Kansas Maternal and Child Health Service Manual Bureau of Family Health Kansas Department of Health and Environment Revised January, 2012 KDHE Mission: To Protect the Health and Environment of all Kansans 2 Contributions Appreciation is extended to the members of the Children & Families Section staff, those who provided consultation and technical assistance, reviewers and all others who assisted in the preparation of this document. Children & Families Section Staff: Jamie Klenklen, BPA, MCH Administrative Consultant, Kansas Department of Health & Environment Joseph Kotsch, RN, BSN, MS Perinatal Consultant, Kansas Department of Health & Environment Jane Stueve, MS, BSN, RN, Child and School Health Consultant, Kansas Department of Health & Environment Consultation and Technical Assistance: Anita Poland, RN Barber County Community Health Department Janis Goedeke, ARNP, Administrator Crawford County Health Department John Hultgren, Administrator Dickinson County Health Department Diana Rice, Administrator Edwards County Health Department Ashley Goss, Administrator Finney County Health Department Darlene Lindskog, RN, MCH Nurse Finney County Health Department Mary “Midge” Ransom, PhD, Director Franklin County Health Department Rebecca Teegarden, HSHV Kingman County Health Department Sondra Hone, RN, BSN, Administrator Mitchell County Health Department Carolyn Muller, RN, Interim Administrator Montgomery County Health Department Teresa K Starr, Administrator Neosho County Health Department 3 Sandra Schwinn, RN Pottawatomie County Health Department Jeanne Ritter, RD, LD, WIC/Child Health Coordinator Reno County Health Department Neita Christopherson, RN, BSN, MCH Program Reno County Health Department Marci Detmer, RN, BSN, Administrator Rice County Health Department Karen Sattler, RN, Administrator Scott County Health Department Teresa Fisher, RN, BSN, MCH Outreach Team Leader Shawnee County Health Agency Susan E Wilson, BGS, Program Director Healthy Babies ~ Sedgwick County Health Department Melanie Vogts, RN, BSN, Program Head-Child Health/KSHS Unified Government Public Health Department Medical Review: Secretary Robert Moser, MD Kansas Department of Health & Environment Dennis Cooley, MD President, Kansas Chapter AAP John Evans, MD, FACOG, Perinatologist, Maternal-Fetal Medicine Stormont-Vail Health Care Special Acknowledgement: Linda Kenney, MPH, Director Bureau of Family Health, Kansas Department of Health & Environment for her vision, support and leadership throughout the development of this manual and continuing implementation of the Kansas Ma Former Staff Acknowledgement: Appreciation is extended to these former staff members of the Children and Families Section who shared their insights and provided consultation in the development of this manual. • Ileen Meyer, RN, MS Director of Children & Families Section, Kansas Department of Health & Environment Maternal and Child Health Program • Brenda Nickel, RN, BSN, MS Child and School Health Consultant, Kansas Department of Health & Environment Preparation of the Manuscript: Carrie Akin, Administrative Specialist, Kansas Department of Health & Environment Penny Hulse, Sr. Administrative Assistant, Kansas Department of Health & Environment Table of Contents 100 - Overview of Maternal and Child Health (MCH) Services in Kansas 12 101 Bureau of Family Health Mission 13 102 Bureau of Family Health Services Philosophy 13 103 History of MCH in Kansas 13 104 MCH Grants 13 105 MCH Services 14 106 Qualified Workforce 15 107 MCH Goal and Standards 15 108 References: 26 150 - MCH BACKGROUND 27 151 Title V Block Grant to States 28 152 Maternal and Child Health 28 153 MCH (Title V) Funding 29 154 State 5 – Year Needs Assessment 29 155 MCH Performance and Accountability 30 156 MCH Performance Measures 30 157 Criteria for MCHB Performance Measures 31 158 18 National Performance Measures (2010) 31 159 6 MCH Outcome Measures 32 160 Kansas 10 State Performance Measures (2015) 32 161 MCH 10 Essential Services 33 162 Local Core MCH Public Health Services for the Perinatal Population 36 163 Local Core MCH Public Health Services for Children and Adolescent Populations 37 164 Local Core MCH Public Health Services for Children and Youth with Special Health Care Needs 38 200 - Social Determinants of Health in Kansas 39 201 Description of Social Determinants 40 202 Resources 40 250 - Guidelines for Bright Futures ® and the Medical Home Model 42 251 Description of Medical Home 43 252 Program Goal and Outcome Objectives for MCH 2015 43 253 Bright Futures ® and the Medical Home Model 43 254 Medical Home Defined 43 255 Resources 44 6 256 References 44 300 - MCH Administrative Manual 45 301 Grant Applications 46 302 Contracts and Subcontracts 46 303 Contract Revisions 47 304 Budgets 48 305 Documentation of Local Match 49 306 Financial Accountability 49 307 Fiscal Record Retention 51 308 Narrative/Progress Reports 51 309 Inventory or Capital Equipment 51 310 Income 52 311 Data Collection 54 312 Schedule 55 313 