Russell A. Duke

 Idaho is 49 th in the nation for vaccine preventable disease coverage at only 54.24%.  Surveys indicate a need to educate local health care providers.  Data indicates that providers are not complying with the national ACIP schedules.  Failure to immunize children on schedule can lead to epidemics causing loss of life, loss of quality of life, blindness, amputation, and/or other serious consequences.

 $69,800 in Grant Monies Awarded ◦ Regence Foundation ◦ Jeker Trust  Partnership with the Idaho Immunization Program ◦ Identify 30 Clinics in Ada County with the Lowest Immunization Rates ◦ Data Collected from the Idaho Immunization Program’s Quality Assurance Review Visits (IIP QAR)

 Increase Knowledge and Heighten Awareness  Increase Immunization Rates  Increase Partnerships Within the Community  Provide Support and Education for Health Care Providers

Immunization Education Training Program Training the Health Care Personnel Pre/Post Survey Train-the-TrainerAdvisory Board Analysis Development of Education Training Modules Evaluation Plan Targeted Communication & Marketing

 Analyze Data Collected from the IIP QAR  Review Findings with Initial Education Team  Identify Specific Educational Needs at Each Clinic ◦ Chart Reviews ◦ IIP Site Visit Reports

 Meet with Clinical Physicians/Mid-Levels at Each Clinic ◦ Nurse(s) Will Attend to Bridge Gap Between the Providers and Support Staff  Discuss Clinic’s Current Rates  Review CASA Assessment and Chart Review Findings ◦ Set % of Increase Goal for the Next 12 Months  Address Specific Findings and Provide Best Practices Proven to Increase Rates  Ask for Commitment in Implementing Change

 Create Four (4) Basic Educational Modules ◦ Vaccine Administration/Schedule ◦ Contraindications ◦ Documentation ◦ Reminder Systems  Modify Modules to Meet Educational Needs of Each Clinic

 Schedule Four (4) One-Hour Trainings  Perform Pre-Test  Review CASA Assessment and Chart Review Findings ◦ Discuss % of Increase Goal Set by Providers  Educate Using the Modified Four (4) Basic Modules ◦ Skip Modules that are Not Needed

 Provide Best Practices Proven to Increase Rates  Ask for Commitment in Implementing Change  Perform Post-Test  CDHD Will Provide Ongoing Support ◦ Help Implementing Suggested Changes ◦ Offer Support and Assistance for Running Reminder Recalls Using IRIS or an Internal System ◦ Assist Staff in Setting up Standing Orders

 6 Month ◦ Survey and Assess Changes in Knowledge and Practices ◦ Address Barriers and Problems ◦ Communicate Pertinent Immunization Updates  12 Month ◦ Conduct a 50-Chart Review and Run CASA  Assess and Compare Rates  Provide Feedback and Encouragement ◦ Survey and Assess Changes in Knowledge and Practices

 12 – 24 Months ◦ Create a Train-the-Trainer Program  One (1) Physicians  Two (2) Nurses ◦ Initial Education Team Will Train the New Team ◦ Identify an “Immunization Champion” at Each Clinic ◦ Train-the-Trainer Team Will Help Coordinate Booster Trainings  Reaching New Staff  Providing Updates and Changes  Ensuring Ongoing Education Outreach Continues