Along with managing medication therapy and educating patients on healthy lifestyle practices, certified pharmacists can also administer critical immunizations, ensuring that any treatment received will not interfere with other therapies.
The majority of American adults are inadequately vaccinated, leading to an average of 90,000 deaths each year from vaccine-preventable infections.
As the most accessible health care providers, pharmacists can help ensure that patients are up-to-date on all their immunizations, as well as answer questions and provide necessary protection from harmful diseases.
Below are resources you need to get started for providing vaccines in your pharmacy, educating patients on immunizations, receiving training to provide immunizations and more.
Additionally, PSI Solutions offers a Collaborative Practice Agreement for Immunizations. Click here to learn more!
PHARMACIES & IMMUNIZATIONS IN MICHIGAN
Fourth Annual White Paper from the Michigan Department of Health and Human Services and MPA
Pharmacies play an extremely important role in protecting the community against vaccine preventable diseases. The Michigan Pharmacists Association (MPA) in conjunction with the Michigan Department of Health and Human Services (MDHHS) Division of Immunization tracked the rates of adult pharmacy immunizations, to better understand what percentage of vaccinations and the type of vaccination that were administered at the pharmacy level.
This study utilized data entered into the Michigan Care Improvement Registry (MCIR) over the year long period and assessed over 1,400 adult immunization doses reported to the Registry from independent, small and large chain pharmacies. This White Paper provides an opportunity to discuss the importance of MCIR for consolidation of patient immunization records as well as demonstrating the value of pharmacies in ensuring adults continue to maintain and have access to necessary vaccinations throughout the lifespan. Click here to access the full White Paper and learn more!
- Pharmacy-based Immunization Delivery Program
- There are three components to the certificate training program:
- 12 hour (1.2 CEU) self-study modules with case studies and assessment exam
- 8.0 hour (0.80 CEU) live seminar with final exam
- Hands-on assessment of intramuscular and subcutaneous injection technique
- The goals of the certificate training program are to:
- Provide comprehensive immunization education and training
- Provide pharmacists with the knowledge, skills and resources necessary to establish and promote a successful immunization service
- Teach pharmacists to identify at-risk patient populations needing immunizations
- Teach pharmacists to administer immunizations in compliance with legal and regulatory standards
- MPA hosts several Pharmacy-based Immunization Delivery Programs throughout the year at different locations throughout the state of Michigan, as well as at our headquarters in Lansing. Please visit our online calendar to view any upcoming events, or contact MPA at (517) 484-1466 for the most up-to-date information.
- For additional information about this program, developed by the American Pharmacists Association (APhA), please visit the APhA website.
- There are three components to the certificate training program:
- MPA Partnership for Immunization Training
Michigan Pharmacists Association (MPA) will extend per person discounted registration rates for companies, retail chains and/or health-systems interested in implementing pharmacist immunization training within their organization. By assuming specific responsibilities associated with implementation of an APhA Pharmacy-Based Immunization Delivery Program, and fulfilling minimum attendance requirements, discounted amounts may be applied to registration fees. Click here for additional information!
The Pharmacy Technician Certification Board (PTCB) is expanding its credentialing programs by adding five assessment-based certificate programs for advanced technician roles and an advanced Certified Pharmacy Technician (CPhT-Adv) credential. As a nationally-recognized leader in the development of technician training resources, the Michigan Pharmacists Association (MPA) has developed a customized training program to help prepare pharmacy technicians for the new PCTB certificate focused on pharmacy technician immunization administration. The MPA training program, Pharmacy Technician Immunization Administration is recognized as fulfilling the education requirement for the PTCB Immunization Administration Certificate Program.
In 2020, the United States, and most of the world, encountered first-hand the devastating effects of a pandemic. There’s no greater evidence of the value of immunizations in preventing disease and mortality. Pharmacy technicians play a vital role in aiding the pharmacist and the patient in the delivery of health care. While health care has historically focused on treating disease, our best weapon as healthcare professionals is the prevention of disease. Increasing the availability of pharmacy-based immunization services has become critical in the area of disease prevention especially to those patients who are most vulnerable. Pharmacy technicians can play a critical role to increase the accessibility of vaccine administration services. By working synergistically through team collaboration, the pharmacist and pharmacy technician can increase the capacity to immunize patients resulting in decreased healthcare costs. This four-part program consisting of required readings, video-recorded lectures, a virtual live seminar and an observed demonstration of immunization technique has been specifically designed for pharmacy technicians to provide them with a foundation of knowledge on existing vaccines and will provide pharmacy technicians with the skills training to administer immunizations.
