Priorities for the National Vaccine Plan (2010) / Chapter Skim
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6 Coordination
6 Coordination
Pages 139-152
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From page 139... ...
The committee's charge did not explicitly mention the matter of coordination. However, coordination is at the heart of the National Vaccine Plan purpose, which is "to promote achievement of the National Vaccine Program mission by providing strategic direction and promoting coordinated action by vaccine and immunization enterprise stakeholders" (HHS, 2008:8)
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From page 140... ...
In this chapter, the committee examines what it considers the inextricable link between NVPO's effectiveness to coordinate and the plan's success, and develops the rationale for strengthening NVPO to ensure successful implementation and maintenance of the National Vaccine Plan as a tool for coordination on critical issues in the national vaccine program.3 This chapter also discusses several case studies that illustrate the effects of a lack of coordination: unmet challenges and unmet statutory responsibilities. COORDINATION: ESSENTIAL TO PLAN SUCCESS The IOM committee received input from multiple stakeholders on NVPO's role, authority, and resources and its ability to coordinate on communication and research prioritization (IOM, 2009a,b,c)
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From page 141... ...
The large and complex network of government agencies and diverse stakeholders understandably requires a variety of mechanisms, processes, and groups to achieve some shared goals. Examples of prior or existing entities created within the National Vaccine Program include the Interagency Vaccine Group, an ongoing activity, and the Task Force on Safety of Childhood Vaccines, a temporary group that produced an important report on vaccine safety (NIAID, 1998)
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From page 142... ...
Below, the committee summarizes some of the differences between interorganizational groups (in this case, the Interagency Vaccine Group) that arise within networks such as the National Vaccine Program, and coordinating units, such as NVPO, that are created, resourced, and empowered specifically to facilitate coordination (see Table 6-1)
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From page 143... ...
The Assistant Secretary for Health represents the Secretary. Therefore, a strong secretarial endorsement of NVPO and the National Vaccine Plan, conveyed through the Assistant Secretary as a departmental policy and priority, and a forceful call for the full participation of relevant HHS agencies would be sufficient to clarify NVPO's authority and the plan's relevance.
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From page 144... ...
, and the Department of Defense, responsible for managing some aspect of H1N1 vaccine safety. NVPO convened an interagency working group to ensure coordination and collaboration on safety protocols related to the 2009 H1N1 pandemic influenza vaccine and is providing a crucial convening function and serving as a clearinghouse for all safety information
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From page 145... ...
Second, communication about vaccine safety issues -- clarity and transparency about the safety system, including areas of uncertainty -- has been a consistent challenge that has not been appropriately met. By calling for a coordinated national strategy for vaccine communication and its wellresourced implementation, the National Vaccine Plan and coordination by NVPO can help guide public health communication about vaccines and immunization toward greater transparency, sophistication, and cohesion.
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From page 146... ...
FACTORS CONTRIBUTING TO THE PROBLEM There are several factors that contribute to the problem of an inadequately supported NVPO, a National Vaccine Plan that was not updated, and a series of major and persistent systemic challenges (including the unmet challenges described above) that have not been addressed sufficiently.
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From page 147... ...
The NVPO provides leadership and coordination among Federal agencies, as they work together to carry out the goals of the National Vaccine Plan" (NVPO, 2009)
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From page 148... ...
, influenza vaccine shortages, and topics in vaccine research and development) and effectively communicate them to diverse audiences including the public.
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From page 149... ...
. Although sympathetic to the intense challenges and demanding agendas that face federal agencies, the committee believes that NVPO can and should be more proactive in assuming responsibility for implementation of the National Vaccine Plan, and the agencies more receptive to NVPO's coordination than has been the case in the past.
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From page 150... ...
Based on its information-gathering, including input from national stakeholders, and on its review of the evidence, the committee believes that the absence or gap at the heart of the nation's vaccine program is at least a partial hindrance to addressing some of the most important challenges facing the program, including addressing public concern about the safety of vaccines, taking full advantage of the national health information technology effort (to support the data and scientific needs of the immunization program) , and ensuring that the national effort to transform health care strengthens the availability, quality, and access to immunization services.
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From page 151... ...
allocating the resources necessary to assure robust planning and implementation, with coordination by the National Vaccine Program Office. CONCluDiNg ObSeRVaTiONS It is important to note here that a plan is a paper document that cannot mobilize action or facilitate coordination by simply being.
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From page 152... ...
. Transcript, Fourth National Stakeholder Meeting of the IOM Com mittee on Reiew of Priorities in the National Vaccine Plan.
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