1. United to Prevent Pneumococcal Disease Physicians as Ambassadors for Change in Vaccination of all Eligible Adults 50+ Facilitators: Daniel Curcio Jessica Presa

2. United to Prevent Pneumococcal Disease Objective: Increase vaccination of all appropriate patients/families that participants see in their practices Methods: Participants were presented with scenarios concerning when a 50+ years patient and various family members arrive for a non-vaccine appointment – Participants were asked to consider the percentage probability of having a PD vaccination discussion – Participants were asked to consider the percentage probability that discussion will lead to a vaccination Participants discussed key communication points with a consideration of 3 unique scenarios: – Vaccination of the reluctant 50+ years patient – Vaccination of the 50+ years non-patient family member – Vaccination of the 50+ years patient with chronic diseases Physicians as Ambassadors for Change in Vaccination of all Eligible Adults 50+

3. United to Prevent Pneumococcal Disease 3 Worksheet: Physicians as Ambassadors for Change in Vaccination of all Eligible Adults 50+

4. United to Prevent Pneumococcal Disease Probability of Having a PD Discussion with a 50+ Year Old in for a Non-Vaccines Visit* (Workshop 1: Physicians as Ambassadors for Change) * Probability % data collected from completed worksheets

5. United to Prevent Pneumococcal Disease Probability of Vaccinating the 50+ Year Old Patient* (Workshop 1: Physicians as Ambassadors for Change) * Probability % data collected from completed worksheets

6. United to Prevent Pneumococcal Disease Key Learnings: Barriers (Workshop 1: Physicians as Ambassadors for Change) 6 Storage and patient availability Physician lack of knowledge and/or motivation Patient aversion Many offices do not have refrigeration Follow-up appointments for vaccination later may not return Never the “right moment” to discuss with a patient that is already chronically ill Assumptions that another doctor has already discussed vaccination Adverse effects, pain, and cost No healthcare coverage for vaccination

7. Key Learnings: Solutions (Workshop 1: Physicians as Ambassadors for Change) 7 Storage and patient availability Physician lack of knowledge and/or motivation Patient aversion Vaccination should be discussed regularly at check-ups for 50+ patients, with the vaccine available at that time Must place vaccination into context to educate on true benefits of protection against illness Communication is key Save time with questionnaire to test patients and family members’ PD knowledge Point out to 50+ patients that they are still at a productive age, must continue to be healthy The opportunity to be an “active” grandparent will resonate with many older patients Doctors must show patients that cost is minimal compared with costs of treating illness