1. Welcome to the School Immunization Requirements and Reporting Webinar! We will start shortly.  If you have technical difficulties, please call 1- 888-259-8414.  All attendees have been muted. If you have questions, please type it in the question box.  The presentation, recording, and certificate of completion will be posted here: www.doh.wa.gov/Portals/1/Documents/Pubs/Sept 23WebinarAnnouncement.pdf www.doh.wa.gov/Portals/1/Documents/Pubs/Sept 23WebinarAnnouncement.pdf Washington State Department of Health

2. School Immunization and Reporting Requirements September 23, 2015 Trang Kuss, RN, MN, MPH Joey Eavey, MSPH Website: www.doh.wa.gov/immunization/schoolandchildcarewww.doh.wa.gov/immunization/schoolandchildcare

3. Assessing immunization compliance School immunization requirements How to complete the annual report How to submit the annual report Washington State Department of Health Topics for today

4. Assessing Immunization Compliance

5. CIS COE Parents can request a CIS: send email to waiisrecords@doh.wa.gov waiisrecords@doh.wa.gov

7. Washington State Department of Health These students are in compliance with the requirements  Fully immunized = vaccinated according to national recommended immunization schedule  Immunity by lab test (documentation required)  History of chickenpox  Exemption on file

8. Immunization Status Complete (fully immunized) No further follow-up required Conditional (temporary status to get immunizations) Follow-up until fully immunized Exempt (COE on file) No further follow-up required unless temporary medical exemption Out of compliance (missing immunizations) Must be excluded according to the law

9.  Immunization Toolkit: http://immstoolkit.org/http://immstoolkit.org/  Vaccines required chart for school: www.doh.wa.gov/Portals/1/Documents/Pubs/348-051- SchoolChart2015-2016.pdf www.doh.wa.gov/Portals/1/Documents/Pubs/348-051- SchoolChart2015-2016.pdf  Vaccines required chart for Preschool/child care: www.doh.wa.gov/Portals/1/Documents/Pubs/348-053- ChildCareChart2015-2016.pdf www.doh.wa.gov/Portals/1/Documents/Pubs/348-053- ChildCareChart2015-2016.pdf  Immunization Manual for School, Preschool, and Child Care: www.doh.wa.gov/CommunityandEnvironment/Schools/Immu nization/SchoolManual www.doh.wa.gov/CommunityandEnvironment/Schools/Immu nization/SchoolManual Immunization Compliance Resources

10. School Immunization Requirements

11.  5 doses required for K-12 th grade Exception: 4 doses required if 4 th dose given >4 th birthday Washington State Department of Health Immunization Requirements - DTaP

12.  1 dose required for 6-12 th grade IF student is 11 years of age or older Washington State Department of Health Immunization Requirements - Tdap Exception: Tdap given between 7-10 years of age counts for the Tdap requirement

13.  DTaP: 6 years of age and younger  Tdap and Td: 7 years of age and older  If no DTaP when younger:  Tdap + 2 Td Washington State Department of Health Immunization Requirements – DTaP/Tdap/Td

14.  3 doses required for K-12 th grade  K-8 th grade: Dose 3 must be given min age of 24 weeks  9 th -12 th grade: Dose 3 valid at 4 months of age Immunization Requirements – Hepatitis B

15.  4 doses required for K-12 th grade Exception: 3 doses required if 3 rd dose given >4 th birthday Washington State Department of Health Immunization Requirements - IPV

16. Dose 4, if given on or after Aug 7, 2009Must be given >4 years of ageSeparated from dose 3 by >6 months K-4 th Grade

17.  2 doses required for K-12 th grade Exception: 3 doses required if 4 th dose given >4 th birthday Washington State Department of Health Immunization Requirements - MMR Please remember: Dose 1 must be given on or after 1 year of age

18. OR Blood test showing proof of immunity OR Healthcare provider verification of chickenpox infection (K- 7 th ) Parent verification allowed for certain 8 th graders only OR Certificate of Exemption 2 doses of varicella vaccine required for K-8 th grade Varicella Requirement School Year 2015-16

19. Immunization Requirements - Varicella Option 1 Blood test showing titer for immunity Option 2 Documentation in IIS or CIS printout Option 3 Letter from provider (out of state valid) Option 4 Provider documents on CIS hard copy Valid provider verification

20. Current K-7th grade No provider or parent verification Get provider verification Got provider verification No further action Got parent verification in previous school year Not allowed, get provider verification No need to do retrospective review All new students from out of state must get provider verification Parent vs. Provider Verification K-7 th Grade School Year 2015-16

