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COVID-19
Where are we with COVID-19?
What can you tell us about the COVID-19 vaccine?
COVID-19 in Arizona
• 182,203 cases overall
– Confirmed and probable
– A person is counted once, no matter how many tests
• 3,932 deaths
Data updated: 8/5/20
Links to Data Sources
• AZ Department of Health Services – Data Dashboard
• CDC Data
• Johns Hopkins University
Summary of COVID-19 VaccinesAugust 5, 2020
Presenting To
TAPI Tips
Karen Lewis, M.D. | Immunization Medical
Director
Coronaviruses
• Common colds (4)
• Severe Acute Respiratory Syndrome (SARS)
• Middle East Respiratory Syndrome (MERS)
• 2019 Novel Coronavirus
CDC PHIL 18110
Novel Coronavirus Naming
COVID-19 SARS-CoV-2
Spike Protein Used to Enter Cell
PHIL #18115
Vaccine Safety
• Preclinical animal studies
• Phase 1, 2, 3
• Food and Drug Administration approval
• CDC recommendations
• Post-licensure monitoring
mRNA and DNA in Cells
PHIL #22200
COVID-19 VaccineNon-replicating Viral Vector
Chimpanzee Adenovirus DNA SARS-CoV2 Spike Protein DNA
Chimp Adenovirus DNA SARS-CoV2 Spike Protein Chimp Adenovirus DNA
mRNA mRNA mRNA
Spike Proteins
mRNA COVID-19 Vaccines
Pfizer diagram
mRNA Codes for Spike Protein
Pfizer diagram
COVID-19 VaccinesSpike Proteins + Adjuvant
Spike proteins
DNA Vaccine
• DNA plasmid with instructions for spike protein
• Intradermal
• Room temperature
www.prnewswire.com
COVID-19 Vaccines
Operation Warp Speed
FDAEUA
RESOURCES COLLABORATION APPROVAL
Still Under Study
• One or two doses
• Handling requirements
• Fever, local reactions, etc.
• Efficacy
• Length of immunity
Flu Shots for Everyone This Year!
www.vaccinefinder.org
What are your thoughts on
recommending the COVID-19
vaccine when it’s available?
Poll
COVID-19 Impact on Vaccines – Catch Up!
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Odds ‘n Ends
1 2 3 4
How do I track down shot records?
If a parent comes in asking to get school-required vaccines, isn’t that a “win”?
A
B
C
How long can my vaccine stay
out of temp range?
Temperatures
Private ----- VFC
My name is Machrina!
When do I report to VAERS?
When do I report to VAERS?
When in doubt, REPORT.
What would it take for 90% of my
patients to be up to date on their immunizations?
Best Practices in Immunization Delivery in Arizona
30
Dr. Daniel T. Cloud Awards
ACP Desert Pediatrics Cactus Children's Clinic Desert Shores Gilbert Kayenta Health Clinic NOAH - Sierra Health Center Pinal County Health Department - Casa Grande Tuscany Children ClinicAdelante Healthcare Buckeye Callie, Albert MD Desert Shores Pediatrics, PC Kids First Pediatrics Noah Balsz Health Center Ponderosa Pediatrics Twin Pediatrics/2nd StreetAdelante Healthcare Central Phoenix Canyonlands - Lake Powell Desert Valley Pediatrics Kids Kare Pediatrics Noah's Ark Pediatrics Providence General Medicine PC UMC North Hills PediatricsAdelante Healthcare Gila Bend Canyonlands - Safford Desert Willow Pediatrics Kino Pediatric Clinic North Country Health Care Pueblo Pediatrics United CHC - Three Points
Adelante Healthcare Mesa Canyonlands HC - Beaver Dam Desert Willow Pediatrics La Paz County Health Department North Country Health Care - Winslow Red Rock Pediatrics United Community Health Center - AmadoAdelante Healthcare Peoria Casa Grande Pediatrics East Valley Children's Center Lake Havasu Pediatrics North Country Health Care Flagstaff Renaissance Family Medical Center
