Director of Pharmacy Norton Sound Health Corporation kgoff@nshcorp.org Heather Lefebvre PharmD, MBA, MSCR
The advancement of the pharmacist role in vaccination administration.
PharmD, MBA, MSCR Director of Ancillary Services Norton Sound Health Corporation hbailey@nshcorp.org PharmD Director of Pharmacy Norton Sound Health Corporation kgoff@nshcorp.org
The presenters for this continuing education activity have no relevant financial relationships to disclose.
Hope lies in dreams, in imagination and in the courage
dreams into reality.
Medical Researcher and Virologist Developed the first successful polio vaccine
1.
Identify barriers to vaccine delivery within a health system.
2.
Discuss appropriate avenues to increase vaccine access.
3.
Recognize health system and electronic tracking limitations and opportunities.
4.
Distinguish misnomers in reported data to determine progress.
You are sitting in a meeting and data is being presented on current vaccination trends in your health system. The numbers seem alarming, but you are not sure how to interpret the data you have been provided. Of what is presented, you recall these three “facts”:
Shaktoolik, Alaska
A beautiful, sunny, summer day.
The Norton Sound Region comprises of a very remote area of Alaska. Accessible mostly by small airplanes where traditional healthcare is difficult to accomplish, Norton Sound Health Corporation provides services to Nome and 15 surrounding village communities that make up the Norton Sound Region. Our main campus in Nome includes an 18-bed inpatient unit and an 18-bed long-term care facility.
Norton Sound Health Corporation Savoonga, Alaska
Umiak, an Alaska Native boat, found
Nome, Alaska
Front entrance to the main facility.
Increase vaccination rates throughout the Norton Sound Region by utilizing pharmacists and eliminating barriers to access.
location of the village clinics
sources
1
Pharmacy-Driven Avenues
1. Clinics in Nome and in all village communities. 2. Integration into region’s school systems. 3. Access to all vaccines at pharmacy retail window including travel vaccines. 4. Offering vaccines during village clinic trips (i.e. semi-annual inspection trips). 5. Patient-focus outreach. 6. Integration into pediatric clinics.
2
Collaborative Agreement Expansion
First collaborative agreement in 2013 included patients from 12 years of age and up with Influenza, Zoster, and Pneumococcal vaccines. Pharmacists & Medical Staff discussed expanding the population focus in the agreement to decrease barriers to access. P&TC agreed to allow pharmacists to vaccinate all patients with any recommended vaccine.
3
Community Healthaide Involvement
Collaboration with Healthaide Training, Medical Staff, and Pharmacy to allow for CHAs to report to a pharmacist for vaccine recommendations and administration. Changes were made and approved in June 2019. CHAs are utilizing pharmacists more for vaccine questions-what is due and what can be given together. Pharmacists are fostering relationships and will continue to expand our role remotely in each village community.
Patient-Focused Outreach
High-risk patients were identified through the EHR and cross-referenced with IIS to determine which patients need to receive a pneumococcal vaccine.
Integration into the Region’s School Systems
Patients Who Smoke
Vaccine consent form was updated to help capture smokers. Patients who smoke are
Consent forms are sent home to parents for the flu vaccines and vaccines are provided to eliminate parent burden.
Execute Discuss Idea
August 1, 2012 December 31, 2019
9/1/2018 RPh-Driven Flu Clinics Across the Region 9/1/2015 Pharmacist-Driven Flu Clinic 8/1/2017 Expansion of RPh-Driven Vaccination Administration 1/1/2018 - 12/31/2019 37 PEDS Clinics + Increasing Pharmacists Vaccinations With pediatric patients 9/30/2018 High-Risk Patients for Pnemo Vaccines 6/1/2015 Expansion of RPh: 3 New FTE Pharmacists 9/1/2017 Pharmacist-Driven Flu Clinics Across the Region 3/13/2018 PEDS Team Developed 10/1/2017 Integration into Region School Systems 9/1/2016 Pharmacist-Driven Flu Clinic Incorporating Village Communities 9/1/2013 1st Pharmacist-Driven Flu Clinics 11/1/2017 Shingrix Focus 10/1/2014 EHR GO-LIVE 9/1/2019 Smoker Population for Pneumo Vaccines 8/12/2012 Pharmacists Were NOT Vaccinating 1/1/2013 AK BOP Collaborative Agreement Approved 1/1/2018 PILOT: PEDS Trip 9/1/2014 Pharmacist-Driven Flu Clinic 6/1/2019 CHA Integration
2012 7,337 vaccines 2013 7,468 vaccines 2014 6,204 vaccines 2015 5,243 vaccines 2016 7,467 vaccines 2017 7,744 vaccines 2018 10,811 vaccines 2019 5,991 vaccines
Creation of the Norton Sound Region Children’s Coalition
clinics
coordinator, WIC
wellness/growth, developmental screenings, and vaccines rates
management
Not Optimal
Time Consuming
TONS
VacTrak Tools
Accurate Date of Administration Reminder/Recall Lists: Active & Inactive Difficult to navigate Multi-step process to enter a vaccine Accuvax Implementation
Identifying correct patients Multiple accounts Patients move in and out of region
Limitations & Opportunities
VacTrak Clean-up EHR Challenges
Not Easy
Bill as a prescription for vaccine cost Cannot bill for vaccine and administration Roster Billing for Mass Flu Clinics
Vaccine Billing
You are sitting in a meeting and data is being presented on current vaccination trends in your health system. The numbers seem alarming, but you are not sure how to interpret the data you have been provided. Of what is presented, you recall these three “facts”:
You are sitting in a meeting and data is being presented on current vaccination trends in your health system. The numbers seem alarming, but you are not sure how to interpret the data you have been provided. Of what is presented, you recall these three “facts”: