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HomeMy WebLinkAbout1993-11-22 94-14 ORDERa0unrn Aenm, -Date -Numol Item No. 94-14 Item/Subject: ynaunizabiAn PNgimn Grant FenEAal Responsible Department: Health sari Ntifeco Commentary: This is the fourteenth rexwal of the hamlunization PM vsm G sdb. '1"i total mmunt of this year's giant is $44,000. The Pueposa of live pzogran is to cooaainzte aad facilitate clat]dheod imm Zadbion For vaccim-preventable diseases arc! adult fine and Hepatitis R. A copy of the y 1s and objectives is att� for your iaafomution. no •rc t Manager's Comments:- I OLL�j L40 61- T T -o i Ciry Afa nnyo �S Associated Information: ©AAk / n Budget Approval: Legal Approval: y 5oliulo Introduced For (,;-nYOntX IHPassage ❑ First Heading ❑ Referral Pago LL of 94-y6 Assigned to Cmmdlor Sullivan November 22, 1991 CITY OF BANGOR (TITLE.) �YiIETr....anrhorfairg..rhe.city-Malagar..m-ss>nr.�.a. cram-Agreenent-wim the Maim DgwrUM t Of Haman Services — Immunization, By the City Coandt of W City of Danger: ORDERED, THAT the City Manager, on bettalf of the City of Da p x, is hereby authorize] and dixecfal to erzcute a Gram Agreement with the Maine Depaztlrent of Horan Services, a copy of which is m file in the Office of the City Clerk, aml to take all otler nxessary action, including �on of doctsmente aml mntxactr, for the purposes of pmviditg services to orients save] by the IDminuzation Program. Iu City Council November 22, 1993 Passed dor Gw CI Cleik 96-16 0R DER Title, Authoilzivp t.e. City. Move%ex to Execgte a Grant Agreement with the Maine Department of. Numaq setvieea I.gapnixaciow erogram dG , Councilman STATE OF MAINE PmaramImmunization DEPARTMENT OF HUMAN SERVICES BUREAU OF HEALTH Grant dates 111/9412/31/94 GOALS, OBJECTIVES, AND STRATEGIES GOAL I. IDENTIFY PRE-SCHOOL AGED CHILDREN WHO ARE DEFICIENT OR ARE AT RISK FOR BECOMING DEFICIENT IN THEIR IMMUNIZATION SERIES. Objective A. Refine established referral network of social service agencies. Strategies 1. Meet with key individuals at area social service agencies including town General Assistance, AFDC, and Food Stamps offices; describe effort; request cooperation. 2. Leave information packets, business cards, referral fors for each - agency case worker; give in-service training to entire staff. 3. Request that case workers screen clients in a rudimentary manner and refer families with children who are new to the area, lacking primary health care, and/or known to be behind in their immunization series. Objective B. Refine established referral network of area emergency rooms and drop-in medical practices. Strategies 1. Meet with key individuals at area emergency departments and drop-in medical practices; describe effort; request cooperation. 2. Give in-service training to entire staff; leave information packets, business cards, referral forms for all staff members likely to conduct exit interviews. 3. Request referrals of children who are new to the area, lacking primary health care, and/or known to be behind in their immunization series. 94-14 Objective C. Refine established referral network of area medical practices. Strategies 1, Meet with key individuals at area medical practices; describe effort; request cooperation. 2. Request retinals of patients who repeatedly miss appointments and/or have been dropped from the practice: s immunization tracking system. Objective D. Establish referral network of area child-care school health providers. Strategies 1, Meet with provider; descrbe effort; request cooperation. 2. Request referrals of children who are new to the area, lack primary health care, and/or are known to be behind in their immunization series. GOAL II. CONDUCT CASE MANAGEMENT OF CHILDREN WITH IDENTIFIED IMMUNIZATION NEEDS. Objective A. Continue to expand Bangor Health & Welfare Department immunization services. Strategies 1. Increase the number of scheduled immunization clinics to five per month. 2. Provide immunization at other times by appointment. 3. Using appropriate computer applications, augment the existing reminder/recall system. Objective B. Integrate volunteers into existing Health & Welfare Department Immunization services. Strategies 1. Recruit individuals from the existing volunteer pool. 2. Meet with key individuals at area service organizations; describe project; request cooperation. 