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Unit E: Improve and Maintain Preparedness

Immunization Program Operations Manual (IPOM)

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Improve and maintain preparedness.

 

Overview

During the 2009 H1N1 pandemic, immunization programs were essential partners in ensuring that federal and local response efforts using pandemic vaccine were implemented effectively. Preparing for and responding to vaccine-preventable disease outbreaks, especially influenza pandemics, in conjunction with other public health preparedness programs, is a core function of all immunization programs. Objectives to improve and maintain preparedness are outlined in the general funding opportunity announcement. This unit outlines suggested activities and reporting requirements for completion of the preparedness objectives.

Coordination between preparedness programs and immunization programs is an important aspect of all Section 317 preparedness requirements. Activities supporting completion of these requirements should supplement, not supplant, similar activities led by public health preparedness programs. Funds may be used for program implementation and evaluation, but not for purchase of vaccine.

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References

 

Awardees must identify activities that will describe HOW the following required objectives will be accomplished. Suggested activities are provided for each objective, but awardees are strongly encouraged to think strategically about the specific activities that will best help them achieve this goal.

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Required Awardee Objective: E-1

In conjunction with public health preparedness programs, develop plans for vaccine-preventable disease outbreaks that are managed with vaccination.

 

Suggested Activities:

  1. Develop or revise plans for responding to vaccine-preventable disease outbreaks in coordination with equivalent public health preparedness program and other relevant partners, such as communicable disease groups. Immunization programs may use emergency preparedness as a resource for drafting plans. Vaccine-preventable diseases include, but are not limited to measles, pandemic influenza, and anthrax.
  2. Exercise these plans in conjunction with public health preparedness and other partners.

Suggested Reporting Elements:

  • Demonstrate cooperative activities with preparedness groups.
  • Report on the development or revision of plans to respond to vaccine-preventable disease outbreaks managed with vaccines, including the a description of the extent to which public health preparedness either had input in or led this process with input from the immunization program.

Suggested Performance Measures (target to be defined by awardee):

  • Plan for vaccine-preventable disease outbreaks has been revised or updated. (Document date of completion/revision.)
  • List of existing plans by type of vaccine-preventable disease.
  • List of public health preparedness staff that had input or led the development and/or revision of these plans with immunization program input and support.
  • Number and date(s) of vaccine-preventable disease outbreak response exercises conducted in which the immunization program participated.

Allowable Funding Sources:

Pandemic Influenza (if available), 317 FA Operations

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Required Awardee Objective: E-2

Work with preparedness programs to assure preparedness for influenza pandemics and other events requiring a vaccination response, including developing or updating, exercising, and ensuring maintenance plans for:


a. Large-scale, mass vaccination.


b. Identification and vaccination of critical infrastructure personnel and other priority groups.

 

Suggested Activities:

  1. Develop or revise plans for responding to influenza pandemics using vaccination, including detailed sections on implementing mass vaccination and identification and vaccination of priority groups and critical infrastructure personnel in conjunction with public health preparedness programs.
  2. Exercise pandemic plans in conjunction with public health preparedness and other partners and evaluate these exercises.
  3. In collaboration with state emergency preparedness programs, provide technical support and consultation for at least one mass vaccination clinic or larger effort.
  4. Task staff to coordinate pandemic influenza planning and pandemic influenza vaccine distribution within the immunization program and act as liaison with public health preparedness.
  5. Work with preparedness groups to develop and maintain a database of critical infrastructure personnel in an awardee’s jurisdiction that may be prioritized for vaccination in a severe pandemic scenario. This database may include contact information and occupation codes. (Plan should include provisions that priority groups may depend on federal guidance and characteristics of each pandemic.)
  6. Work with preparedness groups to develop memorandums of agreement among critical infrastructure groups in an awardee’s jurisdiction as to which groups would be considered higher priority during a pandemic response, including provisions that such designations may depend on the characteristics of a pandemic and federal guidance.

