1. Bee Wise Immunize Governor’s Child Health Advisory Committee Immunization Workgroup Topeka, KS November 19, 2010 Sue Bowden, RN, BS Director, KDHE Immunization Program Kansas Department of Health & Environment To protect the health and environment of all Kansans by promoting responsible choices.

2. Immunization Rates Have Increased Since 2002 For Kansas 2 Year Olds! To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

3. National Immunization Survey (NIS) Immunization Coverage for Kansas and the U.S. Rates for 4:3:1:3:3:1** Series for Children 19-35 Months Old **4 doses of DTP, 3 doses of polio, 1 dose of measles, 3 doses of HiB, 3 doses of HepB, 1 dose varicella * 2009 shortage of HIB likely affects this rate (Side Courtesy of Kansas Health Institute)

4. KIP Activity Since 2003  Encouraged vaccination of children in their medical home  Implemented “Immunize Win a Prize” program  Implemented WIC-Immunization linkage project  Collaborated with KAAP to implement MOBI project  Implemented KSWebIZ To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

5. VFC Program  Increase in number of VFC providers  2003 = 252 providers  2009 = 366 providers  Increase in private sector vaccine administration To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

6. Immunize Win a Prize  Funding from the Children’s Cabinet through Medicaid  Medicaid Immunization Rates have increased since 2003  Health Connect Kansas = 56% to 78% in 2010  Healthwave-19 = 48% to 75% in 2010  Healthwave 21 = 49% to 81% in 2010  Project funding has been eliminated from the state budget.  Program will be discontinued after 2011 without new funding. To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

7. WIC-Immunization Linkage  Began with one pilot project in Sedgwick Co.  Immunization rates increased by 23%  Increased # projects in 2005 (CDC Grant).  Four largest WIC counties  SGF appropriation in 2008 expanded project to a total of 8 counties.  SGF funding has been cut for Aid to Local activity for SFY 2010, 2011 and 2012. To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

8. MOBI Project  Peer to Peer education regarding immunization best practices  Partnership between physicians and local health departments to provide immunization expertise to immunization providers  Goals:  Increase the number of children immunized in their medical home  Improve immunization service delivery To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

9. KSWebIZ  Decision was made by KDHE to procure a new web-based system in 2001  KSWebIZ was implemented at the first provider site in August 2005  Significant progress has been made in the five years since that time To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

10. Immunize Kansas Kids Project  A group of strategic immunization Partners was convened in 2006 to improve the childhood immunization rate in Kansas.  Identified strategies to increase immunizations among the preschool population.  Funded the Kansas Health Institute studies of immunization practices and beliefs in Kansas. Bee Wise Immunize To protect the health and environment of all Kansans by promoting responsible choices.

11. P ARTNERSHIPS WILL CREATE MORE POSSIBILITIES FOR IMPROVEMENT IN THE IMMUNIZATION RATES OF ALL POPULATIONS. To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

12. To protect the health and environment of all Kansans by promoting responsible choices. Estimated Vaccination Coverage Among Adolescents Aged 13-17 Years NIS Teen, 2009 Bee Wise Immunize ≥ 3 HepB ≥ 1 Varicella if no hx disease ≥ 2 Varicella if no hx disease ≥ 1 Tdap ≥ 3 HPV ≥ 1 MenACWY US National 89.987.048.655.626.753.6 Kansas76.178.446.463.627.738.3

13. 76% To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

14. 46% To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

15. 64% To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

16. 28% To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize

17. 38% To protect the health and environment of all Kansans by promoting responsible choices. Bee Wise Immunize