2018-2023 Immunization Action Plan Work PlanNarrative Report Immunization Action Plan (IAP)...

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Mary Klockowski, RNImmunization Coordinator

Chenango County Department of Health

2018-2023 Immunization Action Plan Work Plan

Obj. 1: Childhood ImmunizationTask a. conduct AFIX visits

b. AFIX online toolc. school site visitsd. school training, technical visitse. daycare, preschool auditf. healthcare provider educational training sessiong. community education presentation event, HPVh National Observances (3)i. LHD Staff trainings

Obj. 2: Perinatal Hep B PreventionTask a. investigations

b. educationc. contactsd. case managemente. Hepatitis B vaccine birth dosef. community education, professional trainingg. LHD staff training

Obj. 3: Improve Adult Immunization RatesTask a. adult provider visits

b. follow-up adult provider visitsc. post-secondary institutions site visitsd. coalition meetings quarterlye. recruit community partnersf. evidence-based coalition interventiong. LHD staff training

Obj. 4: Underserved/Special Populations Task a. identify population

b. meet annually with stakeholder of populationc. implement evidence-based local interventiond. measure effectiveness of interventione. LHD staff training

Obj. 5: NYSIIS accuracy, completenessTask a. improve accuracy, timeliness of all providers

b. identify all practices in jurisdiction that vaccinatec. LHD staff training

Obj. 6: Administrative Structure Task a. organizational chart IAP program staff

b. staff familiarity with work planc. staff will be provided with resources to

conduct duties

Obj. 7: Reporting & Accounting

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2018-2023 Immunization Action Plan Work Plan

2018‐2023 Immunization Action Plan (IAP) Work Plan

Objective Name Objective Description # Task Text Performance Measure Narrative

7. Reporting and Accounting 7. Submit timely and accurate narrative and fiscal reports and spend funds on allowable expenses.

7a. Submit narrative reports in the format requested and with appropriate level of detail by established deadlines. 100% of narrative reports will be submitted within 30 days following the end of each quarter.

7b. Submit fiscal information, such as claims for payment, fiscal reports, budget modification requests, and voucher trace responsesin the format requested by established deadlines

100% of narrative reports will be submitted within 30 days following the end of each quarter.

7c. LHD Program and fiscal staff will regularly collaborate to review the status of grant spending, maximize the use of grant fundson allowable expenses, and ensure accurate reporting.

At least 90% of grant funds spent annually.

Objective Name

Objective Description # Task Text

Performance Measure Narrative

7. Reporting and Accounting

7.Submit timely and accurate narrative and fiscal reports and spend funds on allowable expenses.

7a. Submit narrative reports in the format requested and withappropriate level of detail by established deadlines.


7b. Submit fiscal information, such as claims for payment, fiscalreports, budget modification requests, and voucher trace responses in the format requested by established deadlines


7c. LHD Program and fiscal staff will regularly collaborate to review the status of grant spending, maximize the use of grant funds on allowable expenses, and ensure accurate reporting.

At least 90% of grant funds spent annually.

7a. Submit narrative reports:

in the format requested

with appropriate level of detail

by established deadlines

What I am reading:

“7a. Mary you need:

Time management

Organization

Documentation system that works”

For every objective and every task:

Document Planning

Document Organizing

Document Implementation

Document Execution

Document Completion

Documentation

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Chenango County Department of Health

Health Education LogIAP notebook

Computer filesMonthly planner

• eXcel document

• In use since 2007

• Shared file: tracks all activities

• Includes all programs

Health Education Log

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EVENT SUMMARY FOR HEALTH EDUCATION LOG

EVENT: ____________________________________ DATE: ___________________

LOCATION: __________________________________________________________

STAFF: ______________________________________________________________

TOPICS:

□ Chronic Disease □ Lead □ Primary/Preventive Care

□ Cancer □ STD/HIV □ Communicable

□ Dental □ TB □ NY Connects

□ Immunizations □ Injury □ Disaster Prep

NUMBER OF PEOPLE ATTENDING EVENT: ______________________

NUMBER OF INTERACTIONS: ___________________

Measuring tools used: SURVEY RAFFLE OTHER: _______________

HANDOUTS:

count count total before after distributed hand out title _______ _______ _______ _______________________________

_______ _______ _______ ________________________________

_______ _______ _______ ________________________________

_______ _______ _______ ________________________________

_______ _______ _______ ________________________________

HEALTH EDUCATION LOG TOPICS AND SUB-TOPICS: 1. CHRONIC DISEASE

Asthma, Cardiac, Diabetes, Blood Pressure, Stroke, Nutrition, Cholesterol, Obesity/BMI, Physical Activity/Pyramid, Portion Control, Other Chronic Diseases

2. CHRONIC DISEASE/ CANCER Cancer, Tobacco, Mammogram, Skin, Men’s Health, Women’s Health 3. DENTAL Sealants, Fluoride, Bottle Mouth, Sugary Drinks/ Encouraging Water 4. IMMUNIZATION Pandemic, Flu/Pneumonia, Immunizations 5. LEAD 6. STD/ HIV Specific Diseases and HIV, HIV Testing Law: Must Ask, 50 Plus Age group 7. TUBERCULOSIS 8. INJURY CONTROL

Bike, Sunburn, Shaken Baby, Pool, Fire, Car Seats/Seatbelts, Poison Prevention, Senior Safety, Farm, SIDS and Safe Sleep, Drug and Alcohol Abuse, Violence, Distracted Driving, Bullying, Other Injury Control

9. PRIMARY/ PREVENTIVE CARE Breastfeeding, Child Abuse/Neglect, Parenting, Family Planning, Feeding Practices, Growth and Development, Prenatal Care, Early Intervention, Health Insurance, Other Primary/Prevent

10. COMMUNICABLE DISEASE Rabies, Hand Washing, Tattoos, Lyme’s Disease/ Ticks, Head Lice, Bed Bugs, Other Disease 11. NY CONNECTS 12. DISASTER PREPAREDNESS

HealthEducation

Log

Press Releases

AFIX visits

National Observances

Perinatal Hep B

Quarterly Reports

Community Education Outreach

Detailing

Provider Visits

School visits

Adult ImmsChildhood Imms

HPV vaccine

Daycare Visits

Webinars

trainings Special Populations

Coalitions

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the Health Education Log

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IAP Notebook

Contains all things

IAP

Childhood Immunizations:

Copy Work Plan OBJECTIVE (description, task text, performance measure narrative)

note paper notes and quick reference (ideas, plans, tasks, dates and timelines)

Task Tabs: a. AFIX Visitsb. AFIX Online Toolc. School Visits/Schools Surveysd. School training/technical visitse. Daycare/Preschool Auditf. HCP Evidence Based Visit (outside of AFIX)g. Community Education Presentationh. National Observancesi. LHD Staff Trainings

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COMPUTER FILES

Reference Documents

----------Any supporting

documents received from

NYSDOH (including

trainings, power points,

explanations, and clarifications)

Example

To Send

Work Plan Narrative

Fiscal: budget, voucher

Anything I want NYSDOH to see:

Health Education Log AFIX Documents Adult provider, daycare, and

school visit notes Developed education,

community outreach written and visual campaigns

Press releases, radio and movie theater ads

New forms, objective and task support

Emails, letters

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Monthly Planner

Reporting

Health Ed LogIAP Binder

Computer FilesMonthly Planner

IAP Quarterly Narrative

Report

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IAP Quarterly Narrative

Report

Immunization Action Plan (IAP)2018–2019 Local Health Department (LHD) Quarterly Narrative ReportPlease type all information.

