Implementing a School-Located Vaccination Program in Denver Public Schools.
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.
['Shlay|Judith C|JC|', 'Rodgers|Sarah|S|', 'Lyons|Jean|J|', 'Romero|Scott|S|', 'Vogt|Tara M|TM|', 'McCormick|Emily V|EV|']
D000293:Adolescent D016497:Adolescent Health Services D002648:Child D003120:Colorado D003159:Community-Institutional Relations D006284:Health Plan Implementation D006801:Humans D017589:Immunization Programs D007115:Immunization Schedule D007252:Influenza Vaccines D007348:Insurance, Health D019982:Organizational Case Studies D012051:Reimbursement Mechanisms D012572:School Health Services
school-located vaccinations influenza vaccines adolescent vaccines