washington state wic/immunization record round-up project “filling in the gaps” national...
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Washington StateWIC/Immunization
Record Round-up Project“Filling in the Gaps”
National Immunization Registry Conference
October 27, 2003
Pamela Johnson Program Linkages Coordinator
Washington State Department of Health Immunization Program
Project BackgroundStatewide WIC/IZ Planning Workgroup
Established – October 2000
Includes Medicaid Program participation
Five-Year Linkage Strategic Plan Developed – March 2002
Project Background – cont’d
Plan Includes Specific Goals and Objectives to Populate the Registry
Group Recommended Immunization Record Collection Project
Concurrent with USDA Requirements to Screen DTaP Immunizations at WIC Clinics Statewide
Main Project Goals
Populate the Registry
Increase the Percentage of Children 19 – 35 Months Complete for 4:3:1:3:34 DTaP – Diphtheria, Tetanus, Pertussis
3 Polio1 MMR – Measles, Mumps, Rubella3 Hib – Haemophilus Influenzae type b3 Hep B – Hepatitis B
Secondary Project Goals
Registry Promotion
Increase Awareness About Immunizations
Strengthen Partnerships
Project Specifics
Time Frame: 9/2002 – 12/2002
WIC Agencies Received Funding to Collect/Copy Records, Obtain Parent Consent and Give Incentives
Immunization Programs Received Funding for Data Entry
Project SpecificsIncentives Given to Parents
Fruit/Vegetable Seedie CharactersTM
Washington State Immunization Record Card and Plastic Sleeve
Selection of Project Sites
1/31/2002 CHILD Profile Registry Report Information For:
19 – 35 Months
County Specific
4:3:1:3:3
Asotin
Garfield
Columbia
Clark
Douglas
Cowlitz
Grays Harbor
King
Klickitat
Chelan
Mason
Skamania
Spokane
Thurston
Yakima
Clallam
Jefferson
LewisPacific
Wahkiakum
Pierce
2002 WIC Roundup Project Sites
Kitsap
Whatcom
Skagit
Snohomish
San Juan
Island
Okanogan
Kittitas Grant
Benton
Franklin
Walla Walla
Adams Whitman
Lincoln
Ferry StevensPend
Oreille
Main Project Goals
Populate the Registry
Increase the Percentage of Increase the Percentage of Children 19 – 35 Months Children 19 – 35 Months Complete for 4:3:1:3:3Complete for 4:3:1:3:3
Types of Records CollectedAgency Total New Enhanced Complete Unreadabl
eOther
Benton Franklin HD 1443 24 1191 228
Cowlitz Family Health 592 27 259 97 1 209
Jefferson Co. HD 140 52 57 31
Kitsap Comm. Resources
743 140 493 108 2
Kittitas Co. HD 95 19 59 17
Lewis Co. HD 410 11 358 41
Peninsula CHS 669 112 400 153 3
San Juan Co. HD 49 6 29 14
Skagit Comm. Action 1296 44 1086 166
Spokane Co. HD 4698 1062 2874 753
Thurston Co. HD 553 42 408 101 2
Whatcom Co. HD 363 5 317 41
Total 11,051 1544 7531 1750 8 209
14% 68% 16% < 1% < 1%
Types of Records Collected
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Enhanced New Complete Other
Main Project Goals
Populate the RegistryPopulate the Registry
Increase the Percentage of Children 19 – 35 Months Complete for 4:3:1:3:3
Comparison by CountyComplete 4:3:1:3:3
0
5
10
15
20
25
30
Jan. 2002 Aug. 2002 Dec. 2002 (post-project)
WIC Benefits Local WIC Staff
Broaden Knowledge Base for Immunizations and VPD PreventionOpportunity for Additional Funding
WIC Benefits WIC Clients
Immunization Records are in a Safe, Secure and Permanent RepositoryEliminate Need for Duplicate Immunizations
Immunization Program/Registry Benefits
Enhance Cross-Program Partnerships for Translation of Foreign Records
Promotion of WIC and Immunization Linkage Collaboration
Increased # of Providers in Registry
Provides an Avenue for Access to Records of Children Born Outside WA State
Lessons Learned
Allow Time for Communication with CHILD Profile Notify Stakeholders and Healthcare ProvidersFiscal and Contract ConcernsAdd-ons to WIC Must Be Adequately Funded
What’s Next in Washington?
Asotin
Garfield
Columbia
Clark
Douglas
Cowlitz
Grays Harbor
King
Klickitat
Chelan
Mason
Skamania
Spokane
Thurston
Yakima
Clallam
Jefferson
LewisPacific
Wahkiakum
Pierce
2003 Project Sites
Kitsap
Whatcom
Skagit
Snohomish
San Juan
Island
Okanogan
Kittitas Grant
Benton
Franklin
Walla Walla
Adams Whitman
Lincoln
Ferry StevensPend
Oreille
Repeat counties for 2003
New project sites for 2003 Tribal WIC clinic
Completed project in 2002
2003 Project EnhancementsHealth Promotion Materials-SpanishLocally Purchased IncentivesAll Agencies in One CountyTribal Clinics and Hospitals Participation
Preliminary 4:3:1:3:3 Comparison
by County (Mid-Project)
0
5
10
15
20
25
30
35
Jan-03 August-03
Raising Rates – A Work in Progress
Conduct Projects in 2003, 2004Apply Lessons LearnedContinue to Work on Strengthening PartnershipsShare Work Locally and Nationally
Local/National Workshop: National Immunization Conference, ChicagoPlenary Session: GPRA National Childhood Imms. Meeting, BaltimorePoster Session: National WIC Assn. Conference, NYCPresentation/Poster: WSPHA Joint Conference on Health, Yakima
A Special Thank You
For your part in helping WIC children get a healthy start in life!