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HomeMy WebLinkAbout2017 Family Health Services Performance Measures-PlannedJefferson County Public Health – Planned Performance Measures 2017 Community Health – Family Health Services Program [1] PROGRAMS: Family Health/Maternal Child Health (MCH) including Breast Feeding Support, Maternity Support Services/Infant Case Management, Nurse-Family Partnership (NFP), Children with Special Health Care Needs (CSHCN), Women Infants and Children (WIC), and the Child Protective Services (CPS) Contract Programs: Early Intervention Program (EIP). MISSION: The mission of the Family Health Services is to offer health education and support to all Jefferson County pregnant women and families with young children as they build a secure foundation for a lifetime of health, learning, and community contribution. Goals Objectives Performance Indicators 2011 2012 2013 2014 2015 2016 Projected 2017 Planned Goal 1: Improve pregnancy and birth outcomes by helping women improve prenatal health. Provide comprehensive education, risk reduction strategies, and referrals to community services to pregnant women and families about the health risks of: substance use including tobacco, alcohol, prescription narcotics, and illegal substances; domestic violence; mental illness; and adverse childhood experiences. Number of comprehensive health screenings completed (includes ACES Questionnaire and Mental Health Screening) 69 77 41 39 47 50 50 Nurse Family Partnership, science based programs. Number of visits provided in NFP 275 323 249 304 280 300 300 Number of referrals from NFP to community resources 135 156 145 256 179 175 150 Goal 2: Improve children’s health, safety, and development by helping parent’s provide competent and sensitive care giving. Educate parents on how to support their infant/child’s health, development and learning. Promote and refer to well child care, immunizations, dental care, and childcare resources. Number of all Family Health encounters recorded in KIPHS (home visits, office visits and phone calls) 821 697 506 544 522 550 550 Number of families served through Children’s Services 39 25 46 3 4 5 0 Screen children’s developmental growth using standardized tools and refer to community providers for specialized services. Number of children with special health care needs Birth through age 18 referred for Public Health Nurse Case Management. 72 67 94 147 121 100 100 Jefferson County Public Health – Planned Performance Measures 2017 Community Health – Family Health Services Program [2] Goals Objectives Performance Indicators 2011 2012 2013 2014 2015 2016 Projected 2017 Planned Goal 3: Improve overall nutritional health in order to prevent long term chronic diseases Educate pregnant women and families about the benefits of breastfeeding and healthy eating habits Total number of women infants and children served by WIC in Jefferson County (from CIMS report) 825 857 826 812 663 800 700 Breastfeeding initiation rate in WIC mothers 92% 89% 93% 97% 91% 90% 90% Breastfeeding at 6 months rate in WIC mothers 65% 57% 62% 59% 64% 60% 60% SUMMARY OF KEY FUNDING/SERVICE ISSUES FOR 2017 JCPH Family Health Services address the needs of our community’s families through early prevention and intervention services. Programs such as Maternity Support Services, Infant Case Management, Nurse-Family Partnership, and WIC are designed to reach local, state and federal public Health goals. Families are enrolled the programs based in differing criteria and all participation is voluntary. Public Health Nurses offer education, guidance and support to pregnant and parenting families through these programs. Topics discussed include Adverse Childhood Experiences (ACES), breastfeeding, perinatal mental health, parent-child relationships, intimate partner violence and substance use. JCPH entered a regional partnership with Kitsap Public Health District and Port Gamble S’Klallam Tribe in 2012 to expand Nurse Family Partnership (NFP) services to Kitsap County. JCPH’s 17 year experience with NFP has provided infrastructure support, nurse home visiting expertise and mentoring to nurse home visitors in Kitsap County through weekly individual and team meetings. Two NFP-trained nurse home visitors currently share a caseload to offer NFP services in Jefferson County. While the NFP program is growing strongly as a regional program, fewer families were seen in JCPH Family Health Services programs than in previous years. This reflects a similar statewide trend of decreased enrollment in MSS and WIC services. JCPH Family Health Services Programs will continue outreach and recruitment of programs to families and also review agency service component to improve program delivery. The WIC Programs continue to offer services in Port Townsend, Quilcene (bi-monthly) and Tri-Area (bi-monthly). Breastfeeding education and support is provided through individual client contact in WIC, Maternity Support Services and NFP client visits, and the Breastfeeding Tea. Family Health Services Team regularly collaborates with Jefferson Healthcare medical providers and the Family Birth Center to provide breastfeeding and maternal-child health services. Enrollment in WIC has declined which reflects a statewide trend. WIC clinic was reduced from weekly to twice a month in Quilcene and Clinic hours were slightly reduced in Port Townsend to address lower caseloads. Staff will continue outreach and recruitment. WIC Farmers Market program has been maintained and provides incentive for families to purchase local fresh fruits and vegetables, and supports the local farmers. In past years, CPS managed two contracts with JCPH to offer public health nursing intervention with families in the Early Family Support Services (EFFS) and Early Intervention Program (EIP). In 2014 EFFS was discontinued and as of August 2016 only a few referrals have come in for EIP services. JCPH, CPS and Jefferson Healthcare Primary Care providers plan to continue to meet monthly to address intervention and care of Families involved with all three agencies. August 15, 2016