HomeMy WebLinkAboutFamily Health Services (PDF)JEFFERSON COUNTY PUBLIC HEALTH – PERFORMANCE MEASURES 2015 REPORT
COMMUNITY HEALTH - FAMILY HEALTH SERVICES PROGRAM
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.
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 Nightingale
Notes (home visits, office visits and
phone calls)
821 697 506 544 550 522
Number of families served through
Children’s Services 39 25 46 3 5 4
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 90 121
Goals Objectives Performance Indicators: 2011
Actual
2012
Actual
2013
Actual
2014
Actual
2015
Projected
2015
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)
69 77 41 39 50 47
Implement Nurse Family
Partnership, a science based
program.
Number of visits provided in NFP 275 323 249 304 300 280
Number of referrals from NFP to
community resources 135 156 145 256 150 179
[2]
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)
825 857 826 812 825 663
Breastfeeding initiation rate in WIC
mothers 92% 89% 93% 97% 90% 91%
Breastfeeding at 6 months rate in WIC
mothers 65% 57% 62% 59% 60% 64%
Study/Analysis 2015 Results:
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 in the programs based on differing criteria and all participation is voluntary.
Maternity Support Services, in which Public Health Nurses offer education, guidance and support to pregnant and parenting families, screened and enrolled
almost 50 pregnant women in 2015. Topics discussed in this program include ACEs, breastfeeding, perinatal mental health, parent-child relationships,
intimate partner violence, and substance use; in 2015 the Public Health Nurses continued their education in these areas through multiple trainings. The
trainings included Domestic Violence Safety Planning with Families, Zero to Three Institute, Reflective Supervision, Breastfeeding, and DANCE (Dyadic
Assessment of Naturalistic Caregiver-Child Experiences).
Jefferson County Public Health, Kitsap Public Health and Port Gamble S’Klallam formed the Bridge Partnership in 2012 to offer the evidence-based home
visiting program Nurse-Family Partnership (NFP) throughout East Jefferson and Kitsap Counties. The regional approach of sharing resources has allowed
expanded implementation of NFP. A total of 29 clients enrolled in the Jefferson NFP in 2015. Client attrition remains on the higher side in Jefferson; fifteen
of the 29 clients were discharged over the course of the year for reasons such as moving out of the county, declining services or being lost to follow-up.
Unlike other areas with large catchment populations, Jefferson NFP has a smaller eligible population with unique characteristics that can make it difficult for
clients to remain in the program. The regional team continues to work together on outreach and recruitment to increase program visibility and participation.
The WIC Program offers services in Port Townsend, Quilcene and Tri-Area. WIC participation throughout Washington State has followed a downward trend
in the last few years. WIC participation in Jefferson County reflects this trend as enrollment of women, children, and infants declined by almost 20% between
2014 and 2015. This decline was most obvious at the Quilcene clinic where 46 women, infants, and children received services through the Quilcene Clinic in
2015 compared to 94 in 2014. Specific reasons for this decline are not known, but may also be related to families moving out of the area. Quilcene clinic
hours were reduced from weekly to biweekly at the end of 2015 in an effort to balance community clinic use with staff appropriation. Clinic operation will
continue to be monitored and reviewed in 2016.
Goals Objectives Performance Indicators: 2011
Actual
2012
Actual
2013
Actual
2014
Actual
2015
Projected
2015
Actual
[3]
Breastfeeding education and support is provided through individual client contact in WIC, Maternity Support Services and NFP client visits, and the
Breastfeeding Tea. In 2015, the breastfeeding initiation rate among WIC mothers in Jefferson County was 91% and duration at 6 months was 64%; statewide
data is not yet available for 2015. In 2014, the statewide duration of breastfeeding at 6 months was 39%, Jefferson’s 6 month breastfeeding duration in 2014
was 60%. Family Health Services Team regularly collaborates with Jefferson Healthcare medical providers and the Family Birth Center to provide
breastfeeding and maternal-child health services. Kathy Luch LM, a member of the JCPH Family Planning team, achieved certification as an International
Board Certified Lactation Consultant, and will be able to share her knowledge as facilitator of the Breastfeeding Tea and as a resource to the Family Health
Team.
In past years, CPS managed two contracts with JCPH to offer public health nursing intervention with families in the Early Family Support Services (EFSS)
and Early Intervention Program (EIP). As of 2014 only one of the contracts remained, and the number of services to families served through Children’s
Services remained low. 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.
Yuko Umeda March 3, 2016