Instructions:Use this document throughout the 2018–2019 contract period. Refer to the contract work plan and related assigned targets/visit numbers when completing the quarterly report. Completed reports and required attachments must be submitted electronically to regional staff [email protected] no later than 30 days from the end of each quarter. The narrative report must be submitted together with the voucher andthe Budget Statement and Report of Expenditures documents. Name your quarterly report files: “County IAP Contract# MonthStart – MonthEnd

YearSubmission.” Example: “Countyname IAP C012345 Apr -Jun 2018 Submission.” Refer to the 2018-2019 IAP Reporting Requirements document for additional guidance. Contact [email protected] with questions.STAFFING CHANGES:Detail below any staffing changes that occurred or are anticipated (e.g., new staff, vacancies, staff diverted to handle communicable disease outbreaks). Also, complete and submit an updated Contact Information Sheet to [email protected] if there are staff changes in the contact list categories.Add rows as necessary.

County: ChenangoIAP Contract #: C-32508GG

Name of person completing the report: Mary Klockowski, RNE-mail address: [email protected]

Telephone Number: 607.337.1660

Q1 (Apr-Jun 18) Q2 (Jul-Sep 18) Q3 (Oct-Dec 18) Q4 (Jan-Mar 19)Due no later than: July 31, 2018 October 31, 2018 January 31, 2019 April 30, 2019

Date report submitted to NYSDOH (month/day/year) 7 / 25 / 2018 10 / 24 / 2018 1/ 31 /2019 / /

This box will be completed by NYSDOH staff: Q1 (Apr-Jun 18) Q2 (Jul-Sep 18) Q3 (Oct-Dec 18) Q4 (Jan-Mar 19)

NYSDOH Reviewer Name(s):NYSDOH Approval Date:

Staff Change Description (e.g., retired, new hire, medical leave) Name Title Effective date(s)New hire Jane Doe RN 10/22/2018New hire John Doe RN 12/10/2018

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VFC Pin Clinic/Practice Name Notes (regarding required follow-up activities and/or information not represented on the AFIX online tool. See instructions above.)

OBJECTIVE 1: CHILD IMMUNIZATIONS•Increase 4:3:1:3:3:1:4 immunization coverage among county children aged 19-35 months according to targets described in the vaccination coverage guidance document.•Increase HPV vaccination coverage among county girls and boys aged 13 years according to targets described in the vaccination coverage guidance document.AFIX Visits: 1a. Record the total number of AFIX Visits included in the Work Plan: __4________1b. Enter information in the AFIX On Line Tool and complete the information in the chart below. Add rows as necessary. Notes column: This is a field for the LHD AFIX Reviewer to document circumstances that affect the LHD staff ability to complete an AFIX and extra efforts put into an AFIX. For example, Electronic Medical Record (EMR) NYSIIS data exchange issues; practices merging; practice declines AFIX; practice closes; weather affecting visit/scheduling; changes in provider staff; need for subsequent eXchange(s); supplies/resources/education provided, etc. In the event that a practice closes or declines AFIX, an alternate practice must be selected for AFIX in its place; the new practice should be documented in this table.

Concern expressed by nursing staff: not all vaccines administered are represented in NYSIIS. F/U with NYSDOH regional staff and Clinical Coordinator for UHS Physician Practice Management via email. Issue addressed and staff education to be provided to nurses by UHS Clinical Coordinator in regards to how the EMR and NYSIIS function.EDUCATIONAL MATERIAL PROVIDED:- HPV, Tdap, Meningococcal info paper mouse pads and HPV appointment reminder pads (see attached)- Talking to Parents about HPV Vaccine https://www.cdc.gov/hpv/hcp/for-hcp-tipsheet-hpv.pdf

- Laminated HPV VACs – Just the Facts for patient exam rooms (see attached) https://www.mysocietysource.org/sites/HPV/ResourcesandEducation/Lists/Clearinghouse/Attachments/320/HPV%20Vaccine%20-%20Just%20the%20Facts%203.9.2016.pdf

- 2018 Recommended Immunizations for Children from Birth Through 6 Years Old https://www.cdc.gov/vaccines/parents/downloads/parent-ver-sch-0-6yrs.pdf

- When Do Children and Teens Need Vaccinations? http://www.immunize.org/catg.d/p4050.pdf- Human Papillomavirus: A parent’s Guide to Preteen and Teen HPV Vaccination

http://www.immunize.org/catg.d/p4250.pdf

- HPV CDC Educational fliers: https://www.cdc.gov/vaccines/partners/downloads/teens/vaccine-safety.pdf and https://www.cdc.gov/std/hpv/HPV-FS-July-2017.pdf

Introduced staff to the CASE method of talking to parents about vaccines – followed up with email of relevant websites.

91975 UHS CMH NorwichPediatrics

Q3 UPDATE: UHS CMH Norwich Pediatrics

Attempt was made by LHD to schedule an Initial eXchange of Information (follow-up) visit in Q3, however, due to scheduling conflicts and holidays this is scheduled to occur Q4 on 1/8/2019 via phone.

SCHOOL IMMUNIZATION SURVEY ASSISTANCESchool name Date IAP Staff Describe Assistance Provided (include whether it was through a phone call or visit)

Afton CSD 4/19/2018 Mary Klockowski Visit to school nurse: Distributed Fliers to be sent to parents of students about immunization requirements for the 2018-19 school year (see “School Visit” files attached)

Bainbridge-Guilford CSD (3 schools)

4/19/2018 Mary Klockowski Visit to school nurse: Distributed Fliers to be sent to parents of students about immunization requirements for the 2018-19 school year (see “School Visit” files attached)

Greene CSD (3 schools) 4/19/2018 Mary Klockowski Visit to school nurse: Distributed Fliers to be sent to parents of students about immunization requirements for the 2018-19 school year (see “School Visit” files attached)

Norwich CSD (4 schools) 4/20/2018 Mary Klockowski Visit to school nurse: Distributed Fliers to be sent to parents of students about immunization requirements for the 2018-19 school year (see “School Visit” files attached)

Holy Family School 4/20/2018 Mary Klockowski Visit to school nurse: Distributed Fliers to be sent to parents of students about immunization requirements for the 2018-19 school year (see “School Visit” files attached)

Oxford Academy (2 schools) 4/20/2018 Mary Klockowski Visit to school nurse: Distributed Fliers to be sent to parents of students about immunization requirements for the 2018-19 school year (see “School Visit” files attached)

Otselic Valley CSD 4/20/2018 Mary Klockowski Visit to school nurse: Distributed Fliers to be sent to parents of students about immunization requirements for the 2018-19 school year (see “School Visit” files attached)

Unadilla Valley CSD 4/20/2018 Mary Klockowski Visit to school nurse: Distributed Fliers to be sent to parents of students about immunization requirements for the 2018-19 school year (see “School Visit” files attached)

Sherburne-Earlville CSD (2 schools)


Afton CSD 4/24/2018 Mary Klockowski Visit: 12pm-2:30pm. Spent with new school nurse explaining: immunization requirements; School nurse, school district, and Local Health Department responsibilities; school survey; NYSIIS access to obtain vaccination dates; methods of communicating with parents; Public Health law and deadlines.