This program consists of four parts including a home study and live components. The home study component consists of Part 1: a collection of resource documents and self-study reading materials and Part 2:an online video-recorded PowerPoint lecture. The live component consists of Part 3: an interactive overview lecture including a question and answer session and Part 4: a practice demonstration exercise proctored and evaluated by a certified pharmacist immunizer who has successfully completed the American Pharmacists Association Pharmacy-Based Immunization Delivery Certificate Training Program and is an experienced immunizer. Each participant must complete all four parts of the program, correctly answer at least 70% of each set of self-assessment questions, demonstrate successful injection techniques to a proctor, submit all required documentation, as well as earn both the home study and live PCE credit to have successfully completed this training program. Please note: MPA recommends pharmacy technicians obtain their CPR certificate before they begin administering immunizations however CPR training is not included in this course.
Upon successful completion, participants will earn six hours of home study and live continuing education credit.
For additional information about the Pharmacy Technician Advanced Training – Immunization Administration Course, go to Pharmacy Technician Advanced Training: Immunization Administration.
Michigan Care Improvement Registry (MCIR)
The MCIR was created in 1998 to collect reliable immunization information and make it accessible to certain people online. MCIR benefits health care organizations, schools, licensed childcare programs, and Michigan’s citizens by consolidating immunization information from multiple providers. This reduces vaccine-preventable diseases, over-vaccination, and allows providers to see up-to-date patient immunization history. MCIR also has the ability to assist with pandemic flu preparedness and can track vaccines and medications during a public health emergency.
Pharmacies are strongly encouraged to report vaccine administration information to MCIR. This information assists MCIR in collecting reliable immunization information and making it accessible to health care providers online. For information on how to register your pharmacy/site and administrator, visit the MCIR website.
American Pharmacists Association (APhA) Preparing Vaccines for Administration
APhA provides a chart listing commonly-administered vaccines and information regarding their preparation. The FDA-approved labeling for the vaccines can also be found online.
CDC Vaccine Storage and Handling Toolkit
This toolkit is a comprehensive resource for providers on vaccine storage and handling recommendations and best practice strategies. The Vaccine Storage and Handling Toolkit is based on recommendations of the Advisory Committee on Immunization Practices, the manufacturer’s product information and studies from the National Institute for Scientific Technology. The toolkit outlines best practice and recommendations regarding considerations for equipment that includes storage units and thermometers, strategies for maintaining the cold chain, routine storage and handling practices, inventory management and emergency procedures for protecting vaccine inventories.
Proper vaccine storage and handling practices play a very important role in protecting individuals and communities from vaccine-preventable diseases. Vaccine quality is the shared responsibility of everyone, from the time vaccine is manufactured until it is administered. Additional information on vaccine storage and handling may be found on the CDC website.
Administration Rates and Coverage
This page provides general facts about adult immunization and links to other resources. For updated administration rates and resources, visit the CMS website. Scroll down to the ‘Downloads’ section for current reimbursement rates, an immunizer’s guide, a flu poster and more.
Blue Cross Blue Shield of Michigan’s Commercial Prescription Drug Plan Vaccine Program
As of October 1, 2016, BCBS of Michigan expanded access to immunizations to many patients through their commercial plans under prescription drug benefits. BCBS created this FAQ document to assist pharmacies with proper utilization and billing procedures.
Mass Immunizers and Roster Billing Fact Sheet
If you decide to become a mass immunizer, you may take advantage of roster billing, which is a streamlined process for submitting health care claims for a large group of beneficiaries for seasonal influenza and/or pneumococcal vaccinations. Visit the CMS website to access a fact sheet on this type of immunization billing.
Medicare Mass Immunization Enrollment Form
Visit the CMS website to access the Medicare Mass Immunization Enrollment form.
Medicare Part B Drug Average Sales Price (ASP)
For updated fees and codes, visit the CMS website. Find the link on the left for the current year of ASP drug pricing files, then scroll down to the ‘Downloads’ section.
Physician Fee Schedule Search
This Web site is designed to provide information on services covered by the Medicare Physician Fee Schedule. It provides more than 10,000 physician services, the associated relative value units, a fee schedule status indicator and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.). Visit the CMS website for additional information.
Question and Answer Guide to Medicare Part B, Medicaid and CHIP Coverage of Seasonal Influenza and Pneumococcal Vaccinations
This document addresses immunizers’ commonly asked questions about the administration of influenza and pneumococcal vaccines to Medicare, Medicaid and CHIP patients. It also includes questions and answers that are particularly relevant to the influenza immunization season. Visit the CMS website to access the guide.
