Washington State WIC/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 Background Statewide 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 4:3:1:3:3 4 DTaP – Diphtheria, Tetanus, Pertussis 3 Polio 1 MMR – Measles, Mumps, Rubella 3 Hib – Haemophilus Influenzae type b 3 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 Specifics Incentives Given to Parents Fruit/Vegetable Seedie Characters TM 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 Lewis Pacific Wahkiakum Pierce 2002 WIC Roundup Project Sites Kitsap Whatcom Skagit Snohomish San Juan Island Okanogan KittitasGrant Benton Franklin Walla Adams Whitman Lincoln FerryStevens Pend Oreille

Main Project Goals Populate the Registry Increase the Percentage of Children 19 – 35 Months Complete for 4:3:1:3:3

Types of Records Collected AgencyTotalNewEnhancedCompleteUnreadableOther Benton Franklin HD Cowlitz Family Health Jefferson Co. HD Kitsap Comm. Resources Kittitas Co. HD Lewis Co. HD Peninsula CHS San Juan Co. HD Skagit Comm. Action Spokane Co. HD Thurston Co. HD Whatcom Co. HD Total11, %68%16%< 1%

Types of Records Collected

Main Project Goals Populate the Registry Increase the Percentage of Children 19 – 35 Months Complete for 4:3:1:3:3

Comparison by County Complete 4:3:1:3:3

WIC Benefits Local WIC Staff Broaden Knowledge Base for Immunizations and VPD Prevention Opportunity for Additional Funding

WIC Benefits WIC Clients Immunization Records are in a Safe, Secure and Permanent Repository Eliminate 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 Providers Fiscal and Contract Concerns Add-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 Lewis Pacific Wahkiakum Pierce 2003 Project Sites Kitsap Whatcom Skagit Snohomish San Juan Island Okanogan KittitasGrant Benton Franklin Walla Adams Whitman Lincoln FerryStevens Pend Oreille Repeat counties for 2003 New project sites for 2003 Tribal WIC clinic Completed project in 2002

2003 Project Enhancements Health Promotion Materials-Spanish Locally Purchased Incentives All Agencies in One County Tribal Clinics and Hospitals Participation

Preliminary 4:3:1:3:3 Comparison by County (Mid-Project)

Raising Rates – A Work in Progress Conduct Projects in 2003, 2004 Apply Lessons Learned Continue to Work on Strengthening Partnerships Share Work Locally and Nationally

Local/National Workshop: National Immunization Conference, Chicago Plenary Session: GPRA National Childhood Imms. Meeting, Baltimore Poster Session: National WIC Assn. Conference, NYC Presentation/Poster: WSPHA Joint Conference on Health, Yakima

A Special Thank You For your part in helping WIC children get a healthy start in life!

Pamela Johnson Program Linkages Coordinator Washington State Department of Health PO Box Olympia, WA (360) Sheryl Pickering Local Program Consultant Washington WIC Program PO Box Olympia, WA (360) Program Contacts