school immunization update famis conference, tallahassee, fl june 12, 2012 famis conference,...
TRANSCRIPT
School Immunization Update
School Immunization Update
FAMIS Conference,
Tallahassee, FL
June 12, 2012
FAMIS Conference,
Tallahassee, FL
June 12, 2012
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PresentersPresenters Dianne Mennitt, School Nurse Consultant,
USF Student Support Services Project, Bureau of Exceptional Education and Student Services [email protected]
Beth Cox, Training Consultant, Florida Department of Health, Bureau of Immunization, Florida SHOTS [email protected]
Dianne Mennitt, School Nurse Consultant, USF Student Support Services Project, Bureau of Exceptional Education and Student Services [email protected]
Beth Cox, Training Consultant, Florida Department of Health, Bureau of Immunization, Florida SHOTS [email protected]
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ObjectivesObjectives
Review immunization data for 2011-12 school year
Understand immunization requirements for 2012-13 school year
Discuss Florida SHOTS updates
Review immunization data for 2011-12 school year
Understand immunization requirements for 2012-13 school year
Discuss Florida SHOTS updates
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Legal Authoritywww.leg.state.fl.us
Legal Authoritywww.leg.state.fl.us
Section 1003.22, Florida Statutes Required immunizations shall be available
at no cost from the county health departments (CHD)
Each district school board and the governing authority of each private school shall …
Certification of immunization shall …
Section 1003.22, Florida Statutes Required immunizations shall be available
at no cost from the county health departments (CHD)
Each district school board and the governing authority of each private school shall …
Certification of immunization shall …
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Florida Administrative Codewww.flrules.org
Florida Administrative Codewww.flrules.org
Rule 64D-3.046, F.A.C., Immunization Requirements: Public and Nonpublic Schools, Grades Preschool, Kindergarten Through 12, Adult Education Classes. Annual statewide compliance reporting
requirement for all students attending kindergarten and seventh grade in Florida
Florida SHOTS (State Health Online Tracking System) authorization for access (http://www.flshots.com)
Rule 64D-3.046, F.A.C., Immunization Requirements: Public and Nonpublic Schools, Grades Preschool, Kindergarten Through 12, Adult Education Classes. Annual statewide compliance reporting
requirement for all students attending kindergarten and seventh grade in Florida
Florida SHOTS (State Health Online Tracking System) authorization for access (http://www.flshots.com)
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Immunization GuidelinesImmunization Guidelines Florida Schools, Child Care Facilities,
and Family Day Care Homes (July 2011)
Available online at http://www.doh.state.fl.us/Disease_ctrl/immune/resources/announcements/index.html#schoolguide
Florida Schools, Child Care Facilities, and Family Day Care Homes (July 2011)
Available online at http://www.doh.state.fl.us/Disease_ctrl/immune/resources/announcements/index.html#schoolguide
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Certificate of ImmunizationDH 680 Form
Certificate of ImmunizationDH 680 Form
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Electronic Certificate of Immunization DH 680 Form
Electronic Certificate of Immunization DH 680 Form
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Kindergarten & Seventh Grade Immunization Status
Report, 2011-2012
Kindergarten & Seventh Grade Immunization Status
Report, 2011-2012 http://www.doh.state.fl.us/Disease_ctrl/
immune/resources/surveys/state-surveys.html
Validation Assessment
http://www.doh.state.fl.us/Disease_ctrl/immune/resources/surveys/state-surveys.html
Validation Assessment
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2011-12 Immunization Requirements: Kindergarten
2011-12 Immunization Requirements: Kindergarten
Four or 5 doses of diphtheria, tetanus, and pertussis (DtaP) vaccine;
Three, four, or five doses of polio vaccine: If the fourth dose was administered prior to the 4th birthday, a fifth dose is required for kindergarten entry
Two doses of measles, mumps, rubella (MMR) vaccine;
Three doses of hepatitis B vaccine; and
Two doses of varicella (chicken pox) vaccine
Four or 5 doses of diphtheria, tetanus, and pertussis (DtaP) vaccine;
Three, four, or five doses of polio vaccine: If the fourth dose was administered prior to the 4th birthday, a fifth dose is required for kindergarten entry
Two doses of measles, mumps, rubella (MMR) vaccine;
Three doses of hepatitis B vaccine; and
Two doses of varicella (chicken pox) vaccine
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2011-12 Immunization Results: Kindergarten
(Public Schools)
2011-12 Immunization Results: Kindergarten
(Public Schools) Statewide Data: 92% of kindergarteners
had all required immunizations (DH 680: Part A, DOE Code 1).
Of Florida’s 67 counties, 33, or 49.3% achieved/exceeded the goal that 95% or greater have received all required immunizations upon kindergarten entry/attendance.
