2022-2023 OCHIN+NACHC Multi-Project Informatics Meeting Notes

IEW

WHPP

HIV Data

Accomplishments?

IEW

WHPP

HIV Data

Accomplishments?

IEW

Data is due from partners for period through May 31 so data is due June 15 if they can - SOW deadline is July 14.

• Prove use case data - july 14

• Task 3 full file - july 26

Andrea to ask Ray:

 a.       Provide a summary data analysis to NACHC to demonstrate the population in the use case identified in Task 1 and the impact of their occupation on the health outcomes of interest. (NACHC does not see the data)

 b.      Send one patient-level data extract to NACHC for the period ending June 30, 2024. (regular data extract)

WHPP

OCHIN won’t be doing the optional measure due to workforce limitations.

The actual health centers changed over the five years.

HIV Data

Accomplishments?

IEW

WHPP

HIV Data

Accomplishments?

IEW

WHPP

HIV Data

Accomplishments?

IEW

WHPP

HIV Data

Accomplishments?

IEW

WHPP

HIV Data

Accomplishments?

IEW

Which site(s) CHCs?

WHPP

1. Cancellation of WHPP

2. Optional video

3. Optional

   1. Do you want to look into the data on anemia, lactation services and counseling. She will ask Craig.

   2. WHPP data - can Craig get the data to NACHC by 5/31?

Michele is moving on from OCHI - she is going to go back to clinical practice, but might have some informatics work to do.

HIV Data

Accomplishments?

IIS Survey

Seren got it all filled out!

AP check qualtrics.

AIM staff no longer have to attend this meeting.

ODH/IEW

Work on Use cases.

OCHIN is working with our two ODH clinics to find time to speak with a provider to help design a use case.

WHPP

NACHC will send out IG for review.

HIV Data

Accomplishments?

IEW

NACHC’s funding

WHPP

HIV

Date of implementation?

Data through December 31 is due asap after.

Ask Pedro if any questions.

HepC

Admin

Please invoice for WHPP

• OCHIN’s contract is for CDS 867-05 PO #3775 for $20,000.

IEW

Role of NCE is placeholder in case funding comes up. No need unless new funding comes in. No need to sign.

All data is in for period ending June 30, 2023.

WHPP

Role of NCE - we do expect funding for this. Seren sent for signature recently 7/20.

Health Centers - 3 health centers

1. Monterey Ct CA

2.  

HIV

NCE was submitted to OCHIN Legal Team by Seren for signature 7/20. Waiting for it to be six months.

HepC

IEW

Deliverables on SOW page

Will need dashboard from NACHC if/when available.

WHPP

Harvest slides - estimated data of data submission - he will do early-mid July.

HIV

Harvest slides -

Andrea ask @Julia Skapik (Deactivated) if we can get a letter out to HIV CDS partners to authorize them to give us data 6 months after implementation, i.e., NCE. no meetings, just data submission. Julia - Yes, we will request NCE; Andrea/Julia will check to see if CAD Business Operations has already initiated a NCE letter.

HepC

Publication work - no funding is available to continue; although NACHC is looking for funds. Staff may not be available given conflicting and new work. Alliance can do one more pull… This goes through the research database, not a typical data pull so more involved.

Seren can check with Mike when he returns in mid-July. If a formal request needs to be made, Seren will let Julia know.

IEW

invoicing

Needs dashboard from NACHC

Andrea to ask how partners are supposed to get dashboards (alliance and OCHIN)

WHPP

HIV

Can we see if there are any impacts on providers - anecdotal? Like are they getting more time to talk to patients because of alert? Less time because it brings up one more subject? Have they complained about a new alert?

Waiting for go-head to implement

HepC

Waiting to hear back from Gilead.

IEW

• Any questions from All Partner Call.

• Longer slide template 2023 IEW Monthly Partner Update Slide Template.pptx

• Data with the newest site - one of the fields did not move into production. The other site is putting data elements in registration.

Jayson questions -

• We have employment status but we are missing occupation and industry. Seren: These do not look like the latest numbers.

• The next chunk of data will have more info. Site will be sending.

Open

WHPP

• NACHC is working on updated Implementation Guide and MMRC materials

  • If you want to invoice for the 1st deliverable, feel free.

HIV CDS

Site was working on this project - using eisting OCHIN tools on pops that would need screening - they increased the screenings by 3,000 ppl. Provider meeting 2nd week of May. They specfically targeted ppl who had not had a screening - they called the patients - the new routine would add alerts and be more related to adding testeing to routine visits.

