Pharmacy-Based Immunization Clinic

1. Pharmacy-Based Immunization Clinic LT Amit Patel Pharm.D. LT Charles Latimore Pharm.D. Gallup Indian Medical Center 516 E. Nizhoni Blvd Gallup, NM 87301

2. Objectives • Describe selling points to administration to utilize pharmacy personnel to staff the influenza clinic • Describe the various steps in implementing a pharmacy-managed influenza clinic • Discuss the impact of the pharmacy-run influenza clinic on community and staff

3. Incentives • Cost Savings • Pharmacy Staff consist of CO’s • Direct cost savings • Reducing overtime expenditures • Indirect cost saving • Decrease hospitalizations due to complications

4. Incentives Continued • Reduced Workload in Outpatient Clinics • Nurse Visits • Unnecessary MD visits • Documentation Requirements

5. Incentives Continued • Professional Development • Direct patient contact • Pharmacists have opportunity to become certified immunization providers • Build rapport with other medical staff

6. Planning • Ordering vaccines and supplies • Acquiring staging area • Standing protocol/orders

7. Planning Continued • Defining Age groups for vaccination • Adult vs. Pediatrics • Patient Vaccine Information Sheet (VIS) • Vaccinator Certification • State or National Pharmacy Associations

8. Planning Continued • Forms and Documentation • Necessary Patient Care Components for documentation • Date • Provider Code • Medicare eligibility status • Purpose of Visit • Lot number • Administration Site

9. Planning Continued • Delegation of Responsibilities • Manager • Flu-Pharmacist • Screeners • Greeters • Patient Registration • Housekeeping • Media Coverage

10. Execution • Managers arrived 1 hour early to set up for the day • Flu-pharmacist can administer vaccines or cover another pharmacist to do so • All other personnel arrive on-time

11. Impact on Community • Vaccinated approximately 16,000 patients • Patient satisfaction with reduced wait time • Reduce morbidity and mortality • Meet patient demand

12. Impact on Pharmacy Staff • Increased workload/errors • Change in shift time • Pharmacist volunteered to stay late and come in on days off to work extra hours • Easy way to get new pharmacists involved in a clinic

13. Impact on Clinical Staff • Reduced workload • Appreciated the service pharmacy provided • Reduced impact on clerical staff

14. Be Proactive!!!