1. WellCareTracker™ – Linking Child Care with Medical Homes
Jerold M. Aronson MD MPH FAAP
PA – American Academy of Pediatrics

2. Pennsylvania Chapter - American Academy of Pediatrics

3. ECELS-Healthy Child Care PA was conceived in 1988 as a program of the PA Chapter of the American Academy of Pediatrics to link the resources of health professionals, early education professionals and state wide agencies to improve quality in PA early education and child care facilities.

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

5. 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 %

6. Educator Health Challenges

7. 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.

8. AAP Guidelines for Health Supervision

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

11. Medical Home Challenge Preventive Care - Today

12. 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
Added item on access of child care providers to computer & Internet to 2002 child care provider survey. Surprised to see how widespread computer use is among child care providers.
Two thirds of centers have computers and nearly half use the internet.
FCCH even greater computer use: 75%. FCCH internet use is 41%.
Widespread use of computers makes use of computerized tracking of preventive health services realistic for many early education programs.

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

14. The variability of age of the child complicates the educator’s challenge to keep children UTD during the enrollment year.

15. 2,798 PA Licensed Child Care Centers: 13,675 child records checked between 7/02 and 4/03

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

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

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

21. WellCareTracker™

22. Summary and Next Steps

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

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

25. 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.