HepC

On the books…

IEW

• SOW

• Build went live with 2nd site on the 17th;

• OCHIN listed some challenges

WHPP

• Update health center information on SOW page in Confluence - OCHIN WHPP - Women's Health Post Partum CDS, GDM, eCQM - Confluence (atlassian.net)

• NACHC is working on updated Implementation Guide and MMRC materials

• Questions about SOW?

Crystal checking to see if contract was signed. It was sent out for signature. Has not yet been signed

HIV

Culture of automation vs provider intervention - where are the sites on this scale?

• The goal is to see how far we can go to remove barriers to an automatic order for HIV testing.

• The build OCHIN has puts the order in, but it still must be signed.

1 comfortable with automation

5 more comfortable with provider intervention

Is CDS tool being used? Howard Brown - hopefully by end of April will be in and using it. There were questions that were answered 3/27.

HepC

Data comes from Data Warehouse? They have different rules from other projects, and may need IRB.

They want to know re: IRB

Grant - ReLINK

Went to Anisha.

Id’ing those who were lost to follow up and getting them back in care.

Julia to send the PDF of the grant to Seren.

HepC

• NACHC met with CDC today. HepC “closed” at the end of 2022. The original CDC content leads left the division and new leads at the Harvest Meeting were still catching up.

• New leads are interested in writing a paper - most of the paper is written.

• OCHIN could be involved as authors and/or provide a dataset/support for the data content.

  • Approval needed?

  • Any authors other than Michael?

  • Level of effort for a data extract?

IEW

• Plan is to go live March 17 for the second partner

• Front desk staff are entering work information

WHPP

• Contract in process - submitted for approval by CAD leadership

• Data - Craig is currently working on it. Hopefully done by the end week or next week.

• Upload Aims Statement Worksheet - already uploaded.

• Million Hearts Call on the next All Partners Call - March 17

  • AnneMarie is involved in Million Hearts

HIV

• Finalizing the build. Need a few answers from the health center they are working with - Howard Brown Health.

• Seren and Mike are meeting next week on the Implementation Plan.

IEW

• DATA - please send data through December

  • OCHIN working on network implementation

  • Craig working on all data extracts - WHPP, IEW, HIV

    • Timeline -

• Implementation Guide

• Partners/Sites

  • Bringing on a new site, partner from MH project Cincinnati Health Dept; the other health center is: University of Western States (existing partner).

  • Existing partner went live in the fall - any tips and tricks that they would like to report, it would be helpful.

  • Epic meeting January 30th

• Open

  

WHPP

• Timeline on first data pull - asked Craig on Friday 1/20 but hasn't heard back.

• Questions about QI strategy or templates?

  • Complete Aims statement template by February

  • Other templates are to be completed throughout the project

• Call with Million Hearts in March

• Contract is processing

• Call with ONC

HIV

Pre-Implementation data will be provided at same time as WHPP - pending.

Open

• Cultural issue of automatic test ordering vs provider manually ordering?

  • We would like to learn more about how sites feel about automation and implementation of this kind of thing.

  • OCHIN might assess readiness with partner sites - providers tell us that they want less burden, more automation; how do people at the site feel about that? What is the general feeling about automating HIV testing - it’s a culture shift that CDC is looking for, normalizing HIV testing, and automating the order.

  • Julia indicates manual confirmation is still ok - but the ordering would be automatic.

  • NACHC is developing an app to help patients get information and create a plan for HIV prevention for themselves. The app will be available in the app store and google android. The app helps people assess their risk, and health centers can send us their material to input so that when someone says they are from that zip code, that HC’s info can come up. NACHC will issue news about when the app is available.

HepC

• Level of effort for data pull? Pending - OCHIN to send info on level of effort.

IEW

@Raymonde Uy

No changes to the Data Request/Dictionary but the file will be sent out.

Discrete fields for occupation and industry were in pilot last Oct 2022.

Went into production early November.

WHPP

Waiting for final budget.

NACHC can do a budget for $65,000 for the WHPP contract (w/out the new element).

Reconvening with the partners from last year, will do in January.

OCHIN will send new budget.

HEP C

• What will be needed to tie up the project

Julia

NACHC is going to do a one-pager

•Training and provider engagement - who was trained, how were they trained?

•Workflows for an ongoing/recurrent process - Not implemented in a help center.

•Dedicated resources for this topic?

