IZ Section
Resources
Please remember that the PHEP-IZ Deliverables are due by the 30th of the month following each quarter to PHEP. These deliverables are submitted within the Progress Report for each quarter.
Below are resources to refer to for each deliverable. For questions, please contact
2025-2026 Immunization-PHEP Deliverables
OC2: Communication and Off-Site Vaccination Clinics. (Due ANY Quarter)
Tracking spreadsheet available here: IZ/PHEP Spreadsheet. Report the total number of off-site vaccination clinics, total number of vaccine doses administered at those off-site clinics, and any partner communication.
E1: Off-Site Point-of-Dispensing (POD) Vaccination Clinic (Due Any Quarter)
- The Checklist for Best Practices for Vaccination Clinics Health at Satellite, Temporary, or Off-Site Locations (Due Any Quarter) REQUIRED
- Report Total Vaccinations Populations Groups (Due Any Quarter) REQUIRED
The Checklist for Best Practices for Vaccination Clinics Held at Satellite, Temporary, or Off-Site Locations Guidance: Use the checklist to ensure protocols and best practices of an off-site clinic are being followed. The checklist may highlight any gaps in the planning stage or assist in strengthening processes already in place. This tool should serve as a best-practice guidance resource, however, in some cases an item on the checklist may not be feasible to attain or applicable to your jurisdiction. We are asking jurisdictions to simply be aware of the "stop signs", if any are marked. Once complete, the checklist will be uploaded as part of the Progress Report. Jurisdictions can complete the checklist by hand and scan/upload the document into the Progress Report or fill the checklist out electronically and upload the completed version.
Population Group Screening Questions and Reporting of Aggregate Totals Guidance: Vaccination Population Group Screening Questions.
Option 1: Indicate if you fit into one or more of the groups below: (check all that apply)
- Pregnant woman
- Infant or toddler 6-35 months old
- Household contact of infant <6 months old
- Person aged 3-64 years old who is at higher risk for influenza-related complications (for the
- vaccine-preventable dieses(s))
- Person aged 3-64 years old not at higher risk for influenza-related complications (for the vaccine preventable disease(s))
- Adults 65+ years old
Option 2: Determine vaccination population group screening questions specific to an off-site vaccination clinic.
Screening questions may be entirely unique or be a combination of unique screening questions and some of the groups found in Option1. There must be a minimum of 3 screening group questions, and they may not all be age defined.
Examples include but are not limited to:
- Person experiencing homelessness
- Person reporting history of injection drug use
- Person currently in a correctional or transitional setting
- Person is a refugee
When you audit your patient intake, total each of these categories for reporting purposes.
Upload a document that outlines the population screening group questions and the number of persons that fell into each group.
Please remember that your IAP deliverable attachments are due on or before the 15th of each quarter. Please remember that we now use Formstack and all deliverables are submitted that way. If you are still having issues, please don’t hesitate to call 444-1613 or e-mail kgrady@mt.gov.
Attachment A: 24-25 IZ Clinic Information-Attachment A - Formstack
Attachment B: 24-25 IZ WIC Collaboration-Attachment B - Formstack
Attachment C: 24-25 IZ Quality Improvement-Attachment C - Formstack
Attachment D: 24-25 IZ Promote Partnerships-Attachment D - Formstack
Attachment E: 24-25 Complementary Immunization Partners- Attachment E - Formstack
Attachment F: 24-25 Childcare Progress Review-Attachment F - Formstack