Oregon Public Health Orientation For New Local and Tribal Administrators The Oregon Immunization Program Mimi Luther Provider Services Team Manager OREGON IMMUNIZATION PROGRAM 2 Our Priorities ID: 934473
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PUBLIC HEALTH DIVISIONOffice of the State Public Health Director
Oregon Public Health Orientation
For New Local and Tribal Administrators
The Oregon Immunization Program
Mimi Luther
Provider Services Team Manager
Slide2OREGON IMMUNIZATION PROGRAM
2
Our Priorities
A Healthy Oregon
Access to quality immunization services for all
Equity
Lens
: AI/AN, Corrections, Refugees,
Rural/Frontier, more…
VFC Access
Customer Support
LHDs, Tribes, Private Practice, Pharmacies, Corrections, Hospitals…
State Health Improvement Plan (SHIP)
School aged children
School Based Health Centers
Flu vaccine
HPV vaccine in adolescents
Slide3OREGON IMMUNIZATION PROGRAM
3
What Do We Provide?
Clinical Training and Technical Assistance,
VAERS
Surveillance and
Research & Epidemiology Support
School Law
Administration
Pharmacy Protocols and Standing Orders
Slide4OREGON IMMUNIZATION PROGRAM
4
What Do We Provide?
The ALERT
IIS
Clinical decision support at the point of
care
Accessible immunization data for all user
types
Meaningful Use and EHR
interoperability
Vaccines for Children and School law
support
VPD Surveillance support
Slide5OREGON IMMUNIZATION PROGRAM
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What Do We Provide?
-Customer
Service
-Provider Education &
Training
-
Immunize Oregon
Coalition
-Communications Support
-LHD Program Support:
Peri
Hep
B, School Law, more
Slide6OREGON IMMUNIZATION PROGRAM
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What Do We Provide?
Vaccines
Vaccines For Children
Program
Adult and Preparedness
Vaccine
Billable
Project
Quality
Improvement
-AFIX, CCOs, More
…
And, DATA! How can we help you?
Slide7OREGON IMMUNIZATION PROGRAM
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Oregon Immunization Program 2016-17 Vaccine Budget $55,453,593
Slide8OREGON IMMUNIZATION PROGRAM
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Slide9OREGON IMMUNIZATION PROGRAM
9
Vaccine Distributed to
ITU (
IHS Tribal & Urban)
Clinics
($305,000)
OrgName
Doses
Shipped (FY16-17)
Value
Total Immunization
VISITS (2016)
Total pediatric
Total Adults
Percent Peds
Percent Adult
CHEMAWA INDIAN HEALTH CENTER
1,018
$51,311.80
2,015
835
1,180
41%
59%
COQUILLE INDIAN COMM HEALTH CENTER
375
$19,910.70
738
144
594
20%
80%
COW CREEK HLTH AND WELLNESS SOUTH
410
$22,015.63
1,004
307
697
31%
69%
GRAND RONDE HLTH AND WELLNESS CTR
764
$39,510.05
1,986
615
1,371
31%
69%
KLAMATH TRIBAL HLTH WELLNESS CTR
530
$21,786.00
583
267
316
46%
54%
NARA (All sites)
1,800
$95,947.56
2,142
753
1,389
35%
65%
SILETZ COMMUNITY HEALTH CENTER
990
$52,672.30
1,512
810
702
54%
46%
YELLOWHAWK TRIBAL HEALTH CENTER
850
$50,369.22
5,243
2,557
2,686
49%
51%
All
6,737
$353,523.26
15,223
6,288
8,935
41%
59%
Slide10OREGON IMMUNIZATION PROGRAM
10
Where are vaccines given in Oregon?
2016 total 86% Private, 14% Public
Where Are Vaccines Administered? Public vs. Private Sector - 2016
(IIS data including pharmacies, hospitals, VFC providers, etc.)
County
Private
Public
Baker
42%
58%
Benton
83%
17%
Clackamas
94%
6%
Clatsop
93%
7%
Columbia
94%
6%
Coos
89%
11%
Crook
58%
42%
Curry
75%
25%
Deschutes
86%
14%
Douglas
82%
18%
Gilliam
0%
100%
Grant
64%
36%
Harney
75%
25%
Hood River
87%
13%
Jackson
83%
17%
Jefferson
38%
62%
Slide11OREGON IMMUNIZATION PROGRAM
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Where are vaccines given in Oregon?
2016 total 86% Private, 14% Public
Josephine
94%
6%
Klamath
84%
16%
Lake
12%
88%
Lane
88%
12%
Lincoln
80%
20%
Linn
97%
3%
Malheur
82%
18%
Marion
78%
22%
Morrow
4%
96%
Multnomah
86%
14%
Polk
56%
44%
Tillamook
75%
25%
Umatilla
66%
34%
Union
88%
12%
Wallowa
93%
7%
Wasco
95%
5%
Washington
92%
8%
Wheeler
0%
100%
Yamhill
85%
15%
Grand Total
86%
14%
Slide12ALERT IIS:Vitals
OREGON
IMMUNIZATION PROGRAM
12
6.5
MILLION CLIENT RECORDS
56
MILLION IMMUNIZATIONS
125k
QUERIES PER MONTH
12k
ACTIVE
USERS
Slide13Considerations for AdministratorsBillable Vaccine Project
What is the status of your insurance contracts?
Do you know your actual costs to administer vaccine?
Are you billing for actual costs?
Fast-track VFC Enrollment – we prioritize new providers in poor-access areas, at your request in cooperation with your CCO(s)
Is there adequate access in your community for adults needing immunizations?
School law – how can you support?
(Enter) DEPARTMENT (ALL CAPS)
(Enter) Division or Office (Mixed Case)
13
Slide14OREGON IMMUNIZATION PROGRAM
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Contacts:
Program Manager: Aaron Dunn, 971-673-0318,
aaron.dunn@state.or.us
ALERT IIS Director:
Jenne
McKibben, 971-673-0294,
jenne.mckibben@state.or.us
CDC Public Health Advisor: Cecile Town, 971-673-0562,
cecile.town@state.or.us
VFC-QI Coordinator: Rex Larsen, 971-673-0298,
rex.a.Larsen@state.or.us
Provider Services Team Manager: Mimi Luther, 971-673-0296,
l
ydia.m.luther@state.or.us