2020 Nomination Form
NAIIS Immunization Excellence Awards
Nominations deadline 
FEBRUARY 1, 2020

The National Adult and Influenza Immunization Summit (NAIIS) is soliciting candidates for the 2020 NAIIS Immunization Excellence Awards. The 2020 awards recognize individuals and organizations that have made extraordinary contributions towards improving vaccination rates within their communities during 2019. The awards focus on individuals and organizations that exemplify the meaning of the "immunization neighborhood" (collaboration, coordination, and communication among immunization stakeholders dedicated to meeting the immunization needs of the patient and protecting the community from vaccine-preventable diseases (VPDs)). Unless an award criteria is specifically focused on influenza, it is the intent of the Summit to recognize broader adult immunization activities.   

A National Winner will be selected for each award category, and where appropriate an Honorable Mention recipient. The winners will be presented with their awards at the National Adult and Influenza Immunization Summit meeting (to be held May 18, 2020, location Atlanta,GA, in conjunction with the CDC NIC; awards ceremony will be May 18). The national winner in each category will be invited to present their programs at the National Adult and Influenza Immunization Summit meeting.  

 

Award Information

Award Categories:   There are five award categories of recognition accepting nominations:     

 “Non Healthcare Employer Campaign” recognizes an employer that has implemented a successful and sustainable onsite employee immunization program to improve the health of their employees.  Nominations must provide specific examples of the employer’s commitment to increasing awareness of adult VPDs for all onsite employees and improving immunization rates for all employees.  Examples may include:  increase in onsite influenza immunization rates for all employees, implementation of programs to increase onsite employee immunization rates for other vaccines (e.g. pneumococcal vaccine, shingles vaccine, Td/Tdap, Travel  vaccines, etc.).

Laura Scott NAIIS Immunization Excellence Award for Outstanding Influenza Season Activities Campaign innovative activities related to seasonal influenza vaccination across the lifespan (pediatric, adolescent and/or adult activities) and/or among healthcare workers related to improving influenza vaccination.

"Immunization Neighborhood" Adult Immunization Champion recognizes individuals and organizations focused on improving adult immunization rates through the engagement of the immunization neighborhood (collaboration, coordination, and communication (the 3 C’s) among immunization stakeholders dedicated to meeting the immunization needs of the patient and protecting the community from vaccine-preventable diseases) - programs conducted within states and communities that demonstrate strong public and/or private collaboration around the 3 C’s and have a positive impact on addressing disparities and access to care for the adult population. For 2018 submissions, awards will be presented to individuals AND organizations that have embraced and implemented a set of activities that embody the NVAC Standards of Adult Immunization Practice and are role models for other adult immunization stakeholders (activities must go beyond influenza vaccination to include other adult vaccinations and encompass the key components of the immunization neighborhood).  Applicants are also encouraged to demonstrate new approaches for sharing immunization administration information (via communications, IIS, EHR, etc) among multiple categories of providers and/or serving underserved populations.

Corporate Campaign (national activities developed by communication / public relations organizations and/or supported by manufacturers, distributors or other for-profit entities (like multi-practice site companies)) - activities could be in any of the above awards areas- these entities should only apply in this category.

Adult Immunization Publication Award: articles published, or currently under official review for publication in a peer-reviewed journal from January 1, 2017 to present that address increasing adult immunization rates and/or implementation of the components contained within the NVAC Standards of Adult Immunization Practice.

Note:  the awards selection committee reserves the right to create additional categories or to not award any winners in a particular category.   

