Child and Teen Checkups (C&TC) in Dakota County

Transcription

1 Child and Teen Checkups (C&TC) in Dakota County Child and Teen Checkups Narrative Report

2 INTRODUCTION The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit is a federal mandate that provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. States are required to provide comprehensive services and furnish all Medicaid coverable, appropriate, and medically necessary services needed to correct and improve health conditions, based on certain federal guidelines. In Minnesota this program is known as the Child and Teen Checkups (C&TC) program. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. Medical providers deliver the direct screening and diagnostic services for eligible children. Local public health agencies under contract with the Department of Human Services provide administrative services that include outreach and follow-up activities to promote participation in screening and follow-up. HELPING FAMILIES 12,206 Introduction letters to notify families of the importance of well child checkups - Federal Requirement 4,695 Contacts during WIC appointments to educate and assist families eligible for Child and Teen Checkups 27,966 15,361 Reminder letters sent to remind families to schedule a Child and Teen Checkup - Federal Requirement Phone contacts/attempts to provide assistance with scheduling appointments, transportation, interpreters and community resources - Federal Requirement 62% 74% of WIC clients received a Child and Teen Checkup within 6 months of outreach of families receiving Public Health Nurse home visits had a Child and Teen Checkups within 6 months of outreach 1

3 HELPING COMMUNITIES Education Outreach Activities ELL: ISD 191, 196, 197 & Special District 6: Total 9 classes ECFE: ISD 192, 196, 197, 199 & 200: Total 27 classes Dakota County Technical College: Child Growth and Development class: 2 classes ShakoCAPS student project Represented C&TC Metro Action Group in year 2 of a project with Shakopee High School Students. Students used student survey data from year 1 to develop a short pre and post intervention survey. There was an 11% increase in students who reported having a checkup on the post-intervention survey, however the survey was a blind survey, therefore it may not have been the same set of students answering the survey questions. Health and Safety Fairs (sponsored by schools): ISD 194: Ready, Set, Achieve Backpack Event participants ISD 197: Backpack Event at Garlough participants; Henry Sibley High School Health Fair participants SSD 6: ECFE Baby Shower ISD 199: Health and Safety Fair participants DCTC Health Fair - 45 participants C&TC Message in Print, Website and Social Media Friday Take Home Folders: 16 Elementary Schools District 191 Community Education Fall Catalog Zerkalo Russian Newspaper and Directory with MAG Partners Developed by Anoka County 2017 Pocket Calendar: Distributed by WIC, Family Home Visiting Staff and at Community Events Community Resource Guide: Hard Copies and Online Utilized by: Dakota County Public Health Programs, Medical Clinics, Dakota County Libraries, Regina Hospital in Hastings, Fairview Ridges Hospital, Faith Communities and other community partners who request copies. Facebook Posts: 9 posts with post total reach of 6853 Dakota County Website: 1,363 hits to the main C&TC web page; 679 hits to the Provider Page that houses MAG documents Meeting Families Where They Live Outreach to children and families was provided in collaboration with the Open Door Mobile Lunch Box, Dakota County Libraries and School District 194 for 16 events at residential sites throughout the county. Head Start: Outreach at Orientation: 10 classes Oral Health Education: 13 classes Early Head Start: 2 classes Community Events Apple Valley Neighborhood Outreach - 50 participants Eagan Community Dialog 2

4 Child Passenger Safety Child and Teen Checkups Outreach to families eligible for Medical Assistance during: Car Seat Education and Distribution - English: 50 classes; Spanish: 10 classes Car Seat Clinic at Head Start: 27 children Child and Teen Outreach and Education to students and professionals: - Dakota County Technical College - Dakota County Social Service Case Aides: 8 - Dakota County Child Care Association Collaboration with Faith Community Outreach to Families Prince of Peace Mission Outpost: 60 So. Metro Islamic Center: 1 Hosanna!: 2 Islamic Institute of MN: 3 Our Savior Lutheran Church/ Hastings Family Service Planning Committees and Collaborative Groups Shelters Lewis House: 6 The Link Youth Drop-In Center Dakota Woodlands 360 Communities: Worked with school based staff for distribution of 124 hygiene bags with C&TC information enclosed Safety Camp Lakeville Rosemount South St. Paul Dakota County Healthy Communities Collaborative Garlough Collaborative Rosemount Service Providers Interagency Early Intervention Committee C&TC Community of Practice Engaging the Somali Community in Dakota County Head Start Advisory Committee Oral Health Give Kids a Smile Oral Health Task Force facilitation: Task force of community members interested in promoting importance of oral health care and increasing access. Examples of 2017 Progress to Plan: Early Childhood Screening nurse in one school district includes oral health assessment and referral All school nurses in one school district trained to do oral health assessment Collaborated with one college to do a community assessment of dental care available for children receiving Medical Assistance 3

