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A summary of presentations from the weekly Summit partner webinars

 

May 27, 2021

Rise to Immunize Campaign – Elizabeth Ciemins (AMGA Foundation) and Lisa Cornbrooks (AMGA Foundation)

Elizabeth Ciemins, PhD, MPH, MA, vice president, research and analytics, American Medical Group Association (AMGA) Foundation, and Lisa Cornbrooks, senior director, national health campaigns, AMGA Foundation, provided a presentation on their Rise to Immunize campaign.

Rise to Immunize Campaign Overview
Lisa Cornbrooks

AMGA Foundation is an association for medium and large size multi-specialty medical groups and integrated health systems. The foundation is focusing on adult immunizations and fostering learning and quality improvement with their Rise to Immunize campaign.

This campaign is an expansion of efforts from an adult immunization learning collaborative that involved 43 health organizations across the country and resulted in administration of over five million influenza and pneumococcal doses.

The new campaign, Rise to Immunize, builds on the learning collaborative experience.  The Rise to Immunize campaign, which is their third national campaign, will last four years, with a launch planned in September of 2021.

The national campaign will consist of a goal with specific measures that participants will work together to achieve. The participating organizations will be required to implement campaign planks, which are evidence-based care processes that help them drive improvement in their organizations. Participants will be required to report quarterly data based on the measures established for the campaign; this will allow for participants to monitor their progress within their organization from quarter to quarter and will allow AMGA to evaluate progress toward the larger campaign goal.

Rise to Immunize will also incorporate a campaign toolkit with a range of practical tools vetted by the advisory groups for the organizations implementing the campaign planks. Along with the toolkit, peer-to-peer education, monthly webinars, and case study development are hallmarks of the AMGA campaigns and offer participants many opportunities to learn.

Organizations will be offered annual rewards and recognition through the campaigns, with special acknowledgement to the highest preforming organizations, or “positive deviants.”

Rise to Immunize Goal

Elizabeth Ciemins

The Rise to Immunize goal is to have 25 million vaccines administered by 2025. They came up with this number by looking at the rates of AMGA highest and lowest performing member organizations based on their overall vaccination rate participation data from the learning collaborative.

Twenty-five million vaccinations is a number that AMGA feels is attainable, however they need your help in recruiting healthcare organizations to participate. Just ten more health systems will potentially yield three million more vaccinations.

Active Patient Population

Elizabeth Ciemins

The active patient population for the Rise to Immunize campaign is adults 19-99 years of age who have had an ambulatory visit to their health care organization in the last 18 months or in the last quarter with any specialty organization. These patients also must either have an assigned primary care provider (PCP) or have seen a PCP in the last 18 months as a requirement to help the healthcare systems be able to focus on patients who are active in the healthcare system..

Measurement Tracks

Elizabeth Ciemins

There will be two measurement tracks for the campaign: the basic and the core. Patients who are vaccinated or come into a system with newly documented vaccinations for that year will count toward the number of 25 million vaccinations.

The basic measurement track includes two measures:

  • Measure 1: Influenza vaccination for adults 19+ years of age for each flu season
  • Measure 2: Pneumococcal vaccinations for adults 66+ years of age

The core track includes the basic track and three more measures:

  • Measure 3: Td or Tdap vaccination for adults 19+ years of age
  • Measure 4: Zoster vaccination for adults 50+ years of age
  • Measure 5: Bundle measure – adults 66+ years of age who have received or are up to date on all four required vaccinations. This measure more closely aligns with the patient’s perspective of care and promotes a holistic approach to prevention and a system-wide approach to improvement of care.
  • Bonus measure: This is the percentage of the total recommended number of immunizations that were completed, which gives AMGA one more way to look at progress over time.

How can Summit partners help as they prepare to launch the campaign?

If you encounter or work with an organization that you think would benefit from being a partner to Rise to Immunize, AMGA welcomes you to introduce them to this campaign. There are a number of materials in progress including a unique website and brochure highlighting the benefits of joining the campaign, which will be finalized in the coming weeks in time for summer recruitment and the launch of the campaign in September.

A majority of the campaign participants are AMGA members, but non-AMGA members can pay a campaign fee to be a part of the campaign, or they can apply for a hardship.

AMGA appreciates your support in spreading the word to help reach the goal of 25 million vaccinations in four years.

Questions

Q: One of the challenges for many healthcare systems and providers is accessing vaccination data in the registry. Are you going to be including any additional, educational components about the use of vaccine registries (IIS) or use other kinds of databases to help with that assessment part to make sure their numerator is as accurate as possible?

Elizabeth Ciemins

There is a lot of variation across the member organizations in terms of access to their state vaccine registries [immunization information systems], because every state is different, and some registries are easier to use than others. Accessing the registry is one of the best ways to get data, however any way an organization can collect data is encouraged.

Lisa Cornbrooks

Planks are organized by degree of difficulty, with three levels from easiest to most advanced. The most advanced focuses on the utilizing the immunization registry and data sharing options. There are obstacles to using the registries and AMGA wants to help find solutions to those challenges through the webinars and toolkits.

Q: Some public health and coalition partners are cautious about promoting campaigns that are branded by industry. Can you talk a little bit about what the branding might look like for those who may be helping with recruiting of health care systems for this project?

Lisa Cornbrooks

All of the AMGA campaigns have support from industry sponsors and AMGA is careful to identify what tools and resources have input from the sponsors. For example, in the campaign toolkit there are very specific tools that come from the sponsors but otherwise, from a content perspective, AMGA tries to make sure that the information comes from the member medical groups and advisors. AMGA wants the organizations to feel comfortable in connecting with both the sponsors and advisors.

Q: What are your thoughts about our healthcare systems including other vaccines like COVID-19 or Td/Tdap vaccines?

Lisa Cornbrooks

Some participating groups have interests in other vaccines. AMGA is talking about potentially including COVID-19 vaccines as a measure, as well as measuring HPV vaccination in adolescents. AMGA is open to exploring additional avenues once the campaign participants feel comfortable with the standard data reporting.

Pengjun Lu (CDC)

Pengjun Lu from the CDC spoke about his data on adult vaccination coverage, which can be found in the May 14, 2021 MMWR. The conclusion from his data is that we have a lot a room for improvement for each individual vaccine as well as for the composite.

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