Improving Adult Immunization Across the Continuum of Care: Making the Most of Opportunities in the Ambulatory Care
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Improving Adult Immunization across the Continuum of Care: Making the Most of Opportunities in the Ambulatory Care 2016 ICHP Spring Meeting– East Peoria, IL– April 8, 2016 2016 MPA Health-Systems Spring Seminar – Missoula, MT – April 30, 2016 2016 LSHP 2016 Annual Meeting– New Orleans, LA– May 27, 2016 This activity is sponsored by the American Society of Health-System Pharmacists (ASHP). Supported by an educational grant from Merck Improving Adult Immunization across the Continuum of Care: Making the Most of Opportunities in the Ambulatory Care Setting Activity Overview According to the National Foundation for Infectious Diseases (NFID), more than 50,000 adults in the United States die from vaccine-preventable diseases or their complications each year, and nearly 36,000 people die from complications of seasonal influenza. The current comprehensive U.S. adult immunization schedule includes vaccination for 16 infectious diseases. Despite the availability of these vaccines, many adults remain unvaccinated against preventable infectious illnesses. Health care professionals who work in the ambulatory care setting have an opportunity to screen unimmunized patients at risk for vaccine-preventable diseases and intervene. In order to be most effective, health care professionals must remain abreast of the frequently updated recommendations for adult immunization from the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices. This symposium will highlight the latest recommendations for four important adult vaccines: influenza, pneumococcal, herpes zoster, and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines. Vaccination strategies for specific immunocompromised patients and immunization considerations for health care personnel will also be discussed. Learning Objectives After the conclusion of this application-based educational activity, participants should be able to Outline current adult vaccination recommendations for the influenza; pneumococcal; tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap); and herpes zoster vaccines. Provide recommendations for vaccinations in adult immunocompromised patients. Recommend vaccines for healthcare personnel and strategies to optimize coverage. Outline approaches to improve adult vaccination rates across all populations in the ambulatory care setting. Continuing Education Accreditation The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This activity provides 1.0 hour (0.1 CEU – no partial credit) of continuing pharmacy education credit (ACPE activity # 0204- 0000-16-423-L01-P). Participants will process CPE credit online at http://elearning.ashp.org/my-activities. CPE credit will be reported directly to CPE Monitor. Per ACPE, CPE credit must be claimed no later than 60 days from the date of the live activity or completion of a home study activity. Improving Adult Immunization across the Continuum of Care: Making the Most of Opportunities in the Ambulatory Care Setting Faculty Dennis M. Williams, Pharm.D., BCPS, AE-C, FASHP, FCCP, FAPhA Associate Professor and Vice Chair Division of Pharmacotherapy and Experimental Therapeutics UNC Eshelman School of Pharmacy University of North Carolina Chapel Hill, North Carolina Dennis M. Williams, Pharm.D., BCPS, AE-C, FASHP, FCCP, FAPhA, is Associate Professor and Vice Chair for Professional Education and Practice in the Division of Pharmacotherapy and Experimental Therapeutics at the University of North Carolina (UNC) Eshelman School of Pharmacy in Chapel Hill, North Carolina. He is also a clinical specialist at UNC Hospitals. Dr. Williams earned his Bachelor of Science in pharmacy and Doctor of Pharmacy degrees at the University of Kentucky in Lexington. He is a board-certified pharmacotherapy specialist, as well as a certified asthma educator. He has received fellow recognition from the American Society of Health-System Pharmacists, American College of Clinical Pharmacy, and American Pharmacists Association. Dr. Williams focuses his practice, teaching, and research on the management of patients with pulmonary and infectious diseases. He is a member of the National Asthma Education and Prevention Program Coordinating Committee of the National Heart, Lung, and Blood Institute and several other boards. Dr. Williams has published research papers and book chapters in the area of pulmonary diseases and infectious diseases, and he regularly speaks on these topics at national and international professional programs. He has trained thousands of pharmacists and students about pulmonary, infectious disease, and immunization sciences, as