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

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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)

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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!