21. 8th grade No provider or parent verification Get provider verification Got provider verification No further action Got parent verification before school year 2014-15 Allowed, no further action All new students from out of state must get provider verification Parent vs. Provider Verification 8 th Grade School Year 2015-16

22.  Public and private schools can get an account to look up immunizations if:  School nurse on staff, under contract, or volunteer  Need information sharing agreement  Send an email to Sonja Morris: sonja.morris@doh.wa.gov sonja.morris@doh.wa.gov Use the WA Immunization Information System (IIS)

23.  Main vaccine requirements web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immu nization/VaccineRequirements www.doh.wa.gov/CommunityandEnvironment/Schools/Immu nization/VaccineRequirements  Individual Vaccine Requirements Summary (IVRS): www.doh.wa.gov/Portals/1/Documents/Pubs/348-284- IndividualVaccineReqs2015-16.pdf www.doh.wa.gov/Portals/1/Documents/Pubs/348-284- IndividualVaccineReqs2015-16.pdf  Questions about immunization requirements and whether students need more shots, send an email to immunenurses@doh.wa.gov immunenurses@doh.wa.gov Immunization Requirement Resources

24. How to Complete the School Immunization Report

26. 50 35 81 7 3 0 6 321 1 8

27. Does your school have Kindergarten? 6 th grade? Both? No – Your report is complete for the year. If using our immunization system, you select the Save and Submit button. Yes – CONTINUE to Part C Washington State Department of Health Completing the Annual Report: How to Complete

28. 12 7 3 3 0 0 1 1 1 3 5 5 1 0 5 50 35817 3 0 6 3 2 1 81

29. How to Send the School Immunization Report by November 1st

30. How to Report – Public School Skyward Users In Skyward, create a data file and email file to DOH: oicpschools@doh.wa.gov oicpschools@doh.wa.gov Instructions for creating school file: www.doh.wa.gov/Portals/1/Documents/Pubs/348- NonDOH-SkywardInstrucAnnualSchoolStatusExport.pdf www.doh.wa.gov/Portals/1/Documents/Pubs/348- NonDOH-SkywardInstrucAnnualSchoolStatusExport.pdf Instructions for creating preschool file: www.doh.wa.gov/Portals/1/Documents/Pubs/348- NonDOH- SkywardInstrucAnnualPreschooolStatusExport.pdf www.doh.wa.gov/Portals/1/Documents/Pubs/348- NonDOH- SkywardInstrucAnnualPreschooolStatusExport.pdf Send one file for all schools and preschools in district

31. How to Report – Public School Skyward Users Questions: – ESD113: 360-464-6760; studentcoords@esd113.org studentcoords@esd113.org – ESD171: 509-665-2659; studentcoords@ncesd.orgstudentcoords@ncesd.org – ESD101: 509-456-2718; stucoord@esd101.netstucoord@esd101.net – ESD189: 425-349-6570; nwrdcstu@nwrdc.netnwrdcstu@nwrdc.net – ESD105: 509-575-2885; footprints@esd105.orgfootprints@esd105.org – ESD112: 360-750-7502; student.support@esd112.org student.support@esd112.org – ESD114: 360-782-5096; student- wrdc@oesd.wednet.edustudent- wrdc@oesd.wednet.edu

32. Please DO NOT Send Report Forms Generated from Skyward

33. Washington State Department of Health How to Report – Public Schools Using Other Student Information System (not Skyward) Examples of student systems: PowerSchool (or eSIS), Synergis, Aspen, eSchoolPLUS Generate a data file for all schools and preschools in district

34. Washington State Department of Health How to Report Online - Private Schools and Public Schools without a Student Information System Report online in the Immunization Information System: www.waiis.wa.govwww.waiis.wa.gov If you are new, please send an email to waiishelpdesk@doh.wa.gov to request an account waiishelpdesk@doh.wa.gov Reporting account is just for annual report If you want to look up immunizations for students, need school nurse as an employee or volunteer If you already have an account to look up immunizations, still need a second account for reporting (2 separate usernames)

35. How to Report Online

36. Resources  School reporting web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immu nization/SchoolStatusReporting www.doh.wa.gov/CommunityandEnvironment/Schools/Immu nization/SchoolStatusReporting  Preschool and child care reporting web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immu nization/ChildCareStatusReporting www.doh.wa.gov/CommunityandEnvironment/Schools/Immu nization/ChildCareStatusReporting  Email for any questions about reporting: oicpschools@doh.wa.gov oicpschools@doh.wa.gov Washington State Department of Health

37. Thank you for all you do! If you have a disability and need this document in another format, please call 1‐800‐525‐0127 (TDD/TTY call 711) DOH 348-463 September 2015