1. Olmsted County School-Located Immunization Program (SLIP) Jennifer Brickley, RN and Marty Alemán, MAN, PHN

2. SLIP Mission Through the cooperation of community and health providers, provide seasonal influenza vaccine for school age youth in schools located within Olmsted County

3. Olmsted County SLIP Program established in 2009 Began with 2 schools and grew to 47 Collaboration between: Mayo Clinic Olmsted County Public Health Services Olmsted Medical Center Olmsted County Schools

4. SLIP Planning Collaborative group meets monthly, year round Each entity completes additional work to make program successful Each meeting work is reviewed, approved, and planned for the next month

5. SLIP Planning Process School Flu Clinics Operations Logistics Evaluation Marketing and Outreach

6. Overview of Program Registration is completed online or by paper at least two days prior to clinic Schools included in Olmsted County: All public and private elementary & middle schools All private and outlying high schools

7. Overview of Program All schools are covered in 4 weeks Mid-September to Mid-October Normal school hours Two or more schools per day Vaccine supplied includes nasal spray and injectable

8. Process Details Mayo Clinic, OMC, and OCPHS are present at the clinic Students are vaccinated by nursing from their primary care clinic (Mayo or OMC) Vaccine is supplied by Mayo Clinic and OMC

9. Process Details Medical students and parents assist in other supportive roles Registration forms printed and on- site for review Documentation and billing completed through remote access Billing to students’ insurers Vaccines for Children available

10. Implementation Staff arrive & set-up Students report Volunteers assist with flow of clinic Forms reviewed Vaccine given, documented, and billed Students go back to class SLIP staff move to next school

11. School Flu Clinics 2009-2015 Olmsted County School Vaccine program report 2015

12. What has Worked Well? The program has continued to be successful with number of students vaccinated The vaccination process at the schools has remained standardized and efficient Students are gone minimally from the classroom

13. What has Worked Well? Online registration offered convenient option for parents but paper forms available Parent satisfaction high Parent communication centralized to one site

14. Challenges Vaccine availability Registration form data too big to support Varying levels of engagement between schools Turnover in staffing of seasoned members in partner organizations

15. Areas for Improvement New online registration form Streamlined for parents Improved, printable, one-sided form that is able to handle large volumes of data transfer Process improvement for middle schools

16. Areas for Improvement Develop plan to reach underserved populations Discover what are the barriers Individualize plan for schools Expand medical students’ involvement Offer options for registration assistance

17. Areas for Improvement Improve coordination and communication between partners Improve marketing and outreach to school communities through websites, social media, and Meet the Teacher events

18. Summary Olmsted County SLIP has a successful 7 year collaboration Collaborators include health care providers, county public health, and county schools Plans to engage hard-to-reach families and improve collaborative efforts.