welcome home baby report to the first steps commission july 31, 2014
TRANSCRIPT
Welcome Home BabyReport to the First Steps CommissionJuly 31, 2014
WHB Objectives Serve as a gateway into early childhood
services for families with newborns; triage families based on need
Impact newborn health outcomes (use of medical home, ED & hospital use, breastfeeding)
Track referral partner data and use for system improvement
WHB 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
WHB Eligibility Welcome Home Baby is available to mothers
and/or fathers who are Kent County residents and have an infant under 30 days old and are one or more of the following:
First-time parents 25 years old or younger Giving birth in the U.S. for the first time Parents of a newborn in the Neonatal Intensive
Care Unit (NICU) at Mercy Health Saint Mary’s Hospital
WHB 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
WHB Client Demographics 82% First-time parents
2% First U.S. birth
Mother’s age 49% 25 & younger
45% Infants on Medicaid
2014 Data
WHB Client Demographics Mother’s language: 93% English, 4% Spanish, 3% Other
Mother’s race/ethnicity
2014 Data
WHB Client Demographics Marital status
Mother’s education
2014 Data
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%
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%
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%)
Challenges
Hospital access Data sharing/analysis of health
outcomes, ED use, hospital readmissions
Sustainable funding Data reporting (new database &
reporting mechanism being developed)
System change affecting WHB Timeframe of first medical home visit for
newborn has improved
Parents perceive reduced need for WHB
CQI project to address acceptance rate
MDCH Home Visiting Hub Home Visiting Hubs will streamline and
coordinate outreach, intake, referral and feedback loops across home visiting programs at the community level, assuring equitable access to the most appropriate services for high risk families.
Target population: prenatal to age 5
HV Hub – WHB Role Blend MDCH grant & WHB funding to
further develop HV Hub and convene home visiting agencies- MOU’s in place with 15 partner agencies
Establish a pilot in one area hospital in an effort to test universal outreach, screening and referral at birth- Mercy Health Saint Mary’s
HV Hub – WHB Role Reduce duplicative home visits for clients
engaged prenatally in home visiting programs- prenatal client database, gathering first set of data currently
Outreach & marketing- additional funding opportunity through September 2014, promoting 211 as the number to call
WHB Lessons LearnedTime & persistence
Adaptation
More