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Jefferson County Public Health – Planned Performance Measures 2012
FAMILY HEALTH SERVICES
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 Family Support Services (EFSS), 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 FOR 2012:
1. Improve pregnancy and birth outcomes by helping women improve prenatal health.
2. Improve children’s health, safety, and development by helping parent’s provide competent and
sensitive caregiving.
3. Assure community health needs are served by monitoring health data and targeting services to
respond to these needs.
OBJECTIVES FOR 2012:
1. 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.
2. Increase access to prenatal care in the first trimester by referring and facilitating pregnant women’s
enrollment in Medicaid and by collaborating with local health care providers to reduce barriers to care for
Medicaid eligible pregnant women.
3. Educate pregnant women and families about the benefits of breastfeeding, of increasing fruits and
vegetables, daily exercise, and healthy weight strategies.
4. Screening, education, referrals, and risk reduction strategies will be offered to pregnant and parenting
families to prevent shaken baby syndrome/abusive head trauma, sudden infant death syndrome, falls,
burns, and other injuries.
5. Educate parents on how to support their infant/child’s health, development and learning. Promote and refer
to well child care, immunizations, and dental care. Screen for developmental progress using standardized
measures and refer to community providers for specialized services.
6. Clinical services will use science based programs and interventions when possible. Nurse Family
Partnership will be prioritized as the highest quality evidence based, two generation, prevention
program.
7. Maintain contract with Nurse Family Partnership (NFP) National Office for data analysis of program
fidelity, quality assurance, and client outcomes. Maintain contract with Kitsap Health District for other
program data analysis. Family Health Services data will be available to Board of Health and community
through web site and reports.
PERFORMANCE INDICATORS: 2010
Actual
2011
YTD
2012
Planned
Number of home/office visits provided in Family Health
Programs not including WIC
863 900 750**
Number of home visits provided in NFP 229 221 200
Number of referrals from NFP to community resources 143 20 100
Number of individuals served in WIC 837 880 825
Individual visits for WIC nutrition assessment and education 3,914 1830 3,500
Breastfeeding initiation rate in WIC mothers 94.1% 89% 90%
Breastfeeding at 6 months rate in WIC mothers 58% 69% 55%
** anticipate program and funding redesign and/or loss of CPS contracts and MSS/ICM
SUMMARY OF KEY FUNDING / SERVICE ISSUES for 2012:
JCPH Family Health programs address local, state, and federal public health goals. The table below shows
selected health indicators we monitor that provide both direction and feedback for our program goals and
objectives. WIC and NFP have data collection and analysis systems that produce high quality health data on
individuals enrolled in these programs. Jefferson County’s small numbers in certain population groups leads
to the need to aggregate data for both accuracy and confidentiality, SIDS data are an example.
Caution is needed in interpreting this data. The healthy People 2020 goals represent the general population of
the United States. The WIC and NFP data represent Jefferson County residents who are eligible for these
programs because of their low income and within this group a significant number will have multiple, serious
health risks. Given that we are engaging this higher risk sub-population, we expect that some of our Jefferson
County data would compare less favorably to the national data.
Family Health programs provide both intervention and prevention. Many outcomes will only be realized in
15-20 years. Measuring what did not happen or what you hope will happen in 15 years can be difficult, for
example- in NFP we anticipate that the infants now served will be less likely to be incarcerated and more
likely to graduate from high school. In NFP we collect extensive quality assurance data to measure our
fidelity to the research model. This data shows we are maintaining fidelity so we can expect similar positive
outcomes in the future.
Healthy People 2020 national health goals1 Jefferson County data
Children 2-5 years old obesity rate-less than 9.6% WIC children 2-5years old- 5.5%
Iron deficiency in children 1-2 years old-less than
14.3%, 3-4 years old-less than 4.3%
WIC children 1-5 years old-10.4%2
Breastfeeding initiation- 81.9% WIC breastfeeding initiation- 94.1%
Breastfeeding at 6 months- 60.6% WIC breastfeeding at 6 months- 58%
Prenatal care starting in first trimester- 77.9 % 2007-09 Medicaid – 66% Private insurance- 88% 3
Pregnant women smoking- less than 2% Jefferson County pregnant women smoking- 25%
WIC pregnant women smoking- 23%
Preterm birth rate less than 7.8% Jefferson County preterm birth rate- 9.7%
Low birth weight rate less than 11.4% Jefferson County low birth weight rate- 9.5%
WIC low birth weight rate- 11.5%
August 2011
1 http://www.healthypeople.gov/2020/default.aspx 2 Note aggregate age group reported-WIC data not divided by same age groups as HP 2020 3 The Health of Jefferson County, 2010-11 Update: http://www.jeffersoncountypublichealth.org/index.php?health-of-jefferson-
county