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H1N1 Flu Resources
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Vaccination: Priority Groups, Administration, Coding and Billing
A number of Oregon Agencies responsible for allocating H1N1 vaccine have reported that some local providers wish to return their as yet unused vaccine. The Oregon Immunization Program recommends that providers keep their current vaccine supply and continue to promote its use with their patients. H1N1 influenza continues to circulate in Oregon communities and the dangers from its complications still exist. There is a possibility that another wave of increased disease incidence could occur.
The OIP and Oregon's agencies (tribes, local health departments, and state agencies) will reassess this situation in mid-February and determine how to proceed at that time. In the meantime, we ask that you continue the wonderful work you have done, getting as many of your patients and clients immunized against H1N1 as possible.
United Healthcare H1N1 FAQs for Physicians
This April 26, 2010 memo and list of Frequently Asked Questions from United Healthcare discusses the end of emergency measures established last fall in response to H1N1 flu.
National Influenza Vaccination Week: January 10-16
The Department of Health and Human Services has designated January 10-16, 2010 National Influenza Vaccination Week. Information on related events and activities around the country can be found at www.flu.gov/getvaccinated. For a letter from HSS Secretary Kathleen Sebelius about National Influenza Vaccination Week, click here. For a one-page flier, click here.
Sanofi Pasteur Pediatric H1N1 Vaccine Recall Q&A
Details about the December 15 non-safety-related voluntary vaccine recall. Read more at OMA News
Immunization Best Practice Videos
Oregon Public Health and the Oregon Adult Immunization Coalition have joined forces to provide four training videos for vaccinators. View them anytime on the DHS website
Oregon Novel H1N1 Vaccination Planning Q&A
Answers questions regarding vaccine distribution, allocation, administration and more (revised 2-11-10)
H1N1 Vaccine Available to Everyone Starting Dec. 14
Read more at OMA News
Vaccine Priority Group Guidance Update 12-4-09
Updated December 4, this guidance recognized the ongoing shortage of vaccine in the state
Target Group Guidance Update 11-13-09
Issued by the state on November 13, 2009
November 3 Letter to Vaccine Administrators
From Mel Kohn, MD, MPH, Public Health Officer and Acting Public Health Director
H1N1 Vaccination Coding and Health Plan Billing Info
This page includes specific codes and coverage details from major health plans
The AMA has compiled a comparison chart of information on the billing and payment process for major national health insurers, which highlights their coverage policies for the H1N1 influenza vaccine and proposed reimbursements. Click here to access this chart.
Use of Influenza A (H1N1) 2009 Monovalent Vaccine
This Morbidity and Mortality Weekly Report from CDC offers recommendations of the Advisory Committee on Immunization Practices regarding use of the H1N1 flu vaccine
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Guidance for Health Care Workers
United Healthcare H1N1 FAQs for Physicians
This April 26, 2010 memo and list of Frequently Asked Questions from United Healthcare discusses the end of emergency measures established last fall in response to H1N1 flu.
Health Care Infection Control Guidance
Issued by DHS on November 9, 2009
Local H1N1 Contacts for Oregon
Provides contact information for a primary H1N1 contact person for each of Oregon's counties, tribes, and key state agencies
H1N1 Pandemic Influenza Update
Mel Kohn, MD, MPH, the State Health Officer, presented this H1N1 Update at the OMA Fall Forum on October 3.
AMA’s website provides a Flu Resource Kit with specific guidance for clinicians and a variety of patient-oriented fact sheets on H1N1 influenza: www.amaH1N1info.org
The AMA has launched a free, Web-based suite of decision support tools that allow physicians to connect with and monitor patients in response to H1N1 and seasonal flu. The site offers a unique online practice management system with private self-assessment tools authored and maintained by the AMA: www.AMAfluhelp.org
A variety of information is also available from the US government, including information regarding human resources concerns for physicians in private practice during pandemic influenza: www.flu.gov
EBSCO Publishing offers free influenza information tailored to three different audiences: clinicians, nurses, and patients: www.ebscohost.com/flu
Pandemic H1N1: Getting Ready for Flu Season
This August 24 CD Summary from DHS offers useful guidance to assist physicians and medical staff prepare for the coming flu season
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Antiviral Treatment Guidance
Antiviral Treatment Quick Facts
CDC provides some key facts to consider when deciding whether a patient needs to be treated with antiviral medication
CDC provides guidance for health care professionals on the use of antiviral medications during the H1N1 outbreak: www.cdc.gov/h1n1flu/recommendations.htm
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Rule Changes at the State and Federal Levels
On October 24, 2009, President Obama signed a proclamation declaring the 2009 H1N1 influenza pandemic a National Emergency to facilitate the ability of the nation’s health care system to respond to the pandemic by enabling--if warranted--the waiver of certain statutory Federal requirements for medical treatment facilities. In particular, this proclamation is aimed at providing the Department of Health and Human Services (HHS) the ability to waive legal requirements that otherwise could limit the ability of the nation’s health care system to respond to the surge of patients with the 2009 H1N1 influenza virus. To read the President’s proclamation, please visit www.whitehouse.gov/the-press-office/declaration-a-national-emergency-with-respect-2009-h1n1-influenza-pandemic-0. Additional information concerning the President’s proclamation is available at www.flu.gov/professional/federal/h1n1emergency10242009.html.