5 DCPHD-FH-1951 (1/18) 2017 C&TC Narrative Report HELPING MEDICAL PROVIDERS Child and Teen Checkups outreach and resource information Dakota County Dakota County Public Health: Staff and Student training: Quarterly C&TC updates to home visiting staff C&TC Update for Disease Prevention and Control Team C&TC Orientation for 5 student groups Yearly WIC update Orientation to all new home visiting staff Dakota County Social Services Family Services Staff - 70 Staff Community Agencies 360 Communities: Staff Orientation to Child and Teen Checkups - 25 staff Head Start: Hearing and Vision screening training/planning Faith Community - in collaboration with Emergency Preparedness to Nurses and other professional Staff Augustana Lutheran Church Berean Baptist Church Beth Jacob Congregation Grace Lutheran Church Islamic Institute of MN Prince of Peace Church Risen Savior Catholic Community School Nurses Provided Child and Teen Checkups outreach and resource information to all school districts in Dakota County: 101 nurses trained Conference Calls for School Nurse Coordinators: 12 attendees Dental Clinics River s Edge Dental Clinic Mission Outpost Dental Clinic Shepherd of the Valley Lutheran Church St. John Neumann Catholic Church St. John s Lutheran Church So. Metro Islamic Center Trinity Evangelical Free Church Medical Clinics Annual visits to the 37 clinics that provide care to children eligible for Medical Assistance Utilized a Pre-Clinic Checklist to gather data and analyze clinic adherence to the C&TC Schedule of Age-Related Screening Standards. The checklist guides the plan for a particular clinic and for county clinics as a whole. C&TC component training at individual clinics: 13 Vision Screening Evaluation developed by MDH. Results sample: 1. How would you rate your ability to identify required C&TC vision screening components? 1.55% increase in knowledge based on a 5 point scale following training 2. How would you rate your ability to identify Pass, Rescreen, Refer results? 1.57% increase following training Trainings and Conferences: Corporate Training: Allina Children s Health Network Care Coordinators Entira Clinics Fairview/HealthEast Clinics HealthPartners Clinics Metropolitan Pediatrics Southdale Pediatrics Professional Conference (presented): National Help Me Grow Forum Minnesota Oral Health Coalition Pre-Clinic Meeting Checklist This checklist is to assist you in preparation for our yearly scheduled Child and Teen Checkups outreach visit. You are not required to complete this. Clinic Name: Child and Teen Checkups Screening Components Well Child Exam Frequency Are you completing a 30 month well child exam? Yes No Are you completing yearly well child exams for patients 3-20 years of age? Yes No Health History Does your health history include screening for the social determinants of health (e.g., housing stability, poverty, transportation, food insecurity)? Yes No Are you using any type of resource hub: NowPow Community Connect Other: Measurements At what age do you stop head circumference measurement? Are you completing a weight for length percentile for children 0-18 months of age? Yes No Are you calculating BMI starting at 24 months of age? Yes No At what age do you start blood pressure measurements? Developmental Screening Which standardized tool are you using for developmental screening? ASQ-3 Peds None (Surveillance Only) Other: At what ages are you administering the tool? Infancy Early Childhood 0-1mo 2 mo 4 mo 6 mo 9 mo 12 mo 15 mo 18 mo 24 mo 30 mo 3yrs 4yrs 5yrs Social Emotional Screening (Birth 5 yrs of age) Which standardized tool are you using for social emotional screening? ASQ-SE Pediatric Symptom Checklist None (Surveillance Only) Other: At what ages are you administering the tool? Infancy Early Childhood 0-1mo 2 mo 4 mo 6 mo 9 mo 12 mo 15 mo 18 mo 24 mo 30 mo 3yrs 4yrs 5yrs Autism Spectrum Disorder Screening (MCHAT) At what ages are you administering the tool? 9 mo 18 mo 24 mo 30 mo Professional Conferences (exhibited): Dakota County Mental Health Summit Minnesota branch: American Academy of Pediatrics Hot Topics Minnesota branch: American Association of Family School Practice School Based Health Center Alliance School Nurses of Minnesota (SNOM) 4 Date:

