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2012‐

2013 1mmunization Nurse Educator Program Guidehnes

3

The Immunization Nurse Educator Program's purpose is to provide educational presentations to physicians, physician assistants, nurse practitioners, RNs, LPNs, medical assistants, and other practice staff.

Presentations focus on current recommendations and information related to immunization.

Immunization Nurse Educators (INE) must meet the approval of the

Michigan

Department of Community

Health

(MDCH)

in order to become an approved Immunization Educator.

MDCH

reserves the right to

remove an Immunization Nurse Educator

if

she or he does not adhere to the guidelines or

if

presentation evaluations are unfavorable.

All

Immunization Nurse Educators must meet and/or exceed the qualifications and requirements outlined

on the Immunization Nurse Educator Qualifications and Requirements document

datedglllllz.

All

Immunization Nurse Educators must complete orientation conducted by

MDCH staffprior

to offering Immunization Update presentations. They must also attend regularly scheduled Immunization Nurse Educator meetings, remain current on vaccine recommendations, and be knowledgeable on changes to the

INE program policies. Immunization Nurse Educators are expected to be able to answer questions about the materials being presented at the inservices.

The Michigan Department of Community Health has allocated funding to help support the activities

of

Immunization Nurse Educators in providing immunization education to private practice staff in their jurisdictions. The reimbursement fee per in-service is $200.00. The exception

will

be the Vaccines across

the Lifespan module

which will

be reimbursed at $250.00 per in-service. Each local health department

iurisdiction with

a

qualified

Immunization Nurse Educator who has a signed agreement in place

with

MDCH will

be allotted

payment for

two private provider

in-services and payment

for

one local

health

department in-service

per

fiscal

year. These may be scheduled at any time during the fiscal year, October

1, 2012 through September 30, 2013. The remaining funds

will

be paid in the order Provider Contact and Report Forms for a) any in-services to private providers who administer vaccines and b) one additional

in-service (per

jurisdiction)

to local health department staff are received and

until

the funds are

fully

expended. Payments

for

approved in-services

will

be made to the local health department

jurisdiction

on a quarterly basis.

The Michigan Department

of

Community Health

will

keep on

file

an agreement, biographical form,

disclosure form and current

nusing

license for each Immunization Nurse Educator. Each year's agreement must be received by

MDCH

no later than October 1st of the current year. Agreements

will

be reissued on an annual basis. Biographical and disclosure forms

will

be requested as needed.

The Michigan Department

of

Community Health

will

provide Immunization Nurse Educators

with

Immunization Update module and materials (a copy

ofparticipant

handouts, overhead hansparencies or

PowerPoint, and speaker's notes

with

presentation tips) for conducting presentations.

Exception: Copies

ofparticipant

handouts for the Pediatric and

Adult

Influenza Update

will

be the

responsibility of the

INE. MDCH

will

provide each INE

with

an electronic copy of materials that may be included in the handouts.

う ん 4 5. 7 Septembcr 10, 2012

(2)

8 0Hcntation fOr new lmmunization Nurse Educators¬ ill be conducted t¬ice a year by MDCH stafffOr new lmmunization Nurse Educator candidates Training session oateS may be oЫ ttned by contacting the Outreach and Education Section,Carlene Lockwood at 517‐ 335-9070 oriock■

voodca)michigan:幽

9. Video Or audiO taping Oflnlmunization Updates without pHor authoHzation from MDCH is prohibited.

10.Rcimburscment ofS200(S250 for the Vaccines across the Lifespan Update)shall bc allocated for

one educational presentatioll per site/per day

・Del市 eHng oiggybacking)tWO mOdule presentations during one scssion is not recommended and

reirnburscment fbr● vo inodules presented back to back wili not be made

・Delivering the satne module to tllc sarne clinic more that once per flscal vear¬ ill not be reimbursable

Exccptions tO these guidelincs will bc cOnsidercd by MDCH on a case― け‐case basis.COntact Barbara

Wolicki,(w。liCkib@miChigan.gOぅ 。HOr tO cOmpleting tlle in,service No exceptions for reimbursement

will be granted after the in‐ service date.

