Below are just some things I came across and stuck in this email as
resources people might be interested in thinking about in reference to this
Special requirements for the pediatric medical record
This document basically asks parents questions about many of the things we
probably need to check for in the record. It is something that might be nice
to include as a resource as well. The immunize site is usually packed full
of good stuff adapted from the CDC.
Web site for vaccine shortages
Has AAP recommendations for increasing immunization levels and they
recommend the following that we could implement
1. Parent reminders for upcoming visits and recall notices have increased
immunization rates in many settings, such as private physician offices and
public clinics; for children enrolled in health maintenance organizations;
and for children from diverse backgrounds and economic groups, including
urban and rural, and white, black, and Hispanic populations.
2. Nurse and/or physician reminders in written or electronic form for
vaccines needed during the visit have been shown to decrease missed
opportunities to immunize during those visits.
3. Quality improvement efforts, including repeated measurement of
immunization levels of an office practice's 1- and 2-year-old children,
allow clinicians to objectively assess their effectiveness in vaccine
administration and evaluate the effectiveness of changes implemented to
improve practice-wide immunization rates.
4. Standing orders for registered nurses, physician assistants, and medical
assistants that allow staff to independently screen patients, identify
opportunities for immunization, and administer vaccines under physician
supervision (where permissible by local regulations) are effective at
raising immunization rates.14
Immunization of preterm and low birthweight infants
AAP policy statement about pediatric records
Joseph Dal Molin sent me this to see if we could use it
CASA, which stands for Clinic Assessment Software Application, is a
menu-driven relational database developed by the National Immunization
Program, Centers for Disease Control and Prevention (CDC), as an assessment
tool for immunization clinics and providers. This application is used for
the data entry and analysis components of a clinic assessment and includes
reminder and recall tracking capabilities as well as many other special
features. CASA is used in the conduct of a practice-based vaccination
assessment and will help providers understand current vaccination coverage
levels and immunization practices in the specified facility being assessed.
CASA provides an extensive body of data that can be accessed and organized
to suit individual practice needs. CASA produces reports from a menu and
provides programmatic feedback that includes, yet is not limited to:
a.. Highlighting areas that may lower levels of immunization coverage.
b.. Up-to-date status of the defined age group served by the clinic or
c.. Up-to-date status of children at critical age markers
d.. Antigen-specific levels
e.. Proportion of children who drop out of the vaccination schedule.
f.. Extent of missed opportunities.
g.. Reminder and recall letters and postcards.
This is a project under development with some ideas for a user interface.