catchup-ISYE4803

catchup-ISYE4803 - Catch-up Scheduling for Childhood...

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1 Catch-up Scheduling for Childhood Immunization Faramroze Engineer 1 Pinar Keskinocak 2 Larry Pickering 3 1 University of Newcastle 2 Georgia Institute of Technology 3 Centers of Disease Control and Prevention ISYE 4803 – Fall 2009 • The catch-up scheduling problem Outline Current paradigm The need for an automated tool Problem description • A Dynamic Programming (DP) algorithm • Usage and dissemination Catch-up Scheduling for Childhood immunization • Summary and ongoing work
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2 Problem Description: The Recommended Schedule Catch-up Scheduling for Childhood immunization Problem Description: The Catch-up Guidelines Catch-up Scheduling for Childhood immunization
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3 Problem Description: Untimely Vaccination •O n l y 9% of children received all recommended vaccines at the recommended ages. Statistics from Luman et al. 2002 1 : • 55% of children did not receive all recommended doses by 2 years of age. •8% of children received at least 1 vaccination dose too early to be considered valid. Catch-up Scheduling for Childhood immunization More recent statistics from NIS 2 suggest only slight improvements. 1 E.T. Luman, M.M. Mc Cauley, S. Stokley, S.Y. Chu, and L.K. Pickering, Timeliness of Childhood Immunizations , American Journal of Preventive Medicine 110 (2002). 2 http://www.cdc.gov/vaccines/stats-surv Problem Description: Causes of Untimely Vaccination • parental negligence and misinformation • incomplete or incorrect schedules constructed by health professionals due to: Reasons often cited for incorrect and untimely vaccination: 3 P LaRussa S Chen P Sternfels L Cooper A Caesar M Ewing M Irigoyen and S Findley Impact of immunization • insufficient knowledge and addition of new vaccines to the lineup, 3, 4 • problem complexity and tedious process of manual construction. missed opportunities for vaccination 5 • environmental and socioeconomic standings. Catch-up Scheduling for Childhood immunization 6/28 P. LaRussa, S. Chen, P. Sternfels, L. Cooper, A. Caesar, M. Ewing, M. Irigoyen and S. Findley, Impact of immunization schedule changes on missed opportunities for vaccination , The 37th National Immunization Conference Chicago, IL, 2003. 4 N.J. Cohen, D.S. Lauderdale, P.B. Shete, J.B. Seal, and R.S. Daum, Physician knowledge of catch-up regimens and contraindications for childhood immunizations , Pediatrics 111 (2003). 5 P.G. Szilagyi, L.E. Rodewald, S.G. Humiston, R.F. Raubertas, L.A. Cove, C.B. Doane, P.H. Lind, M.S. Tobin, K.L. Roghmann, and C.B. Hall, Missed opportunities for childhood vaccination in office practices and the effect on vaccination status , Pediatrics 91 (1993).
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4 Problem Description: The Remedy Aim Provide a freely available and easy to use automated tool for constructing catch-up schedules aimed at providers and caretakers • Eliminate human error.
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This note was uploaded on 11/27/2009 for the course ISYE 4803 taught by Professor Staff during the Spring '08 term at Georgia Tech.

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catchup-ISYE4803 - Catch-up Scheduling for Childhood...

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