School-Located Immunization Program Jennifer Brickley, RN ECH and SEMN Region Immunization Program Coordinator
Objectives O Review national immunization goals O Discuss strategies for increasing immunization rates O Introduce the School-Located Immunization Program (SLIP) O Discuss SLIP program challenges O Question and answer panel
Healthy People 2020 Goals O Increase percentage of children and adults vaccinated annually against influenza O 2008: 25.8% of elementary school age children nationally received flu vaccine O 2013: 55% of elementary school age children nationally received flu vaccine O 2020: 80% is goal
Community Preventative Services Task Force O Improve vaccinations by: O Enhancing access : Vaccines in schools O Increasing demand : Combination community-based interventions O System interventions : “Standing Orders” O SLIP program utilizes all of the above
SLIP O 2009 Partnership initiated O Mayo Clinic O Olmsted Medical Center O Olmsted County Public Health Services O Olmsted County public and private schools O Shared goal: To create an opportunity for all school age children in Olmsted County to be vaccinated for seasonal influenza
SLIP Objectives O Build long term collaboration to vaccinate school-aged children against influenza O Increase first time vaccinations for populations currently not seen in clinics O Decrease influenza-like illnesses for students and teachers
SLIP Objectives O Increase “herd immunity” by vaccinating children who are most likely to spread disease O Reach children where they are O Provide convenience for parents
SLIP Growth O 2009: O 2 pilot schools participating O 851 total students enrolled O 20% vaccinated O 2014 O 36 schools participating O 15,830 total students enrolled O 39% vaccinated
School-Located Immunization Program 7000 45 40 6000 Number of Schools/Percent Vaccinated 35 Number of Students Vaccinated 5000 30 4000 25 20 3000 15 2000 10 1000 5 0 0 2009 2010 2011 2012 2013 2014 Students Vaccinated Percent Vaccinated Number of Schools
2015 Slip Plan O Increase school coverage in Olmsted County O All elementary schools O All middle schools O All private and some public high schools O Future goals -- 2016 O Include public high schools in ISD 535 O Include HPV vaccination for grades 4 - 6
How Does SLIP Work? O Registration completed online or by paper O SEMIC website houses online registration O Mayo Clinic, OMC and OCPHS nurses travel to schools with all supplies needed O Registrations O Vaccine O Refrigerators O Computers
How Does SLIP Work? O Volunteers usher children to designated site within the school O Children are screened and vaccinated O Parent has completed screening prior O Immunizations entered in to medical record via remote access O Immunizations are billed as part of the process
How Does SLIP Work? O Children are not vaccinated if O Screening form cannot be verified O Child refuses O Some effort is made to vaccinate O Medical issues are identified O Child is sick that day O Inconsistent report of asthma history
How Does SLIP Work? O All children receive a form to take home O “Your child was vaccinated” O “Your child did not receive the flu vaccine” O Attempts are made to notify parents if child did not receive the vaccine O Email from school O Phone call from school or SLIP staff
SLIP Challenges O Coordination between multiple groups O Scheduled monthly meetings O Communication related to schools O ISD 535 -- large district -- increased workload for LSNs O Populations vary by school O Timing can affect parent participation O No centralized contact
SLIP Challenges O Disruption of school time O Most schools are completed within 2 hours O Students are absent from class <30 minutes O Decentralization of students in middle/high O Earlier start time O Maintenance of internet connectivity O Resort to paper form if unable to chart O Chart after clinics completed
SLIP Challenges O Supply of staff O Mayo Clinic O Permanent, supplemental flu staff O Increased to 29 nurses for next year O Staff assist with practice flu clinics O Olmsted Medical Center O Limited staff O Close immunization clinic for 4 weeks
SLIP Challenges O Recruitment of volunteers O Parent-help can be good and bad O Solutions sought for standardized volunteer group O Scheduling issues O Individual school schedules O Nurse staffing O Vaccine availability
Summary O National immunization goals O Strategies for increasing immunization rates O School-Located Immunization Program (SLIP) O SLIP program challenges O Question and answer panel
Question and Answer Panel O Kim Pokrandt, RN, LSN O Therese Appel Jacobs, LPN O Eric Lindskog O Mary Ann Kachelski, RN O Jen Brickley, RN O Bob Jacobson, MD
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