July 12, 2019

Announcements
News

ANNOUNCEMENTS

Webinar from the NFID: Updates from June 2019 ACIP Meeting –July 18, 2019 at 12:00 pm ET

William Schaffner, MD, NFID Medical Director and liaison to the Advisory Committee on Immunization Practices (ACIP), and H. Keipp B. Talbot, MD, MPH, NFID Secretary and ACIP Member, will discuss Updates from the June 2019 ACIP Meeting, including current U.S. vaccination recommendations for children, adolescents, and adults.

At the conclusion of this activity, participants will be able to:

  • Describe current ACIP recommendations for adult and childhood/adolescent immunization;
  • Explain the impact of recent changes to vaccine recommendations on vaccination programs; and
  • Discuss information on new and/or future vaccines for potential use in practice.


AVAC Congressional Briefing on Vaccination Across the Lifespan – July 24 at 12pm ET

Save the date for the Adult Vaccine Access Coalition (AVAC) congressional briefing on July 24, 2019 at 12 pm in 188 Russell Senate Office Building. AVAC is excited for the chance to educate staff on the importance of immunizations across the lifespan and to talk about the Protecting Seniors Through Immunizations Act, S. 1872.  Please consider joining the briefing and help spread the word with Hill offices and stakeholder friends. If you have questions, contact AVAC Manager Abby Bownas.


NEWS

Update from ACIP on Influenza Vaccine Supply

In February 2019, the WHO made the decision to postpone its influenza vaccine strain selection to March in order to have more data regarding potential drift in the H3N2 strain. This has impacted vaccine manufacturing with regards to the timing of delivery of influenza vaccine this upcoming season.

As of June 2019, capacity has not been impacted and we are anticipating about 162–169 million doses this year. LAIV has been impacted in terms of capacity. Delivery of these doses will be spread out over time with start times for delivery according to this table taken from the ACIP June meeting.

Manufacturer Distribution estimated to begin
AstraZeneca Early September
GSK Mid-August
Sanofi Pasteur Late August/Early September
Seqirus Mid-August

It is important to note that while this information was first presented at the National Adult and Influenza Immunization Summit and was validated as of June 2019, it can change based on production yield and other manufacturing factors.


Summit/AMGA Healthcare Systems White Paper – A roadmap to better population health management through improved adult immunization

For hospitals and health systems looking to lead on value-based care, a winning population health strategy is a must. However, many organizations overlook a proven opportunity to bolster illness prevention efforts through adult immunization programs. This white paper, A roadmap to better population management through improved adult immunization, details how hospitals and health systems can achieve a winning population strategy through improved adult immunization.

There is no cost to download the E-book, but you will need to register. The E-book offers insights into:

  • Best practices for an adult immunization program
  • Key considerations for vaccine payer reimbursement
  • Key opportunities for vaccine partnerships


2020 Child and Adult Core Set Review Workgroup Draft Report Now Available for Public Comment

The Recommendations for Improving the Core Sets of Health Care Quality Measures for Medicaid and CHIP report is now available for public comment. Comments may be submitted by 8 pm ET on Monday, August 5 to Public Comments or via email using the subject line “2020 Core Set Review Public Comment.

CMS’s Center for Medicaid and CHIP Services (CMCS) will use the public comments, together with the Workgroup’s recommendations, to inform decisions about how and whether to modify the Core Sets for 2020. CMCS will release the 2020 Core Sets through a CMCS Informational Bulletin by December 31, 2019.  Please refer to pg. 48 and 56 (or B.3 and C.1) for immunization-related measures and discussion; highlights of the report are also provided below for your reference and consideration.

Highlights

The Secretary of the U.S. Department of Health and Human Services is required to review and update the Child and Adult Core Sets annually. The annual Core Set review is designed to identify gaps in existing quality measures and suggest updates to strengthen and improve the Core Sets.

Core Set measures can be used to:

  • Monitor the quality of care provided to Medicaid and CHIP beneficiaries and measure progress over time
  • Reflect annual state performance through public reporting of chart packs and other resources
  • Develop initiatives to drive improvement in quality of care e.g.) Maternal and Infant Health Initiative, Oral Health Initiative
  • Incorporate as part of the Medicaid and CHIP Scorecard to increase public transparency in state health system performance
  • Evaluate state-specific initiatives such as Medicaid Section 1115 and other waivers, managed care oversight, and value-based purchasing

One of the criteria considered by the workgroup included: The measures should be assessed without regard to whether they will be in the Child Core Set or the Adult Core Set or what domain they will be in, because these decisions will be made by CMCS.

Immunization-related recommendations

While not recommended for addition at this review cycle, prenatal and adult immunizations are noted as potential gap areas for future consideration (see Exhibit 8)

The variability in the completeness of states’ immunization registries was noted; CMS’s technical assistance in the form of an affinity group or grant opportunity was recommended to support state coordination between Medicaid and public health registries, especially immunization registries.

Regarding the Prenatal Immunization Status measure, Workgroup members acknowledged its importance and strong connection to improved outcomes but had concerns about the feasibility of the new data collection method and were reluctant to recommend a first-year HEDIS measure that might not be ready for state reporting.

As always, the Summit’s Quality and Performance Measures (QPM) Workgroup Co-Chairs, Ilka Chavez and Megan Lindley, value your input and suggestions. If you have any workgroup agenda item that you’d like to suggest for the co-chairs’ consideration, please email Alice Tsai. The next QPM Workgroup virtual meeting on August 21 from 12–1 pm ET.


REMINDER

Summit calls are held weekly on Thursday at 3 pm ET throughout the influenza season unless cancelled. Call information and an agenda generally are sent the morning of the call. Call summaries are available shortly after each call on the Summit website.

Please email L.J Tan or LaDora Woods if you have any updates on activities to provide to the Summit.

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