H Immulliz■iOn mOdulc presentations shali be dcl市crcd in thcir entirety as approvcd by cHteria

Vaccinating Women across the

Lifespan/

1.25 contact hours

OB/Gyn Update

Infant and Early Childhood Update

01der Child and Adolescent Update

Adult Updatc

Vaccines across the Lifespan Update Vaccine

Administration

Vaccine Management: (Storage

&

Handling)

Vaccines for Children Program Pediatric and

Adult

lnfluenza

1.25 contact hours 1.25 contact hours 1.25 contact hours 2.0 contact hours 1.0 contact hours 1.0 contact hours 1.25 contact hours I .0 contact hours 75 minutes 75 minutes 75 minutes 75 minutes 120 minutes 60 minutes 60 minutes 75 minutes 60 minutes 12.

All

Provider contact forms and any additional required documentation as appropriate (e.g.

documentation for CME credit: faxed copies of Sign-in sheets and

CUp

gvauation

Summary Form)

must be received at

MDCH within

5 days of the in-service date.

13' To ensure reimbursement, each

INE

is responsible for completing and submitting a copy of the ,.Fixed Fees Quarterly Worksheet Summary" to their local health department/ financial person at

thi

end of each fiscal

quarter' Only include in-services that are eligible for reimbursement under these INE guidelines.

(3)

h@://mail.vbcassdhd.org/wc/u/sueb@vbcassdhd.org/nnaillist/getrnes...

FW:

Important Information:

INE Reimbursement

Guidelines

From:

litii'Lockwood,Carlene(DCH),<LockwoodC@michigan.gov>

Date:

)an 2, 2O!3 1:34:57 PM

To:

'Lockwood, Carlene (DCH)' <Lockwoodc@michigan.gov>

fi

rnecuiaelines o91o12.doc 54 KB This memo is being sent to IAPs and INEs.

There have been some issues with reconciling INE in-services at the end of each quafter. Please review these steps and note a couple ofchanges (3-4)

1. All in-services completed must meet the criteria set forth in the current'INE Guidelines" (attached) to be

eligible for reimbursement. Any deviations from the guidelines must be approved by the INE

Coordinator/designated staff prior to the in-services to be considered for reimbursement.

2. All Provider Contact Forms (whether or not they qualiff for reimbursement) are to be submitted within 5

days of the in-services date to MDCH, attention Carlene Lockwood.

3. Within 5 working days of the end of a quarter (Jan/Feb/Mar; Aprl\aY/June; Jul/Aug/Sep; Oct/Nov/Dec) a

spreadsheet of al INE Provider Contact Forms received at MDCH will be sent out to the INEs. Non-reimbursable in-seruices will be designated as "no" on the spreadsheet.

4. Each INE should review the spreadsheet within 5 days

a. If there are any discrepancies/concerns, the INE should contact Carlene Lockwood with details/missing Provider Contact Forms. The INE will be notified by email or phone of a decision and if indicated, the spreadsheet will be changed.

b. If an INE has not responded with concerns within 5 days, it will be considered that their list is correct.

S. Each INE should fill out a FSR worksheet listing the mutually agreed reimbursable INE in-seruices. a. Remember, non-reimbursable in-services should not be put on the FSR worksheet

6. Forward the FSR worksheet to the designated person(s) within your LHD.

Please note: At this time, we have about B0 INEs--at least one in most, but not all LHDs. To streamline the process, the quafterly spieadsheets will only be sent to INEs. Other LHD staff should coordinate with their INE(s) to receive a coPY.

Let me know if yoir have questions or concerns at this time. Barbara Wolicki

Immunization Nurse Consultant INE Program Coordinator MDCH-Divsion of Immunization 313-410-9634

wolickib@michigan.gov

Fax: 517-335-9855
(4)

IⅧ

懺絆

t∬

∬識 驚盤 器

J.nnlt.r . Or.nhotm, 6o!.rno.

J...i O,.ar.il. Dthctor

Agreement Between

(Print or type Immunization Nurse Educator name and countyy

The Michigan Department

of

Community

Health

The

Michigan

Departrnent of Community Health

(MDCH)

shall reimburse an established fee to the Local Health Department

(LHD)

according to the

'

Immunization Update for provider Offi ce Staff 2OlZ-2013

Guidilines.

