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Arlington fights the flu! Arlington Fights The Flu 20 April 2010 MAPH Presentation

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Page 1: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Arlington fights the flu!Arlington

Fights

The Flu

Arlington

Fights

The Flu 20 April 2010 MAPH Presentation

Page 2: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation
Page 3: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Arlington Fights the Flu!Arlington Fights the Flu!

COMMUNITY MANDATE: Reduce spread of flu

GOAL: Increase the number of people in target groups

receiving seasonal flu vaccine by 25% in

Arlington by year 5 of the business plan.

WHY: Prevents illness and death

WHAT: Targets Kids and Service Workers

HOW: We take the vaccine to them!

Page 4: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

A New PartnershipA New Partnership

Image from www.owningpink.com/tag/intuitive/

Page 5: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Why fight the flu?Why fight the flu?

Vaccination is the ultimate form of prevention. Vaccination is the ultimate form of prevention.

YETYET

Less than 40% in the US get vaccinated against flu.Less than 40% in the US get vaccinated against flu.

5% - 20% get ill with the flu every year.5% - 20% get ill with the flu every year.

200,000 people are hospitalized every year from flu.200,000 people are hospitalized every year from flu.

36,000 people die every year from flu.36,000 people die every year from flu.

The single best way to prevent the flu is flu vaccination.The single best way to prevent the flu is flu vaccination.

Page 6: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Why Fight Seasonal Flu in Arlington? Why Fight Seasonal Flu in Arlington?

0

5

10

15

20

25

'99 '00 '01 '02 '03 '04 '05 '06 '07 '08

Arlington

Northern VA

Virginia (VA)

Arlington Death Rate (per 100,000) from Flu & Pneumonia is 1.5 Times Higher than Northern Virginia (on average)

Page 7: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Target PopulationsTarget Populations

Children

High rates of infection

Spread germs effectively

Vaccinating children protects the whole community

Limited access to vaccine

Children: 36, 571

Page 8: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Target PopulationsTarget Populations

Hourly Wage Employees

Conference & Tourist Industry

High level of exposure to germs

Likely to work when sick

Vaccination Campaign Targets:

- Cab Drivers, 800 - Restaurant Workers, 5,178

(Total Hospitality & Food Services: 14,840)

Page 9: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Non-Traditional Sites – Where & WhenNon-Traditional Sites – Where & When

Site Audience October November December Total

Reagan National Airport

Taxicab Drivers 2nd Saturday each month 300

Business Districts (2)

Service WorkersCentral location in their business district

Each Tuesday, mid-late afternoonYear 2 & Beyond

Taylor Elem. School (22206)

Children3rd SaturdayMorning clinic

250

Walter Reed Community Center (22204)

Children 3rd SaturdayMorning Clinic

1st FridayEvening Clinic

500

Washington Lee HS (22201)

Children 1st SaturdayMorning Clinic

150

Virginia Hospital Center (22205)

Children 1st FridayEvening Clinic

3rd Saturday Morning Clinic

300

Total Year One 500 700 300 1500

Page 10: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

ResourcesResources

PersonnelPersonnel Program Manager (0.08 FTE)Program Manager (0.08 FTE) Program Assistant (0.3 FTE)Program Assistant (0.3 FTE) Vaccinating nurses Vaccinating nurses

(seasonal)(seasonal) Volunteers (seasonal)Volunteers (seasonal)

Office Space/SuppliesOffice Space/Supplies SpaceSpace

Located at CountyLocated at County SuppliesSupplies

Office suppliesOffice supplies ComputerComputer Telephone serviceTelephone service VaccineVaccine Vaccine suppliesVaccine supplies

New Partnership; Structure

Page 11: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Annual Timeline

Collect and analyze data from survey. Identify key leaders. Revise marketing and education plans.

Design Surveys for business and community

Evaluation of process

Conduct clinics for worksites

Conduct clinics for children

Hire and train RN's and clerks

Schedule and prepare for clinics

Monitor production of vaccine

Identify criteria for clinic coverage. Review policies for vaccination and quality assurance and control .

Implement marketing and education plans

Develop marketing and community education plans

Evaluate previous vaccination season

Place Vaccine Order (for fall)

Program staff are identified and start

DecNovOctSepAugJulJunMayAprMarFebJan

Collect and analyze data from survey. Identify key leaders. Revise marketing and education plans.

Design Surveys for business and community

Evaluation of process

Conduct clinics for worksites

Conduct clinics for children

Hire and train RN's and clerks

Schedule and prepare for clinics

Monitor production of vaccine

Identify criteria for clinic coverage. Review policies for vaccination and quality assurance and control .

