WellCareTracker™ – Linking Asian- American children in child care with Medical Homes Jerold M. Aronson MD MPH FAAP PA – American Academy of Pediatrics.

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Presentation transcript:

WellCareTracker™ – Linking Asian- American children in child care with Medical Homes Jerold M. Aronson MD MPH FAAP PA – American Academy of Pediatrics

Pennsylvania Chapter - American Academy of Pediatrics

Children’s Village Early Education and School-Age Educational Enrichment in Center City Philadelphia Since 1976 NAEYC Accredited since 1996 integrate Head Start services and child care private, non-profit, independent corporation

Agenda Health Record Issues Health Record data feedback improves preventive care performance Demonstrate WellCareTracker™ Brainstorm during panel discussion

Healthy People 2010 Achieve and maintain immunization 90% 4:3:1:3:3:1 (19-35 mo.) 95% 4:3:1:3:3:1 (19-35 mo.) Child care Blood Lead – children age 1-6 yrs. 0 %

Educator Health Challenges

PA Regulations DPW – all programs must document UTD preventive care services (immunizations & screenings) within 60 days of enrollment (55 Pa. Code § ) DOH Reporting of Communicable Disease (Chapter 27.7) – enrolled children will be UTD for immunization and child care program will report UTD status annually.

AAP Guidelines for Health Supervision

Educator Challenges Complex Immunization Schedule Complex Health Screening New Vaccines/Combinations Reminder – Recall Tools Parent Resistance Unique lead/anemia problems Documentation and Reporting

Medical Home Challenge Preventive Care - Today

WellCareTracker™ 6 years of statewide data trends > 95,000 health records Web-based application = Accessible with any PC connected to the Internet. Password protected/private

Health record data feedback increases the number of preventive care services received by children attending licensed childcare in PA.

2,798 PA Licensed Child Care Centers: 13,675 child records checked between 7/02 and 4/03

By PA DPW Region for , 13,673 Child Care Center Records (DPW reg ) Children with All Vaccines Up-to-Date

Children’s Village Children with All Vaccines Up-to-Date –

By PA DPW Region for , 13,673 Child Care Center Records (DPW reg ) Children with All Preventive Services Up-to-Date

Documentation Tools Commercial childcare management software Immunization Dose Counter Vaccine Registries WellCareTracker™

WellCareTracker™

Summary and Next Steps

Well Care Early Education/Child Care WellCareTracker; Vaccine Registry Medical Home IEP, VFC-AFIX, CLPPP Preventive Care - Tomorrow

Current Status # WCT Users # children % complete immunizations % complete Total 4:3:1:3:3:1 Status Special Offer

Summary Improve compliance with PA childcare regulations (DPW and DOH) Strengthen links between early education/child care and medical homes Improve the preventive care status of children Achieve Healthy People 2010 Goals for children enrolled in early care and education programs.