Statewide Data: 92% of kindergarteners had all required immunizations (DH 680: Part A, DOE Code 1).
Of Florida’s 67 counties, 33, or 49.3% achieved/exceeded the goal that 95% or greater have received all required immunizations upon kindergarten entry/attendance.
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2011-12 Immunization Exemptions: Kindergarten
2011-12 Immunization Exemptions: Kindergarten
Statewide Data: Students with exemptions from immunizations accounted for 7.2% of the total kindergarten population:
9,758 Temporary Medical Exemptions, or 4.3% 724 Permanent Medical Exemptions, or 0.3% 2,771 Religious Exemptions, or 1.2% 3,098 30-day Exemptions, or 1.4%
Statewide Data: Students with exemptions from immunizations accounted for 7.2% of the total kindergarten population:
9,758 Temporary Medical Exemptions, or 4.3% 724 Permanent Medical Exemptions, or 0.3% 2,771 Religious Exemptions, or 1.2% 3,098 30-day Exemptions, or 1.4%
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2011-12 Immunization Requirements: 7th Grade
2011-12 Immunization Requirements: 7th Grade
Completion of the hepatitis B series; Two doses of measles, mumps, rubella
(preferably MMR) vaccine; One dose of varicella (chicken pox)
vaccine; and One dose of tetanus, diphtheria, and
pertussis (Tdap) vaccine
Completion of the hepatitis B series; Two doses of measles, mumps, rubella
(preferably MMR) vaccine; One dose of varicella (chicken pox)
vaccine; and One dose of tetanus, diphtheria, and
pertussis (Tdap) vaccine
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2011-12 Immunization Requirements: 7th Grade
2011-12 Immunization Requirements: 7th Grade
Statewide Data: 95.4% of seventh grade students were reported complete for required immunizations (DH 680: Part A, DOE Code 8).
Of Florida’s 67 counties, 66, or 98.5%, achieved the goal that 90% or greater receive all required immunizations for 7th grade entry/attendance.
Statewide Data: 95.4% of seventh grade students were reported complete for required immunizations (DH 680: Part A, DOE Code 8).
Of Florida’s 67 counties, 66, or 98.5%, achieved the goal that 90% or greater receive all required immunizations for 7th grade entry/attendance.
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2011-12 Immunization Exemptions: 7th Grade2011-12 Immunization
Exemptions: 7th GradeStatewide Data: Students with
exemptions from immunizations accounted for 4% of the total 7th grade population: 5,837 Temporary Medical Exemptions, or 2.6% 622 Permanent Medical Exemptions, or 0.3% 1,738 Religious Exemptions, or 0.8% 783 30-day Exemptions, or 0.3%
Statewide Data: Students with exemptions from immunizations accounted for 4% of the total 7th grade population: 5,837 Temporary Medical Exemptions, or 2.6% 622 Permanent Medical Exemptions, or 0.3% 1,738 Religious Exemptions, or 0.8% 783 30-day Exemptions, or 0.3%
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Temporary Medical Exemption
Temporary Medical Exemption
For K – 12 students with incomplete immunizations (DH 680: Part B, DOE Code 2)
Temporary Medical Exemption (TME) requires a valid Expiration Date
For K – 12 students with incomplete immunizations (DH 680: Part B, DOE Code 2)
Temporary Medical Exemption (TME) requires a valid Expiration Date
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Permanent Medical Exemption
Permanent Medical Exemption
DH 680: Part C, DOE Code 3 For medically contraindicated
immunizations List each vaccine with coded valid
clinical reason for exemption
DH 680: Part C, DOE Code 3 For medically contraindicated
immunizations List each vaccine with coded valid
clinical reason for exemption
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2011-12 Validation Assessment Results2011-12 Validation
Assessment Results Kindergarten: 96.7% of students were fully
immunized, which is significantly higher than 92.6% reported during Survey 2 (Target: 95%)
Seventh Grade: 94.5% of students were fully immunized compared to 95.4% reported during Survey 2 (Target: 90%)
Concern: 12% of students in kindergarten and 8.2% of students in 7th grade had improper or no documentation of immunizations.
Kindergarten: 96.7% of students were fully immunized, which is significantly higher than 92.6% reported during Survey 2 (Target: 95%)
Seventh Grade: 94.5% of students were fully immunized compared to 95.4% reported during Survey 2 (Target: 90%)
Concern: 12% of students in kindergarten and 8.2% of students in 7th grade had improper or no documentation of immunizations.