3. Give presentation at membership meetings; circulate volunteer applications. 4. Screen, train, and supervise volunteers in the areas of; general immunization matters 94-14 ' clinic paperwork ' client transportation ' recall/reminder system ' promotion of clinic services " confidentiality ' abuse/neglecl and disease reporting Objective C. Assess the Immunization status of referred clients. Strategies 1. Make telephone or personal contact with responsible adult. 2. Document immunization history of entire household; determine need. 3. Identify and document barriers to immunization. 4. Identify health care/social service needs in addition to immunization needs. Objective D. Provide appropriate intervention. Strategies 1. Client education. 2. Accept as Bangor Health & WeNare immunization services client. 3. Refer to appropriate health care/social service agency. GOAL III. MAINTAIN HIGH IMMUNIZATION LEVELS AMONG HOSPITAL EMPLOYEES, CHILD CARE FACILITY CLIENTS AND EMPLOYEES, AND PRIMARY, SECONDARY, AND POSTSECONDARY SCHOOL STUDENTS. Objective A. Provide education and program review W employee health, child care, and school health service providers. Strategies 1. Offer program allentation to new service providers. 2. Conduct program review upon request. 3. Give training sessions at service providers' professional gatherings. Objective B. Assess immunization levels and intervene as indicated by low compliance. Strategies 1. Audit random sample of each facility type for compliance with minimum state requirement and standard of care. 94-I4 2. Learn from service providers with high compliance levels. 3. Advise low -compliance providers on methods of increasing immunization levels. GOAL IV. MAINTAIN LOW DISEASE MORBIDITY AND INCREASE OVERALL IMMUNIZATION LEVELS THROUGHOUT REGION Objective A. Educate health care providers Strategies 1. Orient staff of new medical practices to standards of care, state requirements, vaccine management, patient reminder/recall systems, and disease diagnosis/reporting. 2. Conduct ongoing in-service and grand rounds trainings periodically for individual practices and professional gatherings. 3. Assess immunization levels among clients of public and private sector practices and advise on methods of improvement. Objective B. Educate current and potential health care consumers. Strategies 1. Distribute patient education materials to area medical practices upon request. 2. Work with area service organizations including the Junior League to establish an imaginative and coordinated immunization promotion campaign in conjunction with IAP efforts. Strategies 1. Offer program orientation to new service providers. 2. Conduct program reviewupon request. 3. Give training sessions at service providers' professional gatherings. Objective B. Assess Immunization levels and intervene as indicated by low compliance. Strategies 1. Audit random sample of each facility type for compliance with minimum state requirement and standard of care. 2. Learn from service providers with high compliance levels. 94-I4 3. Advise low -compliance providers on methods of increasing immunization levels. GOAL IV. MAINTAIN LOW DISEASE MORBIDITY AND INCREASE OVERALL IMMUNIZATION LEVELS THROUGHOUT REGION Objective A. Educate health care providers Strategies 1. Orient staff of new medical practices to standards of care, state requirements, vaccine management, patient reminderfrecall systems, and disease diagnosis/reporting. 2. Conduct ongoing in-service and grand rounds trainings periodically for individual practices and professional gatherings. 3. Assess immunization levels among clients of public and private sector practices and advise on methods of improvement. Objective B. Educate current and potential health care consumers. Strategies 1. Distribute patient education materials to area medical practices upon request. 2. Work with area service organizations including the Junior League to establish an imaginative and coordinated immunization promotion campaign in conjunction with IAP efforts.