kent county home visiting hub michigan home visiting conference august 6, 2014
TRANSCRIPT
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Kent County Home Visiting Hub
Michigan Home Visiting Conference
August 6, 2014
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Needs Assessment Identified existing resources that could
contribute to the development of a home visiting hub
Identified gaps and improvements that could be made to the systems and components already in place
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Welcome Home Baby Early childhood gateway for families with
newborns in Kent County since 2010
Hub functions: coordinated outreach, intake, referral, and feedback loops
Referrals based on assessment and parent choice
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WHB Opportunities for Improvement Need for improved data definitions &
collection for referral feedback
Need to quantify service capacity tracking
Limited population
Duplication of home visits
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WHB Background: Objectives Serve as a gateway into early childhood
services for families with newborns
Impact newborn health outcomes (use of medical home, ED & hospital use, breastfeeding)
Track referral partner data and use for system improvement
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WHB Background: Components Hospital visit: introduction and consent
Scheduling: phone call
Home visit: assessment, education, referral
Follow-up phone call to client
Client satisfaction survey
Referral feedback from agencies
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WHB Background: Home Visits 2013
4126 Eligible
3278 Offered (79% of eligible)
2364 Accepted (72% of offered)
1781 Completed (75% of accepted)
3495 Referrals to partner agencies (15)
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WHB Referral Feedback
New data definitions in 2013
Collection of data 90 days after referral
MOU includes data expectations
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WHB Referral Feedback April- June 2013 Quarter:
Acknowledged referrals (appropriate) = 99.1% (n = 325)
Service delivery status: (n = 322) Services in progress = 60.6% Parent declined = 17.7% Unable to contact = 19.6% Waiting list = 2.2%
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WHB Referral Feedback July- September 2013 Quarter:
Acknowledged referrals (appropriate) = 97.7% (n = 396)
Service delivery status: (n = 387) Services in progress = 64.1% Parent declined = 12.4% Unable to contact = 22% Waiting list = 1.6%
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WHB Capacity Data Quantified data collection in 2014
MOU includes data expectations
Established referral distribution ratios in 2014 for programs with multiple providers Based on open capacity; developed
formulas with agreed upon caseloads with referral partner agencies
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Home Visiting Capacity July MIHP Report:
Slots available = 2676 Slots filled = 1913 (71%)
July IMH Report: Slots available = 168 Slots filled = 129 (77%)
May Report for other home visiting: Slots available = 1485 Slots filled = 1396 (94%)
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WHB Expansion- Pilot Establish a pilot in one area hospital in
an effort to move toward universal outreach, screening and referral at birth Universal touch Risk screening Appropriate referrals
Planned measures of success
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WHB Prenatal Database Reduce duplicative home visits for
clients engaged prenatally in home visiting programs Partner agencies submit active prenatal client
lists (gathering first set of data currently) WHB notifies agency of birth of their active
client so that worker can schedule newborn home visit
Cost savings for WHB (offsets cost of pilot expansion to provide access to more families)
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Role of Heart of West Michigan United Way 2-1-1 in the HV Hub
Will act as a primary portal into the HV Hub, responding to families’ needs with a wide array of resources, services, and information related to pregnancy and early childhood
Updating 2-1-1 database with home visiting program information
Will determine triage questions to make referrals or forward calls to WHB
Outreach campaign with one number to call
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Future Developments Further develop connections to
healthcare hub and 2-1-1
Outreach to vulnerable populations, i.e. women not seeking prenatal care or unaware of pregnancy
Establish referral process to the Hub through emergency departments
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Christina Pavlak, LMSWProgram Manager, Welcome Home Baby
Project Director, Kent County Home Visiting Hub
www.firststepskent.org