Implementing a School-Located Vaccination Program in Denver Public Schools

J Sch Health. 2015 Aug;85(8):536-43. doi: 10.1111/josh.12281.

Abstract

Background: School-located vaccination (SLV) offers an opportunity to deliver vaccines to students, particularly those without a primary care provider.

Methods: This SLV program offered 2 clinics at each of 20 elementary schools (influenza vaccine) and 3 clinics at each of 7 middle/preschool-eighth-grade schools (adolescent platform plus catch-up vaccines) during the 2009-2010 and 2010-2011 school years. Established programmatic processes for immunization delivery in an outreach setting were used. Billing and vaccine inventory management processes were developed. Vaccines from the federal Vaccines for Children program were used for eligible students. Third-party payers were billed for insured students; parents were not billed for services.

Results: The proportion of enrolled students who received at least 1 dose of vaccine increased from year 1 to year 2 (elementary: 28% to 31%; middle: 12% to 19%). Issues identified and addressed included program planning with partners, development and implementation of billing processes, development of a solution to adhere to the Family Educational Rights and Privacy Act requirements, development and utilization of an easy-to-comprehend consent form, and implementation of standard work procedures.

Conclusions: This SLV program offered an alternative approach for providing vaccinations to students outside of the primary care setting. To be successful, ongoing partnerships are needed.

Keywords: adolescent vaccines; influenza vaccines; school-located vaccinations.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adolescent Health Services / economics
  • Adolescent Health Services / organization & administration*
  • Adolescent Health Services / standards
  • Child
  • Colorado
  • Community-Institutional Relations
  • Health Plan Implementation / economics
  • Health Plan Implementation / organization & administration
  • Humans
  • Immunization Programs / economics
  • Immunization Programs / organization & administration*
  • Immunization Programs / statistics & numerical data
  • Immunization Schedule
  • Influenza Vaccines / administration & dosage*
  • Influenza Vaccines / economics
  • Insurance, Health / economics
  • Organizational Case Studies
  • Reimbursement Mechanisms / economics
  • Reimbursement Mechanisms / organization & administration
  • School Health Services / economics
  • School Health Services / organization & administration*
  • School Health Services / statistics & numerical data

Substances

  • Influenza Vaccines