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The first website in Spanish of its kind to help consumers take control of their health care by connecting them to new information and resources that will help them access quality, affordable health care coverage. President Obama wrote an op-ed in La Opinion and El Diario La Prensa today that highlights the website and the importance of health reform to the Latino community.

Over the last three years, we have touched on many topics that we hoped would help you as you work to improve immunization rates in your clinic. For the final edition, we return to the important issue of patient-carried immunization records.

First, we offer an article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden.

As a compliment to the article, and by way of a final thank-you for your participation, MCN, along with CHEC (Community Health Education Concepts), has developed patient-friendly, low literacy, bi-lingual immunization cards for you to use with your clients.  The cards are 5x7, and can be printed from your clinic computers.  There are two versions, a Lifetime Card for adults, and a Child and Teen Card, both in Spanish/English.  We designed the card to be as simple as possible, and to include only the most important information.  If the information is meaningful and understandable to the clients, they are more likely to understand the importance of keeping their shots up to date.

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Special Bulletin: Outbreak of pertussis (whooping cough) in California
For Immediate Attention:
There is a critical outbreak of pertussis (whooping cough) in California: it is classified now as an epidemic. Five infants, all Latino, have died. This is due to unrecognized pertussis in older children and adults which then infects babies before they’ve had a chance to get their shots. PLEASE spread the word through every mechanism you have that it is critical to get Tdap in adolescents and adults and to get children immunized properly. This months ImmuNews includes a number of resources on Pertussis (Whopping Cough).

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An article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden, conclude that the “Use of patient-held vaccination records is an easily implemented strategy that is associated with increased immunization rates. A greater effect was seen in groups at risk for underimmunization. Methods to incorporate and to ensure effective use of these records should be implemented” The article was published in Pediatrics in February of 2010. The full citation is as follows: Pediatrics 2010;125;e467-e472; originally published online Feb 15, 2010; DOI: 10.1542/peds.2009-0835. The online version of this article, along with updated information and services also available.

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Health Outreach Partners’ fourth national needs assessment of farmworker health outreach. This groundbreaking report provides a compelling summary of national data focused solely on farmworker outreach programs and the farmworker communities they serve. This is the only project of its kind that provides a national snapshot on the needs of farmworker health outreach programs.  Attached you will find a press release with additional details concerning this important report.

We encourage you to share this report with your peers by:

  • Posting a link to the report in the “news” or “resource” sections of your website;
  • Circulating the attached press release via your listservs; and/or
  • Announcing this report in your upcoming organizational newsletter.

The valuable data included in this report can be leveraged for reporting purposes, funding proposals, program planning, and advocacy efforts to benefit the migrant and seasonal farmworker population.

A Shot of Quality Improvement!

Welcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.

All health care delivery organizations are required to have quality assurance and quality improvement programs, but it is often difficult to make these efforts really meaningful in the everyday practice of serving patients. This month’s Immu-News suggests a number of immunization quality measurements that you can adapt to your local setting. We are finding from our site visits that many of you really struggle with understanding who is getting immunized, who is missed, and what the root causes are for the gap between your goal of full immunization and the present reality at your center. Additionally, immunization data gathering is often very time consuming, often duplicated several times over for various outside agencies, and often not in step with the ways changes are made in other parts of your organization. Here are a few ideas from us, and we welcome responses back from you that will continually improve immunization practices.

Addressing the Big Four: On-Time Immunizations, Knowing Your Baseline, Making Improvement, and Accurate Records

Our four quality topics will cover:

  • Immunization reminder systems
  • Baseline immunization rate audits
  • Measuring success
  • Patient self-management in record retrieval

Resources

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This resource from the California Department of Public Health provides facts, information for health professionals,  data and surveillance, vaccine, and prevention.

Este recurso del CDC ofrece una visión general de la tos ferina , también conocida como Whooping Cough. Los temas incluyen síntomas , propagación, la tos ferina en los EE.UU. y las medidas de prevención.

This resources provides an overview of Pertussis, also known as the Whooping Cough. Topics include symptoms, how its spread, Pertussis in the US and prevention measures.