6 HELPING INTERNAL PARTNERS - COLLABORATION WIC Outreach Waiting area - 12 times Baby Babble mom s group - 29 Foster Care Annual Meeting - 85 licensed providers Inserts for new parents Updates on periodicity schedule in Foster Care Newsletter Dakota County Library El Dia de los Ninos Dakota County Social Services Pop Up Outreach in the Atrium: 6 events Autism Resource Fair - 2 events South of the River Special Needs Resource Fair participants CONTRACT AND WORK PLAN MONITORING In January, the team met to review the work plan and strategize details of the outreach plan Child and Teen Checkups supervisor and program coordinator met 2-4 times per month to review plan activities. Monthly team meetings are a time to plan upcoming outreach activities and evaluate effectiveness of activities in the past month. All community outreach and clinic activities are documented in PH-Doc. Reports developed in 2017 to improve ability to do ongoing monitoring. Shared companion outreach activity for WIC with WIC coordinators and supervisor each month. Implemented new process for documentation of Child and Teen Checkups for family home visiting nurses as part of a Continuous Quality Improvement project. Dakota County Public Health Department Sue Spector, C&TC Program Coordinator sue.spector@co.dakota.mn.us /3/2018

7 Attachment: Ads and Outreach Materials For kids and parents of all ages! 3FUN AT ONE! Games and tips to stay healthy! Meet near the pool look for our tent COMING TO: Emerald Hills Tuesday July 19 and Thursday, July 21 from 1:00 p.m. - 2:30 p.m. Keeping Children and Teens Healthy Regular health checks keep children healthy. Child and Teen Checkups (C&TC) visits are at no cost to children and teens under age 21 who are enrolled in Medical Assistance. Checkups are provided by your primary care clinic and include: a physical exam developmental screening hearing and vision checks vaccinations Call your local county Child and Teen Checkups program or your health plan if you have questions or need help finding health care providers: Anoka Ramsey Blue Plus Carver Scott HealthPartners Dakota Washington Hennepin Health Hennepin UCare Keeping Children and Teens Healthy Regular health checks keep children healthy. Child and Teen Checkups (C&TC) visits are at no cost to children and teens under age 21 who are enrolled in Medical Assistance. Checkups are provided by your primary care clinic and include: a physical exam developmental screening hearing and vision checks vaccinations Call your local county Child and Teen Checkups program or your health plan if you have questions or need help finding health care providers: Dakota County Public Health and the Dakota County Library For more information call: English: Spanish: Oromo & Amharic: Anoka Ramsey Blue Plus Carver Scott HealthPartners Dakota Washington Hennepin Health Hennepin UCare Friday Take Home Folder Summer Outreach Flyer Russian Ad Building Amazingly Healthy Kids Contact your clinic to schedule a Child and Teen Checkup (C&TC) For children, teens and young adults under 21 on Medical Assistance Community Resource Guide School planner Call for help finding a clinic, scheduling an appointment, transportation or an interpreter Dakota County Public Health Department Ad on the back of school planner 2017 Pocket Calendar To keep your youth healthy Contact your clinic to schedule a Child and Teen Checkup No cost for children up to age 21 who are on Medical Assistance Child and Teen Checkups (C&TC) staff can help: Find a doctor or dentist Find transportation Make an appointment Find an interpreter Call Dakota County Public Health Department Community Ed advertisement ISD 196