Karen Fernandez1, Paula Francis-Crick
1, Denise Benkel
2, Huan Yuan Zhang
1, Sheila Palevsky
2, Amy Metroka
3, Vikki Papadouka
3, Dileep Sarecha
4, Michael Andreas Hansen
3, Joyce Weinstein
5, Wendy Negron
5, Jacqueline Ehrlich
6, and James Winters
6. (1) Assessment Unit, Bureau of Immunization, NYC Department of Health and Mental Hygiene, 2 Lafayette Street, 19th floor - CN21, New York, NY, USA, (2) Bureau of Immunization, NYC Department of Health and Mental Hygiene, 2 Lafayette Street, 19th floor - CN21, New York, NY, USA, (3) Citywide Immunization Registry, Bureau of Immunization, NYC Department of Health and Mental Hygiene, 2 Lafayette Street, 19th floor - CN21, New York, NY, USA, (4) Vaccines for Children Program, Bureau of Immunization, NYC Department of Health and Mental Hygiene, 2 Lafayette Street, 19th floor - CN21, New York, NY, USA, (5) Division of Health Care Access, NYC Department of Health and Mental Hygiene, 161 Williams Street, 6th Floor, Rm 527, 5th Floor, New York, NY, USA, (6) Lead Poisoning Prevention Program, NYC Department of Health and Mental Hygiene, 253 Broadway, 11th Floor, CN-58, New York, NY, USA
Learning Objectives for this Presentation:
By the end of the presentation participants will be able to understand the importance and benefits of collaboration among DOHMH programs to improve AFIX (Assessment-Feedback-Information-Exchange) activities.
Background:
To plan, coordinate, conduct, and follow-up AFIX visits, BOI's Assessment Unit (AU) collaborates with other DOHMH Programs.
Setting:
The NYC AU analyzed 146 AFIX visits conducted in 2005 to describe the extent of collaboration between different DOHMH Programs.
Population:
The NYC AU assesses charts of children aged 24-35 months of age.
Project Description:
For 146 AFIX visits conducted, AU received 114 provider lists from the Citywide Immunization Registry (CIR), totaling 7,900 two-year-olds; of these, 175 duplicates were identified and returned to CIR for merging. Vaccine dates obtained from AFIX visits were forwarded to CIR for matching and merging. AU identified 9 non-CIR reporting providers. AU referred 25 providers to the CIR for Internet access. Of 146 AFIX visits, 26% were conducted jointly with VFC; 930 patient charts were analyzed for VFC eligibility: 72% had Medicaid, 3% were uninsured, 24% were not VFC eligible, and 1% had unknown insurance status. The Immunization Improvement Spread Project (IISP), which addresses CIR and assessment issues, conducted 13 AFIX visits. AU referred 9 providers non-compliant with the CIR to IISP for follow-up. BOI's medical liaison referred 15 facilities to AU for assessments. There were 4 joint visits with the Lead Poisoning Prevention Program, leading to the lead testing assessment of 101 children. The AU notified the Bureau of Healthcare Access and Improvement (HCAI), which oversees the NYC Medicaid-Managed Care Organizations (MMCO), of 43 providers accounting for 432 MMCO-enrolled children missing vaccines; HCAI informed each of the 18 MMCO responsible.
Results/Lessons Learned:
AFIX benefited from collaboration with other DOHMH Programs. Information obtained by AFIX can be shared to improve these same DOHMH programs. Effective coordination can strengthen immunization and childhood preventive services.
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