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12:30 PM Awards Lunch begins
1:10 PM Introduction to Awards Lunch
Presentations of Awards to Summit Honorable Mention
Award Winners
1:25 PM Laura Scott 2014-15 Outstanding Influenza Season
Activities Award
Recipient: Michigan Department of Community Health &
Alana's Foundation
1:27 PM Adult Immunization Champion Award
Recipient: Laura Schwartzwald
1:29 PM Corporate Campaign Award
Recipient: HealthMap Vaccine Finder / Uber Health
1:33 PM Presentations from Summit National Award Winners
1:36 PM Healthcare Personnel Campaign Award
Recipient: University of California San Francisco Medical
Center
1:43 PM “Immunization Neighborhood” Award
Recipient: Safeway Pharmacy
1:50 PM Laura Scott 2014-15 Outstanding Influenza Season
Activities Award
Recipient: Minnesota Immunization Networking Initiative
(MINI)
1:57 PM Adult Immunization Publication Award
Recipient: American College of Obstetricians & Gynecologists
(ACOG)
2:05 PM Adult Immunization Champion Award
Recipient: JoAnn Stadtfeld
2:12 PM Corporate Campaign Award
Recipient: Walgreens
2:19 PM Wrap Up
2:25 PM End Lunch
Awards Lunch &
Presentations2015Immunization
ExcellenceAwards
NATIONALADULT&INFLUENZAIMMUNIZATIONSUMMIT
May 13, 2015
Atlanta, Georgia
About the Awards Program: The awards program recognizes the value and extraordi-
nary contributions of individuals and organizations towards improved access to adult
vaccinations and influenza vaccinations within their communities. The National Adult
and Influenza Immunization Summit (NAIIS) is pleased to announce the recipients of the
2015 Immunization Excellence Awards. There are six categories of recognition: overall
influenza season activities, healthcare personnel campaign, “immunization neighbor-
hood” champion, corporate campaign, adult immunization champion, and adult immun-
ization publication award. Nominees were evaluated based on the areas of impact, col-
laboration, originality, overcoming challenges, and opportunities. The Summit applauds
all stakeholders who are working towards improving the health of their communities.
Information about the awards program and recipients can be found at izsummitpart-
ners.org
Visit
izsummitpartners.org
today!
local communities. Collaborating with
local organizations and student pharma-
cists, their Pharmacy teams identified
underserved groups and protected them
from vaccine-preventable illnesses in
thoughtful, strategic ways.
Engaging future pharmacists provided the
opportunity to mentor these emerging
community leaders – reflecting Safe-
way’s vision to make this level of out-
reach standard practice in pharmacy.
They overcame the challenge of inform-
ing homeless individuals about the im-
munization event by partnering with Vol-
unteers Of America to distribute fliers
throughout their network. Their volun-
teers remarked that they had never seen
patients so genuinely appreciative as
those they served.
Safeway, with churches, YMCA, com-
munity groups, and schools of pharmacy,
reached beyond language barriers to im-
munize homeless and underserved His-
panic and Vietnamese individuals. By
selecting the right partners, they helped to
increase awareness and access to care for
uninsured and homeless individuals.
Safeway Pharmacy
(Pleasanton, California)
Safeway implemented a novel approach
to immunizing the communities they
serve. What they do for one patient, they
do for all, focusing on protecting the
broader community. They focused their
2014 community outreach efforts on do-
nating vaccine and immunization services
to underserved populations. In collabora-
tion with a range of community organiza-
tions, Safeway increased public aware-
ness of the importance of immunization
and increased access to care.
In 2014, they administered over 1 million
doses of routine and travel vaccines rec-
ommended by the Advisory Committee
on Immunization Practice (ACIP), and
donated influenza vaccine and immuniza-
tion services to nearly 1,000 members of
University of California San
Francisco Medical Center
(San Francisco, CA)
The University of California San Francis-
co Medical Center Influenza Immuniza-
tion program unified a large multi-site
medical center and campus community in
the fight against flu. Senior leadership
supported this effort by identifying influ-
enza immunization compliance in pa-
tients and staff as the 2014-2015 Quality
and Safety goal.
The program spanned all sections of the
organization including all inpatient units,
outpatient clinics, campus and medical
center employees, volunteers, and con-
tractors. Highlights of the joint campaign
include a newly expanded nurse flu depu-
ty program designed to bridge all pro-
grams, use of technology to develop in-
novative solutions to challenges and to
allow more efficient documentation and
reporting, and an effort to utilize social
media.
Their employee campaign strove to in-
crease compliance rates by making flu
shots convenient. During the month of
October, vaccinations were provided
daily in outreach clinics at ten different
locations throughout San Francisco. The
Occupational Health program also depu-
tized over 100 staff nurses to serve as
local flu deputies on inpatient units and
outpatient clinics.
To date, the UCSF program has resulted
in 93% of eligible inpatients being
screened (with a 64.3% vaccine rate) and
a 62.2% vaccination rate among primary
care patients. These rates reflect an im-
provement of 25% and 16% respectively
compared to the 2013-2014 season. The
occupational program has maintained a
very high compliance rate of 97.5%
(vaccination or declination with mask)
and has delivered nearly 19,000 shots to
employees, licensed health care provid-
ers, students, campus personnel, volun-
teers and contractors.
.
National Winners
Page 2
“Immunization Neighborhood” Champion
Healthcare Personnel Campaign
2015 IMMUNIZATION EXCELLENCE AWARDS
each patient’s vaccination history and
possible needed vaccines through the use
of medical records and EMR sys-
tems. “Educate and vaccinate” includes
patients and office staff. Finally, the doc-
ument covers “integration” by recom-
mending the use of standing orders, an
office coordinator, and documentation.
The document provides example of three
vaccines and how they can be integrated
into practice.
The second document is the Committee
Opinion, Influenza Vaccinations during
Pregnancy (September 2014). Recently
revised, the original version of this clini-
cal guidance was the first from ACOG to
routinely recommend influenza immun-
ization during any trimester in pregnancy.
The document addresses the need for a
strong provider recommendation and
highlights the influence a physician’s
recommendation has on their patients’
decision to vaccinate.
The third document is the companion
piece to the Committee Opinion, Influen-
za Vaccinations during Pregnancy and is
titled “Influenza Season Algorithm for
Treatment and Assessment for Pregnant
Women with Influenza-Like Ill-
ness” (June 2014). This resource is an
algorithm to help guide practitioners
through the process of diagnosing and
treating pregnant women with ILI. Since
ACOG’s immunization program began,
influenza vaccination rates in pregnant
women have risen to over 50%. ACOG
champions not just influenza but a wide
range of adult immunizations through
partnerships and collaborations with other
organizations and stakeholders.
American College of Obstetri-
cians & Gynecologists (ACOG)
(Washington, DC)
ACOG was selected to receive this award
to recognize their publishing of three
documents that provided guidance to ob-
gyn practitioners regarding immunizing
the adult patient population.