Evaluation Criteria:  Nominations will be evaluated in the following areas related to their immunization activities:

  1. Collaboration / Coordination:  describe the extent of collaboration with other providers and/or organizations such as state and local professional organizations, local health departments, local hospitals, community organizations, etc. Nominations should discuss assessment of patient immunization status and referral systems, if applicable, utilized.
  2. Communication: describe activities and processes utilized to keep immunization neighborhood stakeholders informed and engaged, utilization and reporting to IIS (where applicable), and documentation of immunization administration and other activities to patient health records and providers (where applicable).
  3. Originality:  describe the creativity, innovation and originality utilized by the nominee in achieving the vaccination rates and engagement in their community.
  4. Participation and Impact: describe the number and types of healthcare providers and other immunization stakeholders (including community organizations) that participated in the activity, as well as the number and demographics of the patients who were vaccinated and/or received immunization messages.  Inclusion of number of individuals vaccinated or educated is encouraged.
  5. Challenges and Opportunities:  describe the challenges and opportunities that the nominee encountered and how they addressed those issues.

Guidance Regarding the "Non Healthcare Employer Campaign" Award :  Nominations should provide specific examples of the employer’s commitment to increasing awareness of adult VPDs for all onsite employees and improving immunization rates for all employees.  Examples may include:  increase in onsite influenza immunization rates for all employees, implementation of programs to increase onsite employee immunization rates beyond infuenza vaccines (e.g. pneumococcal vaccine, shingles vaccine, Td/Tdap, Travel  vaccines, etc.).  This information should be included in the overall statement provided in the application and within appropriate criteria category.

Additional Criteria for the "Immunization Neighborhood" Adult Immunization Champion Award (nominations for this category will be evaluated against Criteria 1-5 above, and Criteria 6 below) (to view the NVAC Adult Immunization Standards go to: http://www.hhs.gov/nvpo/nvac/reports/nvacstandards.pdf )  6.  Nominations for this category will be evaluated on activities and efforts that might address the following areas: - Incorporation of immunization needs assessment into adult patient encounters - Number of adult immunizations assessed, administered and/or referral or collaboration made with other providers to administer vaccines - Advocacy and education activities regarding the importance of adult immunizations - Partnerships and collaboration with other adult immunization stakeholders - Rate of immunization provider(s) vaccination of themselves.

Criteria Specific for Adult Immunization Publication Award: articles published, or currently under official review for publication, from January 1, 2018 to present and submitted through an awards nomination that addresses increasing adult immunization rates and/or implementation of the components contained within the NVAC Adult Immunization Standards. Nominations will be evaluated on impact on immunization rates (if applicable), addressing of standards component elements and implementation challenges and opportunities, as well as best practices.   Nominations are sought for publications that contribute to the current body of scientific literature and could be counted as “game changers” in the quest for successful approaches to increase rates.

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Each Award Category recipient receives:

Category Winners

Category Honorable Mentions

 - Award plaque (only one to individual or to project)

- $1,000 Honoraria*

- Travel, Lodging and Registration to NAIIS Meeting (up to $1,000) *

- Presentation of Winning Project (limited to 10 minutes) at the NAIIS Meeting

- News Release on receipt of Award  

 

Note: Corporate Category Recipients and Federal Government entities do not receive items indicated with an * (they will receive a framed Award Certificate (only one to individual or to a project). Honoraria will only be awarded when employer rules and regulations allow.

 

- $250 Honoraria*

- Presentation of Award to recipient at the NAIIS Meeting

- News Release on receipt of award

 

Note: Corporate Category Recipients and Federal Government entities do not receive items indicated with an * (they will receive a framed Award Certificate (only one to individual or to a project)

 

 

 

 

 

 

 

 
Nominations may be submitted online by completing the form below and clicking the submit button.

Direct inquiries or mail, fax or email completed forms to:

Mitchel C. Rothholz, RPh, MBA
c/o American Pharmacists Association
2019 NAIIS Immunization Excellence Awards
101 Harvest Glenn Drive
Harleysville, PA  19438
1-800-237-APhA (2742) ext 7549 Direct: 202-429-7549 FAX: 202-429-6300
email:
mrothholz@aphanet.org (prefered for scanned documents)

Large files should be sent via Dropbox (upload documents to dropbox and share the file with mrothholz@aphanet.org)

Nominee

Individual Submitting Nominations

Self Nomination?

We will be submitting additional supporting material by the deadline