Quick Reference Information: Medicare Immunization Billing
For quick reference information on Medicare preventative services, including Medicare Part B Immunization Billing (Influenza, Pneumococcal and Hepatitis B), visit the CMS website.
Seasonal Influenza Vaccines Pricing
Payment allowances listed on the CMS website reflect the annually updated payment allowance for the listed CPT codes and Q-codes when the seasonal flu vaccines are furnished outside the hospital outpatient department.
- Immunization Action Coalition (IAC)
The IAC releases several publications for health care professionals who administer vaccines. These publications are reviewed by experts at the CDC and include information important for patients and the community. These are excellent resources for staying up-to-date with current changes in immunization standards and get answers to real-world questions.
- Michigan Department of Health and Human Services (MDHHS)
Michigan immunization providers are required to use Michigan-specific Vaccine Information Statements (VIS) because they include information about the Michigan Care Improvement Registry (MCIR). MDHHS updates new VIS from the CDC with the Michigan-specific information. They also offer VIS statements in a variety of languages.
- Michigan Vaccine Information Statements
- Alliance for Immunization in Michigan (AIM)
AIM is a collaboration of public and private sector organizations working together to address the variety of immunization issues in Michigan. The Alliance provides resources, education and training for healthcare professionals throughout the state as well as valuable materials for patients and their families regarding recommended vaccination schedules for every stage of life. View the AIM Tool Kit to access free materials to share with colleagues and patients and learn more about how you can become involved in AIM’s efforts.
- Precision Vaccination Immunization Newsfeed
Updated on a daily basis, this newsfeed provides trusted news sources that have been vetted for commercial bias, clinical relevance and “main stream” comprehension by doctors, nurses and pharmacists. Organized by disease state, find vaccination information regarding the flu, hepatitis, herpes, measles, Zika, travel related vaccinations and seniors all reviewed by medical professionals. Be sure to sign-up for the Immunization Newsletter and get these great updates delivered directly to your inbox! Find the newsfeed here.
The number of unvaccinated children in the United States is increasing as parents are refusing to vaccinate. The Michigan Department of Health and Human Services (MDHHS) and the Franny Strong Foundation provide information, tools and evidence-based data to aid Michigan parents in their decision to vaccinate. For concerned parents that would like to stay up-to-date with vaccines, recommend the iVaccinate website here.
- Hepatitis A Outbreak Poster Materials
- Hepatitis A Informational Flyer
- Hepatitis A Risk Flyer The Michigan Department of Health and Human Services (MDHHS) Division of Immunization has developed pharmacy specific posters for your use to raise awareness about the hepatitis A outbreak in Michigan and identify high risk individuals for vaccination. Pharmacies are in a unique position to provide vaccines to patients who are at risk for hepatitis A. MDHHS is encouraging all pharmacies in the outbreak area to screen patients for hepatitis A factors and to strongly encourage at-risk individuals to receive the hepatitis A vaccine. Print and post/distribute the flyer to patients presenting themselves within the pharmacy.
- Advisory Committee for Immunization Practice (ACIP)
The Advisory Committee for Immunization Practice (ACIP) provides a vaccine-specific recommendations and guidelines for vaccines currently on the market. It also addresses immunizations for healthcare personnel along with vaccine guidelines for emergency situations.
- Food and Drug Administration (FDA) Complete List of Vaccines Licensed for Immunization and Distribution in the U.S.
The FDA maintains a list of all vaccines licensed for immunization and distribution in the U.S., including flu vaccines. Immunization providers should check FDA-approved prescribing information for 2015-2016 influenza vaccines for the most complete and updated information, including (but not limited to) indications, contraindications, warnings and precautions. Click here to access the chart.
- Standing Order Protocols
Standing orders authorize nurses and pharmacists to administer vaccinations according to an institution- or physician-approved protocol without a physician’s exam. These programs have documented improved vaccination rates among adults. The Advisory Committee on Immunization Practices (ACIP) recommends standing orders for influenza and pneumococcal vaccinations. For more information, visit the CDC website.
- HealthMap Vaccine Finder
The HealthMap Vaccine Finder promotes the availability of many forms and types of vaccines to the public. It was designed to help individuals locate practices that administer a wide spectrum of adult vaccines. All providers have the opportunity to enter information on their vaccine services into the database. If you already have a Vaccine Finder account, now is the time to enter your data! If you’re not registered, visit the HealthMap website to sign up today. If you have any questions or need assistance, please contact Vaccine@HealthMap.org.