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The SA PHN Immunisation Hub
Angela NewboundImmunisation Hub Coordinator
Tracy MaynardCountry SA PHN Nurse Consultant
Where have we come from?
The Immunisation Program:
A Commonwealth Government initiativeNational Immunisation Strategy in 1993
1992 - 14 Divisions of General Practice in SALocal Immunisation Coordinators
2011 - 5 Medicare Locals in SAImmunisation Program Coordinators
2015 - 2 PHNs in SAAdelaide - Immunisation Hub CoordinatorCountry SA - Nurse Consultant - Service Design
So where does Immunisation “fit” in the PHN?
Six Key Priority Areas for all PHN’s • Mental Health • Aboriginal and Torres Strait Islander Health• Population Health• Health workforce• eHealth• Aged care
Four National headline performance indicators for all PHN’s• Potentially preventable hospitalisations• Childhood immunisation rates• Cancer screening rates• Mental health treatment rates
What has been achieved?
Aged Cohort
2014 2015 2016
12-<15
Months
90.69% 92.28% 93.36%
24-<27
Months
91.23% 89.31%# 91.75%
60-<63
Months
92.08% 92.59% 93.11%
http://www.health.gov.au/internet/main/publishing.nsf/Content/cda-cdi3903l.htm
# The coverage rate dropped because the criteria to be assessed as fully
immunised now includes more vaccines.
http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/acir-curr-data.htm
What has been achieved?
Annualised childhood immunisation coverage report (March 2016, June 2016, September 2016 and December 2016) assessment quarters from the Australian Immunisation Register (AIR).http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/acir-curr-data.htm
StateAge
Group% DTP % Polio % HIB % Hep B % MMR
%
Pneumo
% MenC
%
Varicella% Fully
SA12-<15
Months94.13 94.11 93.8 94.05 n/a 93.8 n/a n/a 93.36
SA24-<27
Months96.2 96.16 95.27 96.02 93.33 n/a 95.18 93.24 91.75
SA60-<63
Months93.83 93.86 n/a n/a 93.98 n/a n/a n/a 93.11
What have we learned?
A collaborative concept
Australian Immunisation Register - Coverage Report (All Children)Primary Health Network (PHN) by age group (Age calculated as at 30SEP16)Date of processing <= 31DEC16http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/current-phn-immunisation-coverage-data
PHN Number
PHN Name
Age Group %DTP %Polio %HIB %HEP %MMR %Pneumo %MenC %Varicella % Fully
PHN401 Adelaide12-<15 Months 94.92 94.89 94.67 94.84 0 94.54 0 0 94.21
PHN402Country SA
12-<15 Months 95.96 95.96 95.41 95.8 0 95.8 0 0 95.26
PHN401 Adelaide24-<27 Months 96.49 96.41 95.5 96.31 94.14 0 95.64 93.98 92.51
PHN402Country SA
24-<27 Months 96.64 96.71 95.52 96.56 94.1 0 95.52 93.65 92.38
PHN401 Adelaide60-<63 Months 94.46 94.51 0 0 94.81 0 0 0 93.69
PHN402Country SA
60-<63 Months 95.2 95.13 0 0 94.7 0 0 0 93.98
PHN Immunisation Data
Australian Immunisation Register – Aboriginal & Torres Strait Islander Coverage ReportPrimary Health Network (PHN) by age group (Age calculated as at 30SEP16)Date of processing <= 31DEC16 http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/current-phn-immunisation-coverage-data
PHN Number
PHN Name
Age Group %DTP %Polio %HIB %HEP %MMR %Pneumo %MenC %Varicella % Fully
PHN401 Adelaide12-<15 Months 91.74 91.74 91.74 91.74 0 91.74 0 0 91.74
PHN402Country SA
12-<15 Months 94.85 94.85 93.81 94.85 0 96.91 0 0 93.81
PHN401 Adelaide24-<27 Months 93.16 93.16 92.31 94.02 88.89 0 93.16 89.74 85.47
PHN402Country SA
24-<27 Months 97.17 97.17 94.34 97.17 87.74 0 94.34 88.68 87.74
PHN401 Adelaide60-<63 Months 93.04 93.04 0 0 94.78 0 0 0 91.3
PHN402Country SA
60-<63 Months 98.2 98.2 0 0 98.2 0 0 0 97.3
No Jab No Pay
Background
• The policy :• affects families with children up to 20 years of
age (previously 7 years of age) for whom they are currently receiving CCB, CCR and FTB Part A supplement
• ensure all children up to 20 years of age have received basic vaccines:• Diphtheria, Tetanus, Pertussis (3 doses)• Polio (3 doses)• Measles, Mumps and Rubella (2 doses)• Hepatitis B (if born after 1st May 2000) (3
doses, or 2 dose High School Program)
No Jab No Pay achievements
• Department of Health support – Newly Arrived Refugee Immunisation program providers to upload immunisation records for children 7-12 years
• Education to Multicultural officers from the Department of Education
• Multicultural radio messages in numerous languages
• Provider education (face to face, webinar and newsletters)
• General Practice survey
