Community Pharmacy Community Pharmacy I i tiI i tiImmunizations Immunizations 

Strengthening Partnerships Through Reporting

Pharmacy’s Unique ContributionPharmacy’s Unique Contribution

• Over 56K US community pharmacies• All 50 states authorize pharmacists to All 50 states authorize pharmacists to

vaccinate• Extended hours of operationExtended hours of operation• Equivalent of the US population enters a

pharmacy each weekp y• No appointment necessary

Tool KitTool Kit

• Nationally recognized immunization training program – disease epidemiology, i l i h i i immunology, vaccine characteristics, emergency responseDi t t ll i & R hi t fil • Disease states, allergies & Rx history on file

• Careful screening i i i• Reminder & Flagging systems in place

• Marketing Funds (est. $40MM in 2010-11 Flu S )Season)

Healthcare acceptance of Healthcare acceptance of pharmacy-based immunization.

Pharmacy ImmunizationsPharmacy Immunizations

The success of immunization The success of immunization registries is dependent on broad

ti i ti f i i ti participation of immunization providers and comprehensive enrollment of persons vaccinated.Department of Health and Human Services: Healthy People 2010: Understanding and Improving Health. 2nd edition. Washington, DC: US Government Printing Office; 2000US.

Pharmacy Immunization ReportingPharmacy Immunization Reporting

Before June 2012 After June 2012

• Yellow Immunization • All Pharmacy based Cards

• Wallet Cards

yimmunizations are required to be reported to the Utah • Dear Dr. Fax letter

• Met local standards f d lt

reported to the Utah State Immunization Registry (USIIS) within

for adult immunizations

g y ( )one week of administration

Barriers to Registry ParticipationBarriers to Registry Participation

• Cost and Staffing • Redundant with existing

recording system• Not compatible with

computer system• Not aware/trained• Not enough patients to justify

Clark et al. BMC Public Health 2006 6:33 doi:10.1186/1471-2458-6-33

Next StepsNext Steps

ImplementationImplementation

• Training• Registering Sites• Redundant data entry• Time constraints (Work Flow)( )• Staffing• Poor early reporting ratesPoor early reporting rates

Interface DevelopmentInterface Development

• 12 month project with software developers• Direction and collaboration with Utah

Immunization Program • Gap analysis • Required “walking over” pharmacy billing

codes to medical billing codes• Testing and QA

Tracking SuccessTracking Success

• “Go live” August 10, 2013• YTD entries 3,256• September entries 2,879• Monitoring % entriesg• Positive store feedback

Potential Contribution from Potential Contribution from Community Pharmacy Community Pharmacy ‐‐ UtahUtah

>150,000

Pharmacy based annual influenza immunization in UtahPharmacy based annual influenza immunization in Utah