1. Immunization Education Outreach Program Russell A. Duke

2. Background • Idaho is 49th in the nation for vaccine preventable disease coverage at only 54.24%. • Surveys indicate a need to educate local health care providers. • Data indicates that providers are not complying with the national ACIP schedules. • Failure to immunize children on schedule can lead to epidemics causing loss of life, loss of quality of life, blindness, amputation, and/or other serious consequences.

3. Resources • $69,800 in Grant Monies Awarded • Regence Foundation • Jeker Trust • Partnership with the Idaho Immunization Program • Identify 30 Clinics in Ada County with the Lowest Immunization Rates • Data Collected from the Idaho Immunization Program’s Quality Assurance Review Visits (IIP QAR)

4. Objectives • Increase Knowledge and Heighten Awareness • Increase Immunization Rates • Increase Partnerships Within the Community • Provide Support and Education for Health Care Providers

5. Work Distribution

6. Education Plan • Analyze Data Collected from the IIP QAR • Review Findings with Initial Education Team • Identify Specific Educational Needs at Each Clinic • Chart Reviews • IIP Site Visit Reports

7. Provider Baseline • Meet with Clinical Physicians/Mid-Levels at Each Clinic • Nurse(s) Will Attend to Bridge Gap Between the Providers and Support Staff • Discuss Clinic’s Current Rates • Review CASA Assessment and Chart Review Findings • Set % of Increase Goal for the Next 12 Months • Address Specific Findings and Provide Best Practices Proven to Increase Rates • Ask for Commitment in Implementing Change

8. Support Staff • Create Four (4) Basic Educational Modules • Vaccine Administration/Schedule • Contraindications • Documentation • Reminder Systems • Modify Modules to Meet Educational Needs of Each Clinic

9. Support Staff Baseline • Schedule Four (4) One-Hour Trainings • Perform Pre-Test • Review CASA Assessment and Chart Review Findings • Discuss % of Increase Goal Set by Providers • Educate Using the Modified Four (4) Basic Modules • Skip Modules that are Not Needed

10. Support Staff Baseline Continued • Provide Best Practices Proven to Increase Rates • Ask for Commitment in Implementing Change • Perform Post-Test • CDHD Will Provide Ongoing Support • Help Implementing Suggested Changes • Offer Support and Assistance for Running Reminder Recalls Using IRIS or an Internal System • Assist Staff in Setting up Standing Orders

11. Follow-Up • 6 Month • Survey and Assess Changes in Knowledge and Practices • Address Barriers and Problems • Communicate Pertinent Immunization Updates • 12 Month • Conduct a 50-Chart Review and Run CASA • Assess and Compare Rates • Provide Feedback and Encouragement • Survey and Assess Changes in Knowledge and Practices

12. Follow-Up Continued • 12 – 24 Months • Create a Train-the-Trainer Program • One (1) Physicians • Two (2) Nurses • Initial Education Team Will Train the New Team • Identify an “Immunization Champion” at Each Clinic • Train-the-Trainer Team Will Help Coordinate Booster Trainings • Reaching New Staff • Providing Updates and Changes • Ensuring Ongoing Education Outreach Continues

13. Questions?