VACCINATION COMPLIANCE PROJECT

Lakewood Resource & Referral Center (LRRC)

Center for Health Education, Medicine & Dentistry (CHEMED)

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LRRC / CHEMED – COMPANY OVERVIEW

LRRC
LRRC –– Social
Social Service
Service
Division
Division
Opened
Opened in
in March
March 2005
2005 Designated
Designated as
as a
a FQHC
FQHC
LRRC
LRRC Inc.
Inc. Lookalike in
Lookalike in
CHEMED
CHEMED Health
Health January
January 2009
2009
Center
Center
Opened
Opened in
in
February
February 2008
2008 Designated
Designated as
as a
a FQHC
FQHC
330
330 New Access Point
New Access Point
in
in March
March 2009
2009

2
ABOUT LRRC

THE LRRC PROVIDES A COMPREHENSIVE

RANGE
OF SOCIAL SERVICES FOR

o Lakewood Township
o Ocean County
o New Jersey

3
LAKEWOOD BIRTH STATISTICS

- http://www.state.nj.us/health/chs/dataindex.htm#births
4,500.00 60,000.00

4,000.00

50,000.00

3,500.00

3,000.00 40,000.00

2,500.00

30,000.00

2,000.00

1,500.00 20,000.00

1,000.00

10,000.00

500.00

- -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

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TOTAL ESTIMATED POPULATION AND PROJECTIONS

120,000.00

100,000.00

80,000.00

60,000.00

40,000.00

20,000.00

-
1980 1990 2000 2004 2007 2008 2009 2010 2011 2012

 Lakewood was ranked in the bottom 10% of median income of New Jersey Municipalities.
 In Ocean County, Lakewood Township ranked the second lowest in per capita income.

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LRRC PROGRAMS

o CDC Vaccinations Immunization Compliance

o Affordable & Fair Housing

o Healthcare Plans
o Nutrition Supplementation Programs
o Utilities Bill & Equipment Assistance
o Credit Counseling
o Disability Insurance
o Employment Counseling
o Custom Resumes
o Census 2010
o Lead Abatement / Poisoning Prevention
o American Recovery & Reinvestment Act

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LRRC PROGRAM AREAS
Chart Title

Housing

Health Care
Utilities

Nutrition

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 PROGRAM AREAS
Area Median Family Income
100.00%

90.00%

80.00%

70.00%

60.00%

50.00%

40.00%

30.00%

20.00%

10.00%

0.00%
Housing Misc Utility Assistance Healthcare Nutrition

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LRRC 2009 STATISTICS
Appointments
2500

2000 24,677
Total
Encounters

1500

Appointments

1000

500

0
Housing Healthcare Nutrition Utilities
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VACCINATION COMPLIANCE GRANT

Public
education &
outreach

Provide permanent Day care

solutions to
centers, pre-
obtaining
healthcare schools &
insurance physicians

Practical Reasons for

solutions to non
barriers compliance

Scientific data
demonstrating
vaccine safety

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LRRC STAFF INTERNAL IMMUNIZATION TRAINING

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PUBLIC VACCINATION AWARENESS EVENTS

●
Lakewood Township Health & Safety Fair 2008
●
3000 Attendees

●
Lakewood Township Health & Safety Fair, 2009,
●
4,500 Attendees

●
Minority Multicultural Event for Lakewood Twp. School Children,
2008
●
1000 Attendees

●
Latino Spring Feast Health Fair, 2009
●
500 Attendees

●
Lunch & Learn Event for Landlords & Property
Managers, 2009

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Public Education Components

Licensed Nurses, specializing in

Vaccine Materials
pediatrics, information hotline

M in i Lib ra ry fo r Cli e n ts O u tr e a c h c a lls

Preschool & Daycare Outreach Trained social services staff C lie n t V a cc in a tio n Co m p lia n ce Su rve y s

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CUSTOM DATABASE
In-house created Database

 Secure, web-based access to data

Keeps track of:

 Families & children

 Missing vaccinations
 Complete log of our outreach efforts
 Reasons for non-compliance

It facilitates compliance with the CDC grant requirements

Provides quarterly and annual statistics

Potential to integrate database with NJIIS

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CUSTOM DATABASE

Immunization Records
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CUSTOM DATABASE

Dashboard – Reports – To Do List

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CUSTOM DATABASE

Tracking Referrals
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BI-LINGUAL PUBLICITY CAMPAIGN

