Drive for 75: Week 18

Regulation | July 01, 2021 | by Jill Schumann

LeadingAge Coronavirus Update Calls feature brief segments called “Drive for 75” to promote the successful vaccination of at least 75% of our aging services providers’ workforce, and as needed, residents, by June 30. We will cover developments in the news, research, and innovative practices that support our members in attaining high vaccination rates.

This Week’s Highlights:

Volume Forty Seven: Air Date 6.28.21. “Building Trust”

Trust is essential to having effective conversations with people who need encouragement to get the COVID-19 vaccine. To facilitate effective conversations, the Institute for Healthcare Improvement (IHI) has created a Conversation Guide to Improve COVID-19 Vaccine Uptake. IHI developed this resource to help health care staff and leaders engage in trust-building conversations about the vaccine at work and in their communities. Trust building is a key component of addressing and correcting inequities in health care. Exploring people’s thoughts and feelings through respectful, trust-building interactions over time, offers the potential to generate positive emotions that set the stage for trust and potentially increase the uptake of vaccinations.

The content of this guide is derived from what IHI has learned about the IHI Psychology of Change Framework to Advance and Sustain Improvement and from having “What matters to you?” conversations with colleagues and patients. Many of the skills addressed in the guide are based in narrative medicine and strive to understand the lived experience of others. Using the guide can help with trust-building conversations on an array of difficult topics.

The Conversation Guide is based on these principles:

  • If those in health care use trust-building behaviors consistently over time, it will be a meaningful step in addressing inequities throughout health care systems. Trust building is an ongoing series of conversations, not a one-time event.
  • Understanding why a person may be unsure about getting the vaccine is essential for a successful conversation.
  • Build a trusting relationship together rather than feeling you, as a health care team member, have to resolve the situation immediately.
  • Adapt this guide to your own local language and culture and improve it through emergent learning in conversations with others.

Be sure to take a look at this helpful guide.

Volume Forty Eight: Air Date 6.30.21. “ACIP Statement on Myocarditis”

We are hearing that some people are concerned about being vaccinated because of reports of myocarditis following vaccination. Myocarditis is inflammation of the heart muscle and this does seem to be an extremely rare side effect of the vaccine in young people.

For every million second-dose vaccinations, there may be tens of myocarditis cases, CDC researchers told the agency's Advisory Committee on Immunization Practices last week. On the other hand, for every 1 million second-dose vaccinations, 5,700 COVID-19 cases, 215 hospitalizations, 71 intensive care unit admissions and two deaths would be prevented, the data show. It's estimated there might be 56 to 69 myocarditis cases. People who do experience myocarditis after receiving the vaccine often quickly recover.

After last week’s meeting, the Advisory Committee on Immunization Practices issued a statement that was co-signed by HHS, CDC, and a host of medical-related associations. Some language directly from the statement reads:

“The facts are clear: this is an extremely rare side effect, and only an exceedingly small number of people will experience it after vaccination. Importantly, for the young people who do, most cases are mild, and individuals recover often on their own or with minimal treatment. In addition, we know that myocarditis and pericarditis are much more common if you get COVID-19, and the risks to the heart from COVID-19 infection can be more severe.

“The vaccines are safe and effective, and they prevent COVID-19 illness. They will help protect you and your family and keep your community safe. We strongly encourage everyone age 12 and older who are eligible to receive the vaccine under Emergency Use Authorization to get vaccinated, as the benefits of vaccination far outweigh any harm. Especially with the troubling Delta variant increasingly circulating, and more readily impacting younger people, the risks of being unvaccinated are far greater than any rare side effects from the vaccines. If you get COVID-19, you could get severely ill and be hospitalized or even die. Even if your infection is mild, you or your child could face long-term symptoms following COVID-19 infection such as neurological problems or diminished lung function.”

So let’s be sure to spread the word as we Drive for 75.