This resource from the CDC provides an overview of Pertussis, also known as the Whooping Cough. Topics include symptoms, how its spread, Pertussis in the US and prevention measures.

This brochure was created by the Migrant Clinicians Network Diabetes Program with funding from the Texas Department of Health Diabetes Program / Council. Brochure details basic information on Acanthosis Nigricans. Available in Spanish and English.

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It Takes the Whole Team: Staff Roles in ImmunizationWelcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.Our topic for the month is It Takes the Whole Team:  Staff Roles in Immunization.  As you know, we’ve been calling each of the Project clinics over the last months and wanted to share with you some interesting ideas about who plays what part in immunization at our clinics.Of course, we all think immediately about the providers and nurses, the people most likely to administer the vaccines.  But who orders the vaccines, who checks the supplies, who keeps the logs, who books the appointments, who enters the data, who tracks it, and who encourages the clients to come in to the clinic to get the shot?It could be at some clinics that one or two people do most or all of these jobs, while at other clinics, they may be divided up among three or four or more people.  What works at your clinic and why?  Does the hand that gives the shot know what the other hands are doing?  How is recording and tracking immunization data a team effort? How can the receptionist, the billing clerk, and the outreach worker all be a crucial part of the picture?Read on for information about the following:

  1. Experience: A checklist of all the different tasks necessary to arrive at your clinic’s immunization goals, gathered from our recent phone calls to you.
  2. Research: the collaborative approach--how successful are systems that incorporate the receptionist or the outreach worker into the immunization goals of the clinic?
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Research projects and studies conducted by the Pacific Northwest Agricultural Health and Safety Center at the University of Washington.

 Introductory overview of occupational health policy by Farmworker Justice.

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A core set of information appropriate for reviewing the operation and performance of health centers.

To address the critical need for relevant information about the Migrant and Seasonal Farmworker (MSFW) population nationwide, the Migrant Clinicians Network developed an innovative project to test a set of methodologies for collecting and analyzing MSFW data. The methods used in this project will enhance planning capability for health services by gathering up-to-date, locally specific descriptive profiles of the MSFW population eligible for health care services and provide a mechanism to determine future trends that can affect health services delivery and formulation of health care plans, staffing decisions, outreach activities, preventive care emphases, budgeting and appropriate service hours. The methodologies tested employ systems that can be self-sustaining, providing continual, timely updates at a local level where such information is most useful. The systems foster collaboration between local service providers, encouraging Migrant Health Centers (MHCs) and others who serve the MSFW population to work together to share information which can be beneficial to all.

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There has never been a better time to recruit and retain clinicians through the National Health Service Corps(NHSC). Clinicians working in NHSC‐approved sites with HPSA scores as low as zero have greater opportunities and access to funding than ever before in the history of the program.

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"The National Summit of Clinicians for Healthcare Justice was very different from any conference I have attended before. I feel privileged to have attended. I hope this summary imparts some of the passion I gained from this event to both clinicians and staff in community health centers who did not attend, and serve as catalyst for achieving a vision of health equity and justice in our health care system. Here are some highlights." Robert Moore, MD, Medical Director Clinical Ole, Napa, CA
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A complete list of questions and answers on HPV Vaccine from the Centers for Disease Control and Prevention.

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 vaccine for children 6 months through 9 years of age and for administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 Vaccine for children 6 months through 9 years of age.

This table for healthcare providers and planners provides information related to administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

Continuing education course developed by the Occupational Lead Poisoning Prevention Program, California Department of Public Health.  Can view it for information or can register for credits.

This hour long webcast features Jennie McLaurin, MD, MPH – a former medical director of a migrant and community health center and a pediatrician with over 20 years of practice serving farmworker and immigrant populations.

 

First do no harm : Protect patients by making sure all staff receive yearly influenza vaccine!

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Our members enjoy professional support, educational programs, and numerous opportunities for participation in association decision making. With your support, we can carry out our mission to advance the art and science of dental hygiene, and to promote the highest standards of education and practice in the profession.

An interactive lead case study by Susan Buchanan, MD, Linda Forst, MD, MPH, and Anne Evens, MS.