New Vaccine Recommendations

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Citywide Immunization Registry, NewYorkCityDepartmentofHealth and Mental Hygiene

                                                   We help you call the shots!
New Vaccine
Recommendations                                                Hep B
                                                                   To better protect infants from hepatitis B virus infec-
Rotavirus                                                      tion, ACIP has revised its recommendation for the first dose
   To protect infants against rotavirus disease, a viral in-   of hepatitis B vaccine.
fection that can cause severe diarrhea, vomiting, fever            ACIP recommends that universal infant hepatitis B vac-
and dehydration, the Advisory Committee on Immuniza-           cination begin at birth, except in rare circumstances, and
tion Practices (ACIP) recommends that infants receive 3        only with a physician’s order and a copy of the original lab
doses of the newly licensed oral rotavirus vaccine at 2, 4,    report indicating the mother was HbsAg negative during
and 6 months of age.                                           this pregnancy, is placed in the infant’s medical record.
   The rotavirus vaccine, RotaTeq™ (Merck) can be given            ACIP advises delivery hospitals to ensure that all new-
at the same time as other childhood vaccines and is the        borns with birth weights of 2 kg or more receive the hepa-
only vaccine approved in the United States for preven-         titis B vaccine before discharge. Visit
tion of rotavirus gastroenteritis.                             recs/child-schedule.htm for more information.
   RotaTeq™, may be ordered from the Vaccines for Chil-
dren (VFC) program for eligible children.
   ACIP recommends the following 3-dose schedule for
the rotavirus oral vaccine:
                                                               SAVE TIME!
       Dose 1 between 6-12 weeks of age;                       Use Online Registry Pre-Completed Forms
       Doses 2 and 3 at 4-10 week                                                                 The online registry
       intervals;                                                                              now allows users to
       All doses by 32 weeks of age.                                                           print official medical
                                                                                               forms with immuniza-
Influenza                                                                                      tions, patient name, date
   ACIP expanded its influenza recommendation                                                  of birth, and provider in-
for children age 6 to 23 months to include rou-                                                formation already in-
tine influenza vaccination for children age 24                                                 cluded!
months up to age 59 months and their caregivers                                                  The immunizations en-
to help reduce the burden of influenza. Visit                                                  tered on the forms will                                                          include only those con-
2006/200603.htm for more information.                                                          sidered valid according
Tdap for Healthcare Workers (HCWs)                             to ACIP. From your desktop, you can edit the yellow
                                                               highlighted areas on the forms, including the pro-
    To reduce transmission of pertussis in health care fa-
                                                               vider name.
cilities, ACIP recommends that all HCWs with direct pa-
tient contact in hospitals or ambulatory care settings re-        Official forms currently available:
ceive a single dose of Tdap. ACIP urges HCWs to receive                School 211-S (School Physical Exam Form)
their Tdap vaccination as soon as possible, even if they               WIC Medical Referral Form
received their last dose of Td as recently as 2 years ago.             Daycamp/Afterschool/Youth Center Form
    Priority for vaccination should be given to HCWs who          Day Care Physical Exam form coming soon…..
have direct contact with infants under age 12 months.
Q         uarterly Feature:
                 Bedford Stuyvesant
                                                                     ing that immunizations are on schedule.
                                                                        Nurse Adams reviews, records and updates a mini-
                                                                     mum of 100 patient vaccinations per week, giving
                Family Health Center                                 BSFHC the ability to generate immunization records
                                                                     for patients on the official forms for WIC medical
  “I love the CIR,” states Dr. Pascale Kersaint,
one of two full-time pediatricians at the Bedford Stuyvesant
                                                                     referrals, school physical exams (211S), and day
                                                                     camps, after school and youth center programs. She
Family Health Center (BSFHC), a primary care center serv-            appreciates the ability to record information quickly
ing over 50,000 patients a year. Dr. Kersaint’s excitement           and easily search for new and former patients’ im-
stems from BSFHC’s tremendous undertaking to switch in               munization records.
just two short months from reporting solely                             Close to 90% of BSCHS’ s patients under the age
on paper to exclusively reporting online.                   Unica Adams, LPN;
   Using the online registry not only ensures      Dr. Pascale Kersaint; Joseph Nyitray,
timely and accurate reporting, but also           Performance Improvement Coordinator
helps BSFHC effectively manage its immu-
nization data, saving valuable time for its dedi-
cated staff and enhancing patient care.
   Mr. Joseph Nyitray, the Center’s Perfor-
mance Improvement Coordinator, initiated
BSFHC’s switch to online reporting as part
of the Center’s broader quality assurance ef-
fort. “I watched nurses and medical assis-
tants come daily to medical records and
manually record patients’ immunization
events.” After January’s online registry train-
ing by CIR staff, Mr. Nyitray implemented
new policies and procedures for medical and
nursing staff to more effectively “manage im-
munization information via the CIR’s online
   For BSFHC, the CIR’s online registry serves
a three-fold function: reporting, data management, and qual-      of 19 are eligible for immunizations from the Vac-
ity assurance.                                                    cines for Children Program (VFC). Nurse Adams uses
   Ms. Unica Adams, a pediatric nurse, uses a dedicated com-      the online registry to easily indicate VFC patient eli-
puter to record current and multiple historical immuniza-         gibility at the time immunizations are administered.
tions at the completion of each visit. BSFHC’s new immu-             BSFHC is also working with NYCDOH’s Immuni-
nization protocol requires that medical staff verify the          zation Improvement Project to increase immuniza-
patient’s immunization history and make any corrections           tion coverage rates by following up with children
in the patient’s CIR record and medical chart at each visit.      who are due for shots.
   Nurse Adams finds the provider reports with recommen-
dations especially helpful. “I know by what date a child
needs a particular shot.” She routinely alerts parents when       Vaccines for
an immunization is due and schedules another visit, ensur-
                                                                     Child Health Plus B enrollees
                                                                     will be distributed through VFC
  Honor Roll                                                            Effective August 1, 2006, vaccines for CHPlus B
  The Bureau of Immunization recognizes those practitioners who      enrollees will be distributed through VFC. Providers
  have achieved above 90% immunization coverage for two-year         enrolled in VFC will no longer have to purchase vac-
  olds for the 4:3:1:3:3:1 series, and have improved their immuni-   cines for their CHPlus B patients and can order vac-
  zation coverage in the CIR. This quarter we honor:                 cines by the same process used for VFC eligible chil-
                                                                     dren. Call (212) 447-8175 with questions or to en-
    The Elmhurst Pediatric and Multi-Specialty Offices               roll in VFC.
    of the Queens Long Island Medical Group                             VFC New Fax Number: (212) 447-8196
    The Midland Parkway Center of the Queens Long Island
    Medical Group                                                    Plan ahead for flu season 2006-07!
    Dr. Ming Zhu and Dr. Alisa Milman, Brooklyn, NY                  Order influenza vaccine now!

Our Mission: To improve thewith health care providers,NYC childrenagencies concerned with children’s health. and
                  sharing it
                             immunization status of all
                                                        families, and
                                                                      by consolidating immunization information