Welcome to the School Immunization and Reporting Requirements Webinar! We will start shortly.

1. Welcome to the School Immunization and Reporting Requirements 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/OICP-Sept2014WebinarAnnouncement.pdf Washington State Department of Health

2. School Immunization and Reporting Requirements September 30, 2014 Trang Kuss, RN, MN, MPH Chris Halsell, PhD, MPH Office of Immunization and Child Profile Website: www.doh.wa.gov/immunization/schoolandchildcare

3. Topics for today • General procedures for ensuring compliance • Current school immunization requirements • CIS and COE revisions • How to complete the annual report • How to submit the annual report Washington State Department of Health

4. Why are there immunization requirements? • Promote healthy students, school staff, and the community • Keep vaccination rates high to protect the community • Outbreaks still occurring and a plane ride away • Protect those who can’t get vaccinated Washington State Department of Health

5. General Procedures for Ensuring Compliance

6. Immunization Requirement Resources • Certificate of Immunization Status: www.doh.wa.gov/Portals/1/Documents/Pubs/348-013_CertificateImmunizationStatusForm.pdf • Certificate of Exemption: www.doh.wa.gov/Portals/1/Documents/Pubs/348-106_CertificateofExemption.pdf • Chart showing vaccines required for: • School: www.doh.wa.gov/Portals/1/Documents/Pubs/348-051-SchoolChart2014-2015.pdf • Preschool/Child care: www.doh.wa.gov/Portals/1/Documents/Pubs/348-053-ChildCareChart2014-2015.pdf • Individual Vaccine Requirements Summary: www.doh.wa.gov/Portals/1/Documents/Pubs/348-284-IndividualVaccineReqs2014-15.pdf • Immunization Manual for School, Preschool, and Child Care: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolManual Washington State Department of Health

9. Immunization Status

10. What does compliance mean? • Fully immunized = vaccinated according to national recommended immunization schedule • Immunity by lab test • History of chickenpox • Exemption on file Washington State Department of Health

11. Exemption Resources • Law passed in July 2011: requires healthcare provider to discuss benefits and risks of vaccines and to sign the form • Frequently Asked Questions • Training video • www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/Exemptions Washington State Department of Health

12. School Immunization Requirements

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

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

15. Immunization Requirements – DTaP/TdaP/Td • DTaP: 6 years of age and younger • Tdap and Td: 7 years of age and older Washington State Department of Health

16. Immunization Requirements – DTaP/TdaP/Td Students 7 years of age or older

17. Immunization Requirements – Hepatitis B • 3 doses required for K-12th grade • K-7th grade: Dose 3 must be given min age of 24 weeks • 8th-12th grade: Dose 3 must be given min age of 4 months Exception: Students 11-15 years of age can get 2 doses of adult Recombivaxhep B vaccine

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

19. Immunization Requirements - IPV K-3rd Grade

20. Immunization Requirements - MMR • 2 doses required for K-12th grade Exception: 3 doses required if 4th dose given >4th birthday Please remember: Dose 1 must be given at least 1 year of age Washington State Department of Health

21. Immunization Requirements - Varicella • 2 doses required for K-6th grade • Healthcare provider verification of varicella disease required; no parent verification Healthcare provider verification of chickenpox disease

22. Immunization Requirements - Varicella Valid provider verification

23. WA Immunization Information System

24. Use the WA Immunization Information System (IIS) • Public and private schools are eligible to use the system if they: • Have a school nurse on staff or under contract to track and report immunizations • The school nurse may be a volunteer • An information sharing agreement needs to be in place www.doh.wa.gov/ForPublicHealthandHealthcareProviders/HealthcareProfessionsandFacilities/DataReportingandRetrieval/ImmunizationInformationSystem/ForSchools

25. Benefits of the WA Immunization Information System • Find immunizations given and entered by healthcare providers for students • Review forecasting tool to determine if more immunizations needed • Print CIS with immunizations pre-printed for parents to sign • Report annual immunization status Washington State Department of Health

26. IIS Forecasting Tool

27. CIS and COE Revision

28. CIS and COE to be updated • Effective School Year 2015-16 • Sent to schools and child cares Jan 2015 • Information in our newsletter Exception: 3 doses required if 4th dose given >4th birthday Washington State Department of Health

29. The Annual Report How to Complete the School Immunization Status Report

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32. Completing the Annual Report: How to Complete • Does your school have • Kindergarten? • 6th 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

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34. The Annual Report How to send us the report each year by November 1st

35. How to Report • Option 1. Report online using the • Option 2. Report using the export feature of your school’s electronic Student Information System and email us the file. • http://www.doh.wa.gov/Portals/1/Documents/Pubs/348-NonDOH-SkywardInstrucAnnualSchoolStatusExport.pdf • Option 3. Complete a paper copy of the report form and mail or email it to the department. Washington State Department of Health

36. How to Report Option 1. Report online using the • Online registration for new users – no paperwork. • Registration link in on our School Reporting web page: http://www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolStatusReporting • Reporting account is just for annual report. • Reporting account is for more than one school if needed Washington State Department of Health

37. How to Report Option 1. Report online using the Washington State Department of Health

38. http://www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolStatusReportinghttp://www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolStatusReporting Washington State Department of Health

39. Resources • School and Child Care web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization • School reporting web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolStatusReporting • Email for help with determining student compliance: immunenurses@doh.wa.gov • Email for reporting questions: oicpschools@doh.wa.gov Washington State Department of Health

40. 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 2014