News and Events

General Practice Queensland

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Immunisation

Overview

The General Practice Queensland Immunisation Program provides assistance to all Divisions of General Practice in Queensland and provides leadership and advocacy at a state level with the aim of increasing immunisation coverage rates and improving the quality of vaccination services. To achieve this, the General Practice Queensland Immunisation Program works with a variety of statewide organisations regarding the safety and quality of immunisation service delivery. 
 
At a program level, our focus is on promoting the aims of the National Immunisation Program and the General Practice Immunisation Incentives Scheme, vaccine management (cold chain), data quality and management as well as improving immunisation rates amongst ATSI and ‘hard to reach’ groups.

Objectives

  • Support Queensland's Divisions of General Practice to achieve the aims of the National Immunisation Program
  • Activities aimed at increasing childhood immunisation rates through stakeholder engagement, strategies targeting hard-to-reach populations and continuing education and networking events for Queensland's Divisions program staff
  • Continued enhancement of relationships with all stakeholders involved in immunisation service provision
  • Advocacy at a state and national level on immunisation issues relevant to Queensland's Divisions of General Practice

Program Detail

Queensland Divisions Immunisation Network

One of the key aspects of the General Practice Queensland Immunisation Program is to provide networking and educational opportunities for Division immunisation program staff.  To achieve this, two face to face workshops and approximately six teleconferences are held each year.

Please click here to download 2008 dates for the Queensland Immunisation Network. 

Achievements

Queensland Immunisation Data Project – Scoping Study

The aim of the Immunisation Data Project is to improve the quality of immunisation data management within Queensland general practices and Divisions of General Practice by:

  1. Investigating existing mechanisms and systems used within general practice for reporting and managing immunisation data and considering strategies to support general practices with data management.

  2. Investigating existing immunisation data management resources and activities provided by Queensland’s Divisions of General Practice for general practices and considering strategies to support Divisions with data management.

The results of this scoping study will provide direction regarding the implementation and evaluation of further work aimed at improving immunisation coverage rates through enhanced data management and reporting.

Please contact Kate White or Elise Gorman at General Practice Queensland for further information.

 

Resources

Immunisation Saves Lives logo

Click here to download the Immunisation Saves Lives logo.

Immunisation Data Management Resources
Rotavirus Vaccination

Click here to view the Queensland Health RotaTeq Ready Reckoner

The Commonwealth Government has included rotavirus vaccines on the National Immunisation Program.

All babies born from 1 May 2007 are eligible for funded vaccine using RotaTeq® in Queensland.  RotaTeq® is an oral vaccine. There is no catch up for this vaccination. 

It is important that the following schedule is adhered to for administering RotaTeq®

  NO. OF DOSES AGE OF ROUTINE ADMINISTRATION AGE LIMITS FOR DOSING MINIMUM INTERVAL BETWEEN DOSES
1st Dose 2nd Dose 3rd Dose
ROTATEQ 3 ORAL DOSES
(2mL/dose)
2,4 and 6 months 6-12* weeks 10-32* weeks 14-32* weeks 4 week

* The upper age limit for receipt of the first dose of Rotateq is 12.9 weeks, that is up to the anniversary of the 13th week of age. The 2nd dose of vaccine should preferably be given by 28 weeks of age to allow for minimum interval of 4 weeks prior to receipt of 3rd dose, and the upper age limit for either the second or third doses is 32.9 weeks, that is by the anniversary of the 33rd week.

For more detailed information on rotavirus vaccines:
NCIRS Fact Sheet - Rotavirus Vaccines - Information for GPs & Immunisation Providers (June 2007)

SA Department of Health Immunisation Catch-up Calculator

The calculator is a computer-based system that uses the National Immunisation Program schedule. It recommends doses of vaccine be given at specific ages. If doses of vaccine are delayed or missed, the calculator will assist in providing a 'catch-up' schedule for future vaccine doses.

Who is it for?

The calculator is for Australian children up to their 7th birthday and on the funded component of the National Immunisation Program Schedule.

Click here to view the SA Catch-up Calculator website

Click here to view the Department of Human Services (Victoria) – The Quick Catchup Guide

The Quick Guide: Catch-Up Immunisation has been developed for Victorian immunisation providers to create a catch-up immunisation schedule for people presenting with no immunisation history ensuring that they are immunised appropriately and recalled in a timely manner for their next immunisations.

Click here to access resources in other languages via the Department of Human Services Victoria website. Please note that there may be some vaccine funding differences between states.