Monitoring 56 350 - Guidelines for Records Management 58 351 Scope of Records Management 59 352 Statutes and Laws for Records Management 59 353 Resources 59 400 - Maternal and Infant Health 62 401 Program Description 64 402 Multidisciplinary Health Professional Team 64 403 Program Purpose 65 410 - Guidelines for Outreach and Family Support: Home Visiting and the Kansas Healthy Start Home Visitor (HSHV) Services 65 411 Description of Services 65 412 Eligibility for Services 66 413 Program Philosophy, Goals and Objectives 66 414 Supervision Standards and Provision of Services 67 415 Qualifications of Supervisors 67 416 Responsibilities of Supervisors 67 417 Qualifications of Home Visitors 68 418 Making a Home Visit 68 419 Responsibilities of Home Visitors 69 420 Community Collaboration and Local Coordination 69 421 Healthy Start Home Visitor Services Pamphlets 70 7 422 Orientation and Training Standards 70 423 Initial Training for Healthy Start Home Visitors 70 424 Continuing Education 71 425 Provision of Services 71 426 Provision of HSHV Services Algorithm 72 427 Confidentiality 72 428 Administrative Information and Documenting Services 73 429 Documentation of Visits for the Client’s Permanent Health Record 73 430 Client Encounter Data 73 431 Evaluating Outreach and Family Support Services 74 432 MCH Client Satisfaction Survey Card 74 433 Do’s and Don’ts of Successful Home Visitation 75 434 Federal Healthy Start Programs Serving Kansas 75 435 References 76 440 Preconception Health 77 441 Access to Health Care 77 442 Sexually Transmitted Infections (STI) 77 443 Intimate Partner Violence 78 444 Alcohol, Tobacco and Other Drugs 78 445 Nutrition 79 446 Physical Health and Oral Health Status 79 447 Physical Activity 80 448 Cultural Competence 80 449 Emergency Planning 81 450 General Preconception Health Resources 81 460 Prenatal Health 82 461 Access to Health Care 82 462 Prenatal Screening Tests 82 463 Genetic Screening 83 464 Risks, Warning Signs and Hazards 83 465 Sexually Transmitted Infections (STI) 84 466 Intimate Partner Violence 84 467 Alcohol, Tobacco and Other Drugs 84 468 Nutrition 85 469 Physical Health and Oral Health Status 85 470 Physical Activity 85 471 Cultural Competence 86 8 472 Emergency Planning 86 473 Immunizations 86 474 Labor and Delivery 87 475 General Prenatal Health Resources 87 460 Postpartum Health 882 481 Access to Health Care 88 482 Common Considerations 88 483 Sexually Transmitted Infections (STI) 89 484 Intimate Partner Violence 89 485 Nutrition 89 486 Physical Activity 89 487 Cultural Competence 90 488 Emergency Planning 90 489 Immunizations 90 490 Mental Health Considerations 90 491 General Postpartum Health Resources 91 492 Breastfeeding 91 493 Sudden Infant Death Syndrome (SIDS) 92 494 Safe Haven: Newborn Infant Protection Act 92 500 Infant Health 93 501 Access to Health Care 93 502 Parent-Infant Bonding 93 503 Infant Mental Health 94 504 Newborn Screening 94 505 General Infant Care 95 506 Growth and Development 95 507 Infant Nutrition 96 508 Oral Health 96 509 Safety and Security 97 510 Emergency Planning 97 511 Immunizations 97 512 General Infant Health Resources 98 550 - Guidelines for Child and Adolescent Health 100 551 Purpose for Child and Adolescent Health Services 101 552 Leading Health Indicators for Children and Adolescents 101 553 Settings for Service Provision 101 9 554 Medical Home Program Goal and Outcome Objective 101 555 Standard of Practice for Health Supervision of Infants, Children and Adolescents 102 556 Components of Health Assessments 103 557 Resources 103 558 References 106 600 - Adolescent Health and Development 107 601 Adolescent Health 108 602 Adolescent Brain Development 108 603 Adolescent Development and Health 109 604 Alcohol, Tobacco and Other Drugs (ATOD) 110 605 Dental Care 113 606 Injury 114 607 Mental Health 115 608 Nutrition and Physical Activity 118 609 Sexual Health 119 610 Teen Pregnancy 120 611 Violence 121 612 Youth Development 121 613 Youth Engagement 123 650 - Guidelines for Children and Youth with Special Health Care Needs (CYSHCN) 125 651 Defining Children and Youth with Special Health Care Needs (CYSHCN) 126 652 Individuals with Disabilities Act (IDEA) 126 653 Resources 126 654 References 127 700 - Guidelines for School Health Services 128 701 School-Age Populations 129 702 Federal Laws to Consider when Providing Health Services in School Settings 129 703 Delivery of School Health Services 129 704 Definition of School Nursing 130 705 Services Provided by School Nurses 130 706 Health Care Plans, Accommodations and Special Education 130 707 Collaborative Partners 131 708 School Health Policies, Statutes and Regulations 131 709 Kansas Statutes and Regulations Addressing School Health 131 710 School Health Statutes and Regulations in the Kansas Nurse Practice Act 132 711 Confidentiality and School Health Records 132 10 712 Resources 133 750 - MCH Resources for Practice 134 751 General State of Kansas Resources 135 752 Child Abuse and Neglect 135 753 Childhood Diseases, Infections and Immunizations 137 754 Children and Youth with Special Health Care Needs 137 755 Confidentiality and Protection of Health Information 138 756 Dental and Oral Health 138 757 Disabilities and the Law 139 758 Emergency and All-Hazards Preparedness 139 759 Health Literacy 140 760 Health Screenings and Assessment 141 761 Maternal and Child Health Resources 142 762 Mental Health and Behavioral Needs 142 763 Nutrition Assistance Programs 142 764 Parenting Skills 143 765 Public Health Resource Manual 144 766 Safety 144 767 Sudden Infant Death Syndrome (SIDS) 144 800 - Appendix 145 [...]