Galveston County Health District Immunization Programs

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Galveston County Health DistrictImmunization
Programs
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History

• 1968- 1970 Immunizations given 2 half-days a
  week on the mainland by a TDH nurse also given
  though Well Child and OB clinics immunization
  compliance assessed during well child
  conferences, well baby home visits, and by school
  nurses
• 1970s Galveston Health Department became part
  of GCHD immunizations still only 2 half-days per
  week CHNs helped with back-to-school rush
  clerk sent out immunization reminders

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History (cont)

• 1980s Immunization Nurse funded CHNs worked
  closely with day care centers and schools no
  formal tracking program Immunizations were
  provided on the island, mainland, and in outreach
  locations in the North county
• 1990s Clerk hired TVFC program started in
  1994 ICES and CASA systems initiated first CASA
  report showed Galveston at 43 (children 2 and
  under)

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History (cont)

• 2000 to present ICES updated to TWICES
  (web-based electronic immunization records) GCHD
  was one of the first to pilot PICS (TDH pharmacy
  inventory)
• Currently
• 3 satellite clinics open a total of 80 hours per
  week
• 8 FTEs (Immunization nurses and clerks)
• 42 VFC providers (GCHD responsible for training,
  monitoring, follow-up site visits)
• 375,000 budget (with 85,000 reimbursed)

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TDHVision and Mission

• Vision
• Eradicate vaccine preventable diseases from
  Galveston county

• Mission
• To immunize all children in Galveston county by
  age two in accordance with the current Texas
  Department of Health recommendations.

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PRIORITY 8 PREVENTION BY MMUNIZATION
Immunize Children and Adults to Prevent
Infectious Diseases.
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Strategic Health Plan Goals

• Goal 1 Designate leadership and establish local
  plans and goals
• Goal 2 Improve availability and accuracy of
  local data to enhance tracking, assessment, and
  feedback
• Goal 3 Identify and reduce barriers to
  immunizations
• Goal 4 Increase education and awareness among
  all responsible groups
• Goal 5 Define, align, coordinate, and seek
  resources

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Goal 1 Designate leadership and establish local
plans and goals

• Objective One Establish the Galveston County
  Health District as the lead organization for
  local planning to improve immunization rates
  using the medical home model in Galveston County.
• Galveston County Immunization Advisory Council
  was established and had first meeting on 7/8/04

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Goal 2 Improve availability and accuracy of
local data to enhance tracking, assessment, and
feedback

• Increase number of Vaccines for Children (VFC)
  providers
• 2003 35 VFC providers
• Currently 42 providers
• Retrospective kindergarten studies
• 2003 study (2/04) assessed immunization status of
  children who would have been 2 years old in 1999-
  2000 60.7 adequately immunized (4-3-1-3-3) by
  age 2 and 87.4 by age 5. National goal is 80.

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Goal 2 Improve availability and accuracy of
local data to enhance tracking, assessment, and
feedback (cont)

• Day care studies
• 2003 study (completed January 2004)
• 155 childcare facilities
• 5304 records
• Initial visit 82.4 up-to-date (in compliance
  with TDH Minimum State Vaccine Requirements for
  Texas Children)
• 30- day follow-up visit 99.3 up-to-date
• Reports available at www.gchd.org

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Goal 4 Increase education and awareness among
all responsible groups

• Education efforts January- June 2004
• Presented or hosted 5 educational activities with
  a total of 80 participants
• Participated in at least 2 health fairs and the
  Teen Health Round-up
• Answered 1,387 phone calls related to vaccination
  from school nurses, medical offices, and the
  public
• Participated in educational activities related to
  bioterrorism/ emergency management (mass
  vaccination clinics, Strategic National
  Stockpile, mass antibiotic administration)

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Annual Activities

• National Infant Immunization Week Activities
• Kids Fest- Back-to-School Immunization Clinics
• Senior Health Fests with Flu Shot activities

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National Infant Immunization Week

• April 26- May 1, 2004
• Regular immunization clinics 1 outreach clinic
  per day- locations determined by pockets of
  need (19 immunization sessions)
• 281 people immunized
• 786 immunizations given
• 39 volunteers
• 4,000 fliers distributed

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Kids Fests- Back-to-School Immunizations
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Kids Fests- Back-to-School Immunizations

• Texas City and Dickinson Immunization Clinics
  relocated to La Marque office July 26- August 17
• Galveston Clinics remain the same
• 2003 3,212 immunizations given at La Marque
  Clinic 4,692 immunizations total in August 2004

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Senior Health Fests

• October 2003 activities
• 6 locations
• 461 immunizations given
• Other activities included B/P checks, diabetes
  screenings, exercise demonstration, assistance
  with QMB

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Thinking Progressively for Health Award

• Presented to GCHD staff at Texas Public Health
  Association meeting April 18- 20, 2004
• For aggressive strategies being taken in
  Galveston County to improve immunization rates
  with innovative outreach techniques implemented
  by the District such as the "medical home model"
  of immunization delivery which promotes the
  delivery of immunizations within ones medical
  home and encourages clinical preventative
  healthcare

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2004 TDH Immunization AuditJuly 2004
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Immunization Staff