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Washington State Department of Health

School Immunization and Reporting Requirements September 23, 2015

Trang Kuss, RN, MN, MPHJoey Eavey, MSPH

Website: www.doh.wa.gov/immunization/schoolandchildcare

•Assessing immunization compliance

•School immunization requirements

•How to complete the annual report

•How to submit the annual report

Washington State Department of Health

Topics for today

Assessing Immunization Compliance

CIS

COE

Parents can request a CIS: send email to waiisrecords@doh.wa.gov

Washington State Department of Health

These students are in compliance with the requirements

Fully immunized = vaccinated according to

national recommended immunization schedule

Immunity by lab test (documentation required)

History of chickenpox

Exemption on file

Immunization Status

Complete (fully immunized)

No further follow-up required

Conditional (temporary status to get

immunizations)

Follow-up until fully immunized

Exempt(COE on file)

No further follow-up required unless

temporary medical exemption

Out of compliance

(missing immunizations)

Must be excluded according to the law

Immunization Toolkit: http://immstoolkit.org/ Vaccines required chart for school:

www.doh.wa.gov/Portals/1/Documents/Pubs/348-051-SchoolChart2015-2016.pdf

Vaccines required chart for Preschool/child care: www.doh.wa.gov/Portals/1/Documents/Pubs/348-053-ChildCareChart2015-2016.pdf

Immunization Manual for School, Preschool, and Child Care: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolManual

Immunization Compliance Resources

School Immunization Requirements

5 doses required for K-12th grade

Exception:4 doses required if 4th dose given >4th birthday

Washington State Department of Health

Immunization Requirements - DTaP

1 dose required for 6-12th grade IF student is 11 years of age or older

Washington State Department of Health

Immunization Requirements - Tdap

Exception: Tdap given between 7-10 years of age counts for

the Tdap requirement

DTaP: 6 years of age and younger

Tdap and Td: 7 years of age and older

If no DTaP when younger:

Tdap + 2 Td

Washington State Department of Health

Immunization Requirements – DTaP/Tdap/Td

3 doses required for K-12th grade K-8th grade: Dose 3 must be given min age of 24

weeks 9th-12th grade: Dose 3 valid at 4 months of age

Immunization Requirements – Hepatitis B

4 doses required for K-12th grade

Exception: 3 doses required if 3rd dose given >4th birthday

Washington State Department of Health

Immunization Requirements - IPV

Immunization Requirements - IPV

Dose 4, if given on or after Aug 7, 2009

Must be given >4 years of age

Separated from dose 3 by >6 months

K-4th Grade

2 doses required for K-12th grade

Exception: 3 doses required if 4th dose given >4th birthday

Washington State Department of Health

Immunization Requirements - MMR

Please remember: Dose 1 must be given on or after 1 year of age

OR

• Blood test showing proof of immunity

OR

• Healthcare provider verification of chickenpox infection (K-7th)

• Parent verification allowed for certain 8th graders only

OR

• Certificate of Exemption

2 doses of varicella vaccine required for K-8th grade

Varicella Requirement School Year 2015-16

Immunization Requirements - Varicella

Option 1

•Blood test showing titer for immunity

Option 2

•Documentation in IIS or CIS printout

Option 3

• Letter from provider (out of state valid)

Option 4

•Provider documents on CIS hard copy

Valid provider verification

Current K-7th grade

No provider or parent verification

Get provider verification

Got provider verification

No further action

Got parent verification in

previous school year

Not allowed, get provider

verification

No need to do retrospective reviewAll new students from out of state must get provider verification

Parent vs. Provider VerificationK-7th Grade School Year 2015-16

8th grade

No provider or parent verification

Get provider verification

Got provider verification

No further action

Got parent verification before school year

2014-15

Allowed, no further action

All new students from out of state must get provider verification

Parent vs. Provider Verification8th Grade School Year 2015-16

Public and private schools can get an account to look up immunizations if:School nurse on staff, under contract, or

volunteer Need information sharing agreement Send an email to Sonja Morris:

sonja.morris@doh.wa.gov

Use the WA Immunization Information System (IIS)

Main vaccine requirements web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/VaccineRequirements

Individual Vaccine Requirements Summary (IVRS): www.doh.wa.gov/Portals/1/Documents/Pubs/348-284-IndividualVaccineReqs2015-16.pdf

Questions about immunization requirements and whether students need more shots, send an email to immunenurses@doh.wa.gov

Immunization Requirement Resources

How to Complete the School Immunization Report

50 35 8 1 7 3 0 6 3 2 1 1 8

Does your school have Kindergarten?

6th grade? Both?

No – Your report is complete for the year. If using our immunization system, you select the Save and Submit button.

Yes – CONTINUE to Part CWashington State Department of Health

Completing the Annual Report:How to Complete

12 7 3 30 01 1 1 3 5 5 1 0 5

50 35 8 1 7 3 0 6 3 2 1 81

How to Send the School Immunization Report by November 1st

How to Report – Public School Skyward Users

• In Skyward, create a data file and email file to DOH: oicpschools@doh.wa.gov

• Instructions for creating school file: www.doh.wa.gov/Portals/1/Documents/Pubs/348-NonDOH-SkywardInstrucAnnualSchoolStatusExport.pdf

• Instructions for creating preschool file: www.doh.wa.gov/Portals/1/Documents/Pubs/348-NonDOH-SkywardInstrucAnnualPreschooolStatusExport.pdf

• Send one file for all schools and preschools in district

How to Report – Public School Skyward Users

• Questions: – ESD113: 360-464-6760;

studentcoords@esd113.org– ESD171: 509-665-2659; studentcoords@ncesd.org – ESD101: 509-456-2718; stucoord@esd101.net – ESD189: 425-349-6570; nwrdcstu@nwrdc.net – ESD105: 509-575-2885; footprints@esd105.org– ESD112: 360-750-7502;

student.support@esd112.org – ESD114: 360-782-5096;

student-wrdc@oesd.wednet.edu

Please DO NOT Send Report Forms Generated from Skyward

Washington State Department of Health

How to Report – Public Schools Using Other Student Information System (not Skyward)

• Examples of student systems: PowerSchool (or eSIS), Synergis, Aspen, eSchoolPLUS

• Generate a data file for all schools and preschools in district

Washington State Department of Health

How to Report Online - Private Schools and Public Schools without a

Student Information System

• Report online in the Immunization Information System: www.waiis.wa.gov

• If you are new, please send an email to waiishelpdesk@doh.wa.gov to request an account

• Reporting account is just for annual report• If you want to look up immunizations for students,

need school nurse as an employee or volunteer• If you already have an account to look up

immunizations, still need a second account for reporting (2 separate usernames)

How to Report Online

Resources

School reporting web page:

www.doh.wa.gov/CommunityandEnvironment/Schools/Immu

nization/SchoolStatusReporting

Preschool and child care reporting web page:

www.doh.wa.gov/CommunityandEnvironment/Schools/Immu

nization/ChildCareStatusReporting

Email for any questions about reporting:

oicpschools@doh.wa.gov

Washington State Department of Health

Thank you for all you do!

If you have a disability and need this document in another format, please call 1 800 525 0127 (TDD/TTY call ‐ ‐ ‐711)DOH 348-463 September 2015