Dr. Marcia Johnson is the Acting Medical Officer of Health, Alberta Health Services - Edmonton Zone. She received a MD from U of Saskatchewan and worked as both a family practitioner and emergency room physician in Vancouver, BC. She obtained a Masters in Health Sciences at UBC in 1990 and completed her Community Medicine Residency in 1993. Dr. Johnson gained international experience in the King Faisal Hospital & Research Centre in Saudi Arabia and at the International Hospital in Beijing, China before accepting her current position with Alberta Health Services. Dr. Johnson's current responsibilities include regional oversight for Communicable Disease Control (CDC), Environmental Health and Population Health in the Edmonton Zone. She is an adjunct professor in the Department of Public Health Sciences, University of Alberta.

Original Goals/Objectives

1. Original Goals/Objectives
2. Create a network of experts, decision-makers, and operational/clinical professionals responsible for mass vaccination clinics
3. Time motion analyses for screening, triage, medical evaluation, vaccine dispensing phases
4. Target interventions to increase efficiencies
5. Develop methodologies for patient self-registration through web-based, telephone, smart-card, or self-generated bar-code technology
6. Ensure integration with inventory control and patient information software

Original Timeline
   Year 1: environmental scan
   Year 2: modeling
   Year 3: implementation/testing

Modified Goals/Objectives

1. Rapid environmental scan of existing plans for mass vaccination clinics
2. Mechanisms will be established to monitor and evaluate roll out of anticipated H1N1 programs in jurisdictions with differing characteristics
   
   • Urban
   • Rural
   • Hard to reach
3. Mixed methodology (qualitative and quantitative) evaluation of effective and ineffective aspects of mass vaccination programs
4. Utilization of 2009/10 as a baseline
   
   • Compare future implementation of novel interventions and measure impact on efficacy

Environment

1. Deliver a broad evaluation process for all clinics in Alberta
   
   • A proposed audit tool
2. Recruitment of 6 clinics for an in-depth evaluation
   
   • Urban
   • Rural
   • Hard to reach
   • Client observation
   • Delivery of a survey to clients after vaccination
   • Focus group/interview with staff following clinic delivery

Benefits

1. Evaluate the H1N1 mass vaccination clinics for 2009
   
   • Identify barriers to success
   • Identify positive aspects of clinic design
   • Evaluate individual client preferences of clinics
2. Create a baseline data set for future interventions
   
   • Novel aspects of site layout, client registration, vaccination