1 / 19

Thinking Outside the Box: Linking an Immunization Registry with Schools

Thinking Outside the Box: Linking an Immunization Registry with Schools. Tina Ellis Coyle RECIN Immunization Registry Marshfield Clinic Marshfield, Wisconsin. Recognizing the Need for a Registry. Barriers to children getting immunizations Parental barriers Physician barriers

bona
Download Presentation

Thinking Outside the Box: Linking an Immunization Registry with Schools

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Thinking Outside the Box: Linking an Immunization Registry with Schools Tina Ellis Coyle RECIN Immunization Registry Marshfield Clinic Marshfield, Wisconsin

  2. Recognizing the Need for a Registry • Barriers to children getting immunizations • Parental barriers • Physician barriers • System barriers • Fragmentation of immunization care across the public/private sector • Development of RECIN began in1994 2002  Marshfield Clinic

  3. RECIN Background • One of the few registries developed in the private sector • Collaborative development team of private and public providers • Electronic recording and tracking network that all immunization providers use to record and assess the immunization status • Web based, live immunization registry 2002  Marshfield Clinic

  4. RECIN Statistics • 3.2 million immunization records • 430,000 unique patients • Facilities using RECIN: • 41 Marshfield Clinic sites • 15 Public Health Departments • 21 Private Facilities • 8 Hospitals • 14 School Districts • 8 Daycare Facilities • 1 Retirement Community 2002  Marshfield Clinic

  5. Immunizations in the Schools • In Wisconsin, schools must enforce immunization requirements for all students • Immunization dates are public domain data in Wisconsin • Students must have minimum immunization requirements to attend school • Schools must report on students who are not immunization current within the first 40 days of school to the health department 2002  Marshfield Clinic

  6. Immunization Requirements • For new Kindergarten students, and new students must have • 4 DPT/DTaP/DT • 4 Polio • 2 MMR • 3 Hep B • 1 Varicella (or history of disease) • Personal conviction, medical, religious conviction, and history of waivers 2002  Marshfield Clinic

  7. What Schools Need from RECIN • Schools are being asked to do more with less • Both schools and health care facilities must track immunization data • Duplication of record keeping results in wasted time and money spent locating patient’s history by chart pulls, phone calls, etc. • Most schools still have manual tracking systems • Automated schools required data entry of immunizations already in RECIN • Not always accurate from parents 2002  Marshfield Clinic

  8. It’s About Time! • In 1999, one school district in Wausau, WI spent before RECIN: • 56 hours sending out immunization cards to parents • 90 hours entering immunizations reported by the parents into their own system • 25 hours filing cards • 95 hours generating non-compliant letters to parents • 30+ hours calling immunization providers 2002  Marshfield Clinic

  9. Getting Started • Public health officials, and school board representatives saw the benefit of linking the two systems together • Taking advantage of work already done and maximize their immunization system • The goals were to: • decrease administrative time tracking immunizations tracking • gain more accurate immunization histories 2002  Marshfield Clinic

  10. Development of RECIN in the Schools • Fall 1999: Gave selected schools view rights to RECIN • PROBLEM: still had to maintain other system to run reports…………Dual Entry • December 1999-February 2000: Formed work group to design a system that would integrate RECIN with school immunization law requirements 2002  Marshfield Clinic

  11. Development Cont. • Funds were secured via a grant from the Family Health Center of Marshfield to cover the programming costs • Winter 1999 to Summer 2000 - Specification, design, programming, and testing • Fall 2000 - Implementation of the RECIN school module Integration of data 2002  Marshfield Clinic

  12. System Features • Includes all school district demographics • School, grade, admission date • Access to student records 3 to 21 years of age • Generates reports of children who are behind schedule, in process, no record, and waivers • Prints all required legal notices to parents and the District Attorney • Calculates and prints reports to local health department 2002  Marshfield Clinic

  13. System Benefits • Schools • Enormous time savings • Centralized work flow • More accurate data, reports, and letters • Providers • Fewer phone calls and chart pulls • More complete records • Parents • Less paperwork when registering students. No more repeated requests for data • Time savings 2002  Marshfield Clinic

  14. Unique Stories • Shift in programming • Immunization providers rely on age of the child • schools track students by the grade they are enrolled • Complexity of school immunization laws • Schedule is more accurate • Catching missed MMR • Fluidity of school populations 2002  Marshfield Clinic

  15. Unique Stories • Centralizing • The “guilt factor” • Before RECIN, it took 95 hours to produce the 15-day letters • Post implementation workflow was centralized • 15-day letters generated in under 1 hour • Loss of control • Learning to trust, and question, RECIN • The first year’s immunization rates 2002  Marshfield Clinic

  16. In Summary • School Districts are being asked to do more with less • Registries can equip school personnel with an efficient tool to: • Track their students more accurately • Reduce administrative time spent generating reports • More accurate data, reports, and letters • Providers can focus on better patient care due to: • Fewer telephone calls and chart pulls • More complete records 2002  Marshfield Clinic

  17. It Takes a Community! Tina Ellis Coyle RECIN System Coordinator Marshfield Clinic 715.221.8133 ellis-coyle.tina@marshfieldclinic.org 2002  Marshfield Clinic

More Related