• Information distributed at Multicultural forums with Department of Human Services
• Attendance at various community groups
• Provider assistance to obtain secure access to ACIR
• Community resource – to assist individual providers and community members
• Development of ‘Immunisation History Check’ – best practice flow chart
Overdue Children
• Current AIR data indicates 15,220 children aged 0 - 10 years are overdue for immunisation in SA
• Immunisation Hub Project Officer:• Contacting last known provider• Contacting parents• Collaborating with local councils regarding messaging for CALD communities
• Using AIR data to identify low coverage areas:• Strategies
• Champion Nurse involvement• Local GP’s, Council immunisation providers• Multicultural organisations
• Identify service delivery gaps
Overdue Adults• Considered the ‘poor cousin’
• Last adult vaccination survey was undertaken in 2009
• Vaccination rates:• 74.6% of Australians aged 65 years and over (2.2 million people) were vaccinated against
seasonal influenza• 54.4% of Australians aged 65 years and over (1.6 million people) were currently vaccinated
against pneumococcal disease • 11.3% of Australians aged 18 years and over had received a pertussis vaccination as an adult or
adolescent (booster introduced into the School Program in 2004)• Unacceptable – coverage this low would not be acceptable with the children's program
• Preventing hospitalisation from VPD’s• Champion Nurse involvement• Encourage providers to offer recommended vaccines • Encourage providers to record adult immunisation on the AIR
• Immunisation providers play an important role in promoting vaccination during adulthood
Champion Nurse Immunisation Program (CNIP)
• Commissioned by the Adelaide PHN (APHN) • Health & Immunisation Management Services (HAIMS) will use specialist nurses to
provide a range of services across metropolitan Adelaide in 2017 including:
• immunisation program support & mentoring to providers new to immunisation program delivery
• assistance with AIR reporting & recall of children overdue for immunisation
• identifying barriers to vaccine uptake
• addressing vaccine hesitancy
• promoting & advocating for immunisation at localcommunity events
• The program will be evaluated to determine its success & the potential to expand further into rural regions
• If you would like a Champion Immunisation Nurse to visit your organisation to assist with immunisation program matters or with advocacy in your community, please contact HAIMS on (08) 8152 0363
Champion Nurse Immunisation Program (CNIP)
Immunisation Provider Network (IPN)ARE YOU INVOLVED IN THE DELIVERY OF AN IMMUNISATION PROGRAM AND INTERESTED IN NETWORKING WITH OTHER IMMUNISATION PROVIDERS?
The aim of the Hub is to engage with a range of immunisation service providers and stakeholders who are involved with the delivery of an immunisation program to:• Facilitate peer support & networking• CPD opportunities• Share ideas and information• Raise and discuss relevant immunisation program issues• 4 meetings annually:
• 3 x (2 hour) held in metropolitan Adelaide, with teleconferencing facilities• 1 full day workshop in rural SA
The Immunisation Provider Network has currently 285 members…….If you’re not one of them join today……
https://www.surveymonkey.com/r/SAPHN_Immunisation_Membership
Provider Support
• Continuing to offer the “Introduction to Immunisation Workshop” • Full day• No cost• Face to face so questions can be answered straight away
• Offer general immunisation updates• Program changes• Seasonal issues• New vaccines• No cost• Face to face and as a webinar
• Offer CPD at IPN meetings
• Communicate new information at IPN meetings, via email to IPN members, APHN and Country SA PHN websites, APHN & Country SA PHN Newsletters
• Telephone and email support for providers• Clinical advice• Complex catch-up programs• AIR reporting
• Phone support for parents/community
• SA PHN Immunisation Hub website under development
Provider Support
Linking it together
Identify overdue
children and
clean the data
Champion Nurses
Identify service
Delivery gapsStakeholders Support providers
The Immunisation Hub team……
Angela NewboundImmunisation Hub Coordinator Adelaide PHN [email protected]
Alex StevensImmunisation Hub Project OfficerAdelaide [email protected]
Tracy MaynardNurse ConsultantCountry SA PHN [email protected]