•Acknowledgement and documenting care outside of the CHC

•Maintenance plan

•Next steps – Consider pilot in a health center

• NACHC will start a document and will check with OCHIN …

• Data - Elements in lab cascade, treatment, 3 SDOH - where each patient was in the cascade, race ethnicity, SDOH

Andrea provided slide template for progress, to be updated monthly. Just high-level overview.

HIV CDS Tool

• Questions and considerations on implementation

• Data Dictionary and Request

Provided.

• Timing and Implementation Plan (NACHC has promised CDC the overview implementation plans in early January – see attached slide template)

OCHIN met with the help center that may participate in this project. Will meet with them after holiday.

Andrea provided slide template for progress, to be updated monthly. Just high-level overview.

IEW

• Kickoff Call on Wednesday this week - https://nachc.atlassian.net/wiki/spaces/IEW/pages/3091431497

• Andrea is looking into scheduling All Partners Calls

• Seren submitted the contract for internal review - hoping to work with partner from last year + one new partner.

WHPP

• Draft SOW: https://nachc.sharepoint.com/:w:/s/InformaticsTeam/EQ7yq21dPgFNmzwFW2KLyqkB75EncPtdQV02v3vzyrCQaw?e=o6bIbR

• SOW is being reviewed by OCHIN, no concerns - Budgets are pending

Julia will check with Kathy regarding budget

Adult Immunization Project

HEP C

Julia send Seren an email about invoicing.

WHPP

Areas that we discussed:

Michele - Make the post-partum visit earlier for high risk patients. What would we do with that information once we have it?  

On post partum report - put a column so we know that the patient is a high-risk patient, and we know when their next appointment is. - can make a checkmark that they were a high-risk patient for post partum report.  We would have to make some decision about post-partum care and if there is something we can do to better track when they are post partum.  

Issue is coordination - hospital should be notifying clinic... OCHIN does get messages, they go to the primary care physicians or does it go to primary ob/gyn.  The messages don't have obvious content so they are ignored.  They are automatic and someone has to weed through them. It is easy to do, but hospitals don't do it - they should be sending by direct secure message.  It's easy if there's continuity - if it is a hospitalist that delivers the baby you don't get the communication.  Elliott's comment - if we could get buy-in (and define the carrot and the stick)... 

This one could be dropped or made a part of the measure flow - Screening for HTN and proteinuria during pregnancy, because it is not in the post-natal period.

The question is: Do any of our sites have any mechanism where if they were high risk in pre-natal, they get flagged to follow up for post-partum.  Michele - we could ask sites if they feel this would be helpful?

Slide 24

Next step - ask partners - an email to partners asking them to consider "birth plan" care or a path to do the referral; there is a way to do it systematically.

Transition of care: When is there a hand-off to post-partum care?

Urgent Maternal Warning Signs | CDC

• Process Measure: Documentation of actual delivery (within 72h?) ​

​

• Health equity and pregnancy outcomes - We'll think about this.

Ray - Slide 21

No guideline how long after delivery they would dx dm after delivery - but it can occur up to a year after delivery.  Do we still want to consider only the 8 weeks?   Jayson may have correcfed it to 16 weeks.  We could just look at the year after the birth.

Post partum depression - we are seeing codes for major depression disorder but there ot a lot of codes for post-partum depression.- should we still rely on the post-partum depression code?

Yes - BPA for that PPD code instead of major depressive disorder code if it is during the post-partum period.

@Crystal Nwachuku (Deactivated)Set up a call with the sites to ask them: Do any of our sites have any mechanism where if they were high risk in pre-natal, they get flagged to follow up for post-partum. Would it be helpful? Speak with Julia, Michele and AnnMarie about the invitees/dates for clinic staff.

@Crystal Nwachuku (Deactivated)- check to see if TR made any changes in the SOW for partners and get the draft out to Julia, Kathy and then the partners.

IEW

/wiki/spaces/IEW/pages/1321369920

I am polling for a new time so OCHIN can participate.

Adult Immunization Project

No updates other than demo tomorrow with health centers - reviewing best practices and workflows.

COVID-19 Project

Review COVID SOW

HEP C

OCHIN-NACHC meeting on 6/28 to discuss more. @Jessica Minor she/her (Unlicensed)  is helping with the project.

WHPP

Review WHPP SOW

IEW

/wiki/spaces/IEW/pages/1321369920

OCHIN is testing the build which includes new data elements from NIOSH codes.

Encounter is mainly to see if it is more likely to get occupational data if there are more encounters.

