MPA | H1N1 Toolkit

H1N1/Seasonal Flu Toolkit

**For information for patients and the public, please click here.

Welcome to MPA's H1N1 and Seasonal Flu Toolkit!

Please click on the expandable blue bars below to get started and find the resources you need to:

become an H1N1 vaccine provider
distribute strategic national stockpile (SNS) oral antivirals during the H1N1 pandemic
provide seasonal flu and other vaccines in your pharmacy
educate patients on H1N1

To interact with colleagues and ask questions, visit MPA's Online Forum (member's only benefit). You may also contact MPA Emergency Preparedness Coordinator Greg Pratt.

**This toolkit is constantly being updated and you are encouraged to return frequently, as guidance is issued almost daily and the flu season progresses.

http://www.flu.gov/widgets/vaccinelocator.html

H1N1 Vaccine Information

Pharmacists play a critical role in seasonal flu vaccination programs each fall, and now must continue to meet that community health need by partnering with Local Public Health Departments to obtain the H1N1 Flu vaccine and provide vaccinations to patients. Follow these steps to be involved in this effort:

Register each of your vaccination sites on the Michigan Care Improvement Registry (MCIR). This may have already been done in the past for your site to report doses of seasonal flu administered. This step must be completed and you must receive your MCIR Id# before you can complete the next step.
Fill out and sign the 2009 Influenza A (H1N1) Monovalent Vaccine MDCH Vaccine Provider Agreement.
Obtain copy of 2009 Influenza A (H1N1) standing orders, signed by a physician licensed in the State of Michigan. (If you are contracting with a visiting service to provide vaccinations at your site, this will be their responsibility.)
Obtain copies of screening form to review with each patient.
- Live, attenuated intranasal vaccine (LAIV)
- Inactivated ("flu shot") vaccine
Obtain copies of 2009 Influenza A (H1N1) Vaccine Information Sheets (VIS) to distribute to each patient.
- Live, attenuated intranasal vaccine (LAIV)
- Inactivated ("flu shot") vaccine
Review this grid to make sure you have completed the MCIR documentation and guidance.

2009 H1N1 Vaccine Dosing Chart (12/11/09)

CDC Questions and Answers on 2009 H1N1 Vaccine Billing (12/1/09)

H1N1 Provider MCIR Documentation and Guidance Grid (11/12/09)

MSA Bulletin on Coverage and Reimbursement of the 2009 H1N1 monovalent vaccine (10/5/09)

Letter to the State of Michigan from CMS (10/5/09)

MCIR Application for Providers (9/17/09)

H1N1 Vaccine Provider Agreement (9/17/09)

Handling instructions for H1N1 vaccine (9/17/09)

Questions & Answers: Vaccine Administration Billing (9/16/09)

Local health department contacts for distribution partnerships

The Public Readiness and Preparedness Act (PREP) and H1N1 (9/24/09)

Oral Antiviral Distribution

Community pharmacies are being offered a unique chance to partner with Local Public Health Departments to assist with the possible dispensing of Strategic National Stockpile oral antivirals if needed. Community pharmacies and Public Health have always shared the same goals of preventative care and public education, and now have an opportunity to expand upon that relationship. In order to participate in this program you must follow these steps:

Michigan Care Improvement Registry Information and Documents

Register each of your dispensing sites on the Michigan Care Improvement Registry (MCIR) using either Provider User/Usage Agreement, or Dispensing Pharmacy User/Usage Agreement. The Provider User/Usage agreement allows you to report vaccine and oral antivirals, the Dispensing Pharmacy User/Usage agreement allows you to report oral antivirals only.
Sign a copy of the Memorandum of Understanding Between LHD and Community Pharmacy for Emergency Pharmaceutical Dispensing and return to your Local Health Department Emergency Preparedness Coordinator.
Build your process for labeling, dispensing and dosage tracking with your Local Health Department.
Review this grid to make sure you have completed the MCIR documentation and guidance.

Patient and Provider Fact Sheets (11/11/09)

Other Information

MDCH Guidance for Distribution of Oral Antiviral Medications for Community Pharmacies (12/11/09)
Key Pharmacy Reminders for SNS Distribution During H1N1 Influenza Public Health Emergency (11/4/09)
Q & A Regarding Partnership Between Local Health Departments and Retail Pharmacy Dispensing of SNS Supplied Tamiflu^® and Relenza^® (updated 10/20/09)
Guidance for Retail Pharmacies Participating in Dispensing of Strategic National Stockpile Antivirals (updated 10/20/09)
Local health department contacts for distribution partnerships (updated 10/20/09)
Antiviral Tracking (updated 9/29/09)

Michigan Care Improvement Registry (MCIR)

Register each of your dispensing sites on the Michigan Care Improvement Registry (MCIR) using either Provider User/Usage Agreement, or Dispensing Pharmacy User/Usage Agreement. The Provider User/Usage agreement allows you to report vaccine and oral antivirals, the Dispensing Pharmacy User/Usage agreement allows you to report oral antivirals only.

Antiviral Conversion Chart (11/18/09)

MCIR All Hazards Event Entry for 2009 H1N1 Influenza (11/18/09)

Guidance for Retail Pharmacies Participating in Dispensing of Strategic National Stockpile Antivirals (updated 10/20/09)

H1N1 General Information