Utah Department of Health Immunization Program Strategic Plan Linda Abel, Program Manager Utah Immunization Program Utah Department of Health PO Box 142001 288 North, 1460 West Salt Lake City, Utah 84114-2001 Executive Summary According to the Centers for Disease Control and Prevention, immunization is the process by which a person or animal becomes protected against a disease. Failure to immunize against disease could lead to a recurrence of currently rare and sometimes deadly vaccine-preventable diseases. The Utah Immunization Program seeks to promote a healthy lifestyle that emphasizes immunizations across the lifespan by partnering with the 12 local health departments throughout the state and other community partners. The mission of the Utah Department of Health Immunization Program is to improve the health of Utah's citizens through vaccinations to reduce illness, disability, and death from vaccine-preventable infections.1 This strategic plan was informed by town hall meetings conducted with five regional immunization coalitions around the state and an online survey of health professionals statewide. The plan is a dynamic document to help guide Immunization Program activities to achieve its goals in accordance with its mission, values and vision. 1 www.immunize -utah.org, accessed October 30, 2012. 2 Contents Executive Summary……………………………………………………………………………………….……......….….2 Utah Immunization Program Plan…………………………………………………………………......…..……….4 Context Statement……………………………………………………………………………………………….4 Mission Statement……………………………………………………………………………………………….4 Vision Statement………………………………………………………………………………………………….4 Values Statements……………………………………………………………………………………………….5 Strategic Goals……………………………………………………………………………………………………..6 Goal 1: Education and Awareness…………………………………………………………..7 Goal 2: Access………………………………………………………………………………………….8 Goal 3: Records……………………………………………………………………………………….9 Goal 4: Policy………………………………………………………………………………………….10 Goal 5: Service and Partnerships…………………………………………………………..11 Appendix A: Goal 1 Action Plans……………………………………………………………………………………..12 Appendix B: Goal 2 Action Plans……………………………………………………………………………………..26 Appendix C: Goal 3 Action Plans……………………………………………………………………………………..32 Appendix D: Goal 4 Action Plans……………………………………………………………………………………..42 Appendix E: Goal 5 Action Plans……………………………………………………………………………………..48 3 Utah Immunization Program Plan Context Statement Utah has, in the past, experienced some of the nation’s lowest immunization coverage levels for children 19-35 months of age. Various improvement strategies have been implemented including regional child, adult, and lifespan coalitions, expanded enrollment and enhancements in Utah Statewide Immunization Information System (USIIS) and partnership for provider quality assurance with the AAP. Emphasis on immunization by Utah Department of Health have increased awareness and improved immunization levels among two-year-olds. Utah has a very distinctive demographic profile. The population is younger, lives longer, has 52,164 births, a birth rate that is 50% higher than the U.S. and has more persons per household than the nation. The Utah Immunization Program has goals and target measures based on Healthy People 2020. These goals and target measures are specific to the unique demographic profile in this state and the Utah Immunization Program works closely with private provider offices, local health departments, community health centers, and other community partners to assure needs are being met through the goals and objectives of the program. Mission Statement The mission of the Utah Department of Health Immunization Program is to improve the health of Utah's citizens through vaccinations to reduce illness, disability, and death from vaccine-preventable infections. We seek to promote a healthy lifestyle that emphasizes immunizations across the lifespan. From providing educational materials for the general public and healthcare providers to assessing clinic immunization records to collecting immunization data through online reporting systems, the Utah Immunization Program recognizes the importance of immunizations as part of a well-balanced healthcare approach. Vision Statement Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. 4 Values Statements Collaboration We engage each other, our partners, and the people of Utah in decision-making, planning, and integrated effort. Effective We are efficient and timely in making decisions and taking actions. We do the right things well in order to produce the greatest health benefit and the greatest return on the public investment. Evidence-based We use science and current, accurate data to guide our priorities and enhance the value of our actions. Innovation We foster creativity to meet challenges and continually identify opportunities for improvement. Integrity We are honest and straightforward with each other, our partners, and the people of Utah. We embrace high standards of ethical conduct, responsiveness, and quality performance. Respect We honor and appreciate each other, our partners, and the people of Utah. Service We strive to provide health programs that benefit the people of Utah and are consistent with their values and diversity. We seek to exceed internal and external customer expectations. Transparency We operate with open communication and processes. Trustworthy We are ethical, competent, and effective stewards of the public interest, public confidence, and public funds. 5 Strategic Goals Goal 1: Education and Awareness Focus on provider and patient education regarding immunizations across the lifespan in order to increase understanding of vaccine efficacy and importance. Decrease misinformation or lack of appropriate information regarding vaccine safety. Increase the knowledge of vaccine preventable diseases, including the effects, herd immunity, and cocooning strategies. Goal 2: Access Work to increase access to immunizations through strategies aligned with changes to the health care system and insurance. Provide a means for stakeholders to understand how to overcome financial and other barriers to immunizations across the lifespan. Work with partners to provide increased access for the underinsured, uninsured adults and other populations with limited access. Goal 3: Records Increase health information exchange efforts to improve the completeness, accuracy, and use of USIIS and its data. Outreach to providers currently not enrolled in USIIS to increase use. Improve ability to transfer data between electronic medical records and USIIS system. Create the ability for individuals to access USIIS records. Goal 4: Policy Evaluate existing policies and gaps on an ongoing basis in coordination with stakeholders to identify needed recommendations or changes in current rules, guidelines, and education. Work with partners to develop appropriate rules, enforcement strategies, and accurate reporting. Goal 5: Services and Partnership Increase area-specific support through local coalitions and partnerships. Collaborate with partners to leverage resources and opportunities to improve service. Review and expand best practices to share with providers to improve the quality of services. 