Health Data Issues

Cybele Boehm – WVDERich Pullin – WVDE

Toby Wagoner - WVDHHR

Governor’s KidsFirst Initiative• Concept• 2007 Superintendent’s Interpretation

– WV State Code 18-5-17: then and now

• What’s HealthCheck?

• HealthCheck is West Virginia’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program for Medicaid-eligible West Virginia children from birth to age 21.

• HealthCheck promotes comprehensive screening and primary healthcare services.

HealthCheck

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Medical Home

• HealthCheck supports the following core values of a medical home:

1. Having a personal physician or primary care provider (PCP) who provides first contact care,

2. Ongoing care over time,3. Comprehensiveness of care, and4. Coordination of care across a person’s

conditions, providers and settings.

HealthCheck Screening Process • Initial Screen – The first check-up, either

at birth or when the child enters the HealthCheck Program.

• Periodic Screen – A regular check-up that happens according to a schedule.

• Interperiodic Visit – A provider appointment that can happen at any time because of illness or a change in condition.

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HealthCheck RegionsRegion 1 Region 5(Greenbrier, McDowell, Mercer, Monroe, (Calhoun, Jackson, Pleasants, Ritchie, Roane,Summers & Wyoming Counties) Tyler, Wetzel, Wirt & Wood Counties)Regiona Hubinak Raylene McClure304-425-8738 ext. 2106 304-927-0966Regina.R.Hubinak@wv.gov Raylene.D.McClure@wv.gov

Region 2 Region 6(Cabell, Lincoln, Logan, Mason, Mingo (Brook, Ohio, Hancock & Marshall Counties)& Wayne Counties) Karen DoughertyJim Daniels 304-843-4120304-528-5900 Karen.S.Dougherty@wv.govJames.O.Daniels@wv.gov

Region 7Region 3 (Doddridge, Harrison, Marion, Monongalia,(Boone, Clay, Kanawha & Putnam Counties) Preston, & Taylor Counties)Deonna Williams Norine Waugaman304-356-4385 304-627-2117Deonna.M.Williams@wv.gov Norine.A.Waugaman@wv.gov

Region 4 Region 8(Braxton, Fayette, Nicholas, Pocahonta, (Barbour, Gilmer, Lewis, Randolph, TuckerRaleigh & Webster Counties) & Upshur Counties)Carolyn Riffle Kim Wentz304-847-2861 ext. 207 304-473-4230 ext. 162Carolyn.S.Riffle@wv.gov Kim.D.Wentz@wv.gov

Region 9(Berkeley, Grant, Hampshire, Hardy, Jefferson,Mineral, Morgan & Pendleton Counties)

Stephen Redman 304-822-6900 ext. 244 Stephen.G.Redman@wv.gov

New Requirements• The West Virginia Department of Health and Human Resources

Bureau for Public Health has added several adolescent immunizations to the school attendance immunization requirements.

• Beginning with the 2012-2013 school year, all West Virginia students entering 7th grade must have had one dose of the Tdap (Tetanus, Diphtheria, and Pertussis) and one dose of the meningococcal vaccine.

• Students entering 12th grade must also have had at least one dose of the Tdap vaccine and a second dose of the meningococcal vaccine. If the first dose of the meningococcal vaccine was received after age 16, then only one dose of this vaccine is required.

• Visit the following website for more information on the new requirements and customizable memos to assist in this effort. http://immunizenow.org/recommended/adolescentimmunizations/default.aspx

Health Data Application

Background

• Highmark Blue Cross Blue Shield provided monies to WVDE for this project

• The health records data system is not utilized to its full potential for various reasons including but not limited to data entry burden (staffing, time and access).

• To address this barrier, WVDE developed a health record App to sync data (BMI, immunizations, & health screening) directly into the WVEIS system.

• Each county school system was provided funds to purchase a hand-held computing device (iTouch, iPhone, or iPad) to utilize this App.

Information Gathered on App

• Height/Weight with calculation of BMI• Screening & referral for vision,

hearing, speech/language development and dental

• Immunization records with month/date/year along with a space for notes and codes

Application Features

• Health screening information is easy to enter on both currently enrolled and not yet enrolled students

• Health screening information is integrated to the existing WVEIS IBM (AS/400) student data

• Access to entry of health screening data is secure and confidential

Touch Screen

Retrieving Groups

Log on

Retrieved student groups

Height & Weight

Immunization Records

Immunization

Immunization Notes

Immunization Notes

Save – Next vs Return

Student Group

Entering New Student

New Student Information

You must complete fields that have an

(*) asterisks.

Information ?

Information on Student Groups

Submitting info to central server

Submitting info to central server (cont.)

Deleting unused groups from device

Deleting unused groups from device (cont.)

Regional School Wellness SpecialistsRESA 1(McDowell, Mercer, Monroe, Raleigh, Summers, Wyoming)Emily Meadows304-256-4712 ext. 331edmeadows@access.k12.wv.us

RESA 2(Cabell, Lincoln, Logan, Mason, Mingo, Wayne)Keith Dalton304-529-6205 ext. 28kddalton@access.k12.wv.us

RESA 3 (Boone, Clay, Kanawha, Putnam)Electa Crowder304-766-7655 ext. 114ecrowder@access.k12.wv.us

RESA 4 (Braxton, Fayette, Greenbrier, Nicholas, Pocahontas, Webster)Cheri Hall304-872-6440 ext.19chall@access.k12.wv.us

RESA 5(Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, Wood)Teresa Pickens304-485-6513 ext. 142trpicken@access.k12.wv.us

RESA 6 (Brooke, Hancock, Marshall, Ohio, Wetzel)Caryn Puskarich304-231-3816cpuskari@access.k12.wv.us

RESA 7(Barbour, Doddridge, Gilmer, Harrison, Lewis, Marion, Monongalia, Preston, Randolph, Taylor, Tucker, Upshur)Adrianne Marsh304-624-6554 ext. 238aboyers@access.k12.wv.us RESA 8 (Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan, Pendleton)Position to be filled

Questions?