Back to School Update 2018-2019 SY - PowerPoint Presentation

Slide1

Back to School Update

2018-2019 SY

Immunization Status Reporting

All public and private schools, and licensed preschools must report the immunization status of students by

Nov. 1

each year per state law.

Schools/Preschools can find reporting information on DOH’s school reporting web page (

http://www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolStatusReporting

)

Send all questions about immunization reporting and requirements to:

oicpschools@doh.wa.gov

.

Report in one of three ways:

Use the

WA State Immunization Information System

(IIS)- For private/public schools that don’t have a SIS.

If

you have never used the IIS,

email

waiishelpdesk@doh.wa.gov

.

They

will email you a username and password.

Email a data file from Skyward or another student information system (SIS) to

oicpschools@doh.wa.gov

.

Use the IIS

School Module

– no report needed

School and Preschool Immunization Requirements

Childcare/Preschool Requirements:

https://www.doh.wa.gov/Portals/1/Documents/Pubs/348-425-ChildcareImmReqforParents2018-2019.pdf

.

K-12:

https://www.doh.wa.gov/Portals/1/Documents/Pubs/348-295-SchoolImmReqforParents2018-2019.pdf

.

Individual Vaccine Requirements Summary:

https://www.doh.wa.gov/Portals/1/Documents/Pubs/348-284-IndividualVaccineReqs2018-19.pdf

.

Individual Vaccine Requirements Summary

Companion piece to the Vaccines Required charts for child care/preschool and school entry.

The purpose of the summary is to assist school nurses and those working with student information systems to understand state immunization requirements and the immunization schedule. Both the requirements and schedule are based on the recommendations of the national Advisory Committee on Immunization Practices (ACIP).

Requirements are listed in alphabetical order by vaccine.

In each section, you will find detailed information about the immunization schedule and the exceptions to the schedule. Exceptions may apply when vaccine administration errors occur or when the ACIP recommendations are not followed.

Vaccine Recommendations for Staff

Immunizations are not required for school staff, BUT knowing staff’s immunization status can prepare schools in advance of a disease outbreak. All susceptible staff not completely immunized or immune may be excluded from school.

To prevent the spread of disease and protect all staff, schools should:



Keep track of staff vaccinations. This will tell you which staff are susceptible.



Promote vaccination for staff members in an effort to safeguard the school, preschool, and child care community.



Exclude susceptible staff members during an outbreak (refer to your school or agency policies about whether staff can take sick leave when excluded).

The following immunizations are recommended for school staff: measles, mumps, and rubella (MMR); varicella (chickenpox); hepatitis B; diphtheria, tetanus, and pertussis (

Tdap

and Td); and influenza (flu).

Promotion of

Immunizations Grant

Community and Practice-Based Interventions to Increase

Tdap

, HPV, and Meningococcal Vaccination Coverage Among Adolescents in Chelan and Douglas Counties

Why the focus on Teens

While

our immunization

rates remain high for vaccines mandated for school entry,

recommended

adolescent

vaccines remain below the Healthy People 2020 recommended

targets of 80%

(US Department of Health and Human Services [USDHHS], 2010

)

Our current county data:

Chelan County- UTD

Mening

=64%

UTD HPV=56%

Tdap

=91%

Douglas County- UTD

Mening

=60%

UTD HPV=54%

Tdap

=87%

Causes for low rates

Not recommended by providers

Participatory vs presumptive recommendation

Vaccine hesitancy-

s

afety/AE’s

Child not sexually active (HPV)

Lack of knowledge about the vaccines

Not needed or necessary

Intervention Goals

Increase the number of adolescents 13-17 years who are UTD (for age) with

Tdap

, HPV, and meningococcal vaccines in our 2 counties- improve county coverage by 5%.

