Alberta Immunization Strategy 2007-2017: Priorities for 2012-2017 Kathleen Ness, MPH, CHE Executive Director Health System Accountability & Performance Alberta Health March 5, 2014
Presenter Disclosure Kathleen Ness Relationships with commercial interests: Not Applicable
Presentation Outline Overview of Alberta Immunization Program Alberta Immunization Strategy (AIS) 2007-2017 Drivers for Change New Directions 2012-2017 Next Steps
Alberta Immunization Program: Overview Alberta Health - Provincial Policy Level Leadership - Provincial Vaccine Depot - ImmARI database - Provincial Surveillance Alberta Health Services -Operational/Delivery Level Leadership - AHS Vaccine Depots - AHS systems submit to ImmARI - Regional/Zone Surveillance Health System & Community Partners - Licensed immunizers (physicians, pharmacists, nurses) -Variety of settings (pharmacies, Primary Care Centres, Family Care Clinics, Other)
Alberta Immunization Strategy 2007-2017 AIS was released in 2007. Key components included: Partnerships Accessibility Enabling Technology Evidencebased Education & Awareness Performance & Accountability A mid-point review in 2012 indicated Goals, Strategic Directions and Principles are still relevant BUT
Immunization Program Changes since 2007 2007 Alberta Immunization Strategy released 2008 Alberta Health Services is created 9 regions to one service provider HPV vaccine girls 2009 - HINI Pandemic - Influenza Immunization is made Universal - Pharmacists part of influenza immunization 2012 Alberta Immunization Strategy Mid-point Refresh 2014 Action Plans HPV vaccine boys 2017 Performance Measurement & Accountability Improvements
A Triple Focus to Achieve Outcomes Population of Healthier Albertans Albertans understand the value of immunization Albertans are more engaged High public demand Increased Immunization rates and decreased disease incidence Improved overall health More Sustainable Health System Immunization is integrated within broader health system Synergies and efficiencies gained Healthier population = reduced demand for services Better value for investment Results based budgeting High Performing &High Quality Immunization Program Effective, Efficient and Sustainable Shared accountability for success Timely, evidence-informed decisions & policies Safe & effective vaccines at the right time and place Variety of service settings available to Albertans
Population Health Drivers for Change Outbreaks Rates are below Target Population Health New Diseases Vaccine Hesitancy New vaccines
Immunization Coverage in Alberta Snapshot of Immunization at age two, Grade 5 & Influenza Programs Immunization at Age Two Completed the routine infant immunization schedule by 2nd birthday. Includes: MMR, Dtap- IPV-Hib, varicella, pneumococcal conjugate, 71.7% meningococcal conjugate MMR 85.2% Dtap-IPV-Hib (1, 2, 3, 4 doses) 92%, 90%, 87.6%, 74.2% meningococcal conjugate 81.2% pneumococcal conjugate 83.0% varicella 84.0% Grade 5 Immunizations 2012/2013 School Year Hepatitis B-Completed Series (3 doses) 81.5% HPV-Girls-Completed Series (3 doses) 61.3% Seasonal Influenza 2013/2014** All Albertans-at least one dose 26.1%
Health System Drivers for Change Demand to Maximize Efficiencies Sustainability Focus on Wellness Focus on Primary Health Care Health System Health System Capacity Focus on Outcomes
Framework Part A Population Health Outcomes Improved overall health of Alberta s population Health System Outcomes Better health experience for Albertans Increased Prevention = Decreased Disease = Enhanced System Sustainability Better Value for investment of health resources Immunization Program Outcomes Immunization targets are achieved Vaccine preventable disease is minimized
Framework Part B Priority Areas for Action Stimulate Demand for Immunization: Engagement & Understanding Social Media Optimize Vaccine Supply and Management: Safe, Right Time, Right Place, Appropriate Cost Integrate and Coordinate: Range of Providers and Settings, AIS is integral program within broader health system Enhance Data & Info Management: One immunization record for every Albertan: access for clients and immunization providers Enablers Public Health Leadership and Governance Information Technology Performance Measurement, Reporting and Continuous Improvement Values The Alberta Immunization Program (AIP) is High-Quality: Acceptable, Accessible, Appropriate, Effective, Efficient and Safe High-Performing: Integrated, Collaborative, Accountable, Innovative, Sustainable, Equitable and Evidence-informed
Priority Areas For Action Stimulate Demand for Immunization: Engage Albertans Enhance Data & Information Management Optimize Vaccine Supply & Management Integrate & Coordinate
Demand for Immunization: Engage Albertans What do we want to achieve? Albertans trust vaccines and believe they are safe and effective Albertans understand the risks of vaccine-preventable diseases Albertans value immunization and understand the importance and benefits of immunization at every age Albertans follow and trust the recommended immunization schedule
Enhance Data & Information Management What do we want to achieve? Timely, reliable, standardized and comprehensive immunization and adverse events following immunization (AEFI) data is available to Public Health and other immunization partners in multiple settings Data is used to support surveillance and reporting, policy development, decision making, planning, disease control and outbreak management, and service delivery. All immunization providers delivering immunization have point-of-service access to comprehensive immunization records for their clients. One immunization record per Albertan The program is supported and enhanced by current and applicable information technology solutions
Optimize Vaccine Supply & Management What do we hope to achieve? An effective and efficient provincial vaccine management system ensures vaccines are safe, available at the right time in the right place, and tracked in real time Alberta has a streamlined, end-to-end vaccine supply tracking system utilizing electronic tracking technology integrated with point-of-care systems The system can rapidly respond to changes in vaccine supply and demand at the provincial, zone and community/local level The system is able to carry out product recalls down to the end user and there is timely follow-up to adverse events following immunization Vaccine information is recorded with speed and accuracy due to the standardized, automated identification of vaccines (e.g. bar coding technology) Optimal vaccine usage and minimal vaccine wastage
Integrate & Coordinate What do we hope to achieve? Every contact with the health sector is used as an opportunity to verify immunization status, promote the value of immunization and provide immunization where appropriate. Albertans receive high-quality immunization services from a broad range of health professionals. Immunization is a core component of every Albertan s plan for achieving and protecting good health
Key Enablers
Alberta Immunization Framework Population Health Outcomes Improved overall health of Alberta s population Health System Outcomes Better health experience for Albertans Increased Prevention = Decreased Disease = Enhanced System Sustainability Better Value for investment of health resources Immunization Program Outcomes Immunization targets are achieved Vaccine preventable disease is minimized Priority Areas for Action Stimulate Demand for Immunization Optimize Vaccine Supply and Management Integrate and Coordinate Enhance Data & Info Management Enablers Public Health Leadership and Governance Information Technology Performance Measurement, Reporting and Continuous Improvement Values The Alberta Immunization Program (AIP) is High-Quality: Acceptable, Accessible, Appropriate, Effective, Efficient and Safe High-Performing: Integrated, Collaborative, Accountable, Innovative, Sustainable, Equitable and Evidence-informed
I. Outcomes II. Strategy III. Operating Model IV. Infrastructure V. Finance VI. Communication VII. Legal Next Steps..Action Planning Matrix A Immunization Programs CURRENT STATE ANALYSIS a. Data Collection b. Current State Assessment C Action Planning Process FUTURE STATE DEFINITION c. High Level Design d. Impact Analysis and Business Case IMPLEMENTATION e. Detailed Design f. Stakeholder Engagement and Change Management B Action Components
Focus for the Future Partnerships and Integration
Thank you! Contact Information: Kathleen Ness Executive Director Health System Accountability & Performance Alberta Health ph: 780.422.2561 e-mail: kathy.ness@gov.ab.ca