The first is the Committee Opinion Inte-
grating Immunizations into Practice
(April 2013) which is ACOG’s corner-
stone guidance for ob-gyn’s immuniza-
tion practices. This clinical guidance
parallels the updated NVAC Adult Im-
munization Standards. The document
highlights four recommended steps for
assimilating immunizations into practice:
advocating, identifying, educating &
vaccinating, and finally integrating.
“Advocating” includes strongly recom-
mending vaccines to patients and
“identifying” includes the assessment of
Minnesota Immunization Net-
working Initiative (MINI)
(Minneapolis, MN)
The Minnesota Immunization Network-
ing Initiative (MINI) started in 2006 to
eliminate the disparities in influenza vac-
cine coverage in the Minneapolis/St. Paul
area. MINI's partners include health care
systems, community-based organizations,
faith-based organizations, community
clinics and state health department.
MINI holds influenza immunizations
clinics in community settings and pro-
vides the vaccine at no cost to partici-
pants.
Since 2006, MINI has immunized over
60,000 persons. In 2013–2014, MINI
held 147 clinics and provided 8,743 flu
immunizations at no cost. Populations
served include: Asian 37%; Latino 36%;
Caucasian 10%; African 7%; African
American 7%; Native American 2%;
Multi-racial 2%, Unspecified 4%. The
majority (45%) were between the ages of
19-44, 25% were 45–64. Participants
ranged from infants to those older than 75
years. 13% of those served received a flu
shot for the very first time. During that
time period, 2,655 clients returned a con-
venience sample survey. The most com-
mon reason given for receiving a flu shot
at a MINI site was free shots (25%), fol-
lowed by convenience (22%), lack of
health insurance (21%) and trusted loca-
tion (13%).
Establishing a spectrum of stakeholders
helps MINI maintain a central role in the
immunization neighborhood for influen-
za. MINI has reported to Minnesota's
Immunization Information System
(MIIC) for several years and is one of
few community vaccinators to do so on a
regular basis. In addition to influenza
vaccination, MINI has had an impact on
other areas of outreach to the communi-
ties they serve. When Ebola started to
become a concern for the Minnesota Li-
berian community, MINI was able to help
the state health department connect with
community leaders to provide reliable
information and reassurance to communi-
ty members. Minnesota has the one of the
largest Liberian communities in the Unit-
ed States, and the relationships that MINI
established provided an avenue for public
health and the community to connect in a
positive way when tensions and worry
over Ebola were at its highest.
National Winners
Page 3
Adult Immunization Publication Award
Laura Scott
2014–15 Outstanding Influenza Season Activities
2015 IMMUNIZATION EXCELLENCE AWARDS
to America’s Veterans, the Shot@Life
campaign, and creating awareness around
expanded vaccine recommendations, had
a profound impact on improving immun-
ization rates in the US and world. By
overcoming key challenges and develop-
ing impactful programs, Walgreens is
positioned to continue to improve the
health of our communities. Walgreens’
immunization programs and community
activities advance the concepts embodied
within the “immunization neighborhood.”
Walgreens
(Deerfield, IL)
Walgreens has continued to evolve their
immunization program from a focus on
Flu vaccinations to a more comprehen-
sive offering. These efforts are designed
to bring a personalized, easy and reward-
ing patient experience, all while working
to improve vaccination rates in the com-
munities they serve.
Enhanced technology supporting immun-
ization delivery, collaborations to expand
the pharmacist’s role in travel health,
partnerships that provide needed vaccines
Jo Ann Stadtfeld
(Cranberry Township, PA)
Jo Ann Stadtfeld is
a practice manager
for three physician
offices with a staff
of 14 and 4 physi-
cians. She willingly
assumed the role of
Immunization
Champion as part of
her practices’ partic-
ipation in a Univer-
sity of Pittsburgh
practice improve-
ment study using the 4 Pillars Immuniza-
tion Toolkit.
The 4 Pillars Immunization Toolkit is an
evidence-based program designed to in-
crease immunizations across the lifespan
through the utilization of strategies under
4 pillars: Pillar 1, Convenience and Easy
Access; Pillar 2, Patient Notification;
Pillar 3, Enhanced Office Systems; and
Pillar 4, Motivation.
Jo Ann embraced the challenge of en-
couraging change among her providers,
who believed that they were already do-
ing everything they could to vaccinate
their adult patients. Bi-weekly for 10
months, Jo Ann met by phone with the
research coordinator, to discuss strategies
that she might try or had implemented to
raise vaccination rates. She led changes
in areas such as: implementing Standing
Order Programs (SOP), increased clinical
staff/ provider-patient engagement, com-
prehensive tracking of vaccinations, and
vaccine reminder systems. She made the
task of increasing adult vaccinations an
office-wide effort by soliciting staff opin-
ions, communicating new ideas and pro-
cedures to be implemented and ensuring
that staff were enabled and empowered to
implement new procedures.
As part of ensuring that patient vaccina-
tion records were up-to-date, she led sys-
tem-wide efforts to better capture and
document within their EMR, all immun-
izations delivered outside of their practic-
es and instituted new procedures for this
documentation which entailed improving
their assessment of patient self-report of
vaccination status when patients were
seen, as well as dedicating staff time for
data entry of vaccination reports received
from pharmacies.
Jo Ann was able to lead advocacy and
educational efforts and obtain buy-in
from practice physicians that resulted in
the ordering and stocking of newly avail-
able vaccine types such as Prevnar and
high-dose influenza vaccine which they
had not done previously.
National Winners
Page 4
Corporate Campaign
Adult Immunization Champion
2015 IMMUNIZATION EXCELLENCE AWARDS
National Winners
Page 5 2015 IMMUNIZATION EXCELLENCE AWARDS
MAY 13, 2015 Page 6
National Winners
Registered nurses, from medical provid-
ers Passport Health and Pager, paired
with Uber drivers to form mobile vac-
cination teams. Uber users in selected
cities were then given the new option of
UberHEALTH on their Uber smartphone
app; selecting UberHEALTH resulted in
a visit from the mobile vaccination team
with a flu prevention pack and the option
to receive influenza vaccine. The nurse
was prepared to administer up to 10 vac-
cines in each trip, meaning requesters
could gather friends, family, or co-
workers together for group flu shots.
Survey responses were collected from
UberHEALTH requesters in Chicago, IL,
Boston, MA, and Washington, D.C. Sur-
vey responses showed an overwhelming
number of requesters otherwise may not
have been immunized; nearly 70% of
respondents reported that they were either
only somewhat likely or definitely not
likely to receive a vaccine from tradition-
al providers. Over 90% rated the delivery
aspect of the vaccine program as im-
portant in their decision to request a flu
shot.
