1. ELECTRONIC CASA E-CASA
MERGING AFIX AND IMMUNIZATION REGISTRY TO
HELP INCREASE STATEWIDE
IMMUNIZATION RATES

2. AFIX
ASSESSMENT
FEEDBACK
INCENTIVITES
EXCHANGE - eXchange

3. CLINIC ASSESSMENT SOFTWARE APPLICATION(CASA)
Tracking Tool
Assess Immunization History
Produce Reports to analyze data

4. IMMUNIZATION NETWORK FOR CHILDREN (INC)
Arkansas Immunization Registry
(WEB-BASE, STATE WIDE)
Program written for compatibility for CASA

5. CASA + INC =
ELECTRONIC CASA
or E/CASA

6. E-CASA
HOW DOES IT WORK?
Data is downloaded from the registry and imported into the CASA database
CASA produces various reports for immunization assessment and tracking

7. ARKANSAS DEPARTMENT OF HEALTH CD/IMMUNIZATION WORK UNIT
PROCESS
ARKANSAS DEPARTMENT OF HEALTH
CD/IMMUNIZATION WORK UNIT

8. 75 COUNTIES
FIVE (5) REGIONS

9. IMMUNIZATION SCHEDULE
ACIP RECOMMENDED
SCHEDULE
BY 18 MONTHS OF AGE
4 DTaPs
3 IPVs
1 MMR
3 Hep Bs
3 Hibs

10. CASA ASSESMENT BY VFC REPS (2000)
STANDARD PROCEDURES
Line listing from INC
Random record selection from CASA
50 Records or the birth cohort
Manual assessment from IMM record

11. CASA ASSESSMENT REQUIREMENTS
LHUs
1ST Quarter of each year
Goal: 83% or higher
If below 83%, 2ND Assessment (CASA) would be done in five (5) months

12. SELLING CASA COMPLAINTS FROM FIELD
Not enough time
Double keying PC
Tickler system
Duplicate record from registry
Data entry not up-to-date
Too many records for tracking

13. DOOR OF OPPORTUNITY PC placed in each LHU Real time data entry by RNs
VFC site visit (requirement to offer CASA training)
Registry data abstracted by last provider

14. SELL PITCH! Out source /In house IT produced program for data download
E-CASA is Born
Instead of all records months of age only
Data generated on a monthly basis to LHUs
Central office staff and VFC Reps train providers

15. WHY 19 MONTHS? A child should have all IMMs by 18 months of age
Give the provider five (5) months to track any child that may be missing a shot(s)
Our findings -Most children were missing the 4th DTaP
One (1) visit could bring a child up-to-date before they turn 24 months of age

16. PROBLEMS - YES! Convincing the Agency to allow the program
Computer problems from central
office and field
Staffing from central office
Downloading data

17. OVERCOMING BARRIERS E-CASA requests exceeded staff resources
Requests for numerous reports from
Central Office
LHU/Field
Flu season activities became priority

18. RESULTS = INCREASE IN RATE / 11%

19. Arkansas Childhood Immunization Rates Improve
FOR IMMEDIATE RELEASE
February 10, 2005
Arkansas Childhood Immunization Rates Improve
Arkansas Among Five States in Nation Showing Most Improvement
(Little Rock--) The latest National Immunization Survey for July 2003 through June 2004 reveals Arkansas’ childhood immunization rates have increased 12.4 percentage points from 67.1 percent (in CY 2000) to 79.5 percent placing Arkansas among five states showing the most improvement. The rates are based on children months of age who received four doses of Diphtheria, Tetanus, and Pertussis; three doses of Poliovirus; one dose of Measles, Mumps, and Rubella; three doses of Haemophilus Influenzae Type b; and three doses of Hepatitis B. This increase puts Arkansas closer to the U.S. National rate, which is 80.5 percent for the same time period.
Other states showing improvement are New Mexico, Delaware, Ohio, and Florida. Connecticut leads the nation with a rate of 92.4 percent.
According to Charles Beets, Communicable Disease/Immunization Work Unit Leader, “These increases are due to the hard work of local health units colleagues and private providers and their efforts to get these children immunized.”
Dr. Fay Boozman, Health Department Director, states, “I am so proud of our local health units and private providers for what they have been able to accomplish. We have gone from 48th in the nation in 2000 to 32nd nationally for the period ending June 30, 2004.”
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20. ARKANSAS RECOGNIZED!
ARKANSAS LISTED AMONG FIVE STATES IN NATION SHOWING MOST IMPROVEMENT BY NIS
WENT FROM THE 48TH TO 32ND NATIONALLY

21. WHERE DO WE GO FROM HERE? Produce data in a timely manner
Allow the LHUs to abstract their own data using the new web-based registry
Branch out to Non-ADH providers
Working together!

22. THANKS TO: Charles Beets -CD Work Unit Leader
Statewide Services-Renee Patrick & Jerry Jones/Lin Watson, Randy Lee & Karen Fowler -IT/D. Reeves & R. Canerdy
LHU COLLEAGUES
VFC Representatives:
Dianne Pettit- Central Region
Linda Hutchison-Northeast Region
Mickey Sisco-Northwest Region
Cassie Lewis-Southeast Region
Devra Dougan-Southwest Region

23. ARKANSAS CONTACT Ruby A. Brown, VFC Coordinator
CD/Immunization Work Unit
4815 West Markham, Slot 48
Little Rock, AR