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I am Lawrence new I intern at the Nevada State immunization program under Amanda Harris that manager Nevada web I see what is what I see you say is our statewide immunization information system it allows public or private organizations to have the ability to access create or update immunization records Nevada where busy has a multitude of functions it ensures that individuals receive the required immunizations at the appropriate times it also identifies the risks of outbreaks and communities and populations with low coverage rates to implement interventions it also increases efficiency with the managing musicians to reduce the time to locate current facilities and immunization records conducts outreach to patients and facilities to increase immunization and immunization reporting under NRS 439 point 265 Nevada state law requires all immunizations were administered to be reported more information about administrating immunizations can be found on Nevada web ashes site under Nevada division of public and behavioral health current goal of the immunization program is to increase report if you look at the National adult immunization landscape picture given to us by the CDC we see that there are general lack of immunizations across the board with adults pretty low percentages is this because immunizations are just not being ministered or because we do not have a reporting system in place which is what we have tried to attack accomplished in Nevada is wearing 21st in immunizations across the states it has about an 86 percent coverage in part due to the tracking efforts by web Say according to immunization Arvada we look at the graphic given to us by the CDC for immunizations in Nevada we can see that the flu is only 18 percent for vaccinations amongst adults even though the uninsured rate has dropped this is still a huge problem that we need to address my outreach efforts were through using Nevada web say in which I determined which home health facilities in Nevada were currently administering immunizations to patients but not reporting them I would do this by looking up information on each facility and calling them to produce a detailed report seen above of the outreach calls this includes making sure that each facility had the proper information contact information and what further action needed to be taken by the SIP staff this way the trainers can use these this information to build a basic profile in web Easley and get out there in the community I call it 150 for home health agencies in which I thought about a 1 in 10 response who would talk to me about their facility efforts each facility was called at least twice before noting the ones that require an in-person visit there were about 1 in 3 facilities who just stated that they didn't happen to Ministry there to talk to me, I have helped identify facilities that may not be reporting immunizations this is important so that Y by Z trying to go out to these facilities and teach me to either how to...
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