6 Goal 1: Education and Awareness Focus on provider and patient education regarding immunizations across the lifespan in order to increase understanding of vaccine efficacy and importance. Decrease misinformation or lack of appropriate information regarding vaccine safety. Increase the knowledge of vaccine preventable diseases, including the effects, herd immunity, and cocooning strategies. Strategy 1 – Conduct outreach to VFC providers through site visits and list serve. Strategy 2 – Increase the effectiveness, strength, and number of immunization coalitions in order to improve outreach to providers. Strategy 3 – Conduct outreach through the health care provider vaccination education curriculum. Strategy 4 – Coordinate with local health departments to standardize immunization exemption processes. Strategy 5 – Continue and enhance current efforts to educate patients regarding vaccine safety. Strategy 6 – Continue and enhance patient education regarding the benefits of cocooning. Strategy 7 – Create and support streamlined and consistent messaging. 7 Goal 2: Access Work to increase access to immunizations through strategies aligned with changes to the health care system and insurance. Provide a means for stakeholders to understand how to overcome financial and other barriers to immunizations across the lifespan. Work with partners to provide increased access for the underinsured and other populations with limited access. Strategy 1 – Educate providers regarding immunization barriers and solutions to immunization barriers. Strategy 2 – Identify more school immunization clinic possibilities. Identify and provide local immunization coalitions and local health departments with information regarding funding and administration sources for clinics. Strategy 3 – Increase immunization access for special populations through outreach to community health centers, local health departments and others. 8 Goal 3: Records Increase USIIS participation among Utah providers. Improve the effectiveness of participating providers through new USIIS training options, and data quality and workflow consulting. Increase the accuracy and completeness of USIIS data through electronic data interfaces with Electronic Heath Record (EHR) systems used by Utah providers. Develop a new feature for individual access to USIIS records. Strategy 1 – Facilitate additional USIIS training options for participating providers. Strategy 2 – Require USIIS user training before providing access. Strategy 3 – Develop programming that allows patients to access their own records on USIIS. Explore funding options to create a web application that allows users to look up their own immunization records on USIIS. Strategy 4 – Facilitate compatibility between Electronic Medical Record systems and USIIS. Strategy 5 – Develop strategies to overcome FERPA school data exchange issues with partners such as the Utah State Office of Education. 9 Goal 4: Policy Evaluate existing policies and gaps on an ongoing basis in coordination with stakeholders to identify needed recommendations or changes in current rules, guidelines, and education. Work with partners to develop appropriate rules, enforcement strategies, and accurate reporting. Strategy 1 – Improve communication and understanding between the Utah Immunization Program and Department of Education regarding the purposes of policies and the importance of objectives such as herd immunity. Strategy 2 – Spread awareness of standard immunization requirement templates for healthcare, school and daycare settings. Strategy 3 – Identify inter-agency partners, including in fields such as mental health and long term care, to work with populations impacted by immunization requirements. 10 Goal 5: Service and Partnerships Increase area-specific support through local coalitions and partnerships. Collaborate with partners to leverage resources and opportunities to improve service. Review and expand best practices to share with providers to improve the quality of services. Strategy 1 – Refine and strengthen the AFIX program to focus on feedback and follow up and to ensure it is a continuous quality improvement program. Strategy 2 – Encourage every provider office offering vaccines to identify an immunization champion to ensure that each patient is offered appropriate vaccines at each visit. Strategy 3 – Support and encourage providers in implementing systems that encourage immunizations across the lifespan. Strategy 4 – Seek out partnerships that encourage organizations to self-mandate vaccinations. 11 Appendix A: Goal 1 Action Plans Action Plan 1a: Education and Awareness VFC Provider Outreach Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Focus on provider and patient education regarding immunizations across the lifespan in order to increase understanding of vaccine efficacy and importance. Decrease misinformation or lack of appropriate information regarding vaccine safety. Increase the knowledge of vaccine preventable diseases, including the effects, herd immunity, and cocooning strategies. Strategy: Conduct outreach to VFC providers through site visits and listserv. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Provider Relations staff Immunization Program education staff Provider organizations Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Maintain number of VFC provider site visits Increase number of list serv messages regarding immunization best practices, educational materials, and training opportunities Increase provider awareness of materials and resources available to them regarding vaccine safety, and other immunization topics Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Immunization Staff have reviewed VFC Operations manual. Research new information and resources for vaccine safety and VPD. Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Provide information to coalitions and provider organizations Others considerations: Links to UPIQ projects. 12 Task Number 1 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Research and obtain materials (print and on-line) regarding importance of following ACIP immunization schedule, vaccine safety, etc. which may be distributed to VFC providers during VFC site visits. Distribute materials to providers during VFC site visits, mail, the VFC listserv, etc. Immunization Program Staff ongoing Provider Relations Staff ongoing Send messages/articles regarding immunization issues to the Intermountain Pediatric Society and other groups (such as childcare newsletters) for inclusion in their newsletters and send via the VFC list serv. In collaboration with coalitions or other partners create presentation or on-line training on effects of using a delayed schedule and other immunization topics. Create notification/report in USIIS for providers to identify patients’ with a delayed immunization status. Immunization Program Staff ongoing Immunization Program Staff 12/31/2017 Immunization and USIIS Program Staff Immunization Program Staff 12/31/2017 Provider Relations staff Immunization Program Staff ongoing Immunization Program Staff 12/31/2014 2 3 4 5 6 7 8 9 Recruit physician and provider office immunization champions for coalitions and training. Develop a Champions toolkit. Advise providers to subscribe to automatic updates and immunization related list serves Promote/provide CDC’s Immunization Health Care Provider Toolkit and website for parent information for parents with vaccine concerns Distribute the revised Standards for Childhood and Adolescent Immunization Practices and the Standards for Adult Immunization Practices to all public and private immunization providers Due Date Status 12/31/2014 12/31/2015 13 Action Plan 1b: Education and Awareness Immunization Coalitions Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Focus on provider and patient education regarding immunizations across the lifespan in order to increase understanding of vaccine efficacy and importance. Decrease misinformation or lack of appropriate information regarding vaccine safety. Increase the knowledge of vaccine preventable diseases, including the effects, herd immunity, and cocooning strategies. Strategy statements: Increase the effectiveness and strength of immunization coalitions in order to improve outreach to providers. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Coalitions throughout the state Champions or advocates in areas of the state that don’t currently have a coalition AUCH Clinical Program Coordinator Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Increase number of workshops held with coalitions per year from current 2 to 4 by December 2014. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Coalitions will need to seek funding for workshops Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Develop provider outreach in targeted areas. Others considerations: There is some overlap between this and the Access Goal strategy 2c discussed later. 14 Task Number 1 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Identify contacts, partners, and possible champions in areas of the state that do not currently have immunization coalitions Provider Relations Rep responsible for the area Provider Relations Rep responsible for the area Immunization Program liaison on the coalition Coalition chair 07/01/2013 2 Work with champions to establish new coalitions in areas of the state without current coalitions 3 Contact existing coalitions about increasing outreach efforts to specialists for future workshops 4 Hold a workshop with new coalitions in Southeastern Utah (Tribal, CHC), Southwest and Tri County area. Status 07/01/2013 12/31/2013 TBD 15 Action Plan 1c: Education and Awareness Outreach Through Health Care Provider Vaccination Education Curriculum Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Focus on provider and patient education regarding immunizations across the lifespan in order to increase understanding of vaccine efficacy and importance. Decrease misinformation or lack of appropriate information regarding vaccine safety. Increase the knowledge of vaccine preventable diseases, including the effects, herd immunity, and cocooning strategies. Strategy statements: Conduct outreach through the health care provider vaccination education curriculum. Membership/Partners: (Membership is identified as a “team” of people who will develop and implement strategies and guidelines, including membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are identified as individuals, groups, and organizations external to the key organization that can bring specific value toward mutual goals.) For this activity, the membership and partners will be comprised of the same groups of people. Each group will provide insight and direction on revision of the curriculum that will result in the best product for the same populations in which they are employed, i.e., local health department nurses, instructors at career colleges. Local Health Departments Association for Utah Community Health Career Colleges Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Update the Basics of Vaccination curriculum by June 30, 2015. Distribute 50 educational curricula to local health departments (LHDs), community health centers (CHCs), and career colleges by December 31, 2015. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Secure funds for printing and production, including supplies such as CDs, DVDs, binders, posters. Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Solicit participation in workgroup through communication with established stakeholders and partners. 16 Schedule routine meetings with workgroup and partners to report on progress. Contact targeted populations (LHDs,CHCs and career colleges) with information about updated curriculum. Others… Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Establish workgroup for revising, updating, and reviewing current curriculum. Kayla Rypien 06/30/13 1 Kayla Rypien 08/31/13 2 Plan initial meeting to establish timeline and regular meeting schedule to report on progress. Begin review to update curriculum. Kayla Rypien 09/30/15 4 Conduct final review and evaluation of curriculum. Kayla Rypien 06/30/15 5 Distribute updated curriculum to intended groups. Kayla Rypien 12/31/15 Status 3 17 Action Plan 1d: Education and Awareness Coordinate with Local Health Departments to Create Immunization Exemption Protocol Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Focus on provider and patient education regarding immunizations across the lifespan in order to increase understanding of vaccine efficacy and importance. Decrease misinformation or lack of appropriate information regarding vaccine safety. Increase the knowledge of vaccine preventable diseases, including the effects, herd immunity, and cocooning strategies. Strategy statements: Coordinate with local health departments to create standard immunization exemption protocol. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Local health departments, Utah State Office of Education, Board of Education, collaborations with SHIP, School Nurses Association Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Maintain 3% exemption rate within school districts. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Employee time Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Distribute the plan through many channels to include USOE, school nurses, and local health departments Others… 18 Review protocol standards include requiring counseling. Task Number 1 2 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Contact local health departments and discuss standardizing exemption protocol. Develop a survey for nursing directors to explain exemption protocol. Produce final version of discussed protocol and resource materials. Rich Lakin 12/31/13 Linda Abel & Nasrin Zandkarimi 11/13 Distribute protocol. Linda Abel 01/14 Develop resources for school secretary’s to gain increased understanding of exemptions. Nasrin Zandkarimi 12/31/14 Status 3 4 19 Action Plan 1e: Education and Awareness Vaccine Safety Education Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Focus on provider and patient education regarding immunizations across the lifespan in order to increase understanding of vaccine efficacy and importance. Decrease misinformation or lack of appropriate information regarding vaccine safety. Increase the knowledge of vaccine preventable diseases, including the effects, herd immunity, and cocooning strategies. Strategy statements: Continue and enhance current efforts to educate patients regarding vaccine safety. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Provider offices Coalitions Local Health Departments Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Increase number of vaccine safety presentations given to provider offices each year. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Update the vaccine safety presentation. Train provider relations staff on the vaccine safety presentation. Keep up to date with Dr. Offit and CHOP information. Print materials as needed or send through the VFC list serv to providers. If funding arose, do a patient education campaign statewide or partner with March of Dimes to continue their campaign. Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Distribute through coalition workshops Distribute & present information at VFC sites 20 Others… Could include use of social media. Task Number 1 2. 3. Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Identify or create vaccine safety overview, maybe under vaccination curriculum. Kayla Rypien 12/31/2013 Train provider relations staff on vaccine safety curriculum and encourage them to promote the presentation to VFC providers Distribute and/or present vaccine safety information to providers. Kayla Rypien 12/31/2014 Kayla/Provider Relations team 12/31/2017 Status Ongoing Action Plan 1f: Education and Awareness Patient Education Regarding Cocooning Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Focus on provider and patient education regarding immunizations across the lifespan in order to increase understanding of vaccine efficacy and importance. Decrease misinformation or lack of appropriate information regarding vaccine safety. Increase the knowledge of vaccine preventable diseases, including the effects, herd immunity, and cocooning strategies. Strategy statements: Continue and enhance patient education regarding the benefits of cocooning for young families with newborns and in long term care. 21 Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) WIC, Baby Your Baby, UT Hospital Association, Long Term Care Association, Long Term Care Licensing Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): 1. Monitor an increase in the number of hits on cocooning website. 2. Monitor an increase in adult Tdap vaccination rates. 3. Monitor how many materials have been distributed yearly. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Continue funding to print and distribute cocooning materials Possibly find funding to print large billboards Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Distribute materials through Provider Relations to pediatric offices and pharmacies Distribute materials through Long Term Care site visits OB/GYN mailer and trainings Coordinate with LHD to distribute materials Include the pertussis card in the Hallmark Card sent out to all new mothers Continue to provide materials to Baby your Baby, Select Health, Healthy U, Utah hospitals maternal units, WIC, Wee Care, Others… Could include use of social media. Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Identify or create lifespan cocooning message. Person Responsible Kayla Rypien Due Date Status 12/31/2013 Research & Development 1 22 Survey hospitals to determine cocooning policies Kayla Rypien 12/31/2013 Research Establish website providing lifespan cocooning information. Kayla Rypien 12/31/2013 Research Provide lifespan cocooning materials to new and continuing partners Kayla Rypien 01/01/12 Ongoing Monitor use of website. Rebecca Ward 12/31/2017 Ongoing 2 2 3 3 Action Plan 1g: Education and Awareness Streamlined and Consistent Messaging Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Increase understanding of vaccination best practices through healthcare provider education; decrease misinformation or lack of appropriate information regarding vaccine safety; and increase knowledge of vaccinepreventable diseases and vaccination, including disease and vaccine effects, herd immunity, and cocooning strategies. Strategy statement: Create and support streamlined and consistent messaging to the general public and healthcare providers. Membership/Partners: (Membership is identified as a “team” of people who will develop and implement strategies and guidelines,including membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are identified as individuals, groups, and organizations external to the key organization that can bring specific value toward mutual goals.) Local health departments Local Public Information Officers (PIOs) Utah Department of Health/Office of Public Information and Marketing Vaccines for Children (VFC) Providers Association for Utah Community Health (AUCH) Utah Adult Immunization Coalition Local and regional immunization coalitions Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): 23 Collaborate with the Bureau of Epidemiology and local health departments to develop and distribute ongoing public health news releases and update the Immunization Program and Bureau of Epidemiology websites as appropriate regarding vaccine-preventable disease outbreaks and vaccine shortages. Collaborate yearly with local health departments to conduct ongoing immunization public awareness campaigns and distribute news releases for the following local and national health observances as funds allow. National Infant Immunization Week – April National Adolescent Week – May National Immunization Awareness Month - July Back to School/College - July Utah Adult Immunization Awareness Week - October National Influenza Vaccination Week - December Update, distribute and publish on the Immunization Program and Bureau of Epidemiology websites as appropriate current healthcare provider guidelines regarding best practices on vaccine administration, storage and handling. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Secure printing and production funds for Utah Immunization Program public awareness campaigns and literature. Establish yearly media contract with local health departments describing state and local health expectations and requirements for public awareness campaigns. Provide technical assistance to local health departments and other partners as requested for developing and monitoring immunization public awareness campaigns. Provide technical assistance to VFC providers and other partners to improve immunization best practices. Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Maintain communication with established stakeholders, partners and VFC providers. Develop yearly media contract with local health departments as funds allow. Schedule routine meetings with partners to report on progress. Others… Task Number 1 2 3 4 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Evaluate impact and efficiency of previous immunization public awareness campaigns conducted through local health departments. Identify and secure dedicated program funds for immunization public awareness campaigns. Linda Abel January 31 yearly Linda Abel January 31 yearly Collaborate with local health departments to identify timeline for conducting specific immunization public awareness campaigns. Develop and distribute templates for reporting Linda Abel January 31 yearly Linda Abel April, May, Status 24 progress on immunization public awareness campaigns. 5 Monitor and evaluate effectiveness of progress reports for immunization public awareness campaigns. Linda Abel 6 Develop and distribute survey to assess VFC providers’ immunization knowledge. 7 Monitor summary reports of the Immunization Program and Bureau of Epidemiology websites to identify high traffic pages regarding educational information. Janel Jorgensen/Linda Abel Rebecca Ward July, October yearly April, May, July, October yearly Biannual Quarterly throughout the year 25 Appendix B: Goal 2 Action Plans Action Plan 2a: Access Immunization Barriers Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Increase immunization access through strategies aligned with changes to health care and insurance systems. Provide a means for stakeholders to understand how to overcome financial and other immunization barriers across the lifespan. Work with partners to provide increased access for the underinsured, uninsured adults, and other populations with limited access. Strategy statements: Educate providers regarding immunization barriers and solutions to immunization barriers. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Pharmacies, Local Health Departments, Utah Adult Immunization Coalition, LTC Coordinator Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Increase number of pharmacies who are VFC providers. Maintain number of trainings and workshops using new curriculum. Increase number of pharmacies who are USIIS providers. Increase number of long term care facilities who are USIIS providers Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Provide a message to pharmacies suggesting that they tell their patients to alert their providers when they have received a vaccination from a pharmacy. Others considerations: 26 Consider both administrative costs and the costs of vaccines. Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Status Create a curriculum explaining the common immunization barriers and solutions to immunization barriers across the lifespan. Kayla Rypien 12/31/2017 Teach new curriculum at workshops and trainings held throughout the year. Kayla Rypien 12/31/2017 2 Janel Jorgenson 12/31/2017 3 Recruit pharmacies across the state to participate in VFC. Continue working with FQHC’s and RHC’s across the state to assure they are providing access to VFC vaccine for underinsured patients Linda Abel 12/31/2017 Ongoing Linda Abel 12/31/17 Ongoing 1 4. 5. Identify provider groups for VFC, USIIS, and high risk adult vaccine programs 27 Action Plan 2b: Access Immunization School Clinics Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Increase immunization access through strategies aligned with changes to health care and insurance systems. Provide a means for stakeholders to understand how to overcome financial and other immunization barriers across the lifespan. Work with partners to provide increased access for the underinsured and other populations with limited access. Strategy statements: Encourage the establishment of more school immunization clinics. Publish results and develop a presentation from the four current PPHF School Located Vaccination Clinic projects (Bear River, Davis, Tooele, and Utah County) including data and lessons learned. Explore information on increasing access through increasing contracting with plans and explore centralized billing for local health departments. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Membership will include the 4 local health departments participating in PPHF SLVC projects and 2 members of the Immunization SHIP workgroup. Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Increase the number of local health departments holding school located immunization clinics from current 4 to 5 in 2013; (4 projects continue on funds from the first year of billing and one more demonstration project with Weber-Morgan LHD. Hold a webinar on the results of the current SLVC clinics in May 2013 at GSLIC Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Resources are time for SLVC reports, state funds and 317 vaccine funds for one more demonstration , research on centralized LHD billing staff and estimated funding for that structure. Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Share information regarding clinics and funding sources with local immunization coalitions and local health Departments. Others considerations: Consider both administrative costs and the costs of vaccines. Billing as part of sustainability of this approach. 28 Task Number 1 2 3 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Explore which LHD have experience in SLVC and report on their experiences, challenges, and barriers. Present finding at conferences. Linda Abel Dec. 2013 Identify possible funding sources for seed flu and Tdap vaccine for one more SLVC demonstration project Linda Abel Dec 2013 Explore information on contracting for LHD and a centralized billing model in collaboration with the SHIP committee. Linda Abel Dec 2013 Status 29 Action Plan 2c: Access Increased Access for Special Populations Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Increase immunization access through strategies aligned with changes to health care and insurance systems. Provide a means for stakeholders to understand how to overcome financial and other immunization barriers across the lifespan. Work with partners to provide increased access for the underinsured and other populations with limited access. Strategy statements: Increase access for special populations by working with community health centers, local health departments, Indian Health Advisory Board, CHCs in Southwest area, and others to conduct outreach. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Partners should include tribal health, mental health, refugee, iterant working and Hispanic service industry worker advocates. Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Creation of a coalition with tribal health partners and Indian Health Service. Increase TDAP vaccination percentages among Indian health populations. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Person(s) assigned to follow changes in health insurance coverage for immunizations. This information needs to be disseminated to LHDs, private providers including specialty providers. Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Immunization listserv, determine other resources that distribute insurance updates to providers, i.e. specific insurances newsletters, letters to the billing staff at providers offices. Use tribal newsletter, info to tribal medical providers, presentation at tribal state conference Others considerations: 30 There is some overlap between this and Education and Awareness strategies 1c and 1b and Service & Partnership strategy 5b . Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Status Identify champions and stakeholders and CHC’s in Southeastern Utah in order to form a coalition. Kayla Rypien 12/31/17 Ongoing Nasrin and Kayla Nasrin Zandkarimi 12/31/17 Ongoing 12/31/17 Ongoing 3 Identify workshop funding or contact and begin forming an immunization coalition in Southeastern Utah with the tribes and CHC’s. Work with Indian Health Advisory Board to develop plan for improved outreach Work with the Utah Office of Education Indian Health Liaison Nasrin Zandkarimi 12/31/17 Ongoing 4 Work statewide coalitions and local health departments to promote the educational materials Nasrin Zandkarimi 12/31/17 Ongoing 5 Work with the community health centers Nasrin Zandakarimi & Kayla Rypien 12/31/17 Ongoing 1 2 6 31 Appendix C: Goal 3 Action Plans Action Plan 3a: Records Additional USIIS Training Options for Participating Providers Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Increase USIIS participation among Utah providers. Improve the effectiveness of participating providers through new USIIS training options, and data quality and workflow consulting. Increase the accuracy and completeness of USIIS data through electronic data interfaces with Electronic Heath Record (EHR) systems used by Utah providers. Develop a new feature for individual access to USIIS records. Strategy statement: Implement additional USIIS training options for USIIS users to improve the effectiveness of participating providers and to reduce the need for onsite training Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) USIIS Program. Possibly the University of Utah intern program. Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): 6/30/2014 – 12/31/2017: Improve the level of USIIS feature-function knowledge and the ability to maintain USIIS knowledge at Provider practices that participate in USIIS. 12/31/2015 – 12/31/2017: Improve the training options for new users, user refresher training and advanced user training. 12/31/2015 – 12/31/2017: Reduce the time USIIS participating providers wait for onsite training. By 6/30/2014 update USIIS training materials—with new user, user refresher and advanced user training modules. By 12/31/2015 make available recorded training sessions on the USIIS web site. By 12/31/2016 introduce at least one USIIS online training module for participating providers. By 12/31/2017 provide an online version of all USIIS training modules for participating providers. By 12/31/2015 enhance USIIS to restrict access to users who have not completed specific training—e.g., new user or annual security/privacy training. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Recording media equipment/software. Online training software USIIS User groups Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). 32 Others… Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible J. Jorgenson, N. McConnell 6/30/14 1 Update all USIIS training materials—for new user, user refresher and advanced users. Make available recorded training sessions on the USIIS web site. J. Jorgenson, N. McConnell 12/31/2015 2 Enhance USIIS to restrict access to users who have not completed specific training—e.g., new user or annual security/privacy training. Introduce at least one USIIS online training module for participating providers. N. McConnell, J. Jorgenson 12/31/2015 J. Jorgenson, N. McConnell 12/31/2016 Provide an online version of all USIIS training modules for participating providers. Develop method to track the number and types of trainings conducted by USIIS staff and/or completed by users. Evaluate the need to increase the number and frequency of USIIS user group meetings/trainings J. Jorgenson, N. McConnell J. Jorgenson, N. McConnell 12/31/2017 J. Jorgenson, N. McConnell 6/30/14 3 4 5 6 7 Due Date Status 12/31/2015 33 Action Plan 3b: Records Data Quality and Workflow Consulting for USIIS Participating Providers Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Increase USIIS participation among Utah providers. Improve the effectiveness of participating providers through new USIIS training options, and data quality and workflow consulting. Increase the accuracy and completeness of USIIS data through electronic data interfaces with Electronic Heath Record (EHR) systems used by Utah providers. Develop a new feature for individual access to USIIS records.. Strategy statement: Provide data quality and workflow consulting for USIIS participating providers. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) USIIS Immunization Staff USIIS Advisory Collaboration with SHIP Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): 1/1/2013 – 12/31/2013: Develop and implement first version of data quality reports and present to USIIS participating providers for the purpose of improving data quality, data completeness and practice effectiveness. 1/1/2013 – 12/31/2014: Develop enhanced data quality report specifications for participating providers data quality reports that will be implemented for presentation on the USIIS website. 1/1/2015 – 12/31/2017: Implement enhanced participating providers data quality reports on the USIIS website. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). USIIS User Groups Coalitions 34 Others… Task Number 1 2 3 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Develop and implement first version of data quality reports and present to USIIS participating providers for the purpose of improving data quality, data completeness and practice effectiveness. Develop enhanced data quality report specifications for participating providers data quality reports that will be implemented for presentation on the USIIS website. Implement enhanced participating providers data quality reports on the USIIS website Person Responsible Due Date N. McConnell 12/31/2013 N. McConnell 12/31/2014 Rebecca Ward 12/31/2017 Status 35 Action Plan 3c: Records Individual Access to USIIS Records Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Increase USIIS participation among Utah providers. Improve the effectiveness of participating providers through new USIIS training options, and data quality and workflow consulting. Increase the accuracy and completeness of USIIS data through electronic data interfaces with Electronic Heath Record (EHR) systems used by Utah providers. Develop a new feature for individual access to USIIS records. Strategy statement: Implement a new feature for individual access to USIIS records. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) USIIS Advisory Committee USIIS Immunization Program Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): By 12/31/2015 release a new USIIS feature that allows individuals access to their USIIS records. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Funding to develop the new USIIS feature. ONC and AIRA resources for best practice guidance. DOH legal resources. Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Website Information Others… 36 Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Take advantage of opportunities available to fund the development of a new individual access feature. N. McConnell ongoing 1 Address applicable legal issues surrounding online individual access to USIIS records. N. McConnell 12/31/2014 2 Design and implement a new feature to allow individuals access to their USIIS records. N. McConnell 12/31/2015 3 Status 37 Action Plan 3d: Records Increase the Completeness of USIIS Records via EHR – USIIS Electronic Data Interfaces Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Increase USIIS participation among Utah providers. Improve the effectiveness of participating providers through new USIIS training options, and data quality and workflow consulting. Increase the accuracy and completeness of USIIS data through electronic data interfaces with Electronic Heath Record (EHR) systems used by Utah providers. Develop a new feature for individual access to USIIS records. Strategy statement: Increase the completeness and accuracy of USIIS data via electronic data interfaces with Electronic Heath Record systems used by Utah providers. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) EHR vendors. AIRA for EHR-IIS interface standards and best practices. Utah immunization coalitions, physician associations. Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): 1/1/2013 through 12/31/2017: continue to work with EHR vendors to develop and implement interfaces to USIIS. 1/1/2013 through 12/31/2017: continue to work with EHR vendors to improve the quality of EHR data interfaces. 1/1/2013 through 12/31/2017: continue to implement best practices to improve the completeness and accuracy of data submitted to USIIS via EHR interfaces. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). User groups 38 Others… Task Number 1 2 3 4 5 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Continue to work with EHR vendors to develop and implement interfaces to USIIS. Continue to work with EHR vendors to improve the quality of EHR data interfaces. Continue to implement best practices to improve the completeness and accuracy of data submitted to USIIS from EHR interfaces. Continue to implement best practices to improve the accuracy of data processed into USIIS from EHR interfaces. Consider working with Utah immunization coalitions/user groups and/or physician associations to influence EHR vendors and educate providers about EHR-USIIS interfaces. Person Responsible N. McConnell Due Date Status 12/31/2017 N. McConnell 12/31/2017 N. McConnell 12/31/2017 N. McConnell 12/31/2017 N. McConnell 12/31/2017 39 Action Plan 3e: Records Address FERPA Issues to Improve Data Exchange Vision Statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic issue/goal statements: Increase USIIS participation among Utah providers. Improve the effectiveness of participating providers through new USIIS training options, and data quality and workflow consulting. Increase the accuracy and completeness of USIIS data through electronic data interfaces with Electronic Heath Record (EHR) systems used by Utah providers. Develop a new feature for individual access to USIIS records. Strategy statement: Explore FERPA issues to improve school data exchange with partners such as the Utah State Office of Education. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) UDOH legal, USOE legal, Utah Immunization Program Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Develop a policy and procedure for Utah schools to overcome FERPA challenges. Develop an exchange of information. Share results with other school districts. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Review of federal and state policies related to FERPA Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Ongoing communication between Utah Immunization Program and USOE Others… 40 Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results 1 2 Meet with USOE legal department Explore and identify challenges to develop policy. Research other state policies related to FERPA Develop a policy for schools to follow & disseminate Work with school secretaries and train them how to utilize USIIS Work with district superintendents 3 2 3 Person Responsible Due Date Status Linda Abel Linda Abel 12/31/17 12/31/13 Ongoing Ongoing Linda Abel Zo Finney 12/31/17 12/31/17 Ongoing Ongoing Nasrin Zandkarimi/Zo Finney 12/31/17 Ongoing 41 Appendix D: Goal 4 Action Plans Action Plan 4a: Policy Review of rules, policies, and gap analysis. Improve Communication Between Immunization Program and Dept. of Education. Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Evaluate existing policies and gaps on an ongoing basis in coordination with stakeholders to identify needed recommendations or changes in current rules, guidelines, and education. Collaborate with partners to educate them on reporting requirements ,enforcement strategies, and accurate annual reporting for School and Daycares. Strategy: Improve communication and understanding between the Utah Immunization Program and Department of Education and Child Care Licensing regarding the purposes of policies. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Relevant Utah Immunization staff and USOE staff that have responsibility for reporting, Child Care and Long Term Care Licensing, Vaccine Advisory Committee Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Review of all existing school immunization rules related to school and daycare requirements. Review any additions following existing antigen review process in Vaccine Advisory Committee. Identify any gaps in rules and policies – example long term care standing orders for influenza and pneumonia. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Mailings to schools Others considerations 42 Task Number 1 2 3 4. Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Status Establish regular meetings between liaisons for the Immunization Program with the Department of Education. Nasrin Zandkarimi 12/31/17 Ongoing Identify opportunities to educate superintendents, principals, and other school administrators on the importance of herd immunity to public health and the benefits to the districts and schools themselves. Work with PTA Health Commissioner and other parent organizations to promote herd immunity Nasrin Zandkarimi 12/31/17 Ongoing Nasrin Zandkarimi 12/31/17 Ongoing Review school and daycare rule for any changes based on ACIP Nasrin Zandkarimi 12/31/17 Ongoing 43 Action Plan 4b: Policy Spread Awareness of Standard Immunization Requirement for School & Daycare Settings Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Evaluate existing policies and gaps on an ongoing basis in coordination with stakeholders to identify needed recommendations or changes in current rules, guidelines, and education. Work with partners to develop appropriate rules, enforcement strategies, and accurate reporting. Strategy: Spread awareness of standard immunization requirement for school and daycare settings. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) IPICC group, child care licensing, USOE, school nurse consultant Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Increase compliance of reporting in centers by 10%. Increase compliance of reporting in home facilities by 100%. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Educational presentations to child care. Incorporate info in required child care licensing modules. Others considerations Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Work with University of Utah Pediatric Department and IPICC committee to promote immunization rule in Nasrin Zandkarimi & Due Date 12/31/17 Status Ongoing 44 1 licensed child care facilities and promote immunization awareness to parents Work with Utah Bureau of Child Development at the Utah Department of Health to educate the licensors on the state immunization requirements for licensed child care facilities Work with School District to encourage staff immunization Linda Abel 4 Work with day cares to encourage staff immunizations 5 Work with USOE to provide ongoing evaluation and support to school districts on required student immunizations. 2 3 Nasrin Zandkarimi & Linda Abel 12/31/17 Ongoing Nasrin Zandkarimi & Linda Abel 12/31/17 Ongoing Nasrin Zandkarimi & Linda Abel Nasrin Zandkarimi & Linda Abel 12/31/17 Ongoing 12/31/17 Ongoing 45 Action Plan 4c: Policy Identify Inter-Agency Partners to Work with Populations Impacted by Immunization Requirements Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategy: Identify inter-agency partners, including in fields such as mental health and long term care, to work with populations influenced by immunization requirements. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Increased immunization rates in long term care facilities with both residents and employees. Increased enrollments in USIIS and data entry with enrolled facilities. Staff more educated on storage and handling of vaccines, standing orders and adult immunization guidelines. Facilities will meet CDC requirements for proper fridge and thermometers for storage of vaccines. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Adult vaccine educational information will be needed such as immunization cards, educational books and fliers and other educational material. Funding for CDC recommended thermometers and refrigerators. Laptop and computer to write reports and also to conduct USIIS trainings or vaccine education trainings. Funding to travel to each facility to conduct trainings. Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Initial contact to facilities will be via phone, email, mail or fax. All facilities will have a face to face visit, and a possible face to face follow up visit. Each facility that has been seen will receive a thank you letter which will also include additional material that was requested or needed. Marketing will also be done at conferences with a booth. Others considerations: Consider various areas, like mental health, long term care, etc. 46 Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Ally Major 12.31.2014 Ally Major 12.31.2014 2 Develop and implement site visit questions and educational information for long term care sites. Increase visits LTC site visits from 0 site visits to 100 visits. Develop LTC handouts for USIIS. Enroll facilities in USIIS, and increase utilization for facilities who are already users. Conduct site visits to ensure that all facilities will have CDC recommended refrigerators and thermometers. Ally Major 12.31.2014 3. Coordinate with other partners impacted by immunization requirements (Schools, daycares, local health departments) Linda Abel, Nasrin Zandkarimi 12.31.2014 1 4 Status 47 Appendix E: Goal 5 Action Plans Action Plan 5a: Service and Partnerships Refine & Strengthen AFIX Program to Ensure Continuous Quality Improvement Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Increase area-specific support through local coalitions and partnerships. Collaborate with partners to leverage resources and opportunities to improve service. Review and expand best practices to share with providers to improve the quality of services. Strategy: Refine and strengthen the AFIX program to focus on feedback and follow up and to ensure it is a continuous quality improvement program. