1. WellCareTracker™ – Linking Asian- American children in child care with Medical Homes Jerold M. Aronson MD MPH FAAP PA – American Academy of Pediatrics

2. Pennsylvania Chapter - American Academy of Pediatrics

4. Children’s Village Early Education and School-Age Educational Enrichment in Center City Philadelphia Since 1976 NAEYC Accredited since 1996 integrate Head Start services and child care private, non-profit, independent corporation

5. Agenda Health Record Issues Health Record data feedback improves preventive care performance Demonstrate WellCareTracker™ Brainstorm during panel discussion

6. Healthy People 2010 Achieve and maintain immunization 90% 4:3:1:3:3:1 (19-35 mo.) 95% 4:3:1:3:3:1 (19-35 mo.) Child care Blood Lead – children age 1-6 yrs. 0 %

7. Educator Health Challenges

8. PA Regulations DPW – all programs must document UTD preventive care services (immunizations & screenings) within 60 days of enrollment (55 Pa. Code § 3270.131) DOH Reporting of Communicable Disease (Chapter 27.7) – enrolled children will be UTD for immunization and child care program will report UTD status annually.

9. AAP Guidelines for Health Supervision

12. Educator Challenges Complex Immunization Schedule Complex Health Screening New Vaccines/Combinations Reminder – Recall Tools Parent Resistance Unique lead/anemia problems Documentation and Reporting

13. Medical Home Challenge Preventive Care - Today

14. WellCareTracker™ 6 years of statewide data trends > 95,000 health records Web-based application = www.WellCareTracker.org www.WellCareTracker.org Accessible with any PC connected to the Internet. Password protected/private

15. Health record data feedback increases the number of preventive care services received by children attending licensed childcare in PA.

18. 2,798 PA Licensed Child Care Centers: 13,675 child records checked between 7/02 and 4/03

20. By PA DPW Region for 2002-03, 13,673 Child Care Center Records (DPW reg. 3270.131) Children with All Vaccines Up-to-Date

21. Children’s Village Children with All Vaccines Up-to-Date – 2003-04

24. By PA DPW Region for 2002-03, 13,673 Child Care Center Records (DPW reg. 3270.131) Children with All Preventive Services Up-to-Date

25. Documentation Tools Commercial childcare management software Immunization Dose Counter Vaccine Registries WellCareTracker™ www.WellCareTracker.org

26. WellCareTracker™ www.WellCareTracker.org

27. Summary and Next Steps

28. Well Care Early Education/Child Care WellCareTracker; Vaccine Registry Medical Home IEP, VFC-AFIX, CLPPP Preventive Care - Tomorrow

29. Current Status # WCT Users # children % complete immunizations % complete Total 4:3:1:3:3:1 Status Special Offer

30. Summary Improve compliance with PA childcare regulations (DPW and DOH) Strengthen links between early education/child care and medical homes Improve the preventive care status of children Achieve Healthy People 2010 Goals for children enrolled in early care and education programs.