Suggested Reporting Elements:

  • Report on the development or revision of plans to respond to influenza pandemics managed with vaccines, specifically using mass vaccination efforts and identifying and vaccinating priority and critical infrastructure groups.
    • Describe the extent to which public health preparedness either participated in and/or led this process with input from the immunization program.
  • Report on the process for coordinating pandemic influenza response planning with public health preparedness programs, in general.
  • Document the completion of at least one annual mass vaccination clinic or larger effort, and submit a report on the clinic or larger effort.
    • Where feasible, evaluations should quantify the number of clinics held, types of vaccines administered, total number of individuals targeted, dates of clinics with respect to jurisdiction’s influenza season, and a description of target population by age and race/ethnicity.

Suggested Performance Measures (target to be defined by awardee):

  • Plan for responding to influenza pandemics using vaccination has been revised or updated. (Document date of completion/revision.)
  • Number and date(s) of mass vaccination clinics and/or mass vaccination exercises conducted.
  • Number of doses of vaccine administered at mass vaccination clinic(s) and description of the groups targeted by mass vaccination clinic(s).
  • Name, responsibilities, and period of performance related to memorandums of agreement with critical infrastructure groups.
  • Date database of critical infrastructure personnel created and last updated.
  • List of staff member(s) and percentage of time spent coordinating pandemic influenza planning and acting as liaison(s) with public health preparedness.

Allowable funding sources:

Pandemic Influenza (if available), 317 FA Operations

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Required Awardee Objective: E-3

Work with new and existing partners to increase demand for seasonal influenza vaccine to improve preparedness for an influenza pandemic, including school-located vaccination.

 

Suggested Activities:

  1. Work with new and existing partners, such as local authorities, health care institutions, medical providers, pharmacies, visiting nurse associations, community vaccinators, community outreach groups, advocacy groups, and/or local businesses, especially those who serve groups at high risk for complications from influenza infection and/or in underserved population groups, to increase demand for seasonal influenza immunization.
  2. Work with traditional and complementary immunization service providers, including pharmacists and community vaccinators, and other groups to overcome barriers to their participation in vaccination efforts, especially during an influenza pandemic.
  3. Work with health care institutions (e.g., hospitals, long-term care facilities, ambulatory care centers) to improve influenza immunization rates of health care personnel.

Suggested Reporting Elements:

  • Report on communication efforts with new and existing partners, such as health care institutions, employer groups, and complementary vaccinators (e.g., pharmacies, visiting nurse associations).
    • Report on communication efforts, including an overview of the funding level provided for communication efforts, description of each particular overall effort, list of methods used, including types of media and partners involved.
    • Where feasible, reports on school-located clinics should quantify the number of clinics held, types of vaccines administered, total number of individuals targeted, dates of clinics with respect to jurisdiction’s influenza season, and a description of target population by age and race/ethnicity.

Suggested Performance Measures (target to be defined by awardee):

  • List of numbers and types of activities and partners engaged in increasing demand for seasonal influenza immunization and list of target populations for these communication efforts, including description of which specific populations or high-risk groups were targeted (e.g., under-vaccinated and/or underserved groups, groups with certain high-risk conditions, etc.).
  • List efforts to reduce racial and ethnic disparities in influenza vaccine coverage, particularly among adults.
  • List of the types of health care facilities (e.g., hospitals, long-term care facilities, ambulatory care centers) working with the awardee to increase demand for influenza vaccine among health care workers and the manner in which the awardee and health care facilities or systems collaborated in raising influenza vaccine demand or coverage among health care workers.
  • List of existing barriers for vaccinators (i.e., medical providers, pharmacists, and community vaccinators) to participation in vaccination efforts for seasonal vaccination during pandemics along with list of barriers the immunization program is working with partners to overcome.
  • List of types of media used in communication efforts with new and/or existing partners to increase demand for seasonal influenza vaccination.
  • Number of school-located vaccination clinics and types of vaccines administered through school-located vaccination clinics in awardee’s jurisdiction.
  • Description of target population for school-located vaccination clinics by age and race/ethnicity.

Allowable funding sources:

Pandemic Influenza (if available), 317 FA Operations, VFC Operations

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