o
o Public
Public Library
Library
o
o Township
Township Buildings
Buildings and
and Offices
Offices
o
o Township
Township Courthouse
Courthouse
o
o Medicaid
Medicaid Offices
Offices
o
o Medical
Medical Facilities
Facilities
o
o Local
Local Day
Day Care
Care Centers
Centers
o
o Local
Local Preschools
Preschools
o
o Local
Local Public
Public Schools-
Schools- Nurses
Nurses Dept
Dept
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VACCINATION COMPLIANCE SURVEYS
LAKEWOOD RESOURCE AND REFERRAL CENTER
Encuesta Sobre ls Vacunación de los Niños
0-18 años
Por favor tenga en cuenta que a partir del 1 de Septiembre de 2008, la nueva ley NJAC 8:57-4 (capítulo
14) entra en efecto y requiere que todos los niños en: centros de cuidado, preescolar, y escuelas, a
recibir la vacuna neumocócica conjugada y una vacuna anual contra la gripe. Por favor, consulte con la
proveedor de atención médica del niño para asegurarse de que su hijo está al día.
La siguiente información nos permitirá ayudarle a cumplir con la ley antes mencionada:
Nombre legal del padre:_______________________________________________
Número de Teléfono:_____________________ Ciudad: _______________________ Estado:_________
Código Postal: _______________
Niños:
Apellido Nombre Etnia* Género Fecha de nacimiento
¿Es el proveedor de servicios de salud de su hijo / hijos un participante en el NJIIS? □ Sí □ No □ No estoy seguro
¿Hay algunas vacunas en particular que tu estás frenando de dar a su niño? □ Sí □ No
En caso afirmativo, sírvase explicar qué vacunas y por qué:
_________________________________________________________________________________
What is your main reason for late vaccinations?
¿Cuál es su razón principal de los vacunaciónes tarde?
□ niño enfermo □ ningun recordatorio del doctor □ falta de seguro □ falta de transporte □ miedo de vacuna -
por favor explique: _____________________________________________________________________
Por favor, háganos saber si desea ser contactado en relación con cualquiera de los siguientes servicios:
□ Más información sobre NJAC 8:57-4 (Capitulo 14)- Leyes de vacunación
□ obtener las vacunas a precios reducidos
□ para calificar para un seguro de salud
Tenga por seguro que toda la información se mantendrá estrictamente confidencial.
*B=Blanco, E=Español, AA= Africano Americano, A=Asiáno, H=Hawaii/Isla del Pacifico, Otro=Por favor especificar
LAKEWOOD RESOURCE AND REFERRAL CENTER
CHILDREN VACCINATION SURVEY
0-18 years
Please be advised as of September 1, 2008 the new law NJAC 8:57-4 (Chapter 14) goes into
effect and requires all children attending child care centers, preschools, and schools to
receive the pneumococcal conjugate vaccine series and to receive one annual dose of
influenza vaccine. Please check with your child’s healthcare provider to ensure that your
child is up to date.
The following information will allow us to help you comply with the above law:
Parent’s Legal Name: _______________________________________________
Phone number: ______________________ City:__________________ State: ______ Zip:_____________
Children:
Last Name First Name Ethnicity* Gender Date of Birth
Is your child’s/children’s healthcare provider a participant in the NJIIS? □Yes □No □Not sure
Is your child up to date in his/her vaccines? □Yes □No □Not sure
Are there any particular vaccines that you are holding back from giving to your child? □Yes □No
If yes, please explain which vaccines and why:
_________________________________________________________________________________
What is your main reason for late vaccinations?
□sick child □lack of reminder from doctor □lack of insurance □lack of transportation □fear of vaccine-
please explain: _____________________________________________________________________
Please let us know if you would like to be contacted regarding any of the following services:
□ More information on NJAC 8:57-4 (Chapter 14)- Immunization laws
□ Obtaining significantly reduced cost vaccines
□ Qualifying for health insurance
Please be assured that all information is kept strictly confidential.
*W=White, S=Spanish, AA= African American, A=Asian, H=Hawaiian/Pacific Island, Other=Please specify
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EDUCATIONAL OUTREACH

1,422 families
informed of New Jersey
Chapter 14 Immunization law

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LRRC & CHEMED EVENTS

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REASONS FOR NON COMPLIANCE

Sick child

Lack of
reminder

Lack of
education

Late scheduled
appointments

Vaccine out of
stock

Fear of side
effects / illnesses

Religious
beliefs

Lack of healthcare
insurance coverage

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REASONS FOR NON COMPLIANCE

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MISSED VACCINATIONS

DTP Hib
1,575 1,178

HepB
Flu 995
286

Meningo Polio
25 851

Rota VZV
38 795

HepA MMR
780 543
Pneumo
1,081

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IMPLEMENTED SOLUTIONS

Developed & regularly updates list of low cost/free vaccination providers

 Referred parents / guardians to LRRC social services case

management staff to evaluate eligibility for permanent healthcare
coverage

 CHEMED FQHC hosted 6 flu clinics

 LRRC in conjunction with, Ocean County Health Dept. hosted 2 Flu

clinics

 LRRC in conjunction with, Ocean County Health Dept. hosting weekly

H1N1 Clinics

 LRRC Social Services staff provided education & answered questions

 CHEMED Nursing Staff provided technical medical information &

answered questions

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OUTREACH CAMPAIGN

Results to date

1,634 families
compliant with CDC immunizations schedule

41%

1,125 families
agreed to immunize their children after outreach by LRRC

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OUTREACH CAMPAIGN

3,288 families
6,118 children
in the LRRC Custom Database

R C
d LR
le te r v e y
m p S u
s c o c e
ilie lian
m p
4 fa C om
, 22 tion
1 cina
Vac

2,759
families contacted to date

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LOOKING AHEAD

Interface LRRC immunization database with the

New Jersey Immunization Information System

Breakout non compliance by individual immunization

Create protocols to address the top reasons for non

compliance with immunizations

Define non compliance data to determine if socioeconomic

status is a major factor

Potential to integrate database with NJIIS

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Thank
You!

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