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C. Project Description If awarded this mini-grant, our department will take a three-prong approach to addressing the problem. Initially, we will begin to foster our relationship with the local medical community. By addressing community health goals through increased communication we want to serve the medical community as the local immunization consultant. Because this relationship does not currently exist, a three-month plan would be developed, with local physician input, to address the issue of immuni- zation tracking. Part two of the grant focuses on the Hispanic community, who are greatly under-served and under-reported. In researching this project it became clear that local human service agencies have very little information on this rapidly growing subcommunity. Therefore, one method will involve outreach efforts at Showel Farms, our county's largest employer of this population. Another in- eludes establishing a practice of promoting immunizations at the free clinic and urgent care facility. The third part of the grant will involve expanding the No Name Tracking System to include all births to Cabarms County women. We will collect birth certificate information on residents who deliver in hospitals in neighboring counties. This will be accomplished through a simplified report- ing process that we will establish with out-of-county hospitals. This process will allow us to include not just high risk births, but all births. D. Project Action and Evaluation Plans To accomplish the goals of this project, we will hire a part-time Health Educator, who will work 20 hours per week and a part-time nurse, who will work ten hours per week. The Health Educator will attend the Clinical Assessment Software Application training and be responsible for its implementation. During the first month, the health educator will establish a system for collecting birth certificate information for all births. The No Name Tracking system will be converted from a manual process to a fully automated system, via the QS System. The first quarterly evaluation of this converted system will be the end of September. Throughout the grant period the Health Educator will work with local HisPanic employers to track and promote age appropriate immunizations. The nurse will be available to administer immunizations for the Hispanic population onsite during the Health Department clinics heavily utilized by this population ( e.g., Maternity and Family Planning), as well as offsite in conjunction with activities planned within the Hispanic community. E. Internal and External Agency Cooperation Internal agency cooperation will include careful communications between the WlC, Child Health, Health Education, Social Work, and Management Support Divisions. The Health Educator will be responsible for networking with the local medical community, and other county agencies. Child Service Coordination is an interagency team led by health department staff Currently there are four other agencies in this network that prioritize at-risk children's' needs. E Project Continuation Plans This project will provide a base of information that will be integrated into the statewide immunization registry. Linkages established with local providers will be maintained by program staff.and integration of immunization services for Hispanic families attending other Health Depart- ment clinic will also be maintained by program staff.