Our mission is to prevent disease, assure a healthful environment, prolong life, and promote well being for the citizens of Medina County.
Promote, Protect and Prevent
Local Calls: 330-723-9688
1-888-723-9688
4800 Ledgewood Drive, Medina, OH 44256

HCPN April 2018

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The Healthcare Provider News is compiled quarterly.
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In this Issue - Click to be linked to the topics, or scroll down to browse this issue  




 

New Logo - Same Great Service since 1918


On April 2, 2018 the Medina County Health Department kicked off National Public Health Week with a new look! An open house was held to unveil the new logo, and to have a ribbon cutting of our newly remodeled Health Center. We have been protecting the health of Medina County residents since 1918 and will continue to do so for the next 100 years and beyond! 



 

Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2018


In October 2017, the Advisory Committee on Immunization Practices (ACIP) approved the 2018 immunization schedule for children and adolescents birth through 18 years, effective February 2018.
Changes made to the 2018 Centers for Disease Control and Prevention (CDC) Immunization schedule are described below.

General Schedule
  • A table has been added outlining vaccine type, abbreviation, and brand names for vaccines discussed in the child/adolescent immunization schedule.
  • The schedule footnotes are presented in a new simplified format. The goal was to remove unnecessary text while preserving all pertinent information and maintaining clarity. This was accomplished by a transition from complete sentences to bullets, removal of unnecessary or redundant language, and formatting changes.
  • Manufacturing of MenHibrix, (Hib-MenCy) vaccine has been discontinued in the United States and all available doses have expired. Therefore, mention of the vaccine has been removed from the schedule.
Medical conditions
  • The HIV column provides a reference providing additional information regarding HIV laboratory parameters and use of live vaccines.
  • Within the pneumococcal row, stippling was added to heart disease/chronic lung disease, chronic liver disease, and diabetes columns to clarify that in some situations children with these conditions may be recommended to receive an additional dose of vaccine.
Hepatitis B vaccine
  • The Hepatitis B vaccine (Hep B) footnote was revised to include information regarding vaccination of <2,000 gram infants born to HBsAg-negative mothers.
Influenza Vaccine
  • The influenza vaccine footnote has been updated to indicate that LAIV should not be used during the 2017–2018 influenza season. A reference link to the 2017-2018 season influenza recommendations has been added.
MMR Vaccine
  • The measles, mumps, and rubella (MMR) footnote was updated to include guidance regarding the use of a 3rd dose of mumps-containing vaccine during a mumps outbreak.
Meningococcal Vaccine
  • The meningococcal vaccine footnote has been edited to create separate footnotes for MenACWY and MenB vaccines.
Polio Vaccine
  • The inactivated poliovirus rows of the catch-up schedule have been edited to clarify the catch-up recommendations for children 4 years of age and older.
  • The poliovirus vaccine footnote was revised to include updated guidance for persons who received oral polio vaccine as part of their vaccination series.
Rotavirus Vaccine
  • The maximum ages for the first and last doses of the rotavirus series have been added to the rotavirus vaccine row of the catch-up schedule.
 

New Zoster Vaccine


CDC and ACIP recommends Shingrix® (recombinant zoster vaccine) as preferred over Zostavax® (zoster vaccine live) for the prevention of herpes zoster (shingles) and related complications. Shingrix vaccine is available at the Medina County Health Department Health Center, 330-723-9688, option 1. Click here for information from the CDC.

 
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Women, Infants and Children (WIC)
 

WIC walk in Mondays
 
Participants can be seen for WIC services without an appointment any Monday of the month from 8:00am - 2:30pm. Participants seen first come first served. Questions call 330-723-9688, option 4. 

Breastfeeding classes
Breastfeeding basics class 2nd Thursday 10:00-11:00am and 3rd Tuesday 1:00pm-2:00pm. Classes held at Medina County Health Department and are free and open to the public.  Medina County breastfeeding support group 1st Thursday of the month at the Medina Library. Questions call 330-723-9688, option 4.    

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Communicable Disease Update


Updates to Ohio’s infectious disease reporting requirements described in Ohio Administrative Code chapter 3701-3-02 became effective March 22, 2018.  Changes are in the Class B section and include the addition of carbapenemase-producing carbapenem-resistant Enterobacteriacea (CP-CRE): Enterobacter spp., Escherichia coli, Klebsiella species, and the listing of hepatitis C, an already reportable disease in Ohio, as hepatitis C (non-perinatal) and hepatitis C (perinatal). Click on the image below to download a PDF of the 2-page flyer.





The Infectious Disease Control Manual (IDCM) is designed to be a reference for local health departments, hospitals, laboratories and physicians in providing information about infectious diseases from a public health perspective, including prevention, control and reporting of suspected and diagnosed cases.  This manual is updated regularly to reflect changes in public health practices and disease prevention and control activities.  You may access the IDCM on from the Ohio Department of Health.  

To report a communicable disease during regular business hours, call 330-723-9688, option 2 or toll-free at 1-888-723-9688, option 2. For after-hours public health emergencies, please call our toll-free number at 1-888-723-9688 and when prompted, press 5 to be transferred to the Medina County Sheriff Dispatch (this option is provided for public health emergencies ONLY - not general calls, appointment requests, or to leave staff messages).
 



