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RResidential Care Home esidential Care Home Vaccination Vaccination

Programme (RVP) Programme (RVP) 2013/142013/14

Briefing to Visiting Medical OfficersBriefing to Visiting Medical Officers

(27 September 2012)(27 September 2012)

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OverviewOverview

• Background

• RVP 2013/14 and Programme arrangement

• Prevention of vaccination incidents

• Points to note

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BackgroundBackground

• Free seasonal influenza vaccination provided to all residents of Residential Care Homes (RCHs) for the elderly (RCHEs) since 1998

• The SIV vaccination programme extended to healthcare workers in RCHs and RCH for persons with disabilities (RCHDs) in Hong Kong

• Since 2009, free pneumococcal vaccination (23vPPV) were also provided to RCHE and those residing in RCHDs of age 65 years or above, who have not received pneumococcal vaccine before.

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Residential Care Home Residential Care Home Vaccination Programme (RVP)Vaccination Programme (RVP)

• RCHs invite Visiting Medical Officers (VMOs) to deliver seasonal influenza vaccines (SIV) and pneumococcal vaccine (23-valent pneumococcal polysaccharide vaccine, 23vPPV) and to eligible residents and healthcare workers in RCHs

• The Government will reimburse VMO $50 per vaccine injection

• To enhance public-private partnership in medical care to residents in RCHs

• A total of 380 VMOs were enrolled under RVP 2012/13

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Residential Care Home Residential Care Home Vaccination Programme Vaccination Programme

(RVP) 2013/14(RVP) 2013/14

RVP 2013/14RVP 2013/14• Vaccination Period

– Seasonal influenza• From 1 Nov 2013 (preferably provide vaccination

to recipients before 31 Dec 2013 for better protection of clients)

– Pneumococcal vaccination• Ongoing since commencement in October 2009

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RVP 2013/14RVP 2013/14• Start from 1 November 2013• VMO to provide on-site vaccination

– Seasonal influenza vaccine• Vaxigrip(Sanofi Pasteur): Trivalent Inactivated Vaccine

(TIV)• Vaccine Composition

– an A/California/7/2009 (H1N1)-like virus – an A(H3N2) virus antigenically like the cell-propagated

prototype virus A/Victoria/361/2011– a B/Massachusetts/2/2012-like virus

– Pneumococcal vaccine• Pneumo-23 (Sanofi Pasteur): 23-valent pneumococcal

polysaccharide vaccine (23vPPV)

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RVP 2013/14RVP 2013/14Eligibility for Vaccination: same as last year

• Seasonal Influenza vaccine – ALL residents and ALL healthcare workers in RCHs

• Pneumococcal (23vPPV) vaccine:– ALL residents in RCHEs who have never received before; and– Residents aged 65 or above in RCHDs who have never

received before– Healthcare workers in RCHs are not eligible

• Vaccination given to non eligible persons will not be reimbursed.

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RVP 2013/14RVP 2013/14• Similar logistic arrangement as in RVP 2012/13

• Consent by eligible residents and healthcare workers

• DH supplies and delivers vaccines, consent forms, sharp boxes and immunization cards to RCHs before the scheduled vaccination

• Injection fee same HK$50 per vaccine injection

• Vaccination Office will arrange collection of clinical waste (sharp box) and un-used vaccines in RCHs by professional company

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Vaccination to Vaccination to mentally-mentally-incapacitated residents incapacitated residents without consent formwithout consent form

• In-charge of RCHs confirmed that the guardian of the resident cannot be contacted and signed on the consent form

• For the benefit of the residents without consent form, VMO can provide vaccination to them after assessment and considers the vaccination is in the best interest of the them

• Other relatives of residents (if any) will be encouraged to sign on the consent form to acknowledge that VMO will provide vaccination to the residents.(Optional)

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Date of vaccination

given to residents/staff

NEW

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VaccinationVaccination in Non-Clinic in Non-Clinic settingssettings

• Preparation

– Ensure enrolled successfully prior to service

– Collect all consent forms from RCH 10 days before vaccination date

– Should perform prior checking of vaccination history for all recipients in eHealth System (eHS) and create account for new eligible clients

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VaccinationVaccination in Non-Clinic in Non-Clinic settingssettings

Confirm with RCH

– Date and time for vaccination

– Adequate number of vaccines are ready and properly stored in RCH

– Availability of necessary materials/ equipment for administration of

vaccines

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Vaccination in Vaccination in Non-ClinicNon-Clinic settingssettings