 

The KISS guide to vaccine management
The KISS guide to vaccine management – tools and templates to support immunisation service providers with maintaining effective storage and management of vaccines.

 

News

Reminder for your practices: follow-up overdue children before 1st October 2008
  • To receive the SIP for immunisations completed prior to the 1st October 2008, practices will need to ensure that this data is sent to ACIR by the middle of December 2008.
  • The SIP payment of $18.50 for completing each age appropriate immunisations ceased on 1 October 2008.
  • The $3 ACIR reporting payment remains, as does the Outcomes Bonus payment of $3.50.  The Outcomes Bonus payment is paid to practices with immunisation coverage rates over 90%.
  • Immunisations up to and including the 30th September will attract the SIP if the notification is received by ACIR by middle of December 2008.
Changes to the Maternity Immunisation Allowance

In the recent Federal Budget changes to the payment of the Maternity Immunisation Allowance were announced. 
The allowance will be paid in a 50/50 split at 18 months and 4y 3m age.  Application period is when child is 18-24 months age for part 1, and 4yrs 3 months to 5 years age for part 2.
The children affected by the change are:

    • Those born from July 2007 onwards;
    • Those born from Jan 07 to June 07 who have not claimed the allowance by 31/12/2007.

Children in group 1 will reach ACIR Cohort 3 (60-63 months age measure) in the December 2012 quarter.
Children in group 2 will reach ACIR Cohort 3 (60-63 months age measure) in the June 2012 quarter.

Immunisation Schedule Change - 1st March 2008
  • Due to a worldwide shortage of Comvax vaccine, a new schedule was implemented in Queensland from 1 March 2008.

  • Queensland Health has developed a range of resources to support this schedule change.  Divisions and practices can contact Qld Health on 07 3234 1500 to order these resources.

Japanese encephalitis vaccine

Japanese encephalitis vaccine used in Australia is no longer being manufactured therefore supplies will be limited.  The Torres Strait communities will be covered but the important messages for general practice and travellers are:

  • Vaccine is only being provided through recognised travel vaccination organisations and to them through pharmacy wholesalers.  Travellers are also prioritised on an assessment of risk of exposure – highest risk being for those spending a month or more in a rural area in an endemic country with certain extra conditions and the first priority will be those Australian citizens required to travel on government business or on behalf of the government.
  • Prevention, prevention, prevention - use insect repellent, wear protective clothing, avoid the outdoors when mosquitos are at their most active, ensure mosquito nets/insect screens are well-fitted.

Please click here to get more information.

Vaxigrip Junior listed on PBS
Vaxigrip Junior listed on PBS for children up to 35 months of age who are risk of adverse consequences from lower respiratory tract infections.  This provides doctors with a convenient influenza vaccine for young children. Please click here to download a copy of the product information from Sanofi Pasteur.

Links

National Immunisation Program
Vaccines listed under the NIP are provided free to parents to encourage the uptake of childhood immunisation, as well as some adult vaccinations. 
For more information on the current schedule go to your Division’s website or:
Australian Childhood Immunisation Register (ACIR)
In 1996, the Federal Government established the ACIR in response to the low rates of immunisation and the rise in vaccine-preventable childhood diseases.  Immunisation service providers send immunisation data to the ACIR for all children resident in Australia up to seven years of age.  By collecting immunisation details of all Australian children the ACIR can monitor overall coverage rates both nationally and locally, as well as identify areas with low coverage rates.

General Practice Immunisation Incentives Scheme - Medicare Australia

The General Practice Immunisation Incentives (GPII) Scheme was introduced in 1998 to support the central role GPs play in preventive health care through immunisation.

The GPII Scheme provides financial incentives to GPs who provide immunisation services to children under the age of seven years, according to the National Immunisation Program (NIP).


One of the primary aims of the GPII Scheme is to encourage at least 90% of practices to fully immunise 90% of children below seven years of age attending their practice.


Through Medicare Australia, the GPII Scheme provides statistical reports for both practices and Divisions of General Practice.  These reports are a valuable tool that can be used to develop strategies aimed at increasing immunisation coverage rates for practices and for Division program staff.  Practices can contact their local Division of General Practice for assistance and Division program staff can contact the General Practice Queensland Immunisation Program.