Overall, the pilot project demonstrates the
potential of self-assembling logistics
platforms as mechanisms for disease pre-
vention. Beyond seasonal influenza, de-
livery options might be especially rele-
vant in a pandemic where supply is low,
access to vulnerable populations is key,
and social distancing is recommended.
HealthMap Vaccine Finder /
UberHealth
(Boston, MA)
Primary prevention can be a difficult sell
for young, healthy populations. While
many do not see themselves as at risk for
influenza or its consequences, others feel
they are too busy to devote the time or
effort necessary to get a flu vaccine from
a traditional healthcare provider.
The UberHEALTH campaign, conceived
by partners HealthMap Vaccine Finder of
Boston Children’s Hospital and urban
logistics platform Uber, aimed to pilot a
new and innovative way of delivering
influenza vaccines to these difficult-to-
reach populations. The objective of this
one-day pilot program was to gauge the
feasibility and reception of mobile, on-
demand influenza vaccination.
Laura Schwartzwald
(Brainerd, MN)
Pharmacist Laura
Schwartzwald is the
owner of GuidePoint
Pharmacies, a small
chain of nine phar-
macies serving
Greater Minnesota.
She exemplifies an
adult immunization
champion through
her participation in an innovative private-
public sector partnership with her local
public health agency. Since 2008, she has
partnered with other pharmacies, local
public health, rural clinics, worksites,
group homes and nursing homes to pro-
vide numerous vaccinations.
Her pharmacists have administered
26,276 vaccine doses to adults, all of
them documented in the Minnesota Im-
munization Information Connection
(MIIC). She is committed to expanding
access to affordable immunizations for
under- and uninsured adult populations.
Laura worked in collaboration with the
Minnesota Department of Health (MDH)
as a member of the Pharmacy Advisory
Group helping the health department
better understand the challenges unique
to independent and small chain pharma-
cies outside of the Twin Cities metropoli-
tan area. She inspired MDH to actively
market the value of MIIC to pharmacists
via a promotional video for use in prima-
ry and continuing pharmacy education.
She played a role in getting legislation
that authorized the use of MIIC to fulfill
pharmacists’ reporting requirements to
inform primary care providers of immun-
izations given at pharmacies. Additional-
ly, Laura helped MDH and the Board of
Pharmacy understand how small chain
and independent pharmacies were experi-
encing difficulties procuring vaccine
protocols from physicians in their area.
As result of these conversations, Minne-
sota law was amended to allow other
Minnesota licensed prescribers (advance
practice registered nurses and physician
assistants) to sign vaccine protocols for
pharmacies. This ultimately expanded
access to adult immunizations.
She integrated routine immunization as-
sessment and recommendation into her
Policies and Procedures. Her pharmacists
also led the state in using MIIC as a clini-
cal decision support tool to assess pa-
tients’ immunization histories prior to
recommending and offering immuniza-
tions. Immunization assessment and rec-
ommendation has also been incorporated
into her chronic disease management
programming which targets adults at high
risk for most vaccine preventable diseas-
es.
Page 7
Corporate Campaign
Adult Immunization Champion
2015 IMMUNIZATION EXCELLENCE AWARDS
Honorable Mention Winners
Michigan Department of
Community Health & Alana’s
Foundation
(Lansing, MI)
Michigan Department of Community
Health (MDCH) in collaboration with
Alana’s Foundation implemented a new
program with the goal of increasing flu
vaccination uptake among college-aged
young adults.
The 2013–14 flu season hit healthy young
adults hard in Michigan. The first College
and University Flu Vaccination Chal-
lenge, modeled after the American Red
Cross Blood Battle between rival univer-
sities, was implemented by MDCH in the
2014–15 flu season. Participation in the
Flu Challenge was voluntary, and 14
public and private institutions enrolled in
the pilot year. Schools were expected to
enter all flu vaccine doses administered
into the Michigan Care Improvement
Registry (MCIR), Michigan’s statewide
immunization registry.
Schools were given a College and Uni-
versity Influenza Vaccination Toolkit to
increase campus awareness of the im-
portance of immunizations. Recognizing
one of the barriers for this population is
cost, Alana’s Foundation offered all par-
ticipating schools the opportunity to ap-
ply for grant funds to purchase flu vac-
cine and offer it free of charge to unin-
sured and underinsured students. Students
were asked to self-report that they re-
ceived flu vaccine, regardless of whether
it was at the school health center or an-
other location, using a short online sur-
vey. The survey and schools’ involve-
ment of the Flu Challenge was promoted
using a campaign poster with a link and
QR code to scan with a smartphone to
access the student survey. The survey
results were used to determine percent flu
vaccination coverage on each campus.
MDCH kicked off and wrapped up the
Flu Challenge via press release, and the
winning schools were announced during
National Influenza Vaccination Week
(NIVW) in December 2014. Winners
were awarded a traveling trophy spon-
sored by Alana’s Foundation.
Recognizing that flu vaccination efforts
should not cease in December, MDCH
encouraged schools to persevere and use
innovative strategies to continue promot-
ing flu vaccine and vaccinating their stu-
dents in January and beyond as a “late
season vaccination push.” Additional
awards were given to schools with the
most flu vaccine doses overall in MCIR,
the most improvement in flu vaccine
doses in MCIR from 2013–14 to 2014–
15, the most flu vaccine doses in MCIR
from January to March, and to one school
for the best innovative “late season” vac-
cination campaign.
Materials were developed through an
external partnership with Alana’s Foun-
dation, Families Fighting Flu, bioCSL
Inc., and its communications agency,
KYNE. As a result of the pilot year of the
Flu Challenge, there were 5,717 individu-
als (average age 23.5 years) who self-
reported that they received flu vaccina-
tion. In addition to the self-reported sur-
vey, MCIR data showed that the 14 en-
rolled school health centers entered
12,953 flu vaccinations (average patient
age 30.3 years) into the immunization
registry from July 1 to December 31,
2014 which was a 60% increase from the
same time period in the 2013–14 flu sea-
son (8,098 vaccine doses). The 14 en-
rolled school health centers entered
13,914 flu vaccinations (average patient
age 28.5 years) into the immunization
registry from July 1, 2014 to March 31,
2015 which was a 33% increase from the
same time period in the 2013–14 flu sea-
son (10,468 vaccine doses).
Page 8
Honorable Mention Winners
MAY 13, 2015
Laura Scott
2014–15 Outstanding Influenza Season Activities
THANK YOU to the members of
the NAIIS Awards Committee:
 Teresa Anderson (IAC)
 Phyllis Arthur (BIO)
 Carolyn Bridges (CDC)
 Susan Farrall (CDC)
 Rebecca Gehring (ACP)
 Kim Martin (ASTHO)
 Mitchel Rothholz, (APhA), chair
 Kathy Talkington (ASTHO)
 LJ Tan (IAC)
 Tiffany Tate (Immunize MD)
 Maggie Zettle (NVPO)
Page 9 2015 IMMUNIZATION EXCELLENCE AWARDS
Honorable Mention Winners
Page 10
Special Recognition
MAY 13, 2015
Honoring the Memory of Laura Scott
“She made the world a be er place for our children and all of us.”