Afton CSD 4/30/2018 Mary Klockowski Phone call: answered questions, scheduled another visit. Contacted NYSDOH Regional Staff regarding concerns of students not meeting the requirements attending school.

Afton CSD 5/1/2018 Mary Klockowski Visit: Chart Review, answering questions. Afton CSD 6/11/2018 Mary Klockowski Phone: answering questions and scheduling a summer visit date to aid school nurse, review

student records in preparation for the beginning of the 2018-19 school year. Visit to occur 7/31/2018.

1c. Assistance to schools for completion of school immunization surveyList the schools visited or contacted, the dates of the visits/contacts, the IAP staff, and the type of assistance provided. Add rows as necessary.

Sherburne-Earlville CSD (2 schools)


Afton CSD 4/24/2018 Mary Klockowski Visit: 12pm-2:30pm. Spent with new school nurse explaining: immunization requirements; School nurse, school district, and Local Health Department responsibilities; school survey; NYSIIS access to obtain vaccination dates; methods of communicating with parents; Public Health law and deadlines.

Afton CSD 4/30/2018 Mary Klockowski Phone call: answered questions, scheduled another visit. Contacted NYSDOH Regional Staff regarding concerns of students not meeting the requirements attending school.

Afton CSD 5/1/2018 Mary Klockowski Visit: Chart Review, answering questions.

Afton CSD 6/11/2018 Mary Klockowski Phone: answering questions and scheduling a summer visit date to aid school nurse, review student records in preparation for the beginning of the 2018-19 school year. Visit to occur 7/31/2018.

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SCHOOL VISITS ON IMMUNIZATION REQUIREMENTSSchool Name Visit Date IAP Staff that attended visit Name(s) of School Staff representatives

Barriers/challenges to timely PHL 2164 compliance reported by the school: (Describe or attach legible summary document)

Barrier:

Strategies/resources provided to the school: (Describe or attach legible summary document)

1d. School visits for training and technical assistance on NYS school immunization requirementsRecord the total number of School Visits assigned for Work Plan: ___1_______ Complete the following information. Add tables as necessary.

Afton Central School District

See above. Initial visit for the 2018-19 school year to occur 7/31/2018

Mary Klockowski, RN Mrs. M. RN

Mrs. M, RN, was hired to replace a retiring school health provider. Having never been a school nurse prior to this appointment she has been learning on the job. When reviewing immunization records for students it was noticed that a number of students were out of compliance. She disclosed this situation when LHD staff made a routine visit (on 4/19/2018) to the school to drop off parent information fliers for the upcoming school year. LHD staff returned to the Afton school on 4/24/18 to offer assistance and review records that were out of compliance. Mrs. M, RN, attempted to contact parents and primary care providers of these students in the following week. On 4/30/18 LHD staff returned to Afton school to help school nurse contact parents and HCPs. LHD staff notified NYSDOH regional office to discuss the situation. On 5/1/18 LHD Staff returned to Afton school to aid in further chart review and answer questions from school nurse. On 6/11/18: phone call made to discuss upcoming school year and to schedule a visit in July (7/31/2018).

New staff not familiar with immunization requirements, lack parent follow through, school administration unfamiliar with requirements.

School to mail reminder fliers to parents in August and include LHD immunization clinic schedule in mailing. Nurse to follow up with phone calls within the first few days of the new school year to parents of students lacking vaccinations. Administration will be invited to attend a BOCES meeting where immunization requirements will be discussed.

Barriers/challenges to timely PHL 2164 compliance reported by the school: (Describe or attach legible summary document)

Strategies/resources provided to the school: (Describe or attach legible summary document)

Phone: School nurse unavailable for visit at the school. LHD contacted school nurse via phone to address questions and review immunization status of students school nurse had questions about. Used NYSIIS to compare to school records to assess if student meets school requirements. Reviewed ‘In Process’, ‘14 Grace period’, ‘Exclusion’, and ‘Exemptions’. Nurse states that she will be attending the School Nurse Orientation (NYSASN) in August.

PLAN: School nurse to call or email with any questions. LHD to visit school in Q3 prior to School Survey being due.

UPDATE: Addition calls received from Afton School nurse to field questions: 8/20/2018; 8/23/2018; 9/3/2018; 9/7/2018; 9/20/2018 Additional emails received from Afton School nurse to field questions: 7/10/18; 7/13/2018; 8/17/2018; 9/14/2018; 9/20/2018

Q3 UPDATE: Meeting via phone held on 11/15/2018. Reviewed School Survey, what/how to submit.

Provided link to website: New York State Center for School Health (https://www.schoolhealthny.com/)

11/15/2018: Discussed plan to monitor student immunization throughout the current school year in order to have more students meeting requirements by the beginning of the next school year.

1d. School visits for training and technical assistance on NYS school immunization requirements

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DAY CARE/PRESCHOOL AUDITS

Name of Day Care/Preschool

Date of Audit

IAP Staff Date entered into School & Day Care Audit Survey on HCS

Date audit letters documentation submitted to School Assessment Unit

Date follow-up materials submitted to School Assessment Unit (if applicable)

YMCA Norwich Daycare

9/20/2018 Mary Klockowski, RN

Survey unavailable on HCS. LHD contacted NYSDOH Regional office on 9/28/2018. Advised that survey should be available by 10/12 /2018.

10/23/18: LHD attempted to enter Daycare visit data. Encountered problems and contacted NYSDOH

Regional Office.10/25/18: Rec’d email stating that Daycare Survey error had been corrected, LHD entered data.

9/27/2018 N/A

1e. Day Care/Preschool audits:Record the total number of Day Care/Preschool audits assigned for Work Plan: ___1__Complete the following information. Add rows as necessary.

CHILD/ADOLESCENT HEALTH CARE PROVIDER TRAINING

Activity Description (Attach agenda, and include or attach list of attendees) IAP Staff Date

Mass emails sent to all providers

1f. Education or training sessions for health care providers serving children and/or adolescents. (This is separate from education during AFIX visits.) Complete the following information. Add rows as necessary.