Implement marketing and education plans

Develop marketing and community education plans

Evaluate previous vaccination season

Place Vaccine Order (for fall)

Program staff are identified and start

DecNovOctSepAugJulJunMayAprMarFebJan

Page 12: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

SafeSafeEffectiveEffective

ConvenientConvenientAffordableAffordable

Flu Shots Are:Flu Shots Are:

Fight the flu, Arlington!  Get your flu shot today!

Page 13: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Marketing

Existing media networks of partners

Channel 8 cable TV The Arlington Connection & Sun-Gazette Social media – Facebook, Twitter Local Hispanic radio stations and newspapers Media outlets of all partners

Page 14: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Marketing and Outreach

Service Industry

Hotel Association Restaurant Associations Business Improvement

Districts Community Based

Organizations

Children

Arlington Public Schools Day Care Office Community and

Recreation Centers

Page 15: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Quality Control

Quality Assurance

Staff training

Proper storage and handling of vaccine

Standard precautions for vaccine administration

Informed consent

Screening of clients

Information Systems

Virginia Immunization Information System (VIIS) Custom reports

(individual or aggregate)

Data entry by assigned administrative staff

Page 16: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Measures of Success

Goal: Increase the number of individuals in the target groups who receive seasonal flu vaccine in Arlington by 25% between year 1 and year 5.

Intermediate measures: Percent increase in seasonal flu vaccine given year

to year. Vaccinate the number of persons to make outlined

revenue in Business Plan Years 1 through 5 (1500 in Y1; 1900 in Y5).

Number of new clinic sites established and maintained by Y5.

Page 17: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Risks Risks

AvailabilityAvailability

WillingnessWillingness

CostCost

Page 18: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Competitors & PartnersCompetitors & Partners

CompetitorsCompetitors Inova Health SourceInova Health Source Virginia Hospital CenterVirginia Hospital Center MaximMaxim CostcoCostco Safety Net ProvidersSafety Net Providers

PartnersPartners Ethiopian Community Ethiopian Community

Development CouncilDevelopment Council Arlington Public SchoolsArlington Public Schools Arlington County Parks Arlington County Parks

and Recreation and Recreation Business Improvement Business Improvement

Districts (BIDs)Districts (BIDs) RosslynRosslyn Crystal CityCrystal City

Page 19: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

First Year Expenses

Vaccine,$15,000

Overhead (in-kind),$1,904

Salaries/Wages,$22,511

Supplies,$2,052

Marketing,$3,600

Fixed cost

Quasi-fixed cost

Fixed cost Variable

cost Fixed cost

Page 20: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

Budget, Years 1 - 5Budget, Years 1 - 5Year 1 Year 2 Year 3 Year 4 Year 5

RevenueIn-kind Revenue 21,411.80 7,432.79Start-up Grants 5,000.00Fees for flu shots 37,500.00 47,600.00 49,700.00 54,750.00 57,000.00Total Revenue 63,911.80 55,032.79 49,700.00 54,750.00 57,000.00

Expenses

Hazardous waste disposal 132.00 132.00 165.00 165.00 198.00Marketing/direct mail 2,000.00 2,500.00 2,600.00 2,700.00 2,800.00Postage 1,600.00 1,750.00 1,850.00 1,950.00 2,050.00Mileage reimbursement 440.00 460.00 480.00 500.00 520.00Printing - forms 1,170.00 1,326.00 1,384.50 1,423.50 1,482.00Clinical Supplies (non-vaccine) 750.00 850.00 887.50 912.50 950.00Salary - PRN Nurses 2,563.00 3,000.00 3,200.00 3,400.00 3,600.00Salary - Prog Asst 10,075.00 10,377.25 10,688.57 11,009.22 11,339.50Benefits - PA (22%) 2,216.50 2,283.00 2,351.48 2,422.03 2,494.69Salary - Prog Mgr 5,915.00 6,092.45 6,275.22 6,463.48 6,657.38Benefits - PM (22%) 1,301.30 1,340.34 1,380.55 1,421.97 1,464.62Overhead 500.00 500.00 500.00 500.00 500.00Vaccine 15,000.00 17,425.00 18,637.50 19,618.75 20,900.00Rent 1,404.00 1,404.00 1,404.00 1,404.00 1,404.00

Total Expenses 45,066.80 49,440.03 51,804.33 53,890.45 56,360.20

Operating Budget 18,845.00 24,437.76 22,333.43 23,192.98 23,832.78

Page 21: Arlington fights the flu! Arlington Fights The Flu Arlington Fights The Flu 20 April 2010 MAPH Presentation

In conclusion, Arlington Fights the Flu! will…

Reach a new audience in a new

way with a new partnership

Decrease morbidity due to influenza in Arlington County

Fulfill our community mandate

Be self-sustaining & revenue generating

by year 3

Increase vaccination rates in target

populations by at least 25% in first 5 years