The National Adult and Influenza Immunization Summit (NAIIS) Steering Committee has
renamed its NAIIS Immunization Excellence Award for Influenza Season Campaign to the
Laura Scott NAIIS Immunization Excellence Award for Outstanding Influenza Season
Activities. The award recognizes innovative early and later influenza season activities
across the lifespan (pediatric, adolescent and/or adult activities) embracing the spirit and
dedication to the prevention of influenza and protecting individuals from vaccine preventa-
ble diseases embodied by Laura Scott in her work as Executive Director of Families
Fighting Flu. Her early death took her from us but the trail she left will live on forever.
On March 3, 2015, Families Fighting Flu (FFF) lost its long-time Executive Director and
co-founder, Laura Scott. Laura was also an active participant in NAIIS and within the im-
munization neighborhood. As described by the FFF board, “Laura was truly the heart and
soul of the organization for the ten years of our existence.” Laura helped launch Families
Fighting Flu and it was her tireless hard work, dedication and brilliance that enabled its tre-
mendous success. She spent countless hours educating the public and saving thousands of
lives. Even though she did not personally lose a child to influenza, her love and support
helped impacted families through their darkest days by helping them channel their grief into
a meaningful legacy that honored children and families, and made a difference. Laura truly
was a hero, who made the world a better place. She was an incredible wife and mother, and
friend to us all.
Below are additional highlights taken from a sampling of award nominations...
A partnership between Los Angeles County – Department of Public Health (LAC-DPH), Los Angeles Unified School District
(LAUSD), and KaiserPermanente Southern California (KPSC) was formed in 2013-14 to pilot 5 school located vaccination (SLV)
programs. This year’s SLV effort occurred at 92 elementary school sites, in 10 different school districts, across 3 counties; an expan-
sion of the 5 SLV programs done previously. The consents and questionnaires utilized were translated into Spanish, Korean, and Viet-
namese to accommodate the language needs of parents and caregivers. The State of California developed a creative way to document
and share this data with the State and County agencies, by creating a spreadsheet designed to be uploaded into the California Immuniza-
tion Registry (CAIR). This innovative spreadsheet may be used for billing purposes.
Launched a wellness initiative throughout the state of Connecticut called “Healthy Choices” Mobile Flu Vaccine Clinic. This was a
collaborative effort between a manufacturer and a Healthcare Provider. The program was designed to increase distribution and vaccina-
tion rates and to develop an integrated mobile healthcare model. The clinics offered vaccine to all adults 18 years and older. Hunter’s
Ambulance served as a community call center and a mode of transportation for individuals seeking flu vaccination. The call center pro-
vided 2 methods of access to the mobile clinic (secure an appointment in your own home or place of employment, find key locations in
the community at designated times each week.) Bilingual registration specialists were available to register individuals. Hunter’s col-
lected pertinent demographic and insurance information and was able to share important community health related information related
to vaccination, prevention and treatment resources. The intent of the initiative was to take advantage of a window to vaccinate more of
the community in the midst of the emerging flu season and to have a fully integrated program with additional automation for the fall of
2015. An example of the plans for the 2015-2016 season is an app for mobile devices connecting to the call center. Two participating
Departments of Public Health that had lost their funding for a flu program were grateful to be served by this program initiative and re-
quested a return of the mobile clinic in the next fall.
A long-term care facility (LTCF) participated in a collaborative project to improve healthcare professional (HCP) vaccination rates in
LTCFs. It previously struggled to raise their vaccination rate above the 20% mark, and in the 2013-2014 influenza season faced pres-
sure from a local hospital system to either improve their vaccination rate or lose resident referrals from the system. By offering incen-
tives to vaccinated staff, they were able to raise their rates, but only from 20% to 40%. After the hospital system made it clear that this
was not sufficient, the facility implemented a mandatory vaccination policy and raised their rate to 90%. However, management staff
found this policy difficult to implement and it was not well-received by staff. Additionally, due to the facility’s high turnover rate
(about 140% annually), they did not maintain their 90% vaccination rate, ending the season with a 75% rate. This year, the Adminis-
trator and the management team was able to achieve and maintain a high vaccination rate by implementing a set of evidence-based in-
terventions customized to the long-term care setting. Interventions included strengthened policies, such as requiring staff to provide
documentation of off-site vaccination, vaccinating all new hires, and requiring declination forms and masking for staff who refused
vaccination. Staff were engaged in the vaccination program starting in early September 2014, before vaccination began in October. An
evidence-based educational session was held in September and a video recording of this session was shown during orientation sessions
throughout the 2014-2015 influenza season. By offering multiple vaccination opportunities (at a kick-off event, during shifts, at orienta-
tion sessions), they were able to quickly vaccinate the majority of their employees. Managers closely tracked acceptance and declina-
tion of vaccine among their employees. They addressed their high staff turnover by discussing vaccination during interviews with po-
tential new hires, and offering vaccinations during orientation sessions. As a result, all new hires during the influenza season were vac-
cinated. The management team tracked employees’ reasons for declining vaccination, and met one-on-one with decliners to address
their concerns. By October 31, 98% of employees had been vaccinated, and as of December 10th, 99% of employees were vaccinated
with only one individual declining vaccination.
“Control Flu” is truly a collaborative, community effort in Alachua County, Florida. The local university supplies volunteer clinical
staff, as well as expertise in program evaluation and influenza immunization modeling. School teachers, principals and nurses work
hard to field questions from parents, and to make sure that every student has an opportunity to get immunized. Health department offi-
cials coordinate the logistics, purchasing vaccine, organizing the clinic days, and billing. “Control Flu” is about more than simply ad-
ministering immunizations in a school setting. It’s about a community working together to protect its most vulnerable citizens. As part
of the program, science teachers have been trained in “community immunity” card games, which help students to understand the dy-
namics of infectious disease outbreaks. Importantly, many students and families have learned that immunization is as much about pro-
tecting newborns, the elderly, and immunocompromised. Thanks to “Control Flu,” Alachua is the best-protected county in Florida.
Alachua children 0-4 years of age have an approximately 80-90% less likelihood of ending up in an emergency room with influenza
like illness relative to those from other areas of Florida. Among 5 to 17 year-olds, this reduction is approximately 70% to 80%. In to-
tal, it is estimated that this program prevents nearly 1,200 emergency influenza like illness cases annually, saving lives and money.
