Release Date: Sunday, December 27, 2020     Expiration Date: Monday, December 27, 2021                    
Educational Need

Seasonal influenza remains a serious and life-threatening disease that is attributed to over 490,000 hospitalizations and more than 34,000 deaths in the United States during the 2018‒2019 flu season. Influenza can cause serious complications in the very young and elderly patients, pregnant women, as well as those with underlying illnesses, such as asthma, diabetes, heart disease, and immunosuppression. In otherwise healthy individuals, influenza can result in prolonged illness that disrupts active lifestyles and work productivity. The burden of influenza has prompted the World Health Organization to release in 2019 its Global Influenza Strategy for 2019‒2030 in an attempt for countries to approach influenza holistically through tailored national programs.

Influenza vaccination remains the most effective approach to reduce the burden of seasonal influenza. However, each year, a significant portion of the population remains unvaccinated against seasonal flu. In 2018‒2019, 45.3% of adults 18 years and older were vaccinated, which was an increase of 8.2% from the previous season but still leaves the majority of adult unprotected. Among older adults (≥65 years), only 68.1% were vaccinated in 2018‒2019.

Healthcare providers from various disciplines can improve immunization rates by taking a proactive approach to screen, educate, and administer vaccines. To improve overall influenza immunization rates, it is critical to expand clinician knowledge and competence regarding influenza vaccines and their benefits to overcome vaccine hesitancy. The growing number of vaccine options allows healthcare providers to individualize vaccine selection to ensure optimal protection against the flu. Healthcare provider beliefs and attitudes toward immunization must also reflect a need to proactively screen and ensure patients are offered and administered the influenza vaccine. This is important in both community and healthcare settings.


Learning Objectives

Upon completing this activity, participants should be able to:

  • Identify individuals who are at high risk of influenza or complications associated with influenza
  • Differentiate among the current FDA-approved influenza vaccines and recognize how patient factors and preferences can influence vaccine selection to optimize effectiveness
  • Evaluate strategies that can be utilized on an individual and institutional basis to overcome barriers and vaccine hesitancy to improve influenza vaccination
Target Audience

Prevention of influenza requires a collaborative approach involving various medical disciplines in different healthcare settings. This activity meets the needs of physicians, pharmacists, physician assistants, and nurse practitioners in various clinical settings, including acute care institutions, outpatient clinics, long-term care facilities, and community pharmacies.

Educational Format

This activity discusses the following topics:

  • Identifying patients at high risk of influenza-related complications
  • Understanding current vaccine options
  • ACIP immunization guideline recommendations
  • Individualizing vaccine selection by patient type and preference
  • Understanding patient, provider, and institutional barriers to vaccination
  • Strategies to overcome barriers


James S. Lewis II, PharmD, FIDSA
ID Clinical Pharmacy Coordinator and Adjunct Associate Professor
Oregon Health and Science University
Departments of Pharmacy and Infectious Diseases
Portland, OR




This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Center for Independent Healthcare Education (Center) and Vemco MedEd. Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Center designates this Enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants
AAPA accepts AMA PRA Category 1 Credit™ for the PRA from organizations accredited by ACCME.

Nurse Practitioners
Nurse Practitioners will receive certificate of AMA PRA Category 1 Credit™ as this is an ACCME accredited program and its accreditation is recognized by Nurse Practitioner boards.

Center for Independent Healthcare Education is accredited by the Accreditation Council for Pharmacy Education as a provider for continuing pharmacy education. Center has assigned 1.0 contact hour (0.1 CEU) of continuing pharmacy education credits for participating in this activity.
ACPE UAN: 473-9999-20-012-H06-P
Activity type: Application-based


Method of Participation and Instruction for Credit

  1. Review the entire CME/CPE information including target audience, learning objectives, and disclosures.
  2. Review the activity in its entirety.
  3. Complete the Online Post Test, Evaluation, and Credit Application form
  4. Please note that to receive credit you must achieve a score of at least 75%.
  5. Pharmacists: Credit will be uploaded to CPE Monitor within 4 weeks of activity completion and you will be able to access your credits from the profile you set up with NABP.
  6. Physicians: Certificate of Credit will be emailed within for 4 weeks of activity completion from

Disclosure of Conflicts of Interest

In accordance with policies set forth by the Accreditation Council for Continuing Medical Education (ACCME), Center for Independent Healthcare Education requires all faculty members and spouses/significant others with an opportunity to affect the content of a continuing education activity to disclose any relevant financial relationships during the past 12 months with commercial interests. A commercial interest is any entity producing, marketing, reselling or distributing health care goods or services consumed by or used on patients. Relationships with commercial interests and conflicts of interest resulting from those relationships must be revealed to the audience and resolved prior to the activity.
  Relevant relationships include roles such as speaker, author, consultant, independent contractor (including research), employee, investor, advisory committee member, board member, review panelist, and investigator. If a potential speaker or author indicates a possible conflict of interest, the conflict will be resolved by choosing another speaker or author for that topical area, or the slides, handouts, and/or monograph will be reviewed and approved by a qualified commercially-disinterested peer.

Dr. Lewis has no relevant financial relationships with commercial supporters to disclose.

No (other) speakers, authors, planners or content reviewers have any relevant financial relationships to disclose.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

There is no fee to participate in this activity.

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Connection Speed
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System Check
Please e-mail any questions or concerns to

Copyright Statement
Copyright © 2020 Vemco MedEd. All Rights Reserved. Permission for accreditation use granted to Center for Independent Healthcare Education.

Privacy Policy

Joint Providership
This activity is jointly provided by Center for Independent Healthcare Education and Vemco MedEd.

There is no commercial support for this activity.

By clicking on the activity icon below, I acknowledge that I have read the entire CME/CPE information.