... 100 - Overview of Maternal and Child Health (MCH) Services in Kansas Table of Contents 101 - Bureau of Family Health Mission 102 - Bureau of Family Health Services Philosophy 103 - History of MCH in Kansas 104 - MCH Grants 105 - MCH Services 106 - Qualified Workforce 107 - MCH Goal and Standards 108 - References 12 101 Bureau of Family Health Mission The mission of the Bureau of Family Health is to provide...Forward The Maternal and Child Health (MCH) Services Manual reflects a commitment of the Children and Families Section, Bureau of Family Health (BFH), Kansas Department of Health and Environment (KDHE), to promote the KDHE mission: To protect and improve the health and environment of all Kansans This manual was developed specifically for use by entry level MCH/KDHE grantees in the public health workforce... the health of women, children, youth and their families 6 Promotion and enforcement of legal requirements that protect the health and safety of women, children and youth and ensuring public accountability for their well-being 7 Linking women, children and youth to health and other community and family services and assure quality systems of care 8 Assuring the capacity and competency of the public health. .. the State Board of Health shall include the issuance of educational literature on the care of the baby and the hygiene of the child, the study of the causes of infant mortality and the application of preventive measures for the prevention and suppression of the diseases of infancy and early childhood.” These original charges have served as the framework for the Kansas Maternal and Child Health program... leadership to enhance the health of Kansas s women and children through partnerships with families and communities 102 Bureau of Family Health Services Philosophy Holistic health services and health promotion for children, youth and their families should be made available and accessible through integrated systems that promote individualized, family- centered, community-based and coordinated care These... the last 94 years and are an integral component of our present services The Kansas Maternal and Child Health Service was organized as a bureau in 1974 when legislation established a Department of Health and Environment with a secretary of cabinet status in the Governor’s office to replace the original Board of Health 104 MCH Grants Through MCH grants, local agencies increase access and participation... number) The goals and priority needs identified by the Expert Panelists are as follows: 8 Maternal and Child Health Bureau www.mchb.hrsa.gov/about/overview.htm 29 GOAL: To enhance the health of Kansas women and infants across the lifespan 1 All women receive early and comprehensive health care before, during and after pregnancy 2 Improve mental health and behavioral health of pregnant women and new mothers... theoretical and evidence-based principals within current standard of health practices Gaps and barriers to essential services must be identified and addressed in a delivery model that sustains broad based efforts for the promotion and maintenance of optimum health 103 History of MCH in Kansas A legislative mandate created the Kansas Division of Child Hygiene in 1915 “that the general duties of this Division of. .. public health and personal health work force to effectively address maternal and child health needs 9 Evaluation of the effectiveness, accessibility and quality of personal health and population-based maternal and child health services 10 Support for research and demonstrations to gain new insights and innovative solutions to maternal and child health related problems www.amchp.org/programsandtopics/CAST-5/Documents/MCH.pdf... child abuse and neglect and report suspected child abuse and neglect to Social and Rehabilitation Services (SRS) appropriately Standard 8: Education and Prevention Health education, anticipatory guidance and preventive health instruction and services are available to families • 5 Rationale: Basic to health education is a foundation of knowledge about the interrelationship of behavior and health, interactions . Kansas Maternal and Child Health Service Manual Bureau of Family Health Kansas Department of Health and Environment. Director Bureau of Family Health, Kansas Department of Health & Environment for her vision, support and leadership throughout the development of this