The Partnership forQuality Care (PQC) developed the “Tell / Truth” campaign to promote immunization against influenza in the face
of two major public relation / communication obstacles during the 2014 – 2015 flu season. Early in the season, the American public was
distracted by fears of Ebola in the United States; while later in the season, it was the realization that the vaccine was poorly matched
with the predominant flu strains of the season. PQC launched a campaign to counter each of these challenges and encourage Americans
to continue to be immunized against influenza.
Page 11
Highlights from Award Nominees
2015 IMMUNIZATION EXCELLENCE AWARDS
About the National Adult & Influenza Immunization Summit
The National Adult and Influenza Immunization Summit, started in the year 2000 (as the Na-
tional Influenza Vaccine Summit), is an action-oriented entity with more than 700 members
who represent more than 130 public and private organizations with an interest in addressing
and resolving influenza and adult vaccine issues. Visit the Summit’s website at izsummitpart-
ners.org

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NAIIS-2015-Awards-Booklet

  • 1. 12:30 PM Awards Lunch begins 1:10 PM Introduction to Awards Lunch Presentations of Awards to Summit Honorable Mention Award Winners 1:25 PM Laura Scott 2014-15 Outstanding Influenza Season Activities Award Recipient: Michigan Department of Community Health & Alana's Foundation 1:27 PM Adult Immunization Champion Award Recipient: Laura Schwartzwald 1:29 PM Corporate Campaign Award Recipient: HealthMap Vaccine Finder / Uber Health 1:33 PM Presentations from Summit National Award Winners 1:36 PM Healthcare Personnel Campaign Award Recipient: University of California San Francisco Medical Center 1:43 PM “Immunization Neighborhood” Award Recipient: Safeway Pharmacy 1:50 PM Laura Scott 2014-15 Outstanding Influenza Season Activities Award Recipient: Minnesota Immunization Networking Initiative (MINI) 1:57 PM Adult Immunization Publication Award Recipient: American College of Obstetricians & Gynecologists (ACOG) 2:05 PM Adult Immunization Champion Award Recipient: JoAnn Stadtfeld 2:12 PM Corporate Campaign Award Recipient: Walgreens 2:19 PM Wrap Up 2:25 PM End Lunch Awards Lunch & Presentations2015Immunization ExcellenceAwards NATIONALADULT&INFLUENZAIMMUNIZATIONSUMMIT May 13, 2015 Atlanta, Georgia About the Awards Program: The awards program recognizes the value and extraordi- nary contributions of individuals and organizations towards improved access to adult vaccinations and influenza vaccinations within their communities. The National Adult and Influenza Immunization Summit (NAIIS) is pleased to announce the recipients of the 2015 Immunization Excellence Awards. There are six categories of recognition: overall influenza season activities, healthcare personnel campaign, “immunization neighbor- hood” champion, corporate campaign, adult immunization champion, and adult immun- ization publication award. Nominees were evaluated based on the areas of impact, col- laboration, originality, overcoming challenges, and opportunities. The Summit applauds all stakeholders who are working towards improving the health of their communities. Information about the awards program and recipients can be found at izsummitpart- ners.org Visit izsummitpartners.org today!
  • 2. local communities. Collaborating with local organizations and student pharma- cists, their Pharmacy teams identified underserved groups and protected them from vaccine-preventable illnesses in thoughtful, strategic ways. Engaging future pharmacists provided the opportunity to mentor these emerging community leaders – reflecting Safe- way’s vision to make this level of out- reach standard practice in pharmacy. They overcame the challenge of inform- ing homeless individuals about the im- munization event by partnering with Vol- unteers Of America to distribute fliers throughout their network. Their volun- teers remarked that they had never seen patients so genuinely appreciative as those they served. Safeway, with churches, YMCA, com- munity groups, and schools of pharmacy, reached beyond language barriers to im- munize homeless and underserved His- panic and Vietnamese individuals. By selecting the right partners, they helped to increase awareness and access to care for uninsured and homeless individuals. Safeway Pharmacy (Pleasanton, California) Safeway implemented a novel approach to immunizing the communities they serve. What they do for one patient, they do for all, focusing on protecting the broader community. They focused their 2014 community outreach efforts on do- nating vaccine and immunization services to underserved populations. In collabora- tion with a range of community organiza- tions, Safeway increased public aware- ness of the importance of immunization and increased access to care. In 2014, they administered over 1 million doses of routine and travel vaccines rec- ommended by the Advisory Committee on Immunization Practice (ACIP), and donated influenza vaccine and immuniza- tion services to nearly 1,000 members of University of California San Francisco Medical Center (San Francisco, CA) The University of California San Francis- co Medical Center Influenza Immuniza- tion program unified a large multi-site medical center and campus community in the fight against flu. Senior leadership supported this effort by identifying influ- enza immunization compliance in pa- tients and staff as the 2014-2015 Quality and Safety goal. The program spanned all sections of the organization including all inpatient units, outpatient clinics, campus and medical center employees, volunteers, and con- tractors. Highlights of the joint campaign include a newly expanded nurse flu depu- ty program designed to bridge all pro- grams, use of technology to develop in- novative solutions to challenges and to allow more efficient documentation and reporting, and an effort to utilize social media. Their employee campaign strove to in- crease compliance rates by making flu shots convenient. During the month of October, vaccinations were provided daily in outreach clinics at ten different locations throughout San Francisco. The Occupational Health program also depu- tized over 100 staff nurses to serve as local flu deputies on inpatient units and outpatient clinics. To date, the UCSF program has resulted in 93% of eligible inpatients being screened (with a 64.3% vaccine rate) and a 62.2% vaccination rate among primary care patients. These rates reflect an im- provement of 25% and 16% respectively compared to the 2013-2014 season. The occupational program has maintained a very high compliance rate of 97.5% (vaccination or declination with mask) and has delivered nearly 19,000 shots to employees, licensed health care provid- ers, students, campus personnel, volun- teers and contractors. . National Winners Page 2 “Immunization Neighborhood” Champion Healthcare Personnel Campaign 2015 IMMUNIZATION EXCELLENCE AWARDS
  • 3. each patient’s vaccination history and possible needed vaccines through the use of medical records and EMR sys- tems. “Educate and vaccinate” includes patients and office staff. Finally, the doc- ument covers “integration” by recom- mending the use of standing orders, an office coordinator, and documentation. The document provides example of three vaccines and how they can be integrated into practice. The second document is the Committee Opinion, Influenza Vaccinations during Pregnancy (September 2014). Recently revised, the original version of this clini- cal guidance was the first from ACOG to routinely recommend influenza immun- ization during any trimester in pregnancy. The document addresses the need for a strong provider recommendation and highlights the influence a physician’s recommendation has on their patients’ decision to vaccinate. The third document is the companion piece to the Committee Opinion, Influen- za Vaccinations during Pregnancy and is titled “Influenza Season Algorithm for Treatment and Assessment for Pregnant Women with Influenza-Like Ill- ness” (June 2014). This resource is an algorithm to help guide practitioners through the process of diagnosing and treating pregnant women with ILI. Since ACOG’s immunization program began, influenza vaccination rates in pregnant women have risen to over 50%. ACOG champions not just