Citywide Immunization Registry, NewYorkCityDepartmentofHealth and Mental Hygiene
We help you call the shots!
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 www.cdc.gov/nip/
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:
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
www.cdc.gov/nip/news/newsltrs/imwrks/ 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-
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:
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
immunization status of all
by consolidating immunization information