Reaching Goals Together: Establishing Effective Partnerships for Provider Immunization Education Illinois Chapter of the American Academy of Pediatrics Chicago Department of Public Health Julie Morita, M.D., FAAP

Immunization Coverage, 1999 Area National Illinois Chicago 2010 Objective DTP/DT  4 doses (%) MMR  1 dose Varicella  1 dose

Reaching Our Goals, 1999 Office-based quality improvement curriculum –Developed by Chicago Area Immunization Campaign –Modeled after Educating Providers in their Communities PA Department of Health and AAP Chapter –Non-clinical staff conducted training Barriers to full implementation –Recruiting providers to conduct training and participation

Reaching Our Goals, 2002 CDPH contracted with Illinois Chapter of the American Academy of Pediatrics (ICAAP) –Revise and expand curriculum –Identify and recruit trainers –Promote program –Facilitate training sessions

Key Partners Identified Provider Associations –Illinois Chapters of American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), National Association of Pediatric Nurse Practitioners (NAPNAP) Child Advocacy Groups –Chicago Area Immunization Campaign Insurers –BlueCross BlueShield of Illinois –Amerigroup Vaccine Manufacturers

Multidisciplinary Project Advisory Committee (PAC) Convened Clinicians and non-clinicians from Illinois Chapters of AAP, AAFP, NAPNAP Clinicians and non-clinicians from public health department

Collaborator Roles Provider Associations Public Health Child Advocacy Groups Insurers Vaccine Manufacturers Recruitment of faculty Recruitment of practices Credibility Funding Incentives

Practice Recruitment Strategy Newsletters, mailings, and flyers –Provider association members –CDPH’s Vaccines for Children providers –Child advocacy group’s members –BlueCross BlueShield’s and Amerigroup’s providers –Vaccine manufacturers’ clients

Incentives Food Continuing medical education/contact hours BlueCross BlueShield of Illinois offered financial incentives for participating providers Resource materials: books, posters, contact information More food

What Was Accomplished? In-office sessions: 29 –Participants per session: 2-10 Large group sessions: 8 –Participants per session: Number of providers attending sessions: ~ 400

Summary of Evaluations Participants –Physicians, nurses, office staff –Female: 66% –Years in practice < 10 years: 53% Program provided useful information: 87%

Keys to Success Peer to peer educational model Office-based approach Strong commitment and leadership from ICAAP and CDPH Collaboration

Additional Benefits ICAAP –Strong relationship with nurses and other allied health groups –Access to larger pool of volunteers CDPH –Increased number of experts proactive in promoting immunization

Challenges Administrative –Contracting and payment issues between city government and nonprofit agency –Maintaining CME/contact hours –CDPH staff turnover

Challenges Maintaining interest and involvement of participating practices Recruiting additional practices Addressing primary care professionals’ concerns about the difficulty of incorporating changes into practices

Reaching Our Goals, 2003 Follow up survey Update curriculum Refresher course for faculty Enhance follow up with previous participants Expansion to 4 additional counties in Illinois