The Food and Drug Administration recently
approved the Adacel (Tdap) vaccine to be administered as soon as 8 years
after a previous dose. Adacel, manufactured by Sanofi Pasteur, provides
immunity to tetanus, diphtheria, and pertussis. The vaccine is approved for
patients ages 10-64, and is available in a syringe made without natural rubber
The current CDC
recommendations for Tdap are as follows:
- Adolescents should receive a single dose,
preferably at age 11 or 12
- All pregnant
women should receive a single dose during pregnancy, preferably between
weeks 27 and 36. By receiving this vaccine, pregnant mothers pass antibodies to
their babies, reducing the risk of whooping cough.
- Adults should receive a single dose of Tdap
followed by a booster Td every 10 years.
FDA approval was based on clinical data from a study that
showed no significant differences in adverse events when adults received Adacel
versus Td 8-12 years after a previous dose of Adacel. The approval of Adacel administration every 8
years provides more flexibility for physicians in both vaccine purchasing
decisions and immunizations scheduling. Sanofi has provided study results to
the CDC for consideration in future recommendations.
For more information or to purchase Adacel or any other
immunization, visit our website
or send us an email.
At CPP’s recent Vaccine Management Summit, 2D barcoding
stood out as a topic of interest among attendees. CPP members will find a new
AAP guide helpful as they continue to learn about this technology.
The AAP recently released a guide
for pediatricians with information on two key information technology topics:
immunization information systems and two dimensional barcoding. In addition,
the AAP provides a detailed website for both topics that summarizes the
information found in the new guide and provides relevant links.
Information Systems, also known as vaccine or immunization registries, are
confidential computerized systems that capture vaccination data across the
lifespan within a certain geographical area. The use of these systems can
reduce healthcare costs and improve patient care. The benefits to pediatric
practices of using these systems include minimizing duplicate vaccine
administration, aiding in recalling patients overdue for vaccinations,
reminding patients of upcoming immunizations, and identifying vulnerable
patients during a disease outbreak.
Dimensional Barcode Scanning Technology can be used with the majority of
pediatric vaccines. Recent studies show that the use of 2D scanning increase
accuracy in vaccine documentation and reduces documentation time by an average
of 21 seconds. 2D barcode scanning improves practice efficiency, increases
vaccine inventory accuracy, and assists in proper billing. In addition, the
technology benefits patients by improving safety and documentation, reducing
errors, and identifying expired vaccines before they are administered to
patients. The AAP’s 2D
barcoding resources include practice uses, choosing a scanner, and getting
the scanner to “work.”
For practices not yet ready to implement 2D barcoding, CPP
has other resources to help manage your vaccine inventory including a Vaccine
Inventory Reconciliation Sheet. These resources can be found on our website.
The Immunization Action Coalition has put together a helpful guide for influenza vaccination coding for the 2018-2019 flu season. Doses are starting to be shipped out by the vaccine manufacturers so make sure you are ready to start vaccinating by having the appropriate CPT and Medicare codes in your system!
Sanofi Pasteur hosted a webinar in April entitled Vaccine Confidence: The Key to Communicating with Parents and Patients. A recording of the webinar, which was attended by over 600 medical professionals, is now available to you on-demand. Speakers include Gary S. Marshall, MD from the University of Louisville School of Medicine and Carole H. Moloney, RN, MSN, CPNP from Boston Medical Center.
Simply go to http://vacadvwebcast2017.prihcs.com to register.
Updated immunization schedules have been released by the CDC for 2018. Please find the following member resources now available on the CPP website:
- CPP compliant pediatric immunization schedule
- CPP compliant adult immunization schedule
- Pediatric & Adolescent Vaccine Coding Cheat Sheet
- Adolescent & Adult Vaccine Coding Cheat Sheet
Customizeable resources to help improve flu literacy in your patient population are now available through Sanofi Pasteur. You can choose between a pediatric version and an adult version, depending on the patients you see in your practice. You can also add your practice logo and contact information so your patients know who to contact with questions or to schedule their flu shot!
For more information or to customize this resource for your practice, contact your local Sanofi Pasteur representative or the CPP Office at email@example.com.
Vaccines are expensive so having a plan to consult when an emergency presents itself is essential.
*Review your plan to update it and maintain familiarity with the plan.
*All staff should know how to find the emergency plan.
*At least 2 practice leaders should organize the emergency response and completely understand the steps of the emergency plan.
*It should be clear where the vaccine will go in case storage units are no longer operational.
*Transport storage units should be kept in a easy to find place, preferably close to the vaccine refrigerators.
*Make sure to consult the vaccine manufacturers and your VFC representative during and after the process.
We have heard from several CPP members that some insurance companies are requiring NDC numbers to be listed alongside the appropriate vaccine CPT code. Sanofi Pasteur has created a proper coding guide with NDC numbers for all of their vaccines to help member practices.
You have the opportunity to participate in a new, timely educational program: “Cracking the Codes: Coding and Billing for Vaccinations with Fluzone®”
This complimentary, updated program provides a comprehensive review of correct coding for Fluzone vaccine presentations and entitled payment for the 2017-2018 influenza season. Influenza vaccine billing is complicated and seasonal, and you should annually see that you are coding and billing correctly. There are 25 codes for influenza vaccines, so it can be confusing. Additionally, the AMA recently changed how dosage is expressed in influenza vaccine CPT descriptions. You need to be aware of these changes.
You can join a live webinar followed by a question-and-answer session with a coding expert, or you may view the program’s on line modules, on-demand, at your convenience, 24/7.
LIVE WEBINAR EVENT DATES Eastern Time
Tuesday, August 8, 2017 1:00 PM
Thursday, August 10, 2017 12:00 PM
Wednesday, August 16, 2017 3:00 PM
Tuesday, August 29, 2017 2:00 PM
Wednesday, August 30, 2017 12:00 PM
Thursday, September 14, 2017 3:00 PM
To get more information about and register for this event, please click on the link below:
Practices can have thousands of dollars in vaccine inventory sitting in refrigerators. No matter how good storage equipment is, exposure to high or low temperatures can happen. You can limit the damage by knowing what to do.
• Investigate and determine how long the vaccine temperatures have been out of range.
• Investigate whether or not the temperature data logger and notification system work.
• Pay attention to whether or not the refrigerator door was ajar or is making an unusual noise.
• Inventory the vaccine affected currently in the refrigerator.
• Inventory any temperature stabilizing items in the refrigerator (water bottles, coolant packs)
• Find out if there are other documented temperature excursions with the current refrigerator.
• Contact the vaccine manufactures to determine the status of the vaccine.
• Document the incident, results and actions taken to prevent another temperature excursion.