Immunization Action Plan (IAP)

1.   Program Purpose: The purpose of this Grant Program is to increase immunization rates through improved vaccine delivery and documentation of immunization services, education of immunization providers and support of the provision of immunizations in a child´s medical home

  1. Healthy People 2020 Objectives include:

(1)  Achieve and maintain vaccination coverage levels for universally recommended vaccines among young children and adolescents.
 Children 19-35 months targets:

a.  90% vaccine coverage for each single antigen;

b.  80% vaccine coverage rate for the 4:3:1:3:3:1:4 series (DTaP4, IPV3, MMR1, HIV3, HepB3, Var1, PCV4).

Adolescent 13-15 years targets:

a.  vaccine coverage for the following antigens: 80%– Tdap1; 90%– Hep. B3; 90%– Var2; 90%– MMR1; 80%– MCV1, 80%– HPV3 (females only).

(2)  Increase the proportion of children and adolescents who participate in the fully operational population-based immunization registry.

a.  Target: 90% of children under age 6 years with two or more immunizations.

b.  Target: 90% of adolescents who have one or more immunizations.

 

2.   Background: IAP funds have been awarded to every local health department (LHD) and some community agencies since 1993. State Aid to Local funding has supported IAP activities since 1999.

 

IAP is a Federal and State funded supplemental immunization program that supports assurance of immunization services and activities for

  • provider education and VFC provider recruitment.
  • service delivery to the underserved and uninsured populations that increases access to immunizations over the lifespan.
  • public education and
  • assessment of immunization coverage.

This funding is only available to LHDs and community health clinics that have previously been awarded funding.

In order to qualify for federal funding through the Centers for Medicare and Medicaid Services (CMS) for immunization registry implementation, a 50% match with state funding must be identified. Activities funded through the IAP Aid to Local program that result in electronic documentation of immunization activity for integration with the Kansas Immunization Registry will help demonstrate the support of registry activity

 

3.   Funding:

  1. Availability – Grant awards will be distributed through SFY 2013 Aid to Local Appropriations.
    Applications for funding will be accepted from all LHDs and other agencies that have received IAP funds since 1993.

(1)  Awards will be population-based and determined on availability of funds from the State General Fund (up to $262,000) and the Federal Centers for Disease Control and Prevention Immunization Grant (up to $270,000)

  1. At this time, a match is not required for IAP grants.
  2. Funds may not be used to supplant or replace existing agency funding sources.
  3. Funds may not to be used for license/maintenance fees for systems for immunization information documentation

4.   Specific Program Information

  1. Application-Follow the KDHE “SFY 2013 Grant Application Guidance,” and complete the Program Request and Detailed Budget forms
  2. SFY 2013 Objectives – The application must, at minimum, describe one or more strategies to accomplish each objective to qualify for full amount of population based funding.

Objective 1: The Local Health Department (LHD) will attain a 90% immunization rate for each vaccine antigen in the 4:3:1:3:3:1:4 series (DTaP4, Polio3, MMR1, Hib3, HEPB3, Varicella1, PCV4) by 2 years of age AND 80% coverage for a complete series by 2 years of age.

Objective Strategies may include:

(1)  Reminder/Recall of patients needing immunizations.

(2)  Perform quarterly immunization assessments for the 24-35 month old through the use of CoCASA (Comprehensive Clinic Assessment Software Application).

(3)  Document of staff education regarding immunization practices via one or more of the following activities:

(a) Immunization Program annual conference

(b) CDC satellite teleconferences or webcasts

(c) Other immunization related educational offerings

(4)  Provide LHD representation during Maximizing Office Based Immunizations (MOBI) presentations that are offered by Kansas Chapter American Academy of Pediatrics (KAAP) to local physician clinics.

(5)  Provide Provide link between Women, Infant and Children (WIC) services and immunization service access.

(a) Assure access to immunization services during WIC clinics

(b) Provide follow-up on referrals to the child’s medical home for WIC client’s with incomplete immunizations

 

Objective 2: The LHD will assure progress towards the Healthy People 2020 target of 80% compliance for each ACIP recommended adolescent vaccination (Tdap1, Varicella2, MCV1, HPV3 (females only).

Objective Strategies may include:

(1)  Offer educational opportunities for school district and juvenile correctional facilities regarding the importance of immunizations

(2)  Educate private providers and community partners about the immunization delivery process.

(3)  Offer educational opportunities for LHD and/or private providers regarding the importance of delivery of vaccines according to the recommended ACIP (Advisory Committee on Immunization Practices) guidelines.

(4)  Perform the CoCASA Adolescent Coverage Reports quarterly using the expanded ages of 13-18 years old to ensure protection with all of the following antigens: MMR2, Var2, HepB3, MCV1, TdaP1, HPV3 (females).

 

Objective 3: The LHD will assure progress toward the recording of immunization histories in KsWebIZ for 95% of children less than 6 years of age and 90% of adolescents 13-18 years of age.

Objective Strategies may include:

(1)  Inclusion of all LHD client immunization data in KSWebIZ through direct data entry into KSWebIZ

(2)  Inclusion of all LHD client immunization data in KSWebIZ through indirect data entry via an electronic interface with the LHD´s patient management system.

(3)  Marketing of KsWebIZ to private providers and community partners (i.e. schools, correctional facilities, Indian Health Services)

(4)  Facilitation of KSWebIZ user´s initial training or ongoing training by acting as a host site or training event coordinator

 

Objective 4: The County of birth will attain a 90% immunization rate for the administration of the Hepatitis Birth birth-dose.

Objective Strategies may include:

(1)  Advocate enrollment of all birthing facilities as a VFC provider for Universal Hepatitis B vaccine program.

(2)  Provide educational material to birthing facilities and/or at the LHD regarding the importance of the Hepatitis B birth dose

(3)  Advocate for Hepatitis B birth dose standing order at all birthing facilities.

(4)  Provide educational opportunities regarding the importance of the birth dose of Hepatitis B during other LHD services.

 

Objective 5: The LHD will assure lifespan immunization services for individuals of all ages within the LHD´s jurisdiction.

Objective Strategies will include:

(1)  Advocate for standing orders for Tdap and influenza vaccination for new mothers at birthing facilities prior to discharge.

(2)  Offer education and/or vaccination for pertussis protection to those eligible household members of newborns during LHD services.

(3)  Conduct influenza vaccination clinics.

(4)  Promote immunizations for all ages through education to private providers and community partners.

(5)  Support child care and school immunization requirements through education and/or provision of targeted services.

 

  1. Priorities

(1)  Applications containing one or more of the suggested strategies for each of the stated objectives will be given priority.

(2)  Each objective with adequate strategic documentation will qualify the applicant for 20% of the population based funding available for that county.

 

5.   Reporting Requirements

Certified Affidavit of Expenditures and a bi-annual progress report of activities toward objectives per the award.

 

6.   Program Contact Person

Patti Kracht, R.N.
Immunization Program

pkracht@kdheks.gov

 

 

Form required:  Program Request/Detail Budget |

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