A range of statistical reports are available at http://www.medicareaustralia.gov.au/provider/patients/acir/statistics.jsp

Qld Health School Based Vaccination Program
Coordinated by Queensland Health, the School Based Vaccination Program provides parents with the opportunity to have their children vaccinated through their school. The National Health and Medical Research Council recommend various vaccines for children of secondary school age to protect them through to adulthood. The Program operates in all state and non state schools.

Students in Year 8 are offered hepatitis B (2 doses), varicella (chickenpox), HPV (3 doses) vaccination.

Students in Year 10 are offered tetanus/diphtheria/pertussis (whooping cough) vaccination.

The National HPV Vaccination Program
The Vaccine:
Gardasil®  is a quadrivalent human papillomavirus (types 6, 11, 16, 18) recombinant vaccine.

Q & As for providers

Administration
3 doses administered intramuscularly with the first dose at an elected date, second dose 2 months later and third dose 6 months from the first dose.

Vaccination Program
All girls in Years 8, 9 & 10 will be vaccinated in 2008 through the school-based program.  From 2009, girls in Year 8 will be vaccinated as an ongoing program.

Until June 2009, GPs can vaccinate all women aged between 18 & 26 years, and those girls aged over 12 years who did not access the school based program.  Women who receive the first dose of HPV vaccine before they turn 27 years of age are eligible to receive free vaccine for all three doses. From end of June 2009, the vaccine will only be funded through the school based program.  GPs will still be able to provide the vaccine privately.
 
Remember – all three doses must be given by the end of June 2009.  As it takes 6 months to receive all three doses, women should begin the schedule by the end of 2008.

More information at:

The National HPV Register
The Register should be operational during early 2008.  The objectives of the register are:

  • Record vaccination doses and key demographic information
  • Provide system to support completion of 3 dose schedule
  • Manage processes of vaccination program (GP incentive payments)
  • Generate data to monitor and evaluate participation rates
  • Inform women if booster doses are required


An interim Register will be operational before 2008 to provide GPs with notification payments.  This interim Register will not have the full functionality of the permanent Register.

GP Payments
GPs will be paid $6 for each HPV vaccination encounter reported to the National HPV Register.  This payment will be made through Medicare with GPs being required to register their provider details and bank account details to facilitate these payments.

An information pack for practices/GPs will be sent out which will include:

  • Letter explaining the registration process
  • Consumer brochure
  • Registration form
  • Reply paid envelopes

GPs in Queensland should receive their information pack from mid-October 2008.

Obtaining Consent & Notifying VIVAS
As HPV data will be sent via VIVAS, it is important that consent is also received for patient data to be sent to the Register.  To enable this, practices can either:
o Record the vaccination AND consent on their practice software and send to VIVAS for collection
o Complete the Qld Health HPV Vaccination Encounter and the Register Consent Form and send to VIVAS.
Patients must consent to both vaccination and to having their data sent to the Register.  This consent must be collected for each vaccination encounter.

HPV Vaccination & Pap Smears
Women vaccinated against HPV are still required to have regular Pap smears.  For more information: Cervical Screening Program

Fight Flu
The National Institute of Clinical Studies (NICS) has developed the “Fight Flu” website to provide facts about influenza and dispel the myths around influenza vaccination.  It is a useful education tool for consumers and health professionals.
Did you know?
  • Over 1,500 Australians die each year from complications caused by influenza.
  • Less than half the people most at risk of developing life threatening complications from influenza are being vaccinated annually.
  • Only 20-50% of health care workers are being vaccinated. Their occupations put them at risk of either getting or spreading influenza.
  • Influenza is not a cold. It is a highly contagious disease that kills the same number of people who die on our roads each year.
  • Influenza vaccine for people aged 65 and over - common questions and answers for providers
Primary Health Care Research & Information Service (PHCRIS) Follow the link to information for Divisions Network (right hand side of home page). 
The aim of PHCRIS is to assist Divisions, primary health care researchers and policy advisors to generate, manage and share information and knowledge that contributes to policy and improves performance.  You will find information on reporting and planning, statistics on your Division and others, plus lots more.

National Centre for Immunisation Research and Surveillance
The NCIRS provides useful resources for immunisation service providers, patients and anyone working in the area of immunisation.

Software Vendors Offering Online Claiming
If any of your practices are unsure if their medical software allows them to report ACIR data electronically, the above link to Medicare Australia provides information on a variety of software packages.

 

Feedback

Jane Sanders
Program Coordinator - Immunisation

Email jsanders@gpqld.com.au
Phone 07 3105 8300



Together we can build a better health system