2. Providing School and Child Care Access to an Immunization Registry: The Next Step National Immunization Conference March 24, 2005

3. Agenda
Pilot Project Background
Conclusions/Recommendations
Next Steps

4. Purpose of Pilot Activity
To plan and implement a pilot to determine the feasibility/usefulness of access to the CHILD Profile Immunization Registry for school nurses, Head Start and child care nurse consultants.

5. Critical Steps for Pilot
Legal Opinion from AAG
Key Stakeholder Work
Meetings with Potential Participants
Workflows for Individual Scenarios
Follow-Up Meetings
Training/Site visit/Data Collection
Analyzing Data/Staff Interviews
Recommendation to DOH

7. Tool Development Outcome Map outlining :
Strategies; Outcomes; Priority Outcomes; Goals
Workflow Charts
Activities Timeline/Lead Assignments
Contract development
Training Plan
Pilot Guidelines
Evaluation

8. Conclusions
Pilot successful; 90% of lookups useful; significant interest; “It helps us do our job better.”
Training model-classroom style with in-person trainer is time-consuming, especially in rural areas.
Costs for expansion include staff coordination, training tools, Helpdesk
Statewide expansion will take time, given the complexity of contracting and training
Bullet 1 – “Like finding a goldmine.”
Bullet 4 – discuss alternate options for contracting we are exploring.

9. Conclusions (Cont’d)
Head Start will want data entry capability for limited staff.
LHJ Child Care Nurse Consultants will want data entry capability to assist with compliance responsibilities.
Schools do not have time to enter data. Find another data entry avenue for their medical record immunization information.
Statewide implementation is complex.

10. Recommendations Expansion: Staged Implementation
Develop a Communications Plan
Gather statewide support for expansion
Continue to assess staff resources
Pilot County expansion for Kindergarten pre-registration in Spring 2005
Allow view only access to schools

11. Recommendations (Cont’d)
Expand to two smaller counties by Fall 2005
Explore options for school contracts
Explore options for LHJ Nurse Consultants
Explore/Develop training options
Explore data entry options

12. Next Steps Develop Proposal Establish Workgroup to research issues
Develop Communication Plan
Involve “High Level” Leadership
Evaluate current linkages with childcare/schools
Explore Contract Options

13. Next Steps (Cont’d)
Expand to all Grant County Elementary Schools for Kindergarten Round-Up
Expand to 2-3 small counties with full provider participation or dual nursing roles
Put expansion of HeadStart/ECEAP “on hold”
Develop Timeline for full implementation
Develop Evaluation Plan
Seize Opportunities as they arise

14. Acknowledgements Janna Bardi, DOH Immunization Program Manager
Sherry Riddick, CHILD Profile Immunization Registry Operations Manager
Dahlia Kupfer, CHILD Profile Evaluation Manager
Elizabeth Nucci, CHILD Profile Provider Recruitment Specialist

15. Contact Information
Pamela Johnson, MA
Program Linkages Coordinator
WA DOH Immunization Program