Visits to Provider offices to distribute updated Immunization recommendations and “The 11 Year Bundle” (LHD’s HPV, Tdap and Meningococcal vaccination at 11 years of age campaign) information and clinic supplies (paper mouse pads, appointment reminder pads, clinic posters, laminated HPV Facts for exam room education, patient/parent educational fliers).Providers Visited: UHS Greene, Bassett Greene, Afton Family Care (Dygert), UHS Primary Care, UHS Pediatrics, UHS Women’s Health, Norwich Family Care, Bassett Norwich,

MKlockowskiC Arnold

4/19/2018

Visits to Provider offices to distribute updated Immunization recommendations and “The 11 Year Bundle” (LHD’s HPV, Tdap and Meningococcal vaccination at 11 years of age campaign) information and clinics supplies (paper mouse pad, appointment reminder pads, clinic posters, laminated HPV Facts for exam room education, patient/parent educational fliers.Providers Visited: UHS Sherburne, UHS Oxford, Bassett Sherburne, Bassett’s Sherburne School Based Health Clinic, Bassett’s Unadilla Valley School Based Health Clinic

M KlockowskiC Arnold

4/20/2018

See Health Ed Log attached M Klockowski

See HealthEd Log

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COMMUNITY EDUCATIONQuarter Activity Description IAP Staff Date

Q1: 4/1/2018 –6/30/2018

Q2: 7/1/2018 –9/30/2018

Q3: 10/1/2018 – 12/31/2018

1g. Community education activities (about the importance of immunizations, with a focus on HPV vaccine or other vaccines with low orlagging coverage levels, specific populations with low or lagging vaccination coverage levels, newer vaccines, or new vaccine recommendations).

Q1:

Planning Phase: Intend to show video “Someone You Love” to Morrisville College nursing student class in the fall of 2018.

Plan made for 9/6/2018 the LHD, NYSDOH Regional Staff, and DCMOBOCES, will collaborate to present The Importance of Vaccinations in schools educating School Superintendents regarding vaccinating requirements, Public Health laws, and the importance of vaccines.

Plan made for 9/21/2018 the LHD, NYSDOH Regional Staff, and DCMO BOCES, will collaborate to present The Importance of Vaccinations in schools educating School Superintendents regarding vaccinating requirements, Public Health laws, and the importance of vaccines.

1g. Community education activities (about the importance of immunizations, with a focus on HPV vaccine or other vaccines with low or lagging coverage levels, specific populations with low or lagging vaccination coverage levels, newer vaccines, or new vaccine recommendations).


Q1: 4/1/2018 –6/30/2018




M Klockowski

Q2: 7/1/2018 –9/30/2018

Q3: 10/1/2018 – 12/31/2018

Q2:Planning Phase continues: Intend to show video “Someone You Love” to Morrisville College nursing student class in the fall of 2018.

UPDATE/Barrier: new teaching staff for fall classes, professor unsure of time needed to show video but would like to discuss with other professors prior to committing. Possibly will modify plan by showing segment of documentary.


UPDATE: presentation date reschedule to 10/19/2018.

“The Importance of Vaccinations in schools’ was given by S.Hammond,NYSDOH Regional Office, at DCMO BOCES in Sidney Center NY, on September 21, 2018. Public school principals (17) in attendance.

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1g. Community education activities (about the importance of immunizations, with a focus on HPV vaccine or other vaccines with low or lagging coverage levels, specific populations with low or lagging vaccination coverage levels, newer vaccines, or new vaccine recommendations).


Q1: 4/1/2018 –6/30/2018




M Klockowski

Q2: 7/1/2018 –9/30/2018

Planning Phase continues: Intend to show video “Someone You Love” to Morrisville College nursing student class in the fall of 2018. UPDATE/Barrier: new teaching staff for fall classes, professor unsure of time needed to show video but would like to discuss with other professors prior to committing. Possibly will modify plan by showing segment of documentary.

Plan made for 9/6/2018 the LHD, NYSDOH Regional Staff, and DCMO BOCES, will collaborate to present The Importance of Vaccinations in schools educating School Superintendents regarding vaccinating requirements, Public Health laws, and the importance of vaccines. UPDATE: presentation date reschedule to 10/19/2018.

“The Importance of Vaccinations in schools’ was given by S.Hammond, NYSDOH Regional Office, at DCMO BOCES in Sidney Center NY, on September 21, 2018. Public school principals (17) in attendance.

M Klockowski

Q3: 10/1/2018 – 12/31/2018

Q3:The offer to show video “Someone You Love” to Morrisville College nursing student class has been put on hold as new nursing instructor unable to commit to time away from lecture.

“The Importance of Vaccinations in schools’ was given by L. Ellsworth, NYSDOH Regional Office, at DCMO BOCES in Sidney Center NY, on October 19, 2018. Public school Superintendents (12) in attendance.

NATIONAL OBSERVANCES

Quarter Activity Description IAP Staff Date

Q1: 4/1/2018 –6/30/2018

NIIWYMCA Family Day (200 interactions)Social media educationDisplay – county office building lobbyDisplay boards previously given to providers for display 4/21-28/2018Press Release – local newspaper

Christina ArnoldLHD StaffMary KlockowskiMary KlockowskiMary Klockowski

4/21/2018April (see Health Ed log)Month of April4/21-28/20184/21/2018

Q2: 7/1/2018 –9/30/2018

NIAMSocial Media education Display – County office building lobbyDisplay – Chenango County Fair Aug 7-12, 2018Press Release – local newspaper

LHD StaffM KlockowskiM KlockowskiM Klockowski

See health Ed log/weekly in AugustAugustAug 7-12, 2018August 1, 2018 (see attached)

Q3: 10/1/2018 –12/31/2018

Nation Influenza AwarenessSocial Media educationDisplay – County office buildingPress release – local newspaperEmail campaign – to business Human Resources for distribution

LHD StaffM KlockowskiM KlockowskiM Klockowski/LHD Staff

12/3/18 (week long)Month of December12/3/1812/3/18

Q4: 1/1/2019–3/31/2019

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LHD STAFF TRAINING

Put an “X” in each applicable boxDescription of webinar, training, or conference attended

IAP Staff Name Date Completed

New Staff

AFIX Reviewers

School Audits / Visits / Survey staff

Pink Book Chapter 10 MK 4/16/2018 X X

VFC/VFA Provider Training 3, 5, 10-13 MK 4/16/2018 X X

Pink book webinars (all) SW 4/18/2018-

5/2/2018

X

VFC/VFA Provider training 1-5, 11-15, 17 SW 4/18/2018 X

Pink book webinars (all) PK In process X

VFC/VFA Provider training 1-5, 11-15, 17 PK In process X

Pink Book Webinars (all) JW In process X

VFC/VFA Provider training 1-5, 11-15, 17 JW In process X

1i. LHD Staff Training related to Objective 1.