Promote

interprofessional

collaboration (with dental providers, medical providers, retail pharmacies,

school nurses

) and media coverage of vaccines

Benefits of

Interprofressional

Collaboration

Empowers team members

Eliminates health care hierarchy

Closes communication gaps-

a

ll

team

members

create consistent messaging

Reduces missed opportunities

Promotes a team mentality

Improves care coordination

Patient outcomes (quality/cost of care) are optimized when disciplines work toward a shared goal

Role of school nurses

Promote all adolescent vaccines

School nurses are opinion leaders-

provide

a strong recommendation for vaccination

Get school district support for vaccine education

Provide access to educational materials for parents/students

I

ncorporate

other evidence-based strategies to increase HPV/

Mening

vaccine uptake, such as providing reminders to students and families about when to begin the vaccine series; the importance of completing the series according to the recommended schedule; and accessing state immunization information systems to identify students who need to be vaccinated

RCW 28A.210.080

(2)(a) Beginning with sixth grade entry, every public and private school in the state shall provide parents and guardians with information about meningococcal disease and its vaccine at the beginning of every school year. The information about meningococcal disease shall include:

(

i

) Its causes and symptoms, how meningococcal disease is spread, and the places where parents and guardians may obtain additional information and vaccinations for their children; and

(ii) Current recommendations from the United States centers for disease control and prevention regarding the receipt of vaccines for meningococcal disease and where the vaccination can be received.

(b) This subsection shall not be construed to require the department of health or the school to provide meningococcal vaccination to students.

(c) The department of health shall prepare the informational materials and shall consult with the office of superintendent of public instruction.

(d) This subsection does not create a private right of action.

(3)(a) Beginning with sixth grade entry, every public school in the state shall provide parents and guardians with information about human papillomavirus disease and its vaccine at the beginning of every school year. The information about human papillomavirus disease shall include:

(

i

) Its causes and symptoms, how human papillomavirus disease is spread, and the places where parents and guardians may obtain additional information and vaccinations for their children; and

(ii) Current recommendations from the United States centers for disease control and prevention regarding the receipt of vaccines for human papillomavirus disease and where the vaccination can be received.

(b) This subsection shall not be construed to require the department of health or the school to provide human papillomavirus vaccination to students.

(c) The department of health shall prepare the informational materials and shall consult with the office of the superintendent of public instruction.

(d) This subsection does not create a private right of action.

(4) Private schools are required by state law to notify parents that information on the human papillomavirus disease prepared by the department of health is available.

Barriers for School Nurses

Lack of HPV and Meningococcal disease and vaccine knowledge

Not seeing yourselves as opinion leaders

Lack of confidence in providing parent education

Perception of or

lack of support for education

Time

NASN position statement

It is the position of the National Association of School Nurses (NASN) that immunizations are essential to primary prevention of disease from infancy through adulthood.  

Promotion of immunizations by the registered professional school nurse (hereinafter referred to as school nurse) is central to the public health focus of school nursing practice

(American Nurses Association [ANA] & NASN, 2011).  NASN supports the Advisory Committee on Immunization Practices (ACIP) vaccine recommendations that are adopted by the Centers for Disease Control and Prevention (CDC) (CDC, 2014a, 2014b).  

The school nurse is well-poised to create awareness and influence action to increase the uptake of mandated and recommended immunizations.

The school nurse should use evidence-based immunization strategies, such as school-located vaccination clinics, reminders about vaccine schedules, state immunization information systems (IIS), strong vaccination recommendations, and vaccine education for students, staff, and families. Using these strategies will help reduce health-related barriers to learning

(

Guide to Community Preventive Services, 2008, 2009, 2010;

Ylitalo

, Lee, & Mehta, 2013; Bobo, Carlson, &

Swaroop

, 2013).

Project Ideas within the school setting

The adolescents are listening, so our message should be focused toward them as well

Phone hold messages at schools

School nurses can train staff to communicate messages

When school nurses refer to PCP for catch-up vaccines, include HPV and

Mening

vaccines (use IIS forecast)

Parent letters

Posters/flyers

Parent teacher

f

orums & message boards

Speaking at and/or sharing written informational material at PTO meetings

Website messaging

Project Ideas Cont

…

Partner with as many schools that serve students 13-17 years

Work

with

the staff

to identify one or more immunization champions

at the school and implement

immunization-related

activities

Evaluate

each component of the intervention and compare immunization rates at the beginning and end of our time working in the

school

Vaccine education programs- October 2018 with focus on

Tdap

&

mening

and January 2019 with focus on HPV

Next Steps

Meet one on one with school nurses/staff to determine the interventions to implement at your school

Share online resources/toolkits with

you

Provide education so you feel comfortable in your role as an opinion leader (attending vaccine dinner programs)

Cari

Hammond,BSN

cari.Hammond@cdhd.wa.gov

509.886.6411