United Community Health Center - La CanadaAdelante Healthcare Phoenix Catalina Pediatrics El Rio Community Health Center - Pascua Lake Powell Medical Center North Country Health Care Lake Havasu City Rojas, Oscar MD United Community Health Center - Sahuarita Heights ClinicAdelante Healthcare Surprise Children's Medical Center - Tucson El Rio Community Health Center Congress LeChee Health Facility North Scottsdale Pediatric Association Sacred Peaks Health Center United Community Health Center - Vail ClinicAdelante Healthcare Tidwell Children's Medical Group - Southwest El Rio Community Health Center Northwest Longoria, Theresa MD Northwest Pediatrics Saguaro East Medical Group
United Community Health Center Continental PediatricsAdelante Healthcare West Phoenix Children's Oasis Pediatrics, PC El Rio Community Health Center Pasqua Yaqui Mariposa Community Health Center Rio Rico Orange Grove Pediatrics San Simon Health Center United Community Health Center La Canada PediatricsAdelante Healthcare Wickenburg Chinley Comprehensive Care Facility El Rio Community Health Center Southwest Pediatrics Mesquite Pediatrics Oscar Rojas, MD San Xavier Clinic University of AZ Health Network - Elks ClinicAdvance Pediatrics Cibecue Health Center El Rio Community Health Southeast MIHS - 7th Avenue Family Health Center Pagan, Lizette MD Sant Singh Khalsa, MD University of AZ Health Network -WilmotAll About Kids Pediatrics Cibecue Indian Health Center El Rio Health Center El Pueblo MIHS Glendale Family Health Center Paloma Pediatrics Santa Rosa Health Center
Valleywise Community Health Center - AvondaleAllen, David R. MD CIGNA Medical Group - C.J. Harris El Rio Pascua Clinic MIHS Maryvale Family Health Center Papago Buttes Pediatric Center Sells Indian Hospital and Clinic
Verde Valley Medical Clinic, CottonwoodApache County Public Health Services CIGNA Medical Group - Chandler Estrella Pediatrics, P.C. MIHS Mesa Family Health Center Partners for Healthy Students a service of Yavapai Regional Medical Center Southwest Pediatrics DBA Arbor Medical Partners West Valley PediatricsArizona Elks Pediatric Clinic - BUMG CIGNA Medical Group - Paradise Valley Flagstaff Pediatric Care MIHS-Guadalupe Family Health Center Pediatras Arizona St. Joseph's Family Practice Clinic
White River Indian Health Service HospitalArizona Pediatric Clinic CIGNA Medical Group - Paseo Flagstaff Primary Care Miller, Melissa MD Pediatric Associates, PC St. Luke's Pediatrics Wickenburg Family Health CenterArrowhead Pediatrics Glendale CIGNA Medical Group - Phoenix Central Four Corners Regional Health Center Mountain Park - Baseline Pediatric MultiCare WestSulfur Springs Medical Center
Winslow Indian Health ServiceArrowhead Pediatrics Sun City CIGNA Medical Group - Scottsdale Ft. Defiance Health Services Clinic Mountain Park - East Pediatric MultiCare WestSun Life Center for Children
Winslow Service UnitAZ Kids Doc Pediatrics CIGNA Medical Group - South Mountain Gering, Stanley MD Mountain Park - Gateway PediatriTDLR - Black Canyon Sun Life Center for Women and Children - CG Yavapai County Community Health ServicesBallard, Kathryn, MD CIGNA Medical Group - Stapley Gila County Health Department - Globe Mountain Park - Goodyear Pendelton Pediatrics Sun Life Family Health Center -Eloy Yavapai County Education Service AgencyBanner – Children’s Multi-Specialty & Primary Care Clinic CIGNA Medical Group - Tempe Gila County Health Department - Payson Mountain Park - Maryvale Pepka, Albert MD Sun Life Family Health Center - San Manuel Yavapai PediatricsBanner – Children’s Multi-Specialty & Primary Care Clinic CIGNA Medical Group - The Point Gila River Health Care - Ak-Chin Clinic Mountain Park - Tempe Pepka, Lisa M MD