IMPROVING HEPATITIS B VACCINE BIRTH DOSE RATEHospital Activity Description Date IAP Staff

HEPATITIS B COMMUNITY EDUCATION/PROFESSIONAL TRAININGQuarter Activity Description. (Include or attach list of attendees and agenda/slides.) IAP Staff DateQ1: 4/1/2018 –6/30/2018

Child Birth Class: 5 expecting mothers with partner (10 people total)Hepatitis B education incorporated into Child birth classes provided by LHD and UHS-CMH Hospital. (Power point slides attached)

Educational materials available in clinic area:Protect Your Baby for Life (CDC Publication No. 22-0427)Hepatitis B Shots Are Recommended for All New Babies (IAC item #P4110)

Jenna Symonds

LHD Staff

5/10/2018

Ongoing

Q2: 7/1/2018 –9/30/2018

Q3: 10/1/2018 –12/31/2018Q4: 1/1/2019 –3/31/2019

LHD STAFF TRAININGDescription of webinar, training, or conference attended IAP Staff Name Date Completed

Perinatal Hep B webinar A. Ingraham, H. Miller, S Winner 5/10/2018

Perinatal Hep B webinar A. Ingraham, B. Ryan 6/7/2018

Perinatal Quarterly call A. Ingraham, B. Ryan 9/6/2018

2g. LHD Staff Training related to Objective 2.

OBJECTIVE 2: PERINATAL HEPATITIS B PREVENTION (PHBP)•PHBP Program case management completed consistent with CDC guidance and NYS public health law 2500e and regulations by 24 months of age.2 a-d. Case identification and investigation: Enter appropriate information in CDESS.2e. Activities to improve Hepatitis B vaccine birth dose rate Add rows as necessary.

2f. Community education and/or professional training sessions to promote hepatitis B community awareness and increase screening and referral rates, especially in communities that are disproportionately impacted.

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Adult Immunization Provider VisitsClinic/Practice

Name & Provider Name(s)

LHD Representative

Date Visit Details (Describe below or attach a completed legible visit tool (or summary letter) with the details. Details should include the provider name and the information described in the instructions above.

Initial: Initial: Initial:

OBJECTIVE 3: INCREASE ADULT IMMUNIZATION RATES3a. Adult Immunization Provider Visits

Instructions for Completing Chart: Provide the requested information for both the initial and follow-up visit for each clinic or practice that was provided an Adult Immunization Provider Visit. Under visit details include the name of the provider(s) and other office personnel who participated in the visit. For the initial visit, document the current clinic/practice immunization practices, specific quality improvement interventions discussed, resources shared, and specific action steps identified. For the follow-up visit/call document action steps taken since initial visit and results, any identified barriers, next steps and additional resources shared.

Instructions for Completing Chart:

Under visit details include the name of the provider(s) and other office personnel who

participated in the visit.

For the initial visit, document the current clinic/practice immunization practices,

specific quality improvement interventions discussed,

resources shared, and specific action steps identified.

Norwich Family Care

M.Klockowski

6/21/2018Practice personnel who participated in the visit: G. M, FNP; A. B.; T. W

Current Practice: Access NYSIIS for scheduled adult visits. Offer needed vaccines if patient is not ill.

QI Interventions: Deactivate patients in NYSIIS, gain permission from and add those patients who are not in NYSIIS.Check practice rates quarterly

RESOURCES SHARED: Practice current immunization rates as per NYSIIS; NYSDOH Adult Immunization Provider Toolkit; Vaccinating Adults: A Step by Step Guide; NYSIIS Fact Sheets for Adults (NYSACHO); Healthcare Personnel Vaccination Recommendations (IAC #P2017); Vaccinations for Adults (IAC #P4030); Before you vaccinate Adults…HALO (IAC #P3070); Adult Immunization Schedule (NYSDOH); Healthcare Provider Office Information (CDC CS246318); Vaccine Recommendation (CDC CS HCVG15); 3 Important Reasons (CDC CS258091B); Don’t Wait Vaccinate (CDC) provided 4 laminated posters.

ACTION: As time allows staff will check NYSIIS and patient charts to assess the vaccination needs of their adult population.

Practice will check their adult immunization rates quarterly.

Adult Immunization Provider VisitsClinic/Practice

Name & Provider Name(s)

LHD Representative

Date Visit Details (Describe below or attach a completed legible visit tool (or summary letter) with the details. Details should include the provider name and the information described in the instructions

above.

Norwich Family Care

Follow-up: M Klockowski

Follow-up: 9/12/2018

Instructions for Completing Chart: Provide the requested information for both the initial and follow-up visit for each clinic or practice that was provided an Adult Immunization Provider Visit. Under visit details include the name of the provider(s) and other office personnel who participated in the visit. For the initial visit, document the current clinic/practice immunization practices, specific quality improvement interventions discussed, resources shared, and specific action steps identified. For the follow-up visit/call document action steps taken since initial visit and results, any identified barriers, next steps and additional resources shared.

3a. Adult Immunization Provider VisitsOBJECTIVE 3: INCREASE ADULT IMMUNIZATION RATES

Instructions for Completing Chart:

For the follow-up visit/call document action

steps taken since initial visit and results, any

identified barriers, next steps and additional

resources shared.

Follow-up: A. B. via phone

Steps practice has taken:Staff states that they have begun reviewing charts of adult patients and have made a few phone calls notifying patients of a vaccination need. Staff states that they have begun to deactivate inactive patients from NYSIIS

Barriers: Time. Practice is a very busy one, not leaving a lot of time for these activities, but staff states that they are working on them.

Next Step: LHD will be notified if provider staff has any questions.Staff did verbalize the need for Shingrix dosing and recommendations.

Additional Resources: LHD provided information and VIS to practice nurse.

2nd Adult Provider visit due in Q1

M Klockowski Note *NOTE: had planned an Adult Provider Visit at Bassett Greene but after

repeated attempts to contact learned that I was unable to do visit because provider for practice retired. Choose Bassett Sherburne to visit instead. Unable to schedule until Q2.

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ADULT IMMUNIZATION COALITION MEETINGSQuarter Meeting

DateIAP Staff Meeting Summary (Attach comprehensive meeting minutes or describe below. Summary/minutes should include a list of

organizations that attended, and a brief description of discussion items and identified action items.)

Q1:4/1/2018 –6/30/2018

Q2:7/1/2018 –9/30/2018

Q3:10/1/2018 –12/31/2017

Q4: 1/1/2019 –3/31/2019

3d. Adult Immunization Coalition meetings Complete the chart below to summarize what occurred at each coalition meeting.

Q1: The coalition includes county business Human Resource and/or WellnessCommittee members.

The object is to educate and offer opportunities for education to employees viathese groups. Adult immunizations will be included as part of the educational offerings.

Meeting attended by: Chenango Health Network, United Way, LHD, ChobaniHR/Wellness committee members, 2 Local Faith Communities, Unison HR/Wellness committee members, Catholic Charities.

Discussion items: Vision for coalition: Distribution of health and wellness information to work place Human Resource departments for dissemination to employees. This information sharing will include a once per quarter meeting and monthly “Topic of the Month” mass emails to HRs. Topics include, but are not limited to: adult immunizations, physical wellness, insurance/worker’s comp, mental health, preparedness, family health, etc.