Notes from Jun 28, 2022  meeting are here 2022-06-28 IEW Check In - OCHIN - IEW - Identifying Essential Workers - Confluence (atlassian.net)

Admin

Seren is out from 6/29 - 7/11.

Adult Immunization Project

• Still customizing reports, found in process with Southern Jersey that they had a lot of gaps in education as well as reporting (education related to documentation and reporting), trying to customize reports for COVID and pneumovax, trying to loop in reporting person there. Supporting them on education related to clinical decision reports, found gap in staff training related to that and have shared internal OCHIN resources;

  • Meeting with them this week or next week to finalize date - some sites do not have connection to state IIS, OCHIN is working with them on that as well

  • Waiting for definitive feedback on final report, no new numbers because they have found more gaps

  • Some staff (community outreach for example) don't understand the basic triggers in EHR that help them figure out who is due for an immunization, etc. - some level of training happening, these resources are already available at OCHIN - what information would help head of vaccinations (Director of nursing, hasn't really run these reports herself before) understand vaccination data? OCHIN is working on this providing resources and trainings

• Last learning community session coming up in June - how have HCs used the data that OCHIN/NACHC has been able to give them? 

• Timeline on data? Seren will check in with data person; shouldn't be longer than end of this week

COVID-19 Project

Review COVID SOW

Submitting QA soon. 

HEP C

Waiting for the resourcing to be finalized. Met with staff last week about this.

WHPP

Review WHPP SOW

One of the health centers fell through but they found another. Most likely won't have a full QI ready to go.

IEW

/wiki/spaces/IEW/pages/1321369920

Build was approved by the internal review committee. Getting started soon with the intention to include more centers later in the Fall. 

Adult Immunization Project

• Next LC Learning Session focused on SDOH - Interest in being spotlight partner for upcoming LC session? Aiming for 5-10 minute presentation (potential topics from CGH: on anything to help HCs document SDOH, guidance on how to capture, how to apply SDOH data);

  • OCHIN works regularly with HCs on SDOH but not necessarily related to adult immunizations, could speak on SDOH in general? May need more guidance on finding overlap with AIM; OCHIN has resources/coaches relating to SDOH - could present on support they offer to SDOH that aren't OCHIN Epic specific

  • CGH: Other HCCNs/PCAs probably face similar issues, general SDOH would be a great topic for a brainstorming issue, how to share that information with HCs - OCHIN 

• Third party tools that OCHIN offers to HCs? 

  • Yes, ex. for telehealth, they have a list of different integrations they have

  • For AIM - not sure if there are any

• Potentially discussing experiences with third party tools, where they are helpful, if they could be useful for adult immunization for outreach, tracking, etc. - is that a topic that might interest OCHIN? 

  • OCHIN interested, one of their HCs interested in using one for AIM but not sure - not sure if interested in discussion if focused on reporting tools since there are already tools for that within Epic, they have people they will ask to see if there is interest

COVID-19 Project

What is it that NACHCwoujld like to see re: IIS? n general, 

Review of SOW

HEP C

@Jessica Minor she/her (Unlicensed)

They are bringing a new person on to refine query and build dashboard.  Task 1 has to be done first.  We'll 

How long will dashboard team need?

WHPP

Craig set up SFTP login with John for data upload.  Craig is ready to go on pulling data.

IEW

Adult Immunization Project

In talks to start pulling Sprint 2 data

Sub-population for Sprint 2 - patients with underlying conditions, if it's in the EHR they should be able to pull it out (ex. asthma, etc.) - informatics has datasets for underlying conditions from COVID-19 project in data dictionary, or they can send a list to Informatics to create a list of codes to look for - OCHIN will discuss with HCs, we currently don't have any data on underlying conditions

OCHIN will look through worksheet again for Learning Community session 2 for any other information CDC might be interested in

COVID-19 Project

Julia spoke with Ben about this.

Put agenda for next Tues call.

Review of SOW

HEP C

Contract is in NACHC Finance.

WHPP

Ray had sent out emails for comment 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407406/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485306/

https://pubmed.ncbi.nlm.nih.gov/31216102/

Which of the five new areas would be priority?

Julia - we will measure all five.  We want to ask the health centers which measures they want to improve.

● Diabetes/GDM

● HTN  disorders of pregnancy 

• Post-partum depression/mental health

(included in Year 3 by OCHIN)

● Substance abuse*

● Contraception

Guidelines for HTN?