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IMMUNIZATION GUIDELINES SCHOOL YEAR 2012/2013
Vaccine ↓Childcare /
Family DaycarePreschool / Pre-K Entry
Kindergarten through 12th
DTap √ √ √
Tdap No requirement No requirement 7th through 10th
IPV √ √ √
MMR 1 – 2 doses 1 – 2 doses 2 doses
Varicella √ 1 – 2 doses2 doses Kg – 41 dose 5 - 11
Hepatitis B No requirement √ √
Hib √ √ No requirement
PCV √ No requirement No requirement
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2012-13 Seventh Grade Requirement
2012-13 Seventh Grade Requirement
Students entering, attending, or transferring to 7th grade in Florida schools:
One tetanus-diphtheria-pertussis (Tdap) DH 680: Part A, DOE Code 8:
Immunizations are complete for 7th grade
Students entering, attending, or transferring to 7th grade in Florida schools:
One tetanus-diphtheria-pertussis (Tdap) DH 680: Part A, DOE Code 8:
Immunizations are complete for 7th grade
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Immunization Flyers available at http://www.doh.state.fl.us/Disease_ctrl/immune/resources/publications/flyers.html
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What Is New In FLORIDA SHOTS!
What Is New In FLORIDA SHOTS!
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Updates to Immunization Forms in Florida SHOTSUpdates to Immunization Forms in Florida SHOTS
Parents may need different forms for different children to meet Florida schoolimmunization requirements. Changeswere made to Florida SHOTS in howproviders can create and produce some ofthese forms. These are the:
DH 681 Religious Exemption. DH 680 Part B Temporary Medical
Exemption (TME).
Parents may need different forms for different children to meet Florida schoolimmunization requirements. Changeswere made to Florida SHOTS in howproviders can create and produce some ofthese forms. These are the:
DH 681 Religious Exemption. DH 680 Part B Temporary Medical
Exemption (TME).
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Religious Exemptions in Florida SHOTS
Religious Exemptions in Florida SHOTS
Religious Exemptions DH 681can now be e-signed and created in Florida SHOTS.
Only available at Florida County Health Departments E-signed only by the CHD Administrator or that
individual’s designee who uses Florida SHOTS. A DH 681 can be created by a CHD individual that
uses Florida SHOTS and has been determined an appropriate creator by that county.
Schools that have Florida SHOTS accounts can view and print an e-signed DH 681 that is in the system.
Religious Exemptions DH 681can now be e-signed and created in Florida SHOTS.
Only available at Florida County Health Departments E-signed only by the CHD Administrator or that
individual’s designee who uses Florida SHOTS. A DH 681 can be created by a CHD individual that
uses Florida SHOTS and has been determined an appropriate creator by that county.
Schools that have Florida SHOTS accounts can view and print an e-signed DH 681 that is in the system.
Religious ExemptionDH 681 E-Signed FormReligious ExemptionDH 681 E-Signed Form
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Providing a DH 680 Part BProviding a DH 680 Part B Florida SHOTS users are blocked from creating an
electronic DH 680 Part B (TME) for children entering kindergarten with the following immunization status: All series but DTaP are complete. DTaP series is up-to-date and required doses for
kindergarten entry are correct--there is only ONE dose left to receive--the seventh grade Tdap.
The recommended due date + 15 days for the one remaining Tdap dose is more than one year in the future.
These individuals are up-to-date for the kindergarten
vaccination requirements and should be provided a
DH 680 Part A.
Florida SHOTS users are blocked from creating an electronic DH 680 Part B (TME) for children entering kindergarten with the following immunization status: All series but DTaP are complete. DTaP series is up-to-date and required doses for
kindergarten entry are correct--there is only ONE dose left to receive--the seventh grade Tdap.
The recommended due date + 15 days for the one remaining Tdap dose is more than one year in the future.
These individuals are up-to-date for the kindergarten
vaccination requirements and should be provided a
DH 680 Part A. 26
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What the Florida SHOTS User Sees
What the Florida SHOTS User Sees
When Can A DH 680 Part B (TME) Be Created?
When Can A DH 680 Part B (TME) Be Created?
When children have an immunization status of
incomplete BUT up-to-date for any series
required for child care or school attendance.
In these cases, if Florida SHOTS calculates an expiration date based on the next recommended due date for the individual and that date is greater than 1 year in the future, the date field will be left blank for user entry.
When children have an immunization status of
incomplete BUT up-to-date for any series
required for child care or school attendance.
In these cases, if Florida SHOTS calculates an expiration date based on the next recommended due date for the individual and that date is greater than 1 year in the future, the date field will be left blank for user entry.
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How Can Schools Enroll in Florida SHOTS?
How Can Schools Enroll in Florida SHOTS?
Use the following link to complete the application
process. http://www.flshots.com/enrollment/school.html
If you have any questions, contact the Florida
SHOTS Training Consultant, Beth Cox at
850-245-4342 ext. 2342.
Use the following link to complete the application
process. http://www.flshots.com/enrollment/school.html
If you have any questions, contact the Florida
SHOTS Training Consultant, Beth Cox at
850-245-4342 ext. 2342.
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Comments/QuestionsComments/Questions
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