Sunnyslope Family Health Center Your Neighborhood Health Care CenterBanner Children's - Power Peds CIGNA Westridge Pediatrics Gila River Health Care - Pediatrics Mountain Park - TollesonPhoenix Children's Clinic Sunrise Medical Group Yuma County Public Health DepartmentBANNER CHILDRENS BANNER HEALTH CLINIC Clara Vista Medical Associates Glendale Family Health Center Mountain View Pediatrics Phoenix Children's Primary Care Gateway Pediatrics Sunrise PediatricsBANNER CHILDREN'S BANNER HEALTH CLINIC Clinica Dr. Alfonso Salas Goodsite, Ronald MD Muncy, Gary MD Phoenix Indian Medical Sunset Community Health Center - Somerton Banner Health Center Greenway Clinica Hispana of the West Valley Grayhawk Pediatrics MVP Kids Care Pima Co HD - East Sunset Community Health Center North Yuma
Banner Health Clinic Payson Colorado River Pediatrics Greenlee County Health Department Clifton MVP Kids Care Pima Co HD - North Sunset Community Health Center San LuisBanner Health Clinic Payson Pediatrics Continental Pediatrics Greenlee County Health Department Duncan Nahata'Dziil Health Center Pima Co HD - South Sunset Community Health Center YumaBanner Medical Group - Estrella Copper Queen Med Assoc - Douglas Havasu Rainbow Pediatrics Navajo County Health Dept. - Holbrook Pinal Co HD - Mammoth SUNSET HEALTH WELLTON CLINICBarone, Dominic DO Cottonwood Pediatrics Hopi Health Care Center Navajo County Health Dept. - Winslow Pinal Co HD - Maricopa Sunshine Child & Adolescent Care Bethesda Peds - Gilbert Desert Canyon Pediatrics John C. Lincoln Children's Health Center Navajo County Public Health - Show Low Pinal Co HD - San Tan Valley Tsehootsooi Medical Center
Brisas Pediatrics Desert Mission CHC Joshua Tree Pediatrics NOAH - Desert Mission Health Center Pinal County Health - Coolidge Tucson Central PediatricsBylas Health Center Desert Shores Chandler Kachina Family Practice NOAH - Heuser Family Medicine Pinal County Health Department - Apache Junction Tucson Pediatrics
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Tips from T.I.P.S. friends!
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Tips from T.I.P.S. friends!
Phoenix Indian Medical Center
How does your practice monitor
immunization coverage levels?
Poll
Focus on Data
1 2 3 4
How often does your practice look
at your population’s immunization
coverage levels?
Poll
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Tips from T.I.P.S. friends!
- Documented workflow
- Make it easy to follow procedures
- Use of EMR and technology
- Small tests of change
Everyone does the same thing every time
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Tips from T.I.P.S. friends!
Evidence-Based Interventions
Chiricahua Community Health Centers
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Tips from T.I.P.S. friends!
Partner with families
Help it “make sense” to families
Cultural competence
Family-Centered Care
Ask questions. Humbly, actively listen.One size does not fit all.
Speak up!
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Tips from T.I.P.S. friends!
Team-Based Approach
Mountain Park Health Center’s Immunization pioneers, leaders and outstanding team
Don’t forget!
Why Immunize? 10 Things
Parents Need to Know About Why We Immunize Babies
For anyone who interacts with parents immunizing their kids: Medical Assistants, Vaccine Administrators, Certified Health Education Specialists and more!
Interested?
Please contact Laura Smith at [email protected] for registration
information
Prizes for Everyone!! Drawing for folks who did EACH evaluationComplete the evaluation – include address
Thank you for your tips at T.I.P.S.!
www.TAPI.org