USPSTF vs. ACOG

ACOG recommends low-dose aspirin beginning in the late first trimester for women with a history of early-onset preeclampsia and preterm delivery <34 0/7 weeks of gestation, or for women with >1 prior pregnancy complicated by preeclampsia. The USPSTF recommends low-dose aspirin after 12 weeks of gestation in persons who are at high risk for preeclampsia: history of preeclampsia in a previous pregnancy, type 1 or type 2 diabetes, and chronic hypertension.

https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/07/low-dose-aspirin-use-during-pregnancy

https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/low-dose-aspirin-use-for-the-prevention-of-morbidity-and-mortality-from-preeclampsia-preventive-medication

10min

Adult Immunization Project

Rocio

3 HCs seem willing to commit, still in talks; recruitment is difficult, need to speak with account managers

On track to have data ready to discuss during Learning Community session 2 next Thursday, Mark will pull data reports possibly by end of the week

Service site interested in Pneumovax  

Potential learning community topic: how other networks do their reporting; tools and tips for using data to get reports, and also strategy

5-10

COVID-19 Project

Data - trying to get to monthly data reporting, gaps, post-covid diagnoses, cleaning up vax data and SDOH data so NACHC can compile reports for CDC.

SFTP - was that working? Mark was the contact for that.

Pedro was running the dashboards; he is out this week.  Jayson or John, Julia will try to get it this afternoon.

@Julia Skapik (Deactivated) check to see who was assigned to put data dashboard up on OCHIN site:

https://nachc.atlassian.net/l/c/5eW9UzZC

QI Challenge - This is at the network level, so no need to recruit sites unless your plan calls for it.

COVID paper from last year?

5

HEP C

5

WHPP

Scope? Measures?

Three partners for WHPP - centers are interested in working on it. 

• Southern Jersey 

• 2 in Northern California in talks in early March

Look at proposed measures: how much are we able to track depression screening?

to what extent are we able to id the high risk patients who have CVD, substance abuse, severe mental illness, cancer or active bleeding issues.  We'll be looking at those value sets retrospectively.

Is there a consistent way to label high risk patients?  In a generic way "these are high risk patients" or "these are high risk CVD patients; these are high risk substance abuse patients"

To what extent are we able to track things like post partum HTN or DM in the EMR?

• what does the care team need?   Lots of interest in high risk patients to help the team id patients for follow up.  

• To answer the question: whom should I be worried about who is not in my office?  Did they transfer care? That might be an outcome of pregnancy episode.

Jayson sent an email on data for WHPP - Craig Stark is the data guy for the project.

Seren to follow up with Craig re data, then talk with Jayson.

NACHC is closed between Christmas and New Year's. 

Adult Immunization Project

NACHC received the budget, will be sent to Contracts.

Data pull - 1. All 7; 2. Next phase 3 of the 7

Confluence pages for partners have been posted, including file upload page.  Contact @Jonathan Uy (Deactivated) for anything about Confluence page.

@Rocio Payne from Clinovations sent an email last Friday with activities menu.  OCHIN team would meet and pick a focus area.

• Data and Documentation

COVID-19 Project

Slides from DRH presentation.  @Michele Whitt (Unlicensed) will remove screen shots of Epic and re-send.  Andrea will send to CDC to be shared.

Additionally, could you clarify/see my comments (in blue) for these asks?

From SOW:

PROVIDE MONTHLY PATIENT-LEVEL DE-IDENTIFIED DATA FOR JUNE – SEPTEMBER 2021 ON PARTNER FILE UPLOAD CONFLUENCE PAGE.

• Mark will need time to work on this data pull and we will likely not be able to submit this until mid-January 2022. Fine to submit in mid-January.

PROVIDE MISSING DATA FROM JANUARY 2020-JUNE 2021 AS IDENTIFIED BY NACHC DATA TEAM USING THE DATA DICTIONARY AND ANY UPDATED VERSIONS PROVIDED BY NACHC STAFF.

• I don’t understand what the missing data is referring to.

• Andrea's guess: this a cut and paste error - originally it was was for partners that participated in Year 1 and had missing data.

Provide monthly patient-level de-identified data for September – January 20212 using the Data Dictionary or an updated version as requested by NACHC staff. Assuming this is meant to say September 2021 - January 2022, and if so, we can submit June 2021-January 2022 together once we understand the data request better. If you’d prefer they be split then that’s okay too.

• Andrea: Yes - that was a typo.

HEP C

Dr. Lieberman is to send a quote.  Will be sent first week of January.  

OCHIN needs to invoice for $30,000 that was not invoiced.

Seren and Julia will check to see what this $30K was for that was not invoiced.