influenza but a wide range of adult immunizations through partnerships and collaborations with other organizations and stakeholders. American College of Obstetri- cians & Gynecologists (ACOG) (Washington, DC) ACOG was selected to receive this award to recognize their publishing of three documents that provided guidance to ob- gyn practitioners regarding immunizing the adult patient population. The first is the Committee Opinion Inte- grating Immunizations into Practice (April 2013) which is ACOG’s corner- stone guidance for ob-gyn’s immuniza- tion practices. This clinical guidance parallels the updated NVAC Adult Im- munization Standards. The document highlights four recommended steps for assimilating immunizations into practice: advocating, identifying, educating & vaccinating, and finally integrating. “Advocating” includes strongly recom- mending vaccines to patients and “identifying” includes the assessment of Minnesota Immunization Net- working Initiative (MINI) (Minneapolis, MN) The Minnesota Immunization Network- ing Initiative (MINI) started in 2006 to eliminate the disparities in influenza vac- cine coverage in the Minneapolis/St. Paul area. MINI's partners include health care systems, community-based organizations, faith-based organizations, community clinics and state health department. MINI holds influenza immunizations clinics in community settings and pro- vides the vaccine at no cost to partici- pants. Since 2006, MINI has immunized over 60,000 persons. In 2013–2014, MINI held 147 clinics and provided 8,743 flu immunizations at no cost. Populations served include: Asian 37%; Latino 36%; Caucasian 10%; African 7%; African American 7%; Native American 2%; Multi-racial 2%, Unspecified 4%. The majority (45%) were between the ages of 19-44, 25% were 45–64. Participants ranged from infants to those older than 75 years. 13% of those served received a flu shot for the very first time. During that time period, 2,655 clients returned a con- venience sample survey. The most com- mon reason given for receiving a flu shot at a MINI site was free shots (25%), fol- lowed by convenience (22%), lack of health insurance (21%) and trusted loca- tion (13%). Establishing a spectrum of stakeholders helps MINI maintain a central role in the immunization neighborhood for influen- za. MINI has reported to Minnesota's Immunization Information System (MIIC) for several years and is one of few community vaccinators to do so on a regular basis. In addition to influenza vaccination, MINI has had an impact on other areas of outreach to the communi- ties they serve. When Ebola started to become a concern for the Minnesota Li- berian community, MINI was able to help the state health department connect with community leaders to provide reliable information and reassurance to communi- ty members. Minnesota has the one of the largest Liberian communities in the Unit- ed States, and the relationships that MINI established provided an avenue for public health and the community to connect in a positive way when tensions and worry over Ebola were at its highest. National Winners Page 3 Adult Immunization Publication Award Laura Scott 2014–15 Outstanding Influenza Season Activities 2015 IMMUNIZATION EXCELLENCE AWARDS
  • 4. to America’s Veterans, the Shot@Life campaign, and creating awareness around expanded vaccine recommendations, had a profound impact on improving immun- ization rates in the US and world. By overcoming key challenges and develop- ing impactful programs, Walgreens is positioned to continue to improve the health of our communities. Walgreens’ immunization programs and community activities advance the concepts embodied within the “immunization neighborhood.” Walgreens (Deerfield, IL) Walgreens has continued to evolve their immunization program from a focus on Flu vaccinations to a more comprehen- sive offering. These efforts are designed to bring a personalized, easy and reward- ing patient experience, all while working to improve vaccination rates in the com- munities they serve. Enhanced technology supporting immun- ization delivery, collaborations to expand the pharmacist’s role in travel health, partnerships that provide needed vaccines Jo Ann Stadtfeld (Cranberry Township, PA) Jo Ann Stadtfeld is a practice manager for three physician offices with a staff of 14 and 4 physi- cians. She willingly assumed the role of Immunization Champion as part of her practices’ partic- ipation in a Univer- sity of Pittsburgh practice improve- ment study using the 4 Pillars Immuniza- tion Toolkit. The 4 Pillars Immunization Toolkit is an evidence-based program designed to in- crease immunizations across the lifespan through the utilization of strategies under 4 pillars: Pillar 1, Convenience and Easy Access; Pillar 2, Patient Notification; Pillar 3, Enhanced Office Systems; and Pillar 4, Motivation. Jo Ann embraced the challenge of en- couraging change among her providers, who believed that they were already do- ing everything they could to vaccinate their adult patients. Bi-weekly for 10 months, Jo Ann met by phone with the research coordinator, to discuss strategies that she might try or had implemented to raise vaccination rates. She led changes in areas such as: implementing Standing Order Programs (SOP), increased clinical staff/ provider-patient engagement, com- prehensive tracking of vaccinations, and vaccine reminder systems. She made the task of increasing adult vaccinations an office-wide effort by soliciting staff opin- ions, communicating new ideas and pro- cedures to be implemented and ensuring that staff were enabled and empowered to implement new procedures. As part of ensuring that patient vaccina- tion records were up-to-date, she led sys- tem-wide efforts to better capture and document within their EMR, all immun- izations delivered outside of their practic- es and instituted new procedures for this documentation which entailed improving their assessment of patient self-report of vaccination status when patients were seen, as well as dedicating staff time for data entry of vaccination reports received from pharmacies. Jo Ann was able to lead advocacy and educational efforts and obtain buy-in from practice physicians that resulted in the ordering and stocking of newly avail- able vaccine types such as Prevnar and high-dose influenza vaccine which they had not done previously. National Winners Page 4 Corporate Campaign Adult Immunization Champion 2015 IMMUNIZATION EXCELLENCE AWARDS
  • 5. National Winners Page 5 2015 IMMUNIZATION EXCELLENCE AWARDS
  • 6. MAY 13, 2015 Page 6 National Winners
  • 7. Registered nurses, from medical provid- ers Passport Health and Pager, paired with Uber drivers to form mobile vac- cination teams. Uber users in selected cities were then given the new option of UberHEALTH on their Uber smartphone app; selecting UberHEALTH resulted in a visit from the mobile vaccination team with a flu prevention pack and the option to receive influenza vaccine. The nurse was prepared to administer up to 10 vac- cines in each trip, meaning requesters could gather friends, family, or co- workers together for group flu shots. Survey responses were collected from UberHEALTH requesters in Chicago, IL, Boston, MA, and Washington, D.C. Sur- vey responses showed an overwhelming number of requesters otherwise may not have been immunized; nearly 70% of respondents reported that they were either only somewhat likely or definitely not likely to receive a vaccine from tradition- al providers. Over 90% rated the delivery aspect of the vaccine program as im- portant in their decision to request a flu shot. Overall, the pilot project demonstrates the potential of self-assembling logistics platforms as mechanisms for disease pre- vention. Beyond seasonal influenza, de- livery options might be especially rele- vant in a pandemic where supply is low, access to vulnerable populations is key, and social distancing is recommended. HealthMap Vaccine Finder / UberHealth (Boston, MA) Primary prevention can be a difficult sell for young, healthy populations. While many do not see themselves as at risk for influenza or its consequences, others feel they are too busy to devote the time or effort necessary to get a flu vaccine from a traditional healthcare provider. The UberHEALTH campaign, conceived by partners HealthMap Vaccine Finder of Boston Children’s Hospital and