Flu Consent Form Template - PowerPoint by tlo18813


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									Implementing Expanding Influenza Vaccine

                     Issue                                           Approach
Consent forms
Forms difficult to understand                    Develop standardized consent form nationally
Language barriers with parents                   approved by legal/school/public health
Forms sent home to students but never reach      associations to accelerate legal approval process
parents                                                 o Immunization Action Coalition has
Schools need consent forms approved by legal           model physician order forms; MedImmune
consultant, often takes a long time - becomes a         has template consent forms
disincentive for schools to buy into holding      Require all students return consent forms
clinics                                           regardless of accepting or declining vaccination
Parents do not understand the importance of      Provide incentives
annual seasonal flu vaccination                         o MedImmune noted how offering
                                                        children small prizes largely improved
                                                        response rate among younger children in
                                                        returning consent forms
                                                  Improving social marketing/communication
                                                  message on benefits of flu vaccination (e.g.
                                                  parents miss fewer days of work to care for ill
                                                  children, school sports coaches encouraging
                                                  students to be vaccinated so that they miss fewer
                                                  days in the season)
                                                        oNeed CDC/HHS to help identify effective
Communicating to parents the
importance of annual flu vaccination   Use existing tools/campaigns to deliver
                                             o“Say Boo to the Flu”
                                             o“Don’t Get Sidelined by the Flu”
                                             o“Spread the Word, Not the Flu”
                                             oNational Influenza Vaccination Week
                                       Organize national focus groups to develop
                                       unified messages (e.g. Gardasil “One Less”
                                       campaign and “I Choose” commercial)
                                       Partner with local organizations and others (e.g.
                                       employers of parents) to develop messages
                                       appropriately target community being served
                                       Use multiple avenues of communication –
                                       email, reverse 911 communication system
                                       (Knox Co.), PIO
                                             oDifferences among communities will
                                             require a menu of messages and
                                             approaches – necessary to make wide
                                             variety of messaging resources available to
                                             health depts, schools, and parents
Paying for vaccine (challenges specific to         Have insurance companies invest $ in the state
universal and non-universal states)                 and have state purchase school clinic flu
Covering administrative fees                       vaccines (option currently discussed in Vermont)
Billing for Medicaid                               RFA to identify ways to partner with 3rd-party
Timing of funding – late notice does not allow     billing
enough time to plan clinics                         Advocate for flexibility in federal/state grant

 Additional challenges with annually               RFA for LHDs/schools to build infrastructure
vaccinating children; sustaining                    to conduct annual clinics
interest/awareness                                  Very important to consider annual occurrence
Competition with other public health interests     of flu vaccination when building infrastructure
within schools and health depts (asthma, obesity,   Infrastructure would include ability to provide
physical inactivity)                                shots and ensure staffing
                                                    Some approaches have been to follow public
                                                    health preparedness infrastructure and
                                                    integration with those services
Finding appropriate school space             Coordinate with schools in advance so space
Receiving vaccine in time for clinics        can be reserved and clinics do not overlap with
Scheduling                                   field trips, school exams, etc…
Staffing (1 nurse serves multiple schools)          oCould allow teachers to coordinate flu-
                                                     focused lessons
                                              Team up nurses serving multiple schools
                                              “Clinic in a Bag” – Anne Arundel County
                                              Utilize HD sanitarians, parent volunteers, high
                                              school students to carry out logistics of clinic
                                                     o Especially beneficial for high school
                                                     students needing to earn volunteer/service
                                                     o Could use residents, nursing school
                                                     students, MRCs for one-time clinics but
                                                     liability, supervision, and training are
School buy-in/Competing priorities
                                                Make immunization compliance a performance
Some school health programs are under DOE
School nursing is sometimes housed in public
                                                Garner administrative support from school
health and sometimes in the school district
                                                district and individual schools (e.g.
                                                superintendents, school board representatives,
                                                and principles)
                                                Partner with National Education Association
                                                (NEA), National Association of State Boards of
                                                Education (NASBE), National Association of
                                                School Nurses (NASN), and other professional
                                                associations to deliver effective messages to
                                                school districts and schools
                                                Increased collaboration between CDC/HHS
                                                and Department of Education (DOE) to develop
                                                coordinated support and resources
                                                Advocate for standardized method to provide
                                                or oversee school health services
                                                      oBarriers arise w/ larger school districts
                                                      (e.g. Seattle/King County)
                                                Letter from superintendent/principal
                                                recommending vaccination.
No comprehensive sense of:                        Establish central system for collecting best
     oCurrent school practices                     practices
     oWhat is the actual coverage of students in   Promote use of registries
     schools (tracking who is not immunized,       Shot cards (though may not be appropriate for
     who is immunized in schools, or who is        all)
     immunized in another healthcare setting)      Advocate for:
     oWhat is the public health impact of the            oIntegration of immunization registries
     school-based clinics                                with student databases
Universal states have not observed higher                     IT capacity among HDs and schools
immunization coverage – why?                                   is major barrier
                                                         oMore systematic collection of student
                                                         data and immunization information
                                                               Would require major software
                                                               overhaul and pose challenges when
                                                               system/software updates occur
                                                         oImproved data collection

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