1. Public Health Vaccinations Revolving Fund Board of Health, Sudbury, Massachusetts 2015 Article 12

2. Why Revolving Fund? Able to use reimbursements from Medicare and private insurers for vaccine purchase Revolving funds are used as a mechanism to purchase vaccines in Burlington, Natick, Wayland, Newton, Weston, and Wellesley Goal is to expand vaccine program beyond flu and offer new clinics for shingles, pneumococcal, TDAP, and for pandemic response to disease Ease of response to pandemic disease Reimbursements will be used to offset the health department’s budget allocation for annual vaccine purchase

3. Why have Vaccine Program? Vaccinate public to prevent disease Outbreak vaccination for the Town of Sudbury (i.e.H1N1, Measles) Decreased amount of vaccine supplied by the Department of Public Health. Current State allocation for flu vaccine is 50 doses limited to uninsured adults Offer vaccines that are not available from private physicians Accessibility

4. Reimbursement 2014-2015 Flu Season Insurance Company VaccineAdministration Reimbursement Vaccine Reimbursement Total for Admin/vaccine Vaccine Cost Net gain excluding supplies MedicareHigh dose Influenza Vaccine $27.97/shot$31.82/shot$59.79/shot$28.55/ shot $31.24/ shot TuftsQuad Influenza Vaccine $18.23/shot$15.98/shot$34.21/shot$16.18/ shot $18.03/shot

5. Flu Season Report Health Department vaccinated 462 residents in the 2014-2015 Flu season From this vaccination cycle we could have generated approximately $7,000 in revenue Our approximate purchase cost for vaccine for the 2015-2016 influenza season is also around $7,000 Funds from the revolving account will subsidize rising vaccine costs