Prenatal Tdap Workgroup Resources

Prenatal Tdap Meeting Slides

• May 31, 2017 
• June 28, 2017
• July 31, 2017
• September 14, 2017   
• November 30, 2017
• January 17, 2018
• March 29, 2018
• July 25, 2018
• March 28, 2019
• August 5, 2019

Letters from the California Department of Public Health (CDPH) to Physicians

• Clinician Health Advisory – Immunize Pregnant Women to Prevent Infant Pertussis in California (4-18-19)
• Implement Prenatal Tdap Program to Prevent Infant Pertussis in California (12-30-16)
• To Physicians about Infant Pertussis: Prevention, Evaluation and Treatment (8-3-16)

Letter from the California Conference of Local Health Officers to Local Health Dept. Staff

• Prenatal Tdap Immunizations and Prenatal Care Providers (12-11-17) with accompanying Template Letter for Prenatal Care Providers with Pregnant Patients that did not Receive Prenatal Tdap and Infants Developed Pertussis  

Educational Materials for Prenatal Care Providers

• Provide the best prenatal care to prevent pertussis
• Making a stong vaccine referral to pregnant women
• Medical Board of California Newsletter (Spring 2017, pg. 15-16)
• Immunization Priorities to Prevent Infant Pertussis

 Provider Tools

• Prenatal Tdap/Influenza Immunization Declination Form –  English and Spanish
  Use this form to document patient declinations. Please note:DHCS contracts require that Medi-Cal Managed Care Plans document patient refusal of the immunization in the form of a signed statement. (See Q17 in the Medi-Cal Coverage of Immunizations to learn more.)
• Gestational Wheel Order Form
  Use this form to order FREE gestational wheels, which include timing for Tdap and flu immunizations
• Prenatal Immunization Rx Pad
• List of FREE Prenatal Tdap Immunization Resources for Prenatal Care Providers
• VIS Tdap Vaccine – English and Spanish
• CDC Toolkit for Prenatal Care Providers

ACOG’s Tdap Immunization Toolkit  

• Update on Immunization and Pregnancy:  Tetanus, Diphtheria, and Pertussis Vaccination – ACOG Committee Opinion 718, September 2017
• Provider FAQs (updated 2017)
• Patient Frequently Asked Questions (Updated 2017) English | Spanish
• Managing Costs 
• ACOG Commitee Opinion: Maternal Immunization (June 2018)
• Optimizing Immunization programs in OBGYN Practices Tookit (March 2019)
  • Immunization Implementation Strategies for Obstetrician-Gynecologists Committee Opinion 772  (March 2019)
  • Strategies for Effectively Integrating Immunizations Into Routine Obstetric-Gynecologic Care (January 2019)
  • Seasonal Influenza Vaccination Programs: Tips for Optimizing Practice Management (February 2019)
  • Developing an Immunization Referral System (February 2019)
  • ​2019 Immunization Coding for Obstetrician-Gynecologists (February 2019)

Local Health Department Tools

• San Francisco’s Prenatal Tdap Vaccination Toolkit 
• San Diego’s Prenatal Tdap Vaccination Toolkit
• Stanislaus’s OB Provider Toolkit
• Stanislaus’s Pertussis Toolkit for Schools and Child Care Centers
• Orange’s prenatal care provider pre-and post-conference survey
• Alameda’s Best Practices for Raising Tdap Vaccination Rates among Pregnant Women
• Los Angeles’s CPSP Quality Assurance Tool

Tools for Medi-Cal Managed Care Plans

• Steps to Preventing Infant Pertussis: The Critical Role of Managed Care
• Template Letter from Plans to Physicians
• Email to Medi-Cal Managed Care Plan Medical Directors from DHCS: Use the new HEDIS prenatal immunization measure (August 2019)

FAQs: Medi-Cal Coverage of Immunizations 

• Medi-Cal Coverage of Immunizations
• ​Pharmacy-Administered Vaccines in California

Data and Reports

• CDPH Pertussis Reports (Look under Surveillance Reports)
• 2015 Maternal and Infant Health Assessment Survey: Tdap and Influenza Immunization in Pregnant Women 
• 2016 Maternal and Infant Health Assessment Survey: Prenatal Vaccinations in California
• Infant Pertussis Cases and Incidence Rates, 2013-17
• New S, Winter K, Boyte R, et al. Barriers to Receipt of Prenatal Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccine Among Mothers of Infants Aged <4 Months with Pertussis — California, 2016. MMWR Morb Mortal Wkly Rep 2018;67:1068–1071. 
• DHCS Learning Collaborative February 2019 Presentation: Protecting Infants from Pertussis: Strategies to Increase Maternal Immunization & Reduce the Gaps in Health Systems.

Patient Education Materials

Materials from the California Department of Public Health (CDPH):

• Immunizations for a Healthy Pregnancy Brochure – English and Spanish
• ​Expecting?  Protect yourself and your baby against flu and whooping cough! flyer– English and Spanish
• Your baby may be at risk for flu and whooping cough poster – English and Spanish
• Need A Ride? flyer
  Use this to promote Medi-Cal’s new transportation benefit 

Materials from the Centers for Disease Control and Prevention (CDC):

• You can start protecting your baby from whooping cough before birth flyer – English and Spanish 
• Protect Your Baby from the Start – English and Spanish

Materials from the California Immunization Coalition (CIC) and other partners

• Infographic showing benefits of prenatal Tdap and flu immunizations
• Video presentation for WIC staff by Dr. Elizabeth Rosenblum 
• Infographics from ACOG

Tools and Information for Pharmacists

• Shelf Talker featuring pregnant woman in English and Spanish (unbranded)
• Board Of Pharmacy Alert: Medi-Cal Expands Access to Adult Immunizations in Pharmacies (5/2017) 
• Template letter to be modified by pharmacists who want to reach prenatal care providers in their database