Discussion regarding recruitment of county employers and/or wellness committees.

ADULT IMMUNIZATION COALITION MEETINGS

Quarter Meeting Date

IAP Staff Meeting Summary (Attach comprehensive meeting minutes or describe below. Summary/minutes should include a list of organizations that attended, and a brief description of discussion items and identified action items.)

Q1:4/1/2018 –6/30/2018

5/23/2018 M KlockowskiB McCarty

The coalition includes county business Human Resource and/or Wellness Committee members. The object is to educate and offer opportunities for education to employees via these groups. Adult immunizations will be included as part of the educational offerings. Meeting attended by: Chenango Health Network, United Way, LHD, Chobani HR/Wellness committee members, 2 Local Faith Communities, Unison HR/Wellness committee members, Catholic Charities.Discussion items: Vision for coalition: Distribution of health and wellness information to work place Human Resource departments for dissemination to employees. This information sharing will include a once per quarter meeting and monthly “Topic of the Month” mass emails to HRs. Topics include, but are not limited to: adult immunizations, physical wellness, insurance/worker’s comp, mental health, preparedness, family health, etc.Discussion regarding recruitment of county employers and/or wellness committees.

Q2:7/1/2018 –9/30/2018

Q3:10/1/2018 –12/31/2017

Q4: 1/1/2019 –3/31/2019


Q1: 2nd meeting

Meeting attended by: BOCES, Catholic Charities, NBT Bank, LHD,Chenango Health Network, United Way, Chobani.

Topics: Review purpose for coalition. LHD presented Workplace safety and importance of preventative medical care including adult immunizations. LHD included discussion about annual Flu vaccine in addition to Tdap/Td and Pneumonia vaccines. Tobacco cessation assistance programs discussed.

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ADULT IMMUNIZATION COALITION MEETINGS

Quarter Meeting Date

IAP Staff Meeting Summary (Attach comprehensive meeting minutes or describe below. Summary/minutes should include a list of organizations that attended, and a brief description of discussion items and identified action items.)

Q1:4/1/2018 –6/30/2018

5/23/2018

6/27/2018

M KlockowskiB McCarty

M KlockowskiJ SymondsS Winner


Meeting attended by: BOCES, Catholic Charities, NBT Bank, LHD, Chenango Health Network, United Way, Chobani,Topics: Review purpose for coalition. LHD presented Workplace safety and importance of preventative medical care including adult immunizations. LHD included discussion about annual Flu vaccine in addition to Tdap/Td and Pneumonia vaccines. Tobacco cessation assistance programs discussed.

Q2:7/1/2018 –9/30/2018

Q3:10/1/2018 –12/31/2017

Q4: 1/1/2019 –3/31/2019


Q2:

7/11/2018Meeting attended by: United Way, Chenango Health Network, LHD

Topic: Discuss/Finalize Business Flu Plan. Meet with Human Resources to propose plan Distribute Survey Decide education needs Interview Doctor for Q&A Distribute Q&A

ATTACHED DOCUMENTS: Survey Monkey Q&A Flu Education FLU 2018 Payroll Stuffer

09/10/2018NOTE: Chenango County presented Coalition work on State call

9/10/2018. See “Chenango Coalition 2018”, note attached.

ADULT IMMUNIZATION COALITION MEETINGSQuarter Meeting

DateIAP Staff Meeting Summary (Attach comprehensive meeting minutes or describe below. Summary/minutes should include a list

of organizations that attended, and a brief description of discussion items and identified action items.)

Q1:4/1/2018 –6/30/2018

5/23/2018

6/27/2018

M KlockowskiB McCarty

M KlockowskiJ SymondsS Winner


Meeting attended by: BOCES, Catholic Charities, NBT Bank, LHD, Chenango Health Network, United Way, Chobani,Topics: Review purpose for coalition. LHD presented Workplace safety and importance of preventative medical care including adult immunizations. LHD included discussion about annual Flu vaccine in addition to Tdap/Td and Pneumonia vaccines. Tobacco cessation assistance programs discussed.

Q2:7/1/2018 –9/30/2018

7/11/2018

9/10/2018

M Klockowski

M Klockowski

Meeting attended by: United Way, Chenango Health Network, LHDTopic: Discuss/Finalize Business Flu Plan. Meet with Human Resources to propose plan Distribute Survey Decide education needs Interview Doctor for Q&A Distribute Q&A ATTACHED DOCUMENTS: Survey Monkey Q&A Flu Education FLU 2018 Payroll Stuffer

NOTE: Chenango County presented Coalition work on State call 9/10/2018. See “Chenango Coalition 2018”, note attached.

Q3:10/1/2018 –12/31/2017

Q4: 1/1/2019– 3/31/2019


Q3:

11/16/2018

Scheduled meeting cancelled due to inclement weather. Meeting not rescheduled this quarter.

Note: LHD continued to work on final stages of Business Flu Plan with Chenango County Employees. Tracking vaccination levels of group and continuing to educate and promote influenza vaccination. (Follow up survey and final number of employees vaccinated will be completed Q4)

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Adult Immunization Coalition Recruitment Efforts

Quarter

Description of Recruitment Activities (include names of organizations contacted, name & title of contact person(s) at

organizations, and methods used to recruit)

Names of Organizations added to coalition

membership

IAP Staff who conducted

recruitment effort

Q1: 4/1/2018 –6/30/2018 Majority of coalition recruitment is done by the Chenango

Health Network and Chenango United Way as part of their Employee Health and wellness agenda. LHD has joined in the effort to recruit Chenango County Government Human Resource Department. LHD’s role in coalition will include educating employers/employees about adult immunizations. LHD does not have access to complete list organizations contacted, name & title of contact person(s) at organizations, and methods used to recruit by the Chenango Health Network or United Way. LHD has met with Chenango County Human Resource Director, Lisa Kerr, to describe our goal of increasing the influenza vaccine uptake of Chenango County employees by launching an educational campaign.

LHD does not have access to the Names of Organizations added to the coalition membership.The names of employers attending each meeting are listed in 3d.

Access to Chenango County employees via email approved by Lisa Kerr, Human Resources Director.

M Klockowski, B. McCarty

Q2: 7/1/2018 –9/30/2018

N/A Coalition group formed Q1

Q3: 10/1/2018 – 12/31/2018

N/A Coalition group formed Q1

Q4: 1/1/2019–3/31/2019

3e. Recruiting community partners to participate in coalitions.•Attach a current membership list for the Adult Coalition you participate in. The list should include organization/agency name and a contact person’s name, email and phone number. Complete the chart below.

COALITION INTERVENTION PLAN

Intervention Plan ComponentDate the component entered or updated in quarterly report

3f. Evidence-based coalition intervention

In the chart below, provide the requested information for the evidence-based intervention the coalition has chosen to implement.intervention. The plan should be developed prior to beginning any implementation activities.

