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Published byJune Malone Modified over 8 years ago
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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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Pennsylvania Chapter - American Academy of Pediatrics
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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
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Agenda Health Record Issues Health Record data feedback improves preventive care performance Demonstrate WellCareTracker™ Brainstorm during panel discussion
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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 %
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Educator Health Challenges
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PA Regulations DPW – all programs must document UTD preventive care services (immunizations & screenings) within 60 days of enrollment (55 Pa. Code § 3270.131) DOH Reporting of Communicable Disease (Chapter 27.7) – enrolled children will be UTD for immunization and child care program will report UTD status annually.
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AAP Guidelines for Health Supervision
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Educator Challenges Complex Immunization Schedule Complex Health Screening New Vaccines/Combinations Reminder – Recall Tools Parent Resistance Unique lead/anemia problems Documentation and Reporting
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Medical Home Challenge Preventive Care - Today
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WellCareTracker™ 6 years of statewide data trends > 95,000 health records Web-based application = www.WellCareTracker.org www.WellCareTracker.org Accessible with any PC connected to the Internet. Password protected/private
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Health record data feedback increases the number of preventive care services received by children attending licensed childcare in PA.
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2,798 PA Licensed Child Care Centers: 13,675 child records checked between 7/02 and 4/03
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By PA DPW Region for 2002-03, 13,673 Child Care Center Records (DPW reg. 3270.131) Children with All Vaccines Up-to-Date
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Children’s Village Children with All Vaccines Up-to-Date – 2003-04
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By PA DPW Region for 2002-03, 13,673 Child Care Center Records (DPW reg. 3270.131) Children with All Preventive Services Up-to-Date
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Documentation Tools Commercial childcare management software Immunization Dose Counter Vaccine Registries WellCareTracker™ www.WellCareTracker.org
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WellCareTracker™ www.WellCareTracker.org
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Summary and Next Steps
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Well Care Early Education/Child Care WellCareTracker; Vaccine Registry Medical Home IEP, VFC-AFIX, CLPPP Preventive Care - Tomorrow
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Current Status # WCT Users # children % complete immunizations % complete Total 4:3:1:3:3:1 Status Special Offer
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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.
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