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Utah Pediatric Partnership to Improve Healthcare Quality (UPIQ) Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): 25% of VFC providers receive an AFIX feedback session annually. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Others considerations Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected Person Responsible Due Date Status 48 results Kayla Rypien 12/31/2014 1 Consider encouraging expansion of the AFIX model to include more in depth follow up. Follow updated IPOM. Monitor at least one AFIX feedback session yearly with each provider relations staff Kayla 12/31/2017 Ongoing 2 Collaborate with the University of Utah Pediatric Department on the Utah Pediatric Partnership to Improve Healthcare Quality (UPIQ) Immunization project. Kayla 12/31/2017 Ongoing Maintain a database to monitor changes in coverage levels for providers that receive AFIX visits Kayla 12/31/2014 3 4 Action Plan 5b: Service and Partnerships Encourage Provider Offices to Identify Immunization Champion Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Increase area-specific support through local coalitions and partnerships. Collaborate with partners to leverage resources and opportunities to improve service. Review and expand best practices to share with providers to improve the quality of services. Strategy: Encourage every provider office offering vaccines to identify an immunization champion to ensure that each patient is offered appropriate vaccines at each visit. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Vaccine providers statewide Provider Relations staff Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): 49 A “Champion Breakout Session” will be held at each of the spring and fall conferences. Recognize a “Champion of the Year” with an award of some kind. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Others considerations Task Number 1 2 3 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Identify current vaccine champions – provider and office staff – who may be able to reach out to others and/or provide insight on best practices and how they address immunizations for all ages. Immunization Program Staff 12/31/2014 Ongoing 12/31/2014 Ongoing 12/31/2016 Ongoing Seek opportunities to incentivize and reward individuals who take on this role, possibly grants or other recognition. Seek opportunities to reach out to health care workers to make a case for the importance of immunizations and for those working in the field to be champions. Provider Relations staff Immunization Program Staff Provider Relations staff Immunization Program Staff Status Provider Relations staff 50 Action Plan 5c: Service and Partnerships Support Providers in Implementing Systems that Encourage Immunizations Across the Lifespan Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Increase area-specific support through local coalitions and partnerships. Collaborate with partners to leverage resources and opportunities to improve service. Review and expand best practices to share with providers to improve the quality of services. Strategy: Support and encourage providers in implementing systems that encourage immunizations across the lifespan. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Number of refrigerators purchased for vaccine storage at specialized providers. Number of booklets “Incorporating Vaccines into Routine Care” distributed by the Utah Immunization Program to specialized providers. UDOH will visit long term care facilities by Dec. 31, 2014 Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Funding to print booklets and distribute Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Booklets regarding “Incorporating vaccinations into routine care” will be delivered by UDOH VFC provider reps, in a mailer to OB/GYNs, at the GSLIC conference in the conference packets, & presentation to OB/GYNs on when invited to present Others considerations 51 Task Number 1 2 Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Person Responsible Due Date Status Seek opportunities for systems that facilitate the encouragement and offering of vaccines across the lifespan, especially in adult practices – possibly computer prompts or standardized questions asked Seek funding to provide appropriate refrigerators for vaccine storage for VFC and LTC. Kayla, Janel, Carlie, & Ally 12/31/2017 Ongoing Linda Abel 12/31/2017 Ongoing Distribute “Incorporating Vaccines into Routine Care” booklets to specialty providers. Kayla Rypien 12/31/2013 Ongoing Visits to Long term care facilities to encourage immunizations to patients as well as family and caregivers Develop format for LTC site visit & complete in 100 facilities Allyson Major 12/31/2014 Ongoing Allyson Major 12/31/2014 Ongoing 3 4 5 52 Action Plan 5d: Service and Partnerships Seek Out Partnerships that Encourage Organizations to Self-Mandate Vaccinations Vision statement: Promote and protect the health and safety of all Utahns by striving to ensure that no Utahn suffers the consequences of vaccine preventable diseases. Strategic goal: Increase area-specific support through local coalitions and partnerships. Collaborate with partners to leverage resources and opportunities to improve service. Review and expand best practices to share with providers to improve the quality of services. Strategy: Seek out partnerships that encourage organizations to self-mandate vaccinations. Membership/Partners: (membership is identification of the people who will form the “team” to work the strategy to include membership roles and responsibilities and the identification of a “chair” who has direct responsibility and accountability for the action plan. Partners are the identification of the “partners” external to the organization that can bring specific value toward mutual goals.) State agencies, prisons and jails, health care worker organizations or facilities, schools, daycares, Medicaid, CHIP Expected results and specific objectives and outcomes (based on analysis, the expected results, the SMART objectives and outcomes, these are the measures of success): Increased number of recognized partnerships and new mandates or recommendations. Resource requirements and sources for working the action plan and also the resource requirements and sources needed to implement the action plan and achieve expected results: Communications/marketing process (the means and methods to communicate/market the plan and results to employees and stakeholders). Others considerations Task Number Task Plan—is the specific tasks we plan to perform to realize the strategy as measured by the expected results Seek out opportunities similar to the pharmacies use Person Responsible Linda Abel Due Date 12/31/2017 Status Ongoing 53 1 2 of USIIS mandate – organizations or facilities that may be interested in self-regulating, self-mandating, or at least formally encouraging immunizations among their members or employees. Encourage and support organizations to help in development of mandates or policies. Linda Abel 12/31/2017 Ongoing 54