Intervention Name:

Community Preventive Services Task Force’s “Interventions to Promote Seasonal InfluenzaVaccinations among Non-Healthcare Workers Interventions with On-site, Reduced Cost,Actively Promoted Vaccinations”(https://www.thecommunityguide.org/sites/default/files/assets/Worksite-Influenza-Vaccinations-non-Healthcare-Workers-On-Site.pdf)

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Intervention Name:Community Preventive Services Task Force’s “Interventions to Promote Seasonal Influenza Vaccinations among Non-Healthcare Workers Interventions with On-site, Reduced Cost, Actively Promoted Vaccinations” (https://www.thecommunityguide.org/sites/default/files/assets/Worksite-Influenza-Vaccinations-non-Healthcare-Workers-On-Site.pdf)

7/10/2018



Target Audience/Vaccine:

Chenango County Employees/Annual Influenza Vaccine.Chenango County Employee’s health insurance does not cover vaccinations (including theinfluenza vaccine). Less than 50% of our employees get the annual flu vaccine which isoffered annually at no cost to the employee. Our goal is to increase that percentage througheducation and promotion. Once we have “worked out the kinks” we would like to roll thisplan/educational method out to other employers in the county.




Target Audience/Vaccine:Chenango County Employees/Annual Influenza Vaccine.Chenango County Employee’s health insurance does not cover vaccinations (including the influenza vaccine). Less than 50% of our employees get the annual flu vaccine which is offered annually at no cost to the employee. Our goal is to increase that percentage through education and promotion. Once we have “worked out the kinks” we would like to roll this plan/educational method out to other employers in the county.



Implementation Plan:

July 24 – July 27, 2018: Distribute Survey to all Chenango County EmployeesJuly 30 – Aug 3, 2018: Identify educational needs, develop outreach toolsAugust 6 – 31, 2018: Provide education to employees via email, include opportunity tosubmit questions to be addressed by Chenango County Medical Director.September: Q&A email/newsletter or video featuring Medical Director answering submittedquestions

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Target Audience/Vaccine:Chenango County Employees/Annual Influenza Vaccine.Chenango County Employee’s health insurance does not cover vaccinations (including the influenza vaccine). Less than 50% of our employees get the annual flu vaccine which is offered annually at no cost to the employee. Our goal is to increase that percentage through education and promotion. Once we have “worked out the kinks” we would like to roll this plan/educational method out to other employers in the county.

Implementation Plan:July 24 – July 27, 2018: Distribute Survey to all Chenango County EmployeesJuly 30 – Aug 3, 2018: Identify educational needs, develop outreach toolsAugust 6 – 31, 2018: Provide education to employees via email, include opportunity to submit questions to be addressed by Chenango County Medical Director.September: Q&A email/newsletter or video featuring Medical Director answering submitted questions



Evaluation Plan:

Jan/Feb: Post surveyMarch: Evaluate success of strategies

Quarter Activities conducted to implement and evaluate the intervention (include the date the intervention was held)

IAP Staff

Q1: 4/1/2018 –6/30/2018

Q2: 7/1/2018 –9/30/2018

Q3: 10/1/2018 –12/31/2018

Q4: 1/1/2019–3/31/2019

In the chart below, document specific implementation, monitoring and evaluation activities conducted.

Q1

LHD planning meetings held once a week 1/16/18 – 5/1/2018; twice per month from5/8/18 – current.

6/03/2018: Meeting with Chenango County Human Resource Department Head.

6/27/2018: LHD Director of Patient Services met with Chenango County’s PersonnelCommittee to obtain project approval.

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IAP Staff

Q1: 4/1/2018 –6/30/2018

LHD planning meetings held once a week 1/16/18 – 5/1/2018; twice per month from 5/8/18 – current.


6/27/2018: LHD Director of Patient Services met with Chenango County’s Personnel Committee to obtain project approval

M KlockowskiB McCartyD GramstadJ SymondsC. Arnold

M. Klockowski, B McCarty

D. Gramstad

Q2: 7/1/2018 –9/30/2018

Q3: 10/1/2018 –12/31/2018

Q4: 1/1/2019–3/31/2019


Q2

LHD Health Educators meet twice per month, coalition work included in these meetings.

7/11/2018 – Met with Chenango Health Network to review survey to be sent

7/30/2018 – Coalition members reviewed survey results and discussed education plan and proposed Flu clinic schedule offerings.

8/28/2018 – LHD met with Dr. Cohen for Q&A

9/27/2018 – Q&A education distributed to Chenango County Employees via mass email. Addition educational posters distributed throughout County Office Building, Payroll stuffers included in pay checks.


IAP Staff

Q1: 4/1/2018 –6/30/2018

LHD planning meetings held once a week 1/16/18 – 5/1/2018; twice per month from 5/8/18 – current.


6/27/2018: LHD Director of Patient Services met with Chenango County’s Personnel Committee to obtain project approval

M KlockowskiB McCartyD GramstadJ SymondsC. Arnold

M. Klockowski, B McCarty

D. Gramstad

Q2: 7/1/2018 –9/30/2018

LHD Health Educators meet twice per month, coalition work included in these meetings.

7/11/2018 – Met with Chenango Health Network to review survey to be sent

7/30/2018 – Coalition members reviewed survey results and discussed education plan and proposed Flu clinic schedule offerings.

8/28/2018 – LHD met with Dr. Cohen for Q&A

9/27/2018 – Q&A education distributed to Chenango County Employees via mass email. Addition educational posters distributed throughout County Office Building, Payroll stuffers included in pay checks.

LHD Staff

M Klockowski

CHN, LHD, UW

M Klockowski, D Gramstad, B McCarty

LHD Staff

Q3: 10/1/2018 –12/31/2018

Q4: 1/1/2019–3/31/2019


Q3

Influenza vaccination clinics held for Chenango County Employees on the followingdates:

10/3/18; 10/5/2018; 10/9/2018; 10/10/2018; 10/11/2018

Totals collected for comparison to last flu season’s vaccination rates of ChenangoCounty Employees.

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LHD STAFF TRAINING

Description of webinar, training, or conference attended IAP Staff Name Date Completed

Q1: No trainings completed for this objective this quarter 1

Q2: Webinar: Effectively Recommending Vaccines Across theLifespan 8/17/2018Webinar: Seasonal Flu webinarLHD Seasonal Flu Protocol Review

Q3:CNY Adult Immunization Conference

Quarterly AFIX callACIP Meeting Update webinarCurrent Issues in Vaccines webinarImmunization Potpourri 2018 webinarCurrent Issues in Vaccines webinarHPV webinarHow I recommend the Flu vaccine webinarConsortia Meeting web meeting

M Klockowski, B McCarty, D. Gramstad, M.Flindt

M KlockowskiM KlockowskiM Klockowski, LHD StaffM Klockowski, LHD StaffM Klockowski, LHD StaffM Klockowski, LHD StaffM Klockowski, LHD StaffM Klockowski

10/12/2018

11/5/201811/6/201811/14/201811/15/201811/28/201812/11/201812/12/201812/17/2018

3g. LHD Staff Training related to Objective 3.

