HIGH FLYER AWARDS:Pharmacist/Pharmacy
Sheldon’s Express Pharmacy
Sheldon’s Express Pharmacy was one of the first in Indiana to connect electronically to the CHIRP immunization registry in a bi-directional way through their pharmacy management system so they could report immunizations administered and also see patient history within their pharmacy workflow. Since they started in January of 2016 they have added 3076 immunizations to the registry and queried 659,000 times. Many of the shots have been flu, but in part thanks to their bi-directional connection and vaccine alert notifying them of any missing immunizations, they have also given many pneumo, zoster, meningitis and Tdap shots.
Adult Immunization Provider
Monroe County Health Department
The Monroe County Public Health Clinic focused on Adult immunizations and utilizing the 317 funded immunizations available to the community in 2017. Several strategies proved to be successful. One was extending immunization education during weekly safe sleep classes for parents to educate not only about influenza and Tdap, but about all recommended vaccinations for adults and offering these vaccines at the same time as the safe sleep class. Another strategy was to bring these vaccines, 317 funded and privately funded, to outreaches where they could be used outside of the clinic. Some outreaches included La Bonita Market and Mexican Cuisine, city Parks and Rec staff meeting, and Shalom homeless day shelter. Educational in-services were given to the Volunteers In Medicine, Women Infant and Children, and Positive Link HIV Care Coordination staff about immunizations that are available at the Monroe County Public Health Clinic and referrals that could and should be made. As a result of these efforts, 317 funded Tdap vaccines increased in 2016 by 390%. Hep A and Hep B vaccines increased by 667%, and HPV for those age 19-26 increased by 300%. There were 292 adult influenza vaccinations given with 51 of them coming from 317 funding. This was accomplished at the same time that the clinic raised the immunization rates of their adolescents and conducted 13 spring school immunization clinic and 21 fall school flu clinics with an RN staff of 2.3 full time employees.
Porter County Health Department
Porter County Health Department continued their commitment to improving the health of our community by focusing on increasing Adult Vaccination rates in 2016. Using the 2016 ISDH Immunization Grant, Porter County Health Department increased Adult immunization rates for Hepatitis A, Hepatitis B, HPV, Influenza, and Tdap. Porter County Health Department developed stronger relationships with providers and the public by increasing awareness of PCHD immunization services, and raising awareness of adult immunization recommendations.
Lawrence County Health Department
The Lawrence County Health Department initiated a variety of methods to educate and promote vaccines in the adult population, including billboards, education booths at local fitness centers, county fairs and festivals, and expanding locations for off-site clinics. Significant increases in rates for 2016 were made by taking vaccine off-site to the workplace, such as shift change at factories and lunch time at homeless centers. Also, by offering all adult vaccines at every flu clinic, tetanus and pneumonia doses doubled from the previous year. Total number of doses of all adult vaccine given increased 76% from 2015 to 2016. Flu vaccine doses increased 72%, adult pneumonia (PCV13 and PPV23) doses increased 97%, and Td/Tdap doses increased 117% from 2015 to 2016.
HPV Vaccine Innovative Program
Howard County Health Department
During calendar year 2016, the Howard County Health Department increased HPV initiation and series completion rates while decreasing missed opportunities. This was done using a multi-pronged strategy to educate the community, health professionals and vaccine recipients and families about HPV disease and vaccination. A multi-media campaign used print and radio ads along with billboards to reach the general public. Educational outreach used varying approaches to reach targeted audiences. An HPV documentary, “Someone You Love” was shown followed by a question and answer session. Brenda and Kirk Forbes spoke during an Indiana University Kokomo, Student Nurse Association meeting about their daughter’s HPV story. This was a direct result of viewing one nursing student viewing the documentary. Multiple classroom presentations were given to 8th grade health students along with nursing students about HPV disease and vaccination. Numerous radio interviews and newspaper articles presented both the human side of HPV disease and the importance of vaccination. Health Department nursing staff were educated to use a simple consistent approach when offering HPV and other adolescent vaccines. As a result, the HPV initiation rates increased from 40% in 2015 to 51% in 2016; HPV series completion rates increased from 60 % in 2015 to 64% for all age appropriate populations in 2016; and HPV series completion rates by age 13 increased from 7 % in 2015 to 21 % in 2016. Missed opportunities decreased from 63% in 2015 to 34 % in 2016.
Chronic Disease Care
Marion County Public Health Department
Chronic Disease staff teaches the ABC’s of Diabetes Program. They work on vaccinating newly-diagnosed diabetics with both Hepatitis B and Influenza. The ABC’s of Diabetes is a four part class that teaches newly diabetics all about diabetes, testing, medication and diet. They added information on vaccines both as a handout and in the actual class theory. In addition, they offer vaccine during class and are working to provide the first two Hepatitis B vaccines as the classes occur on a weekly schedule for four weeks. They provide a strong, clear recommendation for these vaccines and provide the vaccines free of charge as part of the class.
Rotavirus Immunization Provider
Bartholomew County Health Department
The Bartholomew County Health Department has worked diligently to raise awareness about immunizations to the community. Each client is screened for eligibility of immunizations and recommended immunizations are discussed at each visit to help eliminate missed opportunities. Through the use of monthly awareness moments discussing various topics and immunizations on the radio to utilizing billboards with messages regarding immunizations, the Bartholomew County Health Department strives to provide education to each and every community member. When an expecting mother comes to the clinic for pregnancy testing or prenatal vitamins, immunizations for herself and her baby are discussed. After the birth of the baby, education on the immunization schedule is given to each parent when they pick up the birth certificate. Any client that cancels or doesn’t show for their appointment, receives a follow up phone call to reschedule and also a postcard from the office reminding them to reschedule to receive their important immunizations. Various reports from CHIRP are run periodically and those clients that are missing designated immunizations are notified by phone and also mail if no answer or phone not in service.
Fort Wayne Family Medicine Center 750 Broadway, Fort Wayne, IN 46802
Clinical pharmacy integration into the Patient Centered Medical Home of the Family Medicine Center has provided benefits to our patients on many levels. In adult immunization, the pharmacist has developed protocols and provided pharmacy student manpower to detect the need for immunizations, ordering the immunization for the provider, coordinating office staff to seamlessly provide the immunization during the visit and to educate the patients on the risks and benefits of the immunization. The FMC immunization rates have improved because of this effort at the same time the provider and patient satisfaction with this service have improved as well.