• Responsibility of VMO to ensure safe and quality delivery of vaccination to recipients

– Ensure the recipients’ vaccination record have been checked through eHS, vaccination card or history from recipients or relatives

– Oversee the whole vaccination process and ensure personnel involved in vaccination are qualified/trained to perform vaccination duties

– Ensure the personnel involved in vaccination are qualified and trained in emergency management of severe immediate reactions and are equipped to do so

– Check the consent form, identify of the recipients and the medical conditions of the recipients before vaccination

– Ensure correct vaccines to be given to recipients and the vaccines are in good condition

– Record in vaccination card

– Check and sign on the consent list

• VMO to supervise and stand-by for emergency

Code of Professional ConductCode of Professional Conduct

• All VMOs should follow the Code of Professional Conduct issued by the Medical Council of Hong Kong

• To provide quality and safe care health service• Fail to do so may be subject to administrative

sanctions• Referral to Medical Council of Hong Kong if

necessary

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Preventing vaccination Preventing vaccination incidentsincidents

• Prior checking of vaccination history in eHealth System, vaccination cards and history from recipients or relatives, especially for those who are newly-admitted to RCHs

• For recipients whose vaccination history have not been checked through eHS, another day for vaccination should be arranged

Scientific Committee on Vaccine Preventable Diseases: DO NOT recommend anyone to receive more than two doses of 23vPPV

Preventing vaccination Preventing vaccination incidentsincidents

• Counterchecking identity of residents against consent form and identity document before vaccination

• Separate injection for SIV and 23vPPV

• Double check name of vaccine and expiry date before administration

• Report vaccination incidents to Vaccination Office as soon as possible

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VaxigripVaxigrip

Pneumococcal Vaccine

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Expiry date of Influenza and Expiry date of Influenza and Pneumococcal VaccinesPneumococcal Vaccines

MANUF 25 JUN 13LOT D0495-1EXP 05-2014

Expiry date (EXP):31 May 2014

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Terms and Conditions--Terms and Conditions--UpdatesUpdates

• Scheme equipment eg authentication token for eHS operation- If lost or damaged, administration charge will be made

• Late claim- Claim for vaccination fee not made within 7 days, the Government shall have the absolute discretion to refuse payment

- All late claims submitted after 90 days will not be considered.

• Vaccination fee are not allowed to share with RCH or in-charge person of RCH.

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Requirements for claimsRequirements for claims• Enrolled under RVP

• Prior checking the eligibility of clients for vaccination (duly signed consent form Vs eHealth system)

• Provide vaccination to recipients during the RVP 2013/14 vaccination period (on or after 1 November 2013)

• Any claim for reimbursement not made within seven calendar days considered as a LATE CLAIM, and the Government shall have the absolute discretion to refuse payment of any vaccination fee to a VMO

• All late claims submitted after 90 days will not be considered

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Points to Note Points to Note

• Only use vaccines supplied by Department of Health

• Provide vaccination service in RCHs only

• Make Claims under RVP instead of Vaccination Subsidy Scheme (VSS)

• Arrange mop up vaccination within vaccination period

• Promote vaccination to Health Care Workers

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For VMO enrolment For VMO enrolment and RVP related and RVP related

informationinformation• For new enrolment, please call Vaccination

Office hotline 2125 2125 or visit the Center for Health Protection website at www.chp.gov.hk for application process

• If you have already enrolled, it is not necessary to apply again

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Information Pack to all Information Pack to all enrolled VMOsenrolled VMOs

• RVP 2013-14 Doctors’ Quick Guide to all enrolled VMOs

• A CD will be attached in Doctors’ Quick Guide with information included:-

- Full text of Doctors’ Guide - FAQ - Covering Notes for Application by Visiting Medical Officer to enrol in the

Residential Care Home vaccination Programme - VMO Enrollment application form - Authority for payment to a bank - Definition, Terms and Condition of Agreement and Schedule - Vaccination consent form - Change form

RVP 2013/14 file folder

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RVP informationRVP informationhttp://www.chp.gov.hk/en/view_content/23543.html

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Contact usContact us

Vaccination Office

• Tel : 2125 2125

• Fax : 2713 6916

• Email : vacs@dh.gov.hk

• Address : 2/F, 147C, Argyle Street,

Kowloon

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Updates on Seasonal Updates on Seasonal Influenza VaccinationInfluenza Vaccination

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eHealth SystemeHealth System

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Health Care Voucher Health Care Voucher SchemeScheme

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Q & A Session

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THANK YOU