urban logistics platform Uber, aimed to pilot a new and innovative way of delivering influenza vaccines to these difficult-to- reach populations. The objective of this one-day pilot program was to gauge the feasibility and reception of mobile, on- demand influenza vaccination. Laura Schwartzwald (Brainerd, MN) Pharmacist Laura Schwartzwald is the owner of GuidePoint Pharmacies, a small chain of nine phar- macies serving Greater Minnesota. She exemplifies an adult immunization champion through her participation in an innovative private- public sector partnership with her local public health agency. Since 2008, she has partnered with other pharmacies, local public health, rural clinics, worksites, group homes and nursing homes to pro- vide numerous vaccinations. Her pharmacists have administered 26,276 vaccine doses to adults, all of them documented in the Minnesota Im- munization Information Connection (MIIC). She is committed to expanding access to affordable immunizations for under- and uninsured adult populations. Laura worked in collaboration with the Minnesota Department of Health (MDH) as a member of the Pharmacy Advisory Group helping the health department better understand the challenges unique to independent and small chain pharma- cies outside of the Twin Cities metropoli- tan area. She inspired MDH to actively market the value of MIIC to pharmacists via a promotional video for use in prima- ry and continuing pharmacy education. She played a role in getting legislation that authorized the use of MIIC to fulfill pharmacists’ reporting requirements to inform primary care providers of immun- izations given at pharmacies. Additional- ly, Laura helped MDH and the Board of Pharmacy understand how small chain and independent pharmacies were experi- encing difficulties procuring vaccine protocols from physicians in their area. As result of these conversations, Minne- sota law was amended to allow other Minnesota licensed prescribers (advance practice registered nurses and physician assistants) to sign vaccine protocols for pharmacies. This ultimately expanded access to adult immunizations. She integrated routine immunization as- sessment and recommendation into her Policies and Procedures. Her pharmacists also led the state in using MIIC as a clini- cal decision support tool to assess pa- tients’ immunization histories prior to recommending and offering immuniza- tions. Immunization assessment and rec- ommendation has also been incorporated into her chronic disease management programming which targets adults at high risk for most vaccine preventable diseas- es. Page 7 Corporate Campaign Adult Immunization Champion 2015 IMMUNIZATION EXCELLENCE AWARDS Honorable Mention Winners
  • 8. Michigan Department of Community Health & Alana’s Foundation (Lansing, MI) Michigan Department of Community Health (MDCH) in collaboration with Alana’s Foundation implemented a new program with the goal of increasing flu vaccination uptake among college-aged young adults. The 2013–14 flu season hit healthy young adults hard in Michigan. The first College and University Flu Vaccination Chal- lenge, modeled after the American Red Cross Blood Battle between rival univer- sities, was implemented by MDCH in the 2014–15 flu season. Participation in the Flu Challenge was voluntary, and 14 public and private institutions enrolled in the pilot year. Schools were expected to enter all flu vaccine doses administered into the Michigan Care Improvement Registry (MCIR), Michigan’s statewide immunization registry. Schools were given a College and Uni- versity Influenza Vaccination Toolkit to increase campus awareness of the im- portance of immunizations. Recognizing one of the barriers for this population is cost, Alana’s Foundation offered all par- ticipating schools the opportunity to ap- ply for grant funds to purchase flu vac- cine and offer it free of charge to unin- sured and underinsured students. Students were asked to self-report that they re- ceived flu vaccine, regardless of whether it was at the school health center or an- other location, using a short online sur- vey. The survey and schools’ involve- ment of the Flu Challenge was promoted using a campaign poster with a link and QR code to scan with a smartphone to access the student survey. The survey results were used to determine percent flu vaccination coverage on each campus. MDCH kicked off and wrapped up the Flu Challenge via press release, and the winning schools were announced during National Influenza Vaccination Week (NIVW) in December 2014. Winners were awarded a traveling trophy spon- sored by Alana’s Foundation. Recognizing that flu vaccination efforts should not cease in December, MDCH encouraged schools to persevere and use innovative strategies to continue promot- ing flu vaccine and vaccinating their stu- dents in January and beyond as a “late season vaccination push.” Additional awards were given to schools with the most flu vaccine doses overall in MCIR, the most improvement in flu vaccine doses in MCIR from 2013–14 to 2014– 15, the most flu vaccine doses in MCIR from January to March, and to one school for the best innovative “late season” vac- cination campaign. Materials were developed through an external partnership with Alana’s Foun- dation, Families Fighting Flu, bioCSL Inc., and its communications agency, KYNE. As a result of the pilot year of the Flu Challenge, there were 5,717 individu- als (average age 23.5 years) who self- reported that they received flu vaccina- tion. In addition to the self-reported sur- vey, MCIR data showed that the 14 en- rolled school health centers entered 12,953 flu vaccinations (average patient age 30.3 years) into the immunization registry from July 1 to December 31, 2014 which was a 60% increase from the same time period in the 2013–14 flu sea- son (8,098 vaccine doses). The 14 en- rolled school health centers entered 13,914 flu vaccinations (average patient age 28.5 years) into the immunization registry from July 1, 2014 to March 31, 2015 which was a 33% increase from the same time period in the 2013–14 flu sea- son (10,468 vaccine doses). Page 8 Honorable Mention Winners MAY 13, 2015 Laura Scott 2014–15 Outstanding Influenza Season Activities THANK YOU to the members of the NAIIS Awards Committee:  Teresa Anderson (IAC)  Phyllis Arthur (BIO)  Carolyn Bridges (CDC)  Susan Farrall (CDC)  Rebecca Gehring (ACP)  Kim Martin (ASTHO)  Mitchel Rothholz, (APhA), chair  Kathy Talkington (ASTHO)  LJ Tan (IAC)  Tiffany Tate (Immunize MD)  Maggie Zettle (NVPO)
  • 9. Page 9 2015 IMMUNIZATION EXCELLENCE AWARDS Honorable Mention Winners
  • 10. Page 10 Special Recognition MAY 13, 2015 Honoring the Memory of Laura Scott “She made the world a be er place for our children and all of us.” The National Adult and Influenza Immunization Summit (NAIIS) Steering Committee has renamed its NAIIS Immunization Excellence Award for Influenza Season Campaign to the Laura Scott NAIIS Immunization Excellence Award for Outstanding Influenza Season Activities. The award recognizes innovative early and later influenza season activities across the lifespan (pediatric, adolescent and/or adult activities) embracing the spirit and dedication to the prevention of influenza and protecting individuals from vaccine preventa- ble diseases embodied by Laura Scott in her work as Executive Director of Families Fighting Flu. Her early death took her from us but the trail she left will live on forever. On March 3, 2015, Families Fighting Flu (FFF) lost its long-time Executive Director and co-founder, Laura Scott. Laura was also an active participant in NAIIS and within the im- munization neighborhood. As described by the FFF board, “Laura was truly the heart and soul of the organization for the ten years of our existence.” Laura helped launch Families Fighting Flu and it was her tireless hard work, dedication and brilliance that enabled its tre- mendous success. She spent countless hours educating the public and saving thousands of lives. Even though she did not personally lose a child to influenza, her love and support helped impacted families through their darkest days by helping them channel their grief into a meaningful legacy that honored children and families, and made a difference. Laura truly was a hero, who made the world a better place. She was an incredible wife and mother, and friend to us all.