These case counts were extracted from the Ohio Disease Reporting System, and compiled using an Excel spreadsheet. The list includes only diseases that had cases reported in Medina County within the quarter. The above data reflect cases that were classified as “confirmed” or “probable” in ODRS as of the data extraction date (suspected cases are not included). Historic averages are based on ODRS data from the years 2011 – 2015. Because disease rates at the month level are too small to reflect differences in disease trends, this report only includes case count. Counts in red denote a month with a noteworthy increase (based on 1 standard deviation) from the historical average. Counts in green denote a month with a noteworthy decrease (based on 1 standard deviation) from the historical average.


Tick Update from the Ohio Department of Health

The Ohio Department of Health has provided information for healthcare providers about ticks. Lime disease in an emerging disease in Ohio and cases have continued to increase over the past several years, from 45 in 2008 to 270 in 2017.Click here to read the memo.

You can find information about ticks and other health topics in our Live Well Library

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Storing Medication




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Maximizing Office Based Immunizations (MOBI)   

What is MOBI?

Maximizing Office Based Immunization (MOBI) is a free statewide provider immunization education and training program developed for health-care providers. This continuing education program, which trains practices in techniques to improve immunization rates in their practice, is offered through the Ohio Chapter, American Academy of Pediatrics (Ohio AAP), and funded by the Ohio Department of Health with technical assistance from the National Immunization Program, Centers for Disease Control & PreventionMore details can be found here.

MOBI Attendees also receive the latest information available on:

  • Immunization recommendations
  • New vaccines
  • Childhood immunization schedule changes
  • Missed opportunities
  • Common misconceptions
  • Practice-based consultation
  • Immunization strategies for optimal practice

MOBI is a one-hour in-office continuing education program provided by trained vaccine experts. Target offices include pediatric and family medicine practices throughout Ohio. MOBI aims to raise immunization rates among Ohio's children by teaching physicians and their entire staff evidence-based strategies to overcome barriers to immunization.

Ohio AAP annually trains more than 100 experts to conduct these in-office programs. These experts are experienced in immunization practice and bring the most up-to-date and practical information to their peers in office practice. More than 500 programs are conducted each year throughout Ohio, with more than 5,000 health care providers in attendance.

Schedule a MOBI

Call us at 330-723-9688, option 2.

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Teen Immunization Education Sessions (TIES)  

Medina County Health Department offers a program for pediatric and family medicine practices throughout Medina County. Teen Immunization Education Sessions (TIES) is a one-hour in-office continuing education program provided by trained vaccine experts from our office. TIES aims to raise adolescent immunization rates among Ohio's adolescents by teaching physicians and their entire staff evidence-based strategies to overcome barriers to immunization. An adolescent immunization assessment is also available for healthcare providers to find out their practice's adolescent immunization rates.   

What is TIES?
 
The Teen Immunization Education Sessions (TIES) Program is a free statewide provider immunization education and training program developed for healthcare providers. This continuing education program trains providers in techniques to improve adolescent immunization rates in their practice. It is offered through the Ohio Chapter, American Academy of
Pediatrics (Ohio AAP), and funded by the Ohio Department of Health with technical assistance from the National Immunization Program, Centers for Disease Control and Prevention.

TIES Attendees also receive the latest information available on:

  • Immunization recommendations
  • New vaccines
  • Missed opportunities
  • Common misconceptions
  • Practice-based consultation
  • Immunization strategies for optimal practice

Bring TIES training to your office! For more information on TIES, the adolescent immunization assessment, or to schedule a TIES session, call us at 330-723-9688, option 2.

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Continuing Education


Using digital media to engage parents around childhood vaccines
Mothers of young children spend a lot of time online, seeking information and connecting with friends, family and other moms. Digital media is one of the most cost effective tactics for engaging parents around immunization issues.  Learn from three experts who have successfully utilized blogs, testimonial videos, podcasts, Facebook, Twitter, and other digital tactics to promote childhood immunization.

Medscape CME Activity
Medscape, LLC is pleased to provide online continuing medical education (CME) for selected journal articles, allowing clinicians the opportunity to earn Medscape CME credit. In support of improving patient care, Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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AFIX - Ohio Assessment, Feedback, Incentives and eXchange (AFIX) Project


What is an AFIX?
Assessment, Feedback, Incentives, and eXchange (AFIX) is a quality improvement program used to raise immunization coverage levels, reduce missed opportunities to vaccinate, and improve standards of practices at the provider level.  

AFIX consists of:

  • Assessment of immunization coverage levels
  • Feedback of information to physicians and staff
  • Incentives to recognize and reward outstanding and improved performance
  • eXchange of best practices and follow up with the provider

How does it work?
The process is simple. The healthcare provider/practice will: 1) work with a trained assessor to review their immunization levels, and 2) work to design a quality improvement action plan to increase immunization levels in their practice.

Who can participate in an AFIX?
Any immunization provider in Ohio that serves pediatric or adolescent patients.

Who performs AFIXs?
Ohio AFIXs are performed by trained AFIX assessors from local health departments, the Ohio Department of Health and the Ohio Chapter of the American Academy of Pediatrics.
 
Why are AFIXs important?
It is important to ensure patients are up-to-date with their immunizations to offer the best protection against vaccine preventable diseases. Assessing your immunization rates on a regular basis is an effective and recommended strategy to improve immunization rates in both public and private provider settings. The Task Force on Community Prevention Services continues to recommend assessment and feedback based on strong evidence of effectiveness found through a comprehensive literature review on assessment and feedback (AFIX) for immunizations.
  
Click her for more information on the AFIX is a program 












































 

 

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