WHPP

AP has budget from OCHIN, sent to CAD Contracts.

UCSF

Final All Partners Call Dec 22, 2021 

@Julia Skapik (Deactivated)

@Sarah Price Will be on second half of call

@Pedro B Carneiro (Deactivated)

@Raymonde Uy (Unlicensed)

@John Gresh

@Andrea Price Old Account (Deactivated)

COVID-19 Project

Review of SOW

Scope of Work re: number of health centers, challenges

1. Patient level data is required, so patient-level DUAs are required.

2. How many CHCs?

   1. 10 are on the Azara... there is a DUA for patient-level data that already have protections for de-identification. 10 is fine.

   2. Do DUAs with all of them and work with 4 for data improvement projects.  Improvement projects are not required on this project at this point.  

   3. We don't have additional years of funding at this point (because when this was funded CDC did not know how long this would need to last), so QI was not a part of the original one-year plan. 

   4. One strategy is to begin with the 2020 data for the CHCs you have and have DUAs from; you can continue to talk with additional partners about bringing them on board.

   5. You can consider all of them part of the project even if they do not contribute individual-level data - they may have insights and/or aggregate data that could help us - it's not a matter of "in" vs "out."  More are welcomed but not required.

   6. No zip codes, no birthdates - just age.  The purpose is surveillance, not individual-level analysis.  The only reason to have individual-level data is to see if there are patterns.

   7. There are no CHCs with DUAs at this point; the Alaska PCA team will be meeting with the CHCs on Jan 20, 2021 

      1. Aggregate data now

      2. Aggregate data now and individual data later (YES) when DUAs are in place.

      3. Patient-level data later

Status of work with Azara

1. Alaska, Louisiana, and Azara met Jan 11, 2021.  Azara will mine the reports and send them to NACHC.

2. Can get all in data dictionary - just a few things they will not provide

   1. MRN, but will have a patient identifier so NACHC can look for individual-level patterns

Data Status and Discussion

1. The number of tests is very high, number of positive tests is high... looks like more tests than patients

2. Sometimes the encounter is not a UDS-qualified encounter - so impacts the denominator... 

3. Can we tell how many of their CHC patients (not walk in non-patients) were tested

4. @Julia Skapik (Deactivated) suggests giving NACHC updated aggregate data on the 10 that are on Azara ... @Pedro B Carneiro (Deactivated) agreed that NACHC had received it.

5. Azara needs to create the reports so Jan 15, 2021  deadline is not likely

Due dates and Deadlines

• Data Extract Due - for calendar year 2020, was due 31 Dec 2020  

• Next Data Extract Due 15 Feb 2021 with data for the month of January 2021. 

• Next All Partner Call is 02 Feb 2021 - slides due on 27 Jan 2021  

Adult Immunization Project

Alaska PCA Update

1. Contract was received.

2. Persona - can be the same one, or a new one for AIM.  Has not yet been sent to NACHC.

Data Status and Discussion

Deadlines and Due Dates

COVID-19 and Flu Vaccine Usage and Access questions pending:  https://nachc.co1.qualtrics.com/jfe/form/SV_3UHdT9r3n9wHAUd

15% of CHC populations received flu vaccine in 2019.

Alaska PCA to fill one out per health center (if able) for CURRENT year

Flu data pull

COVID 19 Vaccines

1. Indian Health Service (IHS) beneficiaries are getting immunized through their IHS centers, not through CHCs

   1. Age 50+ using IHS vaccine allocations.

   2. Have done care providers

   3. Anchorage 65+  they vaccinated 800 ppl on Jan 10, 2021 

2. Non-IHS Clinics

   1. Bethel Family Clinic, non-tribal, did immunizations.

   2. Not all non-tribal got vaccines to give out.

   3. Clinic where @Former user (Deleted) went had no vaccines.

   4. Others may be doing 400 or so.

3. IIS System Partner VacTrAK

Flu vaccines

1. How many CHCs signed up for the Flu Vaccine project?

   1. Two

      1. Bethel Family Clinic

      2. Sunshine Community Health Center

         1. DUA Signed

b. These need to have Data Use Agreements (DUA)

2.  Free flu vaccines:  Judy and Patty reaching out to state immunization manager to facilitate distribution of free flu doses (at least 15,000 available as of Jan1).  

Ask me Anything series is being extended 3 more sessions

1. Notice went out today; please share with all noon eastern time for the next 3 Fridays

2. Holyoke, MA will be presenting on Jan 23, 2021 

Next All Partner Meeting is in March