1. Pharmacy-Based Immunization Clinic LT Amit Patel Pharm.D. LT Charles Latimore Pharm.D. Gallup Indian Medical Center 516 E. Nizhoni Blvd Gallup, NM 87301

2. Objectives Describe selling points to administration to utilize pharmacy personnel to staff the influenza clinic Describe selling points to administration to utilize pharmacy personnel to staff the influenza clinic Describe the various steps in implementing a pharmacy-managed influenza clinic Describe the various steps in implementing a pharmacy-managed influenza clinic Discuss the impact of the pharmacy-run influenza clinic on community and staff Discuss the impact of the pharmacy-run influenza clinic on community and staff

3. Incentives Cost Savings Cost Savings Pharmacy Staff consist of COs Pharmacy Staff consist of COs Direct cost savings Direct cost savings Reducing overtime expenditures Reducing overtime expenditures Indirect cost saving Indirect cost saving Decrease hospitalizations due to complications Decrease hospitalizations due to complications

4. Incentives Continued Reduced Workload in Outpatient Clinics Reduced Workload in Outpatient Clinics Nurse Visits Nurse Visits Unnecessary MD visits Unnecessary MD visits Documentation Requirements Documentation Requirements

5. Incentives Continued Professional Development Professional Development Direct patient contact Direct patient contact Pharmacists have opportunity to become certified immunization providers Pharmacists have opportunity to become certified immunization providers Build rapport with other medical staff Build rapport with other medical staff

6. Planning Ordering vaccines and supplies Ordering vaccines and supplies Acquiring staging area Acquiring staging area Standing protocol/orders Standing protocol/orders

7. Planning Continued Defining Age groups for vaccination Defining Age groups for vaccination Adult vs. Pediatrics Adult vs. Pediatrics Patient Vaccine Information Sheet (VIS) Patient Vaccine Information Sheet (VIS) Vaccinator Certification Vaccinator Certification State or National Pharmacy Associations State or National Pharmacy Associations

8. Planning Continued Forms and Documentation Forms and Documentation Necessary Patient Care Components for documentation Necessary Patient Care Components for documentation Date Date Provider Code Provider Code Medicare eligibility status Medicare eligibility status Purpose of Visit Purpose of Visit Lot number Lot number Administration Site Administration Site

9. Planning Continued Delegation of Responsibilities Delegation of Responsibilities Manager Manager Flu-Pharmacist Flu-Pharmacist Screeners Screeners Greeters Greeters Patient Registration Patient Registration Housekeeping Housekeeping Media Coverage Media Coverage

10. Execution Managers arrived 1 hour early to set up for the day Managers arrived 1 hour early to set up for the day Flu-pharmacist can administer vaccines or cover another pharmacist to do so Flu-pharmacist can administer vaccines or cover another pharmacist to do so All other personnel arrive on-time All other personnel arrive on-time

11. Impact on Community Vaccinated approximately 16,000 patients Vaccinated approximately 16,000 patients Patient satisfaction with reduced wait time Patient satisfaction with reduced wait time Reduce morbidity and mortality Reduce morbidity and mortality Meet patient demand Meet patient demand

12. Impact on Pharmacy Staff Increased workload/errors Increased workload/errors Change in shift time Change in shift time Pharmacist volunteered to stay late and come in on days off to work extra hours Pharmacist volunteered to stay late and come in on days off to work extra hours Easy way to get new pharmacists involved in a clinic Easy way to get new pharmacists involved in a clinic

13. Impact on Clinical Staff Reduced workload Reduced workload Appreciated the service pharmacy provided Appreciated the service pharmacy provided Reduced impact on clerical staff Reduced impact on clerical staff

14. Be Proactive!!!