On October 27, 2009, with advance notice to Congress, HHS Secretary Sibelius exercised her authority to waive or modify Section 1135 of the Social Security Act with respect to Titles XVII, XIX, or XXI (Medicare, Medicaid, or Children’s Health Insurance Program) and Title XI (HIPAA). Click here for a copy of the Secretary’s October 27, 2009, waiver or modification of Section 1135 and her October 27, 2009, advance notices to the US House of Representatives and US Senate. Accordingly, Centers for Medicare & Medicaid Services (CMS) Regional Offices will be able to handle specific waiver requests.
In Oregon, Governor Ted Kulongoski has issued Executive Order 09-17 to grant the state’s public health director, Dr. Mel Kohn, additional authority to respond proactively to pandemic H1N1 influenza. By issuing the order now, Governor Kulongoski has provided Dr. Kohn with the ability to implement quickly public health protections provided by state law. The order builds upon the steps the state has taken since spring to educate the public about pandemic H1N1 influenza, how to prevent the spread of the virus and how to prepare should a family member become infected. The state also has encouraged schools, businesses and communities to prepare by updating continuity and response plans.
With this order, Dr. Kohn would be able to make decisions about public health responses across jurisdictions if needed. He may also exercise greater authority over the allocation and distribution of available medical supplies, including the vaccine, and protective equipment such as masks and gloves. As of November 5, the state had already filled requests from county and tribal governments for approximately 4,240 courses of antiviral medications, 129,091 N95 face masks, 141,000 surgical masks, 810 gowns, 9,700 gloves, and 1,716 face shields. Dr. Kohn may also issue guidelines to health care providers regarding required treatments, to businesses regarding work restrictions or direct a district school board to close a school.
Click here for a copy of the Executive Order.
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Oregon Department of Human Services
The most up-to-date Oregon Public Health and Flu information is available at www.flu.oregon.gov
Subscribe to e-mail updates about the flu: www.oregon.gov/DHS/ph/healthnews.shtml
The Statewide Public Health Hotline at (800) 978-3040 is available to answer questions Monday through Friday from 8 am to 6 pm and weekends/holidays from 9 am to noon. Due to decreased call volume, the telephone nurse triage service available through the Oregon Public Health Influenza Hotline will be suspended indefinitely as of January 26. The service will be reactivated in the event that an additional wave of influenza should occur.
Local H1N1 Contacts for Oregon
Provides contact information for a primary H1N1 contact person for each of Oregon's counties, tribes, and key state agencies
Oregon Novel H1N1 Vaccination Planning Q&A
Answers questions regarding vaccine distribution, allocation, administration and more (revised 2-11-10)
Pandemic H1N1: Getting Ready for Flu Season
This August 24 CD Summary from DHS offers useful guidance to assist physicians and medical staff prepare for the coming flu season
Back to Top
Centers for Disease Control and Prevention
CDC website has general information on the H1N1 Influenza as well as current statistics and updates: www.cdc.gov/h1n1flu/general_info.htm
CDC provides guidance for health care professionals on the use of antiviral medications during the H1N1 outbreak: www.cdc.gov/h1n1flu/recommendations.htm
Use of Influenza A (H1N1) 2009 Monovalent Vaccine
This Morbidity and Mortality Weekly Report from CDC offers recommendations of the Advisory Committee on Immunization Practices regarding use of the H1N1 flu vaccine
Back to Top
American Medical Association
AMA’s website provides a Flu Resource Kit with specific guidance for clinicians and a variety of patient-oriented fact sheets on H1N1 influenza: www.amaH1N1info.org
The AMA has launched a free, Web-based suite of decision support tools that allow physicians to connect with and monitor patients in response to H1N1 and seasonal flu. The site offers a unique online practice management system with private self-assessment tools authored and maintained by the AMA: www.AMAfluhelp.org
The AMA has compiled a comparison chart of information on the billing and payment process for major national health insurers, which highlights their coverage policies for the H1N1 influenza vaccine and proposed reimbursements. Click here to access this chart.
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US Government
A variety of information is also available from the US government, including information regarding human resources concerns for physicians in private practice during pandemic influenza: www.flu.gov
Also available is an internet widget that can be placed on your website’s homepage to provide patients with general information, the status of the flu investigation and what people can do to keep healthy. If you have a website for your practice, the CDC is asking you to please place this widget on your homepage. English and Spanish versions of this widget are available at www.hhs.gov/web/library/index.html, scroll down until you see the Swine Influenza widget code.
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World Health Organization
WHO offers information about the global flu situation: www.who.int/en
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EBSCO Publishing
EBSCO Publishing offers free influenza information tailored to three different audiences: clinicians, nurses, and patients: www.ebscohost.com/flu
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