Measures Used to Increase Uptake of Recommended Vaccines in Children in KPSC During the COVID-19 Pandemic
| Minimize risk of exposure |
| Screen for symptoms of COVID-19 and contact with persons with possible COVID-19 before arrival and on arrival at the facility and isolate symptomatic patients as soon as possible |
| Limit and monitor points of entry to the facility and install physical barriers (plastic sneeze guards) |
| Evaluate visitors and exclude as appropriate |
| Require cloth face covering in persons 2 y of age and older |
| Ensure adherence to respiratory hygiene, cough etiquette, and hand hygiene |
| Ensure staff adhere to prevention and control procedures |
| Employ standard precautions, including hand hygiene before and after all patient encounters and exposure to potentially infectious material and environment cleaning between patients |
| Require medical mask at all times, with mask type determined by potential for exposure |
| Use eye protection (goggles, face shield) |
| Make spatial separation possible |
| Separate sick from well patients by time (eg, well visits in morning, sick visits in afternoon) or spatially (eg, different areas, different locations) |
| Reduce crowding in waiting rooms. For example, patients remain outside (in vehicles if possible) until called into the facility for their appointment. This is also done in supporting departments, including pharmacy, laboratory, and radiology. |
| Offer telemedicine visits for visits that do not require an in-person physical examination |
| Use hybrid telemedicine (history, virtual examination, discussion with parents) with in-person encounters for portions requiring face-to-face contact (vital signs, growth parameters, vaccinations, laboratory tests) |
| Establish drive-through or parking lot vaccine clinics (facilities permitting) for older children (started with 11 y and older, now some areas seeing younger children) |
| Outreach |
| Nursing outreach: contact members whose children are due for immunization using EHR-embedded algorithm that alerts when certain vaccines are due |
| Focus initially on youngest members for whom timing is most critical (<24 mo) |
| Remind parents that VPDs remain a threat to their children and to their community |
| Reassurance of safety: describe safety measures taken |
| All persons on campus and within facilities must wear masks |
| All persons, including members and staff, are asked CDC-recommended screening questions, have their temperature taken, and are triaged to the appropriate area (well versus acute condition unlikely to be COVID-19-associated versus possibly COVID-19-associated condition [fever and/or COVID-19-associated symptoms]) |
| Give all vaccines that are due to minimize No. visits needed |
| Minimize risk of exposure |
| Screen for symptoms of COVID-19 and contact with persons with possible COVID-19 before arrival and on arrival at the facility and isolate symptomatic patients as soon as possible |
| Limit and monitor points of entry to the facility and install physical barriers (plastic sneeze guards) |
| Evaluate visitors and exclude as appropriate |
| Require cloth face covering in persons 2 y of age and older |
| Ensure adherence to respiratory hygiene, cough etiquette, and hand hygiene |
| Ensure staff adhere to prevention and control procedures |
| Employ standard precautions, including hand hygiene before and after all patient encounters and exposure to potentially infectious material and environment cleaning between patients |
| Require medical mask at all times, with mask type determined by potential for exposure |
| Use eye protection (goggles, face shield) |
| Make spatial separation possible |
| Separate sick from well patients by time (eg, well visits in morning, sick visits in afternoon) or spatially (eg, different areas, different locations) |
| Reduce crowding in waiting rooms. For example, patients remain outside (in vehicles if possible) until called into the facility for their appointment. This is also done in supporting departments, including pharmacy, laboratory, and radiology. |
| Offer telemedicine visits for visits that do not require an in-person physical examination |
| Use hybrid telemedicine (history, virtual examination, discussion with parents) with in-person encounters for portions requiring face-to-face contact (vital signs, growth parameters, vaccinations, laboratory tests) |
| Establish drive-through or parking lot vaccine clinics (facilities permitting) for older children (started with 11 y and older, now some areas seeing younger children) |
| Outreach |
| Nursing outreach: contact members whose children are due for immunization using EHR-embedded algorithm that alerts when certain vaccines are due |
| Focus initially on youngest members for whom timing is most critical (<24 mo) |
| Remind parents that VPDs remain a threat to their children and to their community |
| Reassurance of safety: describe safety measures taken |
| All persons on campus and within facilities must wear masks |
| All persons, including members and staff, are asked CDC-recommended screening questions, have their temperature taken, and are triaged to the appropriate area (well versus acute condition unlikely to be COVID-19-associated versus possibly COVID-19-associated condition [fever and/or COVID-19-associated symptoms]) |
| Give all vaccines that are due to minimize No. visits needed |