# Presentation: 425551

## Medical Program Update

*Winton G. King, MD*
*Regional Medical Consultant*
- Atlanta Region Health and Wellness Conference
- September 20, 2006

## Presentation Outline

- Vaccines for Children Program
- Chronic Care Management Plans
-  Open Hours
- Quality Assurance Issues
- TAG M: Health Care Guidelines
- Pandemic Influenza Preparedness

## What is the Vaccines for Children (VFC) Program?

- Established in 1994 to provide vaccinations to children as part of routine care
- Administered at the national level by the CDC through the National Immunization Program
- Serves children 18 years of age and under that meet at least one of the following criteria:
- Medicaid eligible
- Uninsured children
- American Indian and Alaska Native
- Underinsured (a child whose health insurance benefit plan does not include vaccinations)
- Provides free vaccines to doctors who serve eligible children

## How to Join the VFC Program?

- Contact your State/Territory VFC Program Coordinator
- Ask for Provider Enrollment Package
- Complete form and return promptly
- Prepare for site visit
- Inform patients of VFC program

## Why Should Job Corps Join?

- Reduce out of pocket costs
- Provide all ACIP-recommended vaccines
- Receive customer service to address your questions
- Minimize paperwork
- Order vaccines easily

## VFC Web Resources

- National Immunization Programhttp://www.cdc.gov/nip
- Vaccines For Children Programhttp://www.cdc.gov/nip/vfc/Default.htm
- State/Territory VFC Coordinatorshttp://www.cdc.gov/nip/vfc/contacts_vfc_coord.htm

## Chronic Care Management Plans

- Purpose of chronic care management plans
- Overview of medical condition
- Letter sent by Outreach and Admissions to student’s primary health care provider
- Care plan tracks student through the phases of CDSS
- Flow sheet allows healthcare provider to track students’ medical condition

## Open Hours

- Centers should have well defined hours to see sick students.
- These hours should be convenient and not interfere with class times.
- Hours when possible should coincide with the center physician’s time on center.
- Except for the rare emergency the students should not be seen without a pass.

## Quality Assurance Issues

- Typically most students are seen by the nursing staff.
- When possible the center physician should see sick students.
- Review of student charts
-  	-Nursing Staff
- 	-Center physician

## TAG M: Health Care Guidelines

**TREATMENT GUIDELINES FOR HEALTH STAFF **
**ALLERGIC/CONTACT DERMATITIS**
- Authorized health and wellness staff may treat allergic or contact dermatitis as follows:
- 1.	Determine the agent/exposure that triggered the rash (e.g., plants, soaps, lotions, jewelry, make-up, chemicals).
- 2.	Instruct the student to avoid any further contact with the trigger.
- 3.	Have the student wash all affected areas, including bedding and clothing, that may contain the offending agent (e.g., oil from poison ivy or poison oak).
- 4.	Apply hydrocortisone 1% cream to the rash twice per day for 5-7 days if rash is localized.
- 5.	Administer diphenhydramine 25-50 mg po every 4-6 hours if there is itching.  Warning: This may cause sedation.
- WHEN TO REFER TO THE CENTER PHYSICIAN
- If the student is experiencing difficulty swallowing or breathing, call 911
- If the rash involves the student’s eyes or mucosal areas
- If the rash is not improved in 2 days
- If the rash spreads despite treatment

## Pandemic Influenza Preparedness

- Information Notice 06-08
- Provides information needed to prepare for influenza pandemic
- Steps To Be Taken
- Utilize emergency plans specific to center
- Focus on preventing the spread of infection
- Form relationships with local health departments and respond with directions from CDC, local health departments, and Job Corps National Office

## Pandemic Influenza Preparedness (continued)

- Steps To Be Taken (continued)
- If serious communicable disease, including influenza is detected on center, Center Directors are instructed to arrange for student to be examined by health professional
- If influenza pandemic occurs, centers may be required to report cases to local health department
- Opportunities for Job Corps health staff to assist in the community may be available during an influenza outbreak

## Questions and Answers

- Thank you for your time and attention.