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Oregon Adult Immunization Special Project. 2012-2013. Lane County Public Health . AISP Program Contact: Heather Young, RN 541-682-8711 [email protected] Communicable Disease Program Nursing Supervisor: Cindy Morgan, RN, WHCNP 541-682-3931 [email protected]

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Lane county public health
Lane County Public Health

AISP Program Contact:

Heather Young, RN

541-682-8711

[email protected]

Communicable Disease Program

Nursing Supervisor:

Cindy Morgan, RN, WHCNP

541-682-3931

[email protected]


Project goals
Project Goals

  • Strengthen Oregon’s adult immunization infrastructure to increase access to adult vaccines

  • Partner with:

    • Pharmacies

    • Non-healthcare employers

    • Healthcare institutions

    • Community Health Centers

    • Long Term Care Facilities


Adult immunization special project sponsors
Adult Immunization Special Project Sponsors

  • Sponsored by the Centers for Disease Control and Prevention and the National Center for Immunizations and Respiratory Diseases

  • Administered through states and local health departments (LHDs)

  • Oregon:

    32 out of 36 counties participating


Lane county project objectives
Lane County Project Objectives:

  • Work with Pharmacies (9)

    • Initiate or increase Influenza and/or Tdap adult immunization by 10% of more

    • Assist with ALERT IIS training as needed

  • Work with Non-Healthcare Employers (10)

    • Improve relationships with large businesses

    • They will offer at least one employee flu and/or Tdap vaccination program


Lane county project objectives1
Lane County Project Objectives:

  • Work with Community Health Centers(9)

    • Expand adult flu and/or

      Tdap immunization services

  • Work with Healthcare Institutions

    • Improve healthcare worker flu vaccination

    • Increase coverage rate by 10%

    • Address hospitals first


Lane county project objectives2
Lane County Project Objectives:

  • Work with Long Term Care Facilities (12+)

    • Increase employee flu vaccinations by 10%

      from 2011-2012 baseline rates

      .....Where are we now?


Healthcare personnel flu vaccination rates in oregon
Healthcare Personnel Flu Vaccination Rates in Oregon

  • Hospitals

    • 2010-2011: 65%

    • 2011-2012 69%

  • Ambulatory Surgery Centers

    • 2011-2012: 64%

  • Long Term Care Facilities

    • 2010-2011 52%

    • 2011-2012 51%


What are lane county ltcf averages
What AreLane County LTCF Averages?

  • 12 LTCFs in data

  • Employee vaccination: 60%

  • Credentialed non-employees: 42%

  • Other Non-Employees: 40%

  • Average overall facility rate: 63%


Although lane county ltcfs are above the state average
Although Lane County LTCFs are above the state average,

...for our patients, families, coworkers, and ourselves....

We Can Do Better!


Healthcare personnel national goals
Healthcare PersonnelNational Goals:

  • CDC, ACIP, and HICPAC

    recommend that ALL health care workers be vaccinated annually for influenza

  • Healthy People 2010 Goal: 60%

  • Healthy People 2015 Goal: 70%

  • Healthy People 2020 Goal: 90%

  • Higher flu vaccine rates among staff can reduce flu related illness and deaths!


Out of 12 ltcfs in lane county included in the data
Out of 12 LTCFs in Lane Countyincluded in the data:

  • 42% (5/12) are meeting Healthy People 2010 target of ≥ 60% HCP flu vaccination

  • 25% (3/12) are meetingHealthy People 2015 target of ≥ 70% HCP flu vaccination

  • 17% (2/12) are meetingHealthy People 2020 target of ≥ 90% HCP flu vaccination


How can we work together to improve these rates
How can we work together to improve these rates?

  • Building success through partnership

  • SOAR: Strengths, Opportunities, Aspirations, Results

  • For your facility, identify:

    • Current strengths & capabilities

    • Current needs

    • Current barriers

  • Determine project strategy and activities

  • Evaluate 2012-2013 outcomes

  • Plan next year’s program


  • Evidence based strategies
    Evidence-Based Strategies:

    Increase HCP flu vaccination rates by:

    • offering vaccines low-cost or free

    • on-site vaccination

    • multiple delivery times

    • convenient delivery

    • requirements and declinations


    Other ideas
    Other Ideas:

    • Promotional campaigns

    • Mail, email, pager reminders

    • Verbal reminders

    • Mandatory in-service

    • Educational video or webinar

    • Offer incentives (coffee cards, etc.)

    • Friendly competition

    • Celebrate success!


    Project resources
    Project Resources:

    • State web page has many resources

      http://public.health.oregon.gov/PreventionWellness/VaccinesImmunization/Pages/SpecProj.aspx

      • Including

        • Specialized Toolkits

        • Flu Webinar for LTC employee education

        • Baseline Reports:

        • Declination forms


    Additional resources
    Additional Resources:

    • Oregon Flu Communications Toolkit

      http://public.health.oregon.gov/PreventionWellness/VaccinesImmunization/ImmunizationProviderResources/Pages/FluToolkit.aspx

    • CDC Seasonal Influenza page:

      http://www.cdc.gov/flu/

    • CDC print/video/audio/web resources

      http://www.cdc.gov/flu/freeresources/index.htm



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