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Jefferson County Public Health – Planned Performance Measures 2015
Community Health – Communicable Disease Program
PROGRAMS: Tuberculosis, Communicable Disease (CD), Immunizations, Travelers Immunizations, Sexually Transmitted Disease, HIV,
Syringe Exchange Program
MISSION: The purpose of the Communicable Disease Health program is to protect Jefferson County residents from serious communicable diseases by providing disease
surveillance, investigation and reporting, along with education, screening, treatment and immunization services. The program interacts with community members, medical
providers, the Washington State Department of Health (DOH), Region 2 Emergency Management partners and other agencies while working toward this purpose.
Goals Objectives Performance Indicators 2010
Actual
2011
Actual
2012
Actual
2013
Actual
2014
Projected
2015
Planned
Goal 1:
Maintain the low
rates of active
Tuberculosis (TB)
in Jefferson County
Encourage appropriate
screening and treatment for
latent TB infection.
Number of clients tested for TB
infection with PPD or QFT test
244 201 198 165 200
160
Number of positive PPD and QFT TB
tests evaluated
+PPD: 8
+QFT: 2
-QFT: 4
+PPD: 2
+QFT: 2
-QFT: 1
+PPD: 0
+QFT: 0
-QFT: 0
+PPD: 3
+QFT: 0
-QFT: 0
+PPD: 2
+QFT: 0
-QFT: 1
+PPD: 2
+QFT: 0
-QFT: 1
Number of clients started on preventive
treatment for latent TB infection 2 3 2 1 2 2
Goal 2:
Timely investigation
of reportable
conditions.
Develop & update forms and
protocols as needed for
investigation of notifiable
conditions using DOH
electronic reporting systems
PHIMS, PHIMS-STD, and
PHRED.
Total number of communicable disease
reports confirmed, interventions applied
and processed for reporting to the State
132 117 150 143 120 140
Number of Cryptosporidiosis cases
reported to the State 8 7 7 2 5 2
Number of Giardiasis cases reported to
the State 9 7 9 6 6 4
Number of STD cases reported to the
State 71 52 57 83 70 70
Goal 3:
Inform medical
providers about
current CD trends
and new CD control
recommendations.
Provide updates, outreach and
training to providers about
local, state and national CD
outbreaks and disease control
recommendations. Provide
reminders about reporting
notifiable conditions and using
the Regional Duty Officer.
Number of alerts/updates/newsletters
faxed or mailed to providers
(not including DOH Influenza Updates)
13 13 14 15 13 13
Goals Objectives Performance Indicators 2010
Actual
2011
Actual
2012
Actual
2013
Actual
2014
Projected
2015
Planned
Goal 4:
Support universal
access to vaccines
for all children.
Maintain an efficient system
for supplying vaccine
recommendations, up-dates
and information on changes in
the State vaccine program to
provider clinics in Jefferson
County
Total number of doses of publicly
funded vaccine (pediatric), administered
by private health care providers and
JCPH clinics, supplied and monitored
through JCPH immunization program
5,389
Not
including
H1N1
5,574 5,403 5,067 5,100 5,060
Number & % of doses of publicly
funded vaccine (pediatric) administered
by private health care providers
4,741
88.0%
5,001
89.7%
4,855
89.9%
4,545
89.7% 4,600 4,540
Number & % of doses of publicly
funded vaccine (pediatric) administered
by JCPH
648
12%
573
10.3%
548
10.1%
522
10.3% 520 520
Number of adult vaccinations
administered by JCPH 1,037 944 1,057 819 850 820
Number of visits to clinics to provide
vaccine education, updates and technical
support for clinic staff
8 19 20 24 20 20
Goal 5:
Promote more
extensive use of all
Washington State
Immunization
Information System
(WIIS) functions by
the provider clinics.
Continue to provide training
and support to provider clinics
for ordering vaccines using the
Economic Ordering Quantity
(EOQ) system to place orders
through WIIS.
Number of providers using EOQ to
place appropriate vaccine orders through
WIIS
0 5 5 5 6 6
Provide training and support
to provider clinics for use of
all WIIS vaccine related
functions to accurately and
efficiently track vaccine
supply, administration and
client records.