well as practice considerations related to these topics. Improving Adult Immunization across the Continuum of Care: Making the Most of Opportunities in the Ambulatory Care Setting David J. Weber, M.D., M.P.H., FIDSA, FSHEA Professor of Medicine and Pediatrics, UNC School of Medicine Professor of Epidemiology, UNC School of Public Health Associate Chief Medical Officer, UNC Health Care Medical Director, Hospital Epidemiology and Occupational Health University of North Carolina Chapel Hill, North Carolina David J. Weber, M.D., M.P.H., FIDSA, FSHEA, is Professor of Medicine and Pediatrics in the University of North Carolina (UNC) School of Medicine, and Professor of Epidemiology in the UNC School of Public Health. Dr. Weber serves as the Associate Chief Medical Officer for UNC Health Care. He also serves as the Medical Director of the Departments of Hospital Epidemiology (Infection Control), Occupational Health, and Environmental Health and Safety for the UNC Health Care System. He is Associate Director of the North Carolina Statewide Infection Control Program (SPICE) and serves as Director of the Regulatory Core for the UNC Clinical Translational Research Award. Dr. Weber received his Bachelor of Arts from Wesleyan University, his Medical Degree (M.D.) from the University of California, San Diego, a Master of Public Health (M.P.H.) from Harvard University, and completed his medicine residency and infectious disease fellowship at Massachusetts General Hospital. He is Board- Certified in Internal Medicine, Infectious Disease, Critical Care Medicine, and Preventive Medicine. He is a fellow of the Infectious Diseases Society of America (FIDSA) and fellow of the Society for Healthcare Epidemiology of America (FSHEA). His research interests include the epidemiology of healthcare-associated infections, new and emerging infectious diseases, control of drug resistant pathogens, immunization practices (especially of healthcare personnel), zoonotic diseases, and epidemiology of tuberculosis. He is the Society for Healthcare Epidemiology of America (SHEA) representative to the Advisory Committee of Immunization Practices (ACIP) and has also served on several working groups of the ACIP. Dr. Weber has published more than 200 scientific papers in the peer-reviewed literature. In addition he has published 4 monographs and more than 200 book chapters, editorials, and short papers. He serves as Associate Editor for Infection Control and Hospital Epidemiology (ICHE). Improving Adult Immunization across the Continuum of Care: Making the Most of Opportunities in the Ambulatory Care Setting Disclosure Statement In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support and the Accreditation Council for Pharmacy Education’s Standards for Commercial Support, ASHP requires that all individuals involved in the development of activity content disclose their relevant financial relationships. A person has a relevant financial relationship if the individual or his or her spouse/partner has a financial relationship (e.g. employee, consultant, research grant recipient, speakers bureau, or stockholder) in any amount occurring in the last 12 months with a commercial interest whose products or services may be discussed in the educational activity content over which the individual has control. The existence of these relationships is provided for the information of participants and should not be assumed to have an adverse impact on the content. All faculty and planners for ASHP education activities are qualified and selected by ASHP and required to disclose any relevant financial relationships with commercial interests. ASHP identifies and resolves conflicts of interest prior to an individual’s participation in development of content for an educational activity. Anyone who refuses to disclose relevant financial relationships must be disqualified from any involvement with a continuing pharmacy education activity. Dennis M. Williams, Pharm.D., BCPS, AE-C, FASHP, FCCP, FAPhA, declares his spouse is a stockholder of GlaxoSmithKline plc. David J. Weber, M.D., M.P.H., FIDSA, FSHEA, declares he is a speaker and consultant for Merck and Pfizer, Inc. All other planners report no financial relationships relevant to this activity. CE IN THE MIDDAY Disclosures Improving Adult Immunization across the • Dennis M. Williams, Pharm.D., BCPS, AE‐C, FASHP, Continuum of Care: Making the Most of FCCP, FAPhA, declares his spouse is employed by and Opportunities in the Ambulatory Care Setting a stockholder of GlaxoSmithKline plc. •All other planners report no financial relationships Dennis Williams, Pharm.D. BCPS, AE‐C, FASHP, FCCP, FAPhA relevant to this activity. Associate Professor and Vice Chair UNC Eshelman School of Pharmacy