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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 CommunityHealth
(MDCH)
in order to become an approved Immunization Educator.MDCH
reserves the right toremove an Immunization Nurse Educator
if
she or he does not adhere to the guidelines orif
presentation evaluations are unfavorable.All
Immunization Nurse Educators must meet and/or exceed the qualifications and requirements outlinedon the Immunization Nurse Educator Qualifications and Requirements document
datedglllllz.
All
Immunization Nurse Educators must complete orientation conducted byMDCH 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 theINE 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 acrossthe Lifespan module
which will
be reimbursed at $250.00 per in-service. Each local health departmentiurisdiction with
aqualified
Immunization Nurse Educator who has a signed agreement in placewith
MDCH will
be allottedpayment for
two private provider
in-services and paymentfor
one localhealth
department in-service
perfiscal
year. These may be scheduled at any time during the fiscal year, October1, 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 (perjurisdiction)
to local health department staff are received anduntil
the funds arefully
expended. Paymentsfor
approved in-serviceswill
be made to the local health departmentjurisdiction
on a quarterly basis.The Michigan Department
of
Community Healthwill
keep onfile
an agreement, biographical form,disclosure form and current
nusing
license for each Immunization Nurse Educator. Each year's agreement must be received byMDCH
no later than October 1st of the current year. Agreementswill
be reissued on an annual basis. Biographical and disclosure formswill
be requested as needed.The Michigan Department
of
Community Healthwill
provide Immunization Nurse Educatorswith
Immunization Update module and materials (a copy
ofparticipant
handouts, overhead hansparencies orPowerPoint, and speaker's notes
with
presentation tips) for conducting presentations.Exception: Copies
ofparticipant
handouts for the Pediatric andAdult
Influenza Updatewill
be theresponsibility of the
INE. MDCH
will
provide each INEwith
an electronic copy of materials that may be included in the handouts.う ん 4 5. 7 Septembcr 10, 2012
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 hoursOB/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
lnfluenza1.25 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 atthi
end of each fiscalquarter' Only include in-services that are eligible for reimbursement under these INE guidelines.
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 PMTo:
'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蝙
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Agreement Between
(Print or type Immunization Nurse Educator name and countyy
The Michigan Department
ofCommunity
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-2013Guidilines.
In order to be eligible for reimbursement, the Immunization Nurse Educator must:
l.
Submit-toMDCH
the appropriate documentationwithin
5 days after theconclusion 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 year3.
Meet or exc eed the 2012-2013 Immunization Nurse Educator programGuidelines
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. andSignature
of
Immunization Nurse EducatorNE Contact
Date
W
Immunization
Nurse
Educator
XffiCH
Qualifications
andRequirements
Education
-
Registered nurse licensedin
the State of Michigan-
BSN or MSN preferred, but not requiredExDerience
-
Current or recent experience administering vaccines in aclinical
setting-
Current knowledgeof
the Standards of Pediatric/Adult Immunization Practices-
Broad knowledgeof
immunizationstkoughout
the lifespan-
Current knowledgeof MCIR
(Michigan Care Improvement Registry) including Vaccine lnventory Module(VIM),
VFC
(Vaccines for Children) andAFIX
(Assessment,Feedback, Incentives and eXchange
of
information) programs.-
Public health nursing experience desirable-
Adult
teaching experience desirableApproval
Requirements
-
Successful completionof
Michigan Depa(ment of Community Health(MDCH)
Orientation for new Immunization Nurse Educators(INE)
-
Reviewofthe
most current Epidemiology and Prevention of Vaccine-Preventable Diseases course offered by CDC (Centers for Disease Control)-
Successful completionof
an in-service observed by anMDCH
INEwithin
4 monthsof
orientation. This in-service must be conducted using one of the
following
modules:.
Infant andEarly
Childhood(lEC)
.
Older Children and Adolescents(OCA)
.
Adult
.
Vaccines across the Lifespan(VAL)
-
Successful approval by the Ohio Nurses Association andMichigan
State Medical Society as faculty forall
modules developed and maintained byMDCH
under Immunization Nurse Educator Program-
Sign anINE
agreementwith
MDCH
Reouirements
toMaintain INE Certification
er
ltt
of each calendar year-
Provide at least 2 in-services per year-
Attend semi-annualINE
meetings-
Conduct in-servicesin
compliancewith
CME and CNE guidelines-
Providetimely
scheduling(within
48 hours) ofrequested updates at theprovider'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 copiesofProvider
Contact and Report Form, In-service Evaluations, Evaluation Summary andSignJn
Sheet as applicable. Records must be retainedfor
5 years.-
Submit a completed Provider Contact and Report Form and applicable documentationfor
participant continuing education credits to
MDCH within
5 days of completing each in-service-
Providetimely follow-up (within
one week) to unanswered questions and requestfor
information encountered during the in-service
-
Complete an observation and evaluationofan
in-service presentation at the discretionof
-
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 annualMDCH
regional immunization conference(oct/Nov)
-
Read immunization materials/communications using but not limited to thefollowing
resources:'MDCH
communications viaIAP/INE
list-serves (all INEswill
be added)'MDCH
Division of
Immunization's Timely Tips (sent electronically toall
INEs). MDCH
website at http://michiean. gov/immunize'CDC
andACIP (Advisory
Committee on ImmunizationPractices) recommendations at http ://cdc. gov/vaccines. Mortality
andMorbidity
Weekly Reports(MMWR):
sign up at.
IAC
Express: sign up at http://immunize.org/subscribe'communication
with
LHD
(local health department)IAp
coordinator