  • 11. Below are additional highlights taken from a sampling of award nominations... A partnership between Los Angeles County – Department of Public Health (LAC-DPH), Los Angeles Unified School District (LAUSD), and KaiserPermanente Southern California (KPSC) was formed in 2013-14 to pilot 5 school located vaccination (SLV) programs. This year’s SLV effort occurred at 92 elementary school sites, in 10 different school districts, across 3 counties; an expan- sion of the 5 SLV programs done previously. The consents and questionnaires utilized were translated into Spanish, Korean, and Viet- namese to accommodate the language needs of parents and caregivers. The State of California developed a creative way to document and share this data with the State and County agencies, by creating a spreadsheet designed to be uploaded into the California Immuniza- tion Registry (CAIR). This innovative spreadsheet may be used for billing purposes. Launched a wellness initiative throughout the state of Connecticut called “Healthy Choices” Mobile Flu Vaccine Clinic. This was a collaborative effort between a manufacturer and a Healthcare Provider. The program was designed to increase distribution and vaccina- tion rates and to develop an integrated mobile healthcare model. The clinics offered vaccine to all adults 18 years and older. Hunter’s Ambulance served as a community call center and a mode of transportation for individuals seeking flu vaccination. The call center pro- vided 2 methods of access to the mobile clinic (secure an appointment in your own home or place of employment, find key locations in the community at designated times each week.) Bilingual registration specialists were available to register individuals. Hunter’s col- lected pertinent demographic and insurance information and was able to share important community health related information related to vaccination, prevention and treatment resources. The intent of the initiative was to take advantage of a window to vaccinate more of the community in the midst of the emerging flu season and to have a fully integrated program with additional automation for the fall of 2015. An example of the plans for the 2015-2016 season is an app for mobile devices connecting to the call center. Two participating Departments of Public Health that had lost their funding for a flu program were grateful to be served by this program initiative and re- quested a return of the mobile clinic in the next fall. A long-term care facility (LTCF) participated in a collaborative project to improve healthcare professional (HCP) vaccination rates in LTCFs. It previously struggled to raise their vaccination rate above the 20% mark, and in the 2013-2014 influenza season faced pres- sure from a local hospital system to either improve their vaccination rate or lose resident referrals from the system. By offering incen- tives to vaccinated staff, they were able to raise their rates, but only from 20% to 40%. After the hospital system made it clear that this was not sufficient, the facility implemented a mandatory vaccination policy and raised their rate to 90%. However, management staff found this policy difficult to implement and it was not well-received by staff. Additionally, due to the facility’s high turnover rate (about 140% annually), they did not maintain their 90% vaccination rate, ending the season with a 75% rate. This year, the Adminis- trator and the management team was able to achieve and maintain a high vaccination rate by implementing a set of evidence-based in- terventions customized to the long-term care setting. Interventions included strengthened policies, such as requiring staff to provide documentation of off-site vaccination, vaccinating all new hires, and requiring declination forms and masking for staff who refused vaccination. Staff were engaged in the vaccination program starting in early September 2014, before vaccination began in October. An evidence-based educational session was held in September and a video recording of this session was shown during orientation sessions throughout the 2014-2015 influenza season. By offering multiple vaccination opportunities (at a kick-off event, during shifts, at orienta- tion sessions), they were able to quickly vaccinate the majority of their employees. Managers closely tracked acceptance and declina- tion of vaccine among their employees. They addressed their high staff turnover by discussing vaccination during interviews with po- tential new hires, and offering vaccinations during orientation sessions. As a result, all new hires during the influenza season were vac- cinated. The management team tracked employees’ reasons for declining vaccination, and met one-on-one with decliners to address their concerns. By October 31, 98% of employees had been vaccinated, and as of December 10th, 99% of employees were vaccinated with only one individual declining vaccination. “Control Flu” is truly a collaborative, community effort in Alachua County, Florida. The local university supplies volunteer clinical staff, as well as expertise in program evaluation and influenza immunization modeling. School teachers, principals and nurses work hard to field questions from parents, and to make sure that every student has an opportunity to get immunized. Health department offi- cials coordinate the logistics, purchasing vaccine, organizing the clinic days, and billing. “Control Flu” is about more than simply ad- ministering immunizations in a school setting. It’s about a community working together to protect its most vulnerable citizens. As part of the program, science teachers have been trained in “community immunity” card games, which help students to understand the dy- namics of infectious disease outbreaks. Importantly, many students and families have learned that immunization is as much about pro- tecting newborns, the elderly, and immunocompromised. Thanks to “Control Flu,” Alachua is the best-protected county in Florida. Alachua children 0-4 years of age have an approximately 80-90% less likelihood of ending up in an emergency room with influenza like illness relative to those from other areas of Florida. Among 5 to 17 year-olds, this reduction is approximately 70% to 80%. In to- tal, it is estimated that this program prevents nearly 1,200 emergency influenza like illness cases annually, saving lives and money. The Partnership forQuality Care (PQC) developed the “Tell / Truth” campaign to promote immunization against influenza in the face of two major public relation / communication obstacles during the 2014 – 2015 flu season. Early in the season, the American public was distracted by fears of Ebola in the United States; while later in the season, it was the realization that the vaccine was poorly matched with the predominant flu strains of the season. PQC launched a campaign to counter each of these challenges and encourage Americans to continue to be immunized against influenza. Page 11 Highlights from Award Nominees 2015 IMMUNIZATION EXCELLENCE AWARDS
  • 12. About the National Adult & Influenza Immunization Summit The National Adult and Influenza Immunization Summit, started in the year 2000 (as the Na- tional Influenza Vaccine Summit), is an action-oriented entity with more than 700 members who represent more than 130 public and private organizations with an interest in addressing and resolving influenza and adult vaccine issues. Visit the Summit’s website at izsummitpart- ners.org