In order to be eligible for reimbursement, the Immunization Nurse Educator must:

l.

Submit-to

MDCH

the appropriate documentation

within

5 days after the

conclusion ofeach presentation. This includes a completed provider

contact

and Report Form and the appropriate continuing education credit

documentation.

2.

Provide a minimum of two in-service presentations per year

3.

Meet or exc eed the 2012-2013 Immunization Nurse Educator program

Guidelines

In addition,_I agree to use

all

INE program materials (powerpoint presentations, transparencies, participant handouts) as issued and not make arry

"hang",

(additions or deletions) to the text.

This letter ofunderstanding expires on October

l,

2013. and

Signature

of

Immunization Nurse Educator

NE Contact

Date

(5)

W

Immunization

Nurse

Educator

XffiCH

Qualifications

andRequirements

Education

-

Registered nurse licensed

in

the State of Michigan

-

BSN or MSN preferred, but not required

ExDerience

-

Current or recent experience administering vaccines in a

clinical

setting

-

Current knowledge

of

the Standards of Pediatric/Adult Immunization Practices

-

Broad knowledge

of

immunizations

tkoughout

the lifespan

-

Current knowledge

of MCIR

(Michigan Care Improvement Registry) including Vaccine lnventory Module

(VIM),

VFC

(Vaccines for Children) and

AFIX

(Assessment,

Feedback, Incentives and eXchange

of

information) programs.

-

Public health nursing experience desirable

-

Adult

teaching experience desirable

Approval

Requirements

-

Successful completion

of

Michigan Depa(ment of Community Health

(MDCH)

Orientation for new Immunization Nurse Educators

(INE)

-

Review

ofthe

most current Epidemiology and Prevention of Vaccine-Preventable Diseases course offered by CDC (Centers for Disease Control)

-

Successful completion

of

an in-service observed by an

MDCH

INE

within

4 months

of

orientation. This in-service must be conducted using one of the

following

modules:

.

Infant and

Early

Childhood

(lEC)

.

Older Children and Adolescents

(OCA)

.

Adult

.

Vaccines across the Lifespan

(VAL)

-

Successful approval by the Ohio Nurses Association and

Michigan

State Medical Society as faculty for

all

modules developed and maintained by

MDCH

under Immunization Nurse Educator Program

-

Sign an

INE

agreement

with

MDCH

Reouirements

to

Maintain INE Certification

er

ltt

of each calendar year

-

Provide at least 2 in-services per year

-

Attend semi-annual

INE

meetings

-

Conduct in-services

in

compliance

with

CME and CNE guidelines

-

Provide

timely

scheduling

(within

48 hours) ofrequested updates at the

provider's

convenience or a referral to a state-based INE to accommodate the request

-

Maintain accurate record keeping for each in-service delivered to include copies

ofProvider

Contact and Report Form, In-service Evaluations, Evaluation Summary and

SignJn

Sheet as applicable. Records must be retained

for

5 years.

-

Submit a completed Provider Contact and Report Form and applicable documentation

for

participant continuing education credits to

MDCH within

5 days of completing each in-service

-

Provide

timely follow-up (within

one week) to unanswered questions and request

for

information encountered during the in-service

-

Complete an observation and evaluation

ofan

in-service presentation at the discretion

of

(6)

-

View and submit copy of contact hour credit for annual updates provided by CDC to include but not limited to:

'Epidemiology

and Prevention of Vaccine-Preventable Diseases course

(TBD)

.

Immunization Update

(TBD)

-

Attend annual

MDCH

regional immunization conference

(oct/Nov)

-

Read immunization materials/communications using but not limited to the

following

resources:

'MDCH

communications via

IAP/INE

list-serves (all INEs

will

be added)

'MDCH

Division of

Immunization's Timely Tips (sent electronically to

all

INEs)

. MDCH

website at http://michiean. gov/immunize

'CDC

and

ACIP (Advisory

Committee on ImmunizationPractices) recommendations at http ://cdc. gov/vaccines

. Mortality

and

Morbidity

Weekly Reports

(MMWR):

sign up at

.

IAC

Express: sign up at http://immunize.org/subscribe

'communication

with

LHD

(local health department)

IAp

coordinator

References

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