Loading...
HomeMy WebLinkAboutFamily Health Services (PDF)JEFFERSON COUNTY PUBLIC HEALTH – REPORT PERFORMANCE MEASURES 2014 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 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 Objectives Performance Indicators: 2010 Actual 2011 Actual 2012 Actual 2013 Actual 2014 Planned 2014 Actual 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) 56 69 77 41 70 39 Nurse Family Partnership, science based programs. Number of visits provided in NFP 229 275 323 249 300 304 Number of referrals from NFP to community resources 143 135 156 145 160 256 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) 991 821 697 506 600 544 Number of families served through Children’s Services 35 39 25 22 20 3 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. 66 72 67 60 60 147 JEFFERSON COUNTY PUBLIC HEALTH – REPORT PERFORMANCE MEASURES 2014 COMMUNITY HEALTH - FAMILY HEALTH SERVICES PROGRAM [2] Goals Objectives Performance Indicators: 2010 Actual 2011 Actual 2012 Actual 2013 Actual 2014 Planned 2014 Actual 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) 872 825 857 826 830 812 Breastfeeding initiation rate in WIC mothers 94.1% 92% 89% 93% 90% 97% Breastfeeding at 6 months rate in WIC mothers 58% 65% 57% 61% 60% 59% Study/Analysis 2014 Results: In June 2014, the Family Health Services Team adopted a new electronic medical record system, Nightingale Notes (NN), under the contract of Kitsap Public Health District (KPHD). It replaced the KIPHS electronic medical records (EMR) system. NN was selected because of its use and history with other public health departments offering maternal and child services and because of its capacity to document and extract specific and selected data from program services. The data offered in this report represent a combined summary from both systems. Team members have adopted the new program skillfully and in 2015, consistent electronic charting by all team members will help provide more accurate data tracking and billing, and may help identify gaps in services as well as guide nursing practice. The Family Health Services Team continues to work with pregnant and parenting mothers and families at Port Townsend, Tri-Area and Quilcene clinics. The public health nurses and community health educator collaborate with medical providers (doctors and staff at Jefferson Healthcare Family Birth Center) and Child Protective Services (CPS) at monthly meetings and other agencies such as Dove House and Jefferson Mental Health Services to improve pregnancy, birth and children’s health outcomes. Team members attend trainings and collaborative meetings to increase their knowledge and skills in areas such as intimate partner violence, reporting to CPS, and working with clients to access community resources. The number of completed health screenings reported in 2014 was 39, just over half the number of planned screenings (70). The lower number may be partly due to the differences in recording this data in two EMR systems; in 2015, this data will be more accessible and accurate through NN. The Public Health Nurses and Health educator are skilled in using health screenings such as the prenatal health, Adverse Childhood Experiences screening (ACEs) and depression screening questionnaires. They use their professional judgement in offering/providing the screenings and use the questionnaires and subsequent discussions as educational tools to address current and future goals of clients and their children. The number of referrals of children with special health care needs (CSHCN) for Public Health Nurse case management was more than double the planned number for 2014, largely due to increased awareness in completing the referral process as children were identified. Public Health providers will work more collaboratively with birth to three resources in the county in the coming year to review the referral process and promote engagement and participation by families. In October of 2013 the Early Family Support Services Program (EFSS) with Division of Children and Family Services (DCFS) was discontinued. Over the years the EFSS program had brought in the more referrals to the Health Department than the Early Intervention Program (EIP). Our local DCFS then began implementation of a new program, Family Assessment Response (FAR,) in which many of the families that had been referred to the Health Department in EFSS could now be provided services by the JEFFERSON COUNTY PUBLIC HEALTH – REPORT PERFORMANCE MEASURES 2014 COMMUNITY HEALTH - FAMILY HEALTH SERVICES PROGRAM [3] DCFS social worker directly. The Early Intervention Program (EIP) involving families already open to DCFS services continued at JCPH in 2014. In 2013 we served five families in EIP; in 2014 three families were served. In 2014 we anticipated additional referrals from the new FAR program into EIP, but this did not happen. New staff in a new program at DCFS may be one reason for the drop in the numbers of referrals. We have explored this issue recently with the regional DCFS liaison. The number of women, infants and children served by WIC was slightly lower than the planned number; reasons for this lower number are many, including less satisfaction with food offerings, difficulty following through with WIC appointments, and client movement out of Jefferson County. While reasons for leaving WIC services are asked informally, a plan to offer a formal survey will be considered in 2015 so that specific reasons might be identified for program planning and improvement. The WIC program continues with regular community outreach through flyers, posters, ads, presentations and individual contacts. In 2015, WIC providers will receive quarterly education on motivational interviewing to maintain client engagement and increase clients’ knowledge and behavior changes on nutrition. For the past two years JCPH WIC Program partnered with Jefferson County Farmers Market to implement the Gimme Five program. Gimme Five program matched the dollar value of WIC/Senior Farmers Market program checks as well as dollar spent by families using SNAP Ed (food stamps). This doubled the amount of produce Jefferson County families were able to purchase at local Farmers Markets. WIC Program staff provided education and support to WIC clients to ensure they redeemed their Farmers Market checks for fresh fruits and vegetable - Redemptions rate increase from 56% to over 80% with this program. Funding for the Gimme Five program for 2015 is unknown at this time. Breastfeeding initiation in WIC mothers was 97% in 2015! Many of the WIC mothers give birth at Jefferson Healthcare (JHC), one of the few Baby Friendly hospitals in Washington State and the nation. The combined breastfeeding promotion and support from JCPH WIC/Family Support Team and JHC Family Birth Center contribute to this great success in breastfeeding initiation in our county. April 6, 2015 final – Yuko Umeda, Denis Langlois and Julia Danskin