Number of providers using WIIS to
track monthly vaccine inventory 0 0 2 4 6 6
Number of providers using WIIS to
track monthly vaccine doses
administered
0 0 2 4 6 6
Number of Jefferson County children <6
with two or more immunizations in
WIIS system
87% 89% 87% 88% 89% 89%
Goals Objectives Performance Indicators 2010
Actual
2011
Actual
2012
Actual
2013
Actual
2014
Projected
2015
Planned
Goal 6:
Assure quality of
immunization
services in clinics
providing State
supplied vaccines, as
required by DOH.
Perform vaccine quality
assurance visits for 50% of
clinics. Assess childhood
immunization rate for
pediatric patients in 25% of
clinics receiving State
supplied vaccines.
Number of clinics visited for VFC
Program Quality Assessment and/or to
assess childhood immunization rates in
clinic patients.
2 2 2
2
+ 1 visit
by DOH
Total =
3 clinics
2
+ 1 visit
by DOH
Total =
3 clinics
2
+ 1 visit
by DOH
Total =
3 clinics
Goal 7:
Assess overall
childhood
immunization rate
for Jefferson County
children.
Assess Jefferson County
childhood immunization rate
trends using WIIS County
View Reports.
Childhood immunization rate: age 19-35
months, complete series (4 DTap, 3Hep-
B, 3 HIB, 1 MMR, 4 PCV, 3 Polio, 1
Var.) First assessed in 2013. N/A 29% 54% 53%
54%
55%
Goal 8:
Assist schools in
increasing student
compliance with
Washington State
immunization
requirements.
Provide training and assistance
for school secretaries to access
WIIS records for students who
are out of compliance with
State immunization
requirements so that the
school can notify parents of
missing immunizations.
Number of schools offered training or
technical assistance visits.
0 0
6 7 10 10
Number of training or technical
assistance visits to schools. 6 7 4 5
Goal 9:
The Family Planning
and STD clinics will
assist in controlling
Chlamydia
transmission in
Jefferson County
Women seen in Family
Planning clinic who are at
higher risk for Chlamydia (age
24 and under) will be screened
for Chlamydia annually
Total # female FP clinic clients at risk
for Chlamydia (age 24 and under)
screened for Chlamydia
379 388 301 399 380 380
% of female FP clinic clients at risk for
Chlamydia (age 24 and under) screened
for Chlamydia
49.0% 62.2% 56.5% 62.0% 62.0% 62.0%
Goal 10:
Maintain access to
federally funded
HIV testing and
counseling for high
risk persons with no
medical insurance.
Clients at high risk for HIV,
without medical insurance,
will be tested through the State
Public Health Lab, others
requesting testing will be
tested through the Quest Lab
and charged for testing.
Number of persons counseled and tested
for HIV infection
DOH
Lab:38
Quest
Lab:69
Total:
107
DOH
Lab:19
Quest
Lab:63
Total: 82
DOH
Lab:27
Quest
Lab:75
Total:
102
DOH
Lab:19
Quest
Lab:75
Total: 94
90 90
Goals Objectives Performance Indicators 2010
Actual
2011
Actual
2012
Actual
2013
Actual
2014
Projected
2015
Planned
Goal 11:
Prevent the spread
of blood borne
communicable
diseases among
injecting drug users
and their partners.
Promote utilization of syringe
exchange program (SEP)
services.
Number of visits to SEP
81 142 150 185 180 170
Number of syringes exchanged 9,156 17,726 17,405 24,596 20,000 20,000
Goal 12:
Annual report to
BOH for CD, TB,
SEP, Immunization
Programs.
Complete Annual Report Pass/Fail PASS PASS PASS PASS PASS PASS
Goal 13:
Maintain and
enhance Public
Health Emergency
Preparedness and
Response (PHEPR)
capacity.
Develop and update regional
Public Health Emergency
Preparedness and Response
Plan, coordinating with
Region II partners Clallam and
Kitsap Health Departments,
local emergency response
agencies, Jefferson
Healthcare, local health care
providers and agencies.
Develop and update Public Health
Emergency Preparedness and Response
Plan
1 1 1 1 1 1