OBJECTIVE 4: REDUCE DISPARITIES AMONG SPECIAL/UNDERSERVED POPULATIONSAchieve a measurable improvement in outcome(s) to be identified and measured in conjunction with stakeholders representing special/underserved

population(s) in the county4a-d. Special/underserved population(s) information.

Special/underserved population(s) selected: 19-64 year oldsIntervention:

Performance Measure:

Baseline:

Target:

Educate Providers on the usefulness of NYSIIS and asking their patient’s consent to have their immunizations entered into NYSIIS. Educate 19-64 to make them aware of NYSIIS and the benefits of having all of your vaccination information in one database.

Increase NYSIIS use in 19-64 year old adults

to be determined

to be determined

UPDATE (Q3) New Intervention: Educate LHD patients at each visit of recommended immunizations to bring that patient up to date as per ACIP recommendations.

UPDATE (Q3) Performance Measure:Track the number of vaccinations recommendations made by LHD staff, and the number of recommend vaccinations a patient takes within the 19-64 age group. For example: Patients generally schedule an appointment at the LHD requesting at least one specific vaccination. We will be tracking how many additional vaccinations the patient may need using NYSIIS/Vaccination Record and ACIP recommendations. In addition to tracking the number of vaccines our staff recommends, we will track how many of these vaccination are taken by the patient and how many are refused.

UPDATE (Q3) Baseline: LHD we determine the number of vaccinations the patients initially schedule their appointment for Baseline. (For example: Patient schedules appointment for Tdap vaccine)

UPDATE (Q3) Target:At least a 10% increase in the average number of vaccinations administered to patients aged 19-64 at the LHD. (Average determined by # vaccines requested at time of scheduling appointment vs. number of vaccinations actually administered).

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Quarter Description of intervention activities and names of key stakeholders involved.

Quarterly Measure Value (begins no later than 4th quarter)

IAP Staff Date

Q1: 4/1/2018 – 6/30/2018

Provider visits and AFIX visits: encouraging NYSIIS use as a reliable way to track patient’s vaccination status. See Health Ed Log (attached) for dates of visits.

M Klockowski See Health Ed Log

Q2: 7/1/2018 – 9/30/2018

-NYSIIS usage encouraged at Adult provider visit-Distributed Ask your provider about NYSIIS at county fair/display-Mass email to HCP: Training opportunity available – NYSIIS User Regional Group meeting Tuesday, October 2, 2018 Central Region –Syracuse

M KlockowskiLHD staffM Klockowski

See Health Ed Log9/17/2018

Q3:10/1/2018 – 12/31/2018

10/30/2018: Received an email from L. Ellsworth, NYSDOH Regional office, regarding Objective 4. It was determined that “Increasing NYSIIS use in 19-64 year old adults” was too vague of an intervention and I did not have a way to determine a baseline or measurements of effectiveness of interventions.

New Intervention was selected as listed above.

M. Klockowski

Q4: 1/1/2019 – 3/31/2019

4d. List activities conducted each quarter to engage special/underserved populations in immunization activities.

LHD STAFF TRAINING

Description of webinar, training, or conference attended IAP Staff Name

Date Completed

NYSIIS Ask the Trainer webinars M Klockowski See Health Ed Log (attached)

Recommendations for the use of Herpes Zoster vaccine (CDC) LHD staff 5/10/2018

NYSIIS Ask the Trainer webinars Effectively Recommending Vaccines Across the Lifespan 8/17/2018

webinarWebinar: Seasonal Flu webinarLHD Seasonal Flu Protocol Review for LHD staff and Per diem nurses

M Klockowski, M Klockowski and LHD Staff

See Health Ed Log8/17/20189/17/20189/10/2018

Current Issues in Vaccines webinarImmunization Potpourri 2018 webinarCurrent Issues in Vaccines webinarHPV webinarHow I recommend the Flu vaccine webinar

LHD Staff See Health Ed Log

4e. LHD Staff Training related to Objective 4.

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NYSIIS PROMOTION ACTIVITIESQuarter Activity description IAP Staff DateQ1: 4/1/2018 –6/30/2018

Attended NYSIIS Ask the Trainer webinarsNYSIIS addressed at all Provider visits, AFIX visits, LHD provides support for NYSIIS use & trouble shooting. Distribute NYSIIS fliers to adult patients at various health fairs.

M Klockowski See Health Ed Log attached

Q2: 7/1/2018 –9/30/2018

Attended NYSIIS Ask the Trainer webinarsNYSIIS addressed at all Provider visits, AFIX visits, LHD provides support for NYSIIS use & trouble shooting. Distribute NYSIIS fliers to adult patients at various health fairs.

M Klockowski See Health Ed Log attached

Q3: 10/1/2018 – 12/31/2018

Current Issues in Vaccines webinarImmunization Potpourri 2018 webinarCurrent Issues in Vaccines webinarHPV webinarHow I recommend the Flu vaccine webinar

LHD See Health Ed Log

Q4: 1/1/2019 –3/31/2019

OBJECTIVE 5: IMPROVE COUNTY-WIDE NYSIIS ACCURACY AND COMPLETENESS•Ensure that all vaccination records are completely and accurately entered into NYSIIS.5a. Submit information on providers the LHD referred to NYSIIS: List below or attached copy of list and/or copies of referral tool or emails5b. Activities conducted to identify and register providers, educate about consent to report adults in NYSIIS, respond to and triage questions, coordinate training, promote and distribute NYSIIS training materials, etc.

LHD STAFF TRAININGDescription of webinar, training, or conference attended IAP Staff Name Date Completed




ADMINISTRATIVE STRUCTUREQuarter Yes No* *If no, provide an explanation

Q1:4/1/2018 – 6/30/2018 Yes

Q2: 7/1/2018 – 9/30/2018 Yes

Q3: 10/1/2018 – 12/31/2018 Yes

Q4: 1/1/2019– 3/31/2019

OBJECTIVE 6: ADMINISTRATIVE STRUCTURE•Have an administrative structure in place to ensure that the IAP program fits into organizational structure6 a-c. Does the LHD comply with the work plan tasks under the Administrative Structure objective? Mark answer below.

REPORTINGQuarter Yes No* *If no, provide an explanation

Q1:4/1/2018 – 6/30/2018 Yes

Q2: 7/1/2018 – 9/30/2018 Yes

Q3: 10/1/2018 – 12/31/2018 Yes

Q4: 1/1/2019– 3/31/2019

OBJECTIVE 7: REPORTING•Submit timely and accurate narrative and fiscal reports and spend funds on allowable expenses.7 a-c. Does the LHD comply with the work plan tasks under the Reporting objective? Mark answer below.

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Questions?

2018-2023 Immunization Action Plan Work PlanNarrative Report Immunization Action Plan (IAP)...

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