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H1N1 Influenza: What Your Health Center Needs to Know
This page has been created in response to the recent outbreak of H1N1 (Swine Flu) in our region and across the globe. We will be updating information to this page and our website as information becomes available. Scroll down to find more information or click on one of the section headers below to jump to a specific topic area.
Information on Obtaining Vaccinations for Vaccination Providers
Data Collection Forms and Reporting
Provider Information
MACHC Preparedness Toolbox
Delaware Information
Maryland Information
HRSA Specific Information
Ongoing Updates
Information on Obtaining Vaccinations for Vaccination Providers
The U.S. Government will provide federally funded vaccine against the 2009 Novel H1N1 influenza virus. Details of this planned vaccination effort are still being decided but it is expected that enough vaccine will be available within six months of the beginning of vaccine distribution to meet U.S. demand. At this time, vaccination will be restricted to the following populations, per recommendations of the CDC Advisory Committee on Immunization Practices: pregnant women, people who live with or care for children younger than 6 months of age, healthcare and emergency medical services personnel, persons between the ages of 6 months and 24 years
old, and people ages of 25 through 64 years of age who are at higher risk for novel H1N1 because of chronic health disorders or compromised immune systems. Your state departments of health are asking health care providers to pre-register to receive the H1N1 vaccine
Pre-Applications for Vaccination Providers are now available. Please click on the link below to download a pre-application for your state.
Delaware Pre-Application
Maryland Pre-Application
Maryland DHMH H1N1 Influenza Vaccine Update #1: Guidance for Placing Initial H1N1 Vaccine Order
Maryland 2009 Influenza A (H1N1) Monovalent Vaccine: Provider Agreement and Initial Order Form SAMPLE: This is a sample agreement. Please review prior to completing online survey/provider agreement.
Maryland 2009 Influenza A (H1N1) Monovalent Vaccine Provider Agreement and Vaccine Order Form: This questionnaire is designed to record acceptance of the terms of the Maryland 2009 Influenza A (H1N1) Monovalent Vaccine Provider Agreement. Submission is accepted as proof of agreement.
Data Collection Forms and Reporting
Maryland H1N1 Electronic Reporting Program Information
CDC Forms for Data Collection and Reporting: The CDC has prepared several forms for the health care community use for reporting Novel Influenza A (H1N1) to the CDC. Click to view and print each type of form.
May 12, 2009: Clinical Data Collection Forms: Template for Collection of Information on Patients Infected with Novel Influenza A (H1N1)
Swine Influenza Case Report Form
Case Report Form - Addendum for Pregnant Cases Form
Case Report Form - Addendum Clinical Description of Hospital Patients
Case Report Form - Addendum (Ill) Healthcare Worker Case Report
Nasopharyngeal Sample Collection Video Demonstrations
Information for Providers
H1N1 General Guidance and Information
2009 H1N1 Influenza Vaccine - Administration with Seasonal Influenza and Other Vaccines
Dose Spacing for Children 6 Months through 9 Years of Age
Differentiating Between Live Attenuated Seasonal and 2009 H1N1 Monovalent Influenza Vaccines
Needle Length and Injection Site for Inactivated Influenza Vaccine: A break down of needle-length for various age/sex and weight groups.
H1N1 Testing and Specimen Collection:
Rapid Diagnostic Testing
Specimen Collection
H1N1 Specimen Handling
Vaccination and Treatment Information
H1N1 Vaccination Resources, Special Populations and Q & A’s
H1N1 Antiviral Treatment and Recommendations: General Recommendations and Recommendations for Pregnant Women
H1N1 Special Populations Treatment Recommendations:
Information for Specific Population Groups
Treatment Considerations in Obstetric Settings
Treatment For Patients with Cardiovascular Disease
Treatment For Patients with HIV
Treatment For Infants and Children
FDA Approval of 2009 Novel H1N1 Vaccine Summary: The FDA approved four vaccines as a strain change to each manufacturer’s seasonal influenza vaccine on September 15, 2009. The presentations, age, and dosage specifications provided in this document.
Resources for Pediatricians: Recorded audio message (3.5min) for phone triage in clinics caring for children, including basic novel H1N1 influenza information, when to seek emergency care, keeping your child healthy, and where to seek additional information.
Infection Control in Health Care Settings:
Infection Control in Health Care Settings
Respiratory Hygiene Etiquette
H1N1 PPE (Personal Protective Equipment): General Equipment Information
Recommendations for Facemask and Respirator Use
Brochures and Flyers for Your Health Centers
H1N1 Brochures and Flyers
Cover your Cough: CDC Posters (11x17) for preventing the spread of germs. English Version Spanish Version
Hand washing Step by Step: CDC Flyer (8.5x11)
SPIRAL - Selected Patient Information in Asian Languages: This website includes documents and fact sheets on H1N1 in various Asian Languages.
New York City Department of Education Website: This website includes information in several languages including Haitian Creole, Russian, Urdu and more on H1N1. Some of the information is specific to the NYC School System, but this does include H1N1 information prevention, control and identification - easily modified for your patients.
MACHC Preparedness Toolbox
Join the MACHC team for our weekly H1N1 conference calls, starting Tuesday October 27, 2009. These calls will be held every Tuesday at 12:00pm to 12:30p.m. until further notice.
Emergency Preparedness Conference Call in Number:
1-888-566-8440, Participant
Pass code: 217860.
October 1, 2009 POD Training: The Primary Care Development Corporation provided the Point of Distribution Learning Session, held on October 1, 2009. The link below include presentations and documents used in this session by PCDC and the Emergency Preparedness team. Click here to access the POD training information.
Influenza Triage & Symptoms Form
Pandemic! The Exercise - View the MACHC Webcast on Pandemic Influenza Emergency Preparedness for Health Centers
Pandemic Influenza Preparedness & Response Plan - MACHC Template
The purpose of the Pandemic Influenza Preparedness and Response Plan (PIPRP) is to supplement the overall Emergency Operation Plan (EOP), which establishes a basic emergency program to provide timely, integrated, and coordinated response to the wide range of natural and man made events that may disrupt normal operations and require preplanned response to internal and external disasters.
This plan is organized according to the World Health Organization (WHO) phases associated with pandemic influenza (1 through 6). This model was designed to assist with public health, medical and emergency preparedness to respond to an occurrence, or threat of an occurrence, of Pandemic Influenza.
Pandemic Influenza Community Containment - Office of Preparedness & Response, Maryland Department of Health and Mental Hygiene
Information to Tell Your Patients About Prevention - CDC Fact Sheet on Preventing Influenza Transmission
Pandemic Community Health Center Checklist: Developed by the Community Health Center Association of Connecticut, this document is a comprehensive planning and task list for implementation of a pandemic influenza preparedness plan.
HRSA Specific Information
HRSA: 2009 H1N1 Flu Outbreak and Federal Torts Claims Act (FTCA) Coverage for Health Center Emergency Response Activities
HRSA Guidance on Preparations for the 2nd Phase of the Novel H1N1 Influenza Pandemic: This guidance was updated through 8/31/2009.
Delaware Information
Delaware Information Hotline: 1-866-408-1899
Delaware's Department of Health, Division of Public Health Swine Flu Homepage
Delaware Influenza Surveillance Information
Maryland Information
New! The Mid-Atlantic Association of Community Health Centers (MACHC) is pleased to announce a recent funding opportunity we have received through the Maryland Department of Health and Mental Hygiene – CDC Public Health Emergency Response (PHER) Phase IV Grant for the Pandemic (H1N1) 2009 Influenza Vaccination Campaign. This grant is provided to MACHC to further expand the Health Centers H1N1 outreach and vaccination efforts to our most vulnerable populations.
Health Centers will be able to apply for funding through MACHC to provide grants that will support the following activities: 1) Payment for the administration fee of the H1N1 Vaccine for the uninsured; and 2) Support for Community Health Centers outreach to assist in identifying new individuals that can receive the H1N1 vaccine. MACHC will also be working with selected health centers to provide an opportunity to have a targeted advertisement campaign for Community Health Centers for promoting H1N1 Vaccine and Medical Home. These efforts will take place with specific health centers in the state that have expressed an interest in this project and have had success in their respective H1N1 efforts.
The administrative fee will be provided to health centers based on the number of uninsured patients that have received the H1N1 vaccine at each health center. Therefore, those health centers who vaccinate more uninsured patients are reimbursed accordingly. Our goal is to vaccinate as many people as possible, regardless of insurance status. Payment for the administration of the H1N1 Vaccine-uninsured individuals (total individuals is 6,500 at $20 per vaccine for administration fee. This administrative fee is based on the calculation on claims submitted in the last several months by CHCs it is also what the commercial vendors charge to individuals.
12 FQHCs site locations selected throughout the state to be involved in promoting H1N1 Campaign and will have Points of Dispensing Clinics to vaccinate up to 6,500 uninsured individuals. The twelve site locations will be selected by past performance history of successfully implementing their H1N1 campaign coupled with geographic location within the state.
MACHC will also be working with our health centers to provide a public H1N1 campaign that will support the H1N1 outreach efforts. This public campaign will consist of an H1N1 message that is couched in promoting the concept of medical home within health centers. The state is supporting a heavy H1N1 public campaign and the efforts of the health centers are specifically designed to support the states’ efforts. The following are a few details of the campaign.
MACHC invites health centers that are interested in participating in this effort to contact Deitra Bell immediately at 301-577-0097 Ext. 123 or at deitra.bell@machc.com. MACHC will be sending a MOU to interested health centers in the next week to get this effort underway.
Maryland Department of Health and Mental Hygiene Swine Flu Homepage
Maryland Influenza Surveillance Information
Maryland Medical Assistance Program, Payment of Administrative Fee for H1N1 Vaccine.
General Provider Transmittal No. 76, October 1, 2009
Ongoing Updates
CDC- Questions & Answers about the 2009-2010 Flu Season
H1N1 Vaccination Update from Margaret A. Hamburg, MD Commissioner of Food and Drugs. Click here to access Dr. Hamburg's letter.
Medicare Vaccination Administration Reimbursement Rates. Click here.
There are several sites dedicated to providing up-to-date information on H1N1 as it becomes available. Click here to access the CDC News Swine Flu News Feed .
www.pandemicflu.gov: This website is a government consolidation of information, responses and government policy as it pertains to the H1N1 Influenza.
CDC, Questions and Answers on 2009 H1N1 Influenza Vaccine (September 23, 2009)
For more information on the associations emergency preparedness
activities please contact Duane Taylor at duane.taylor@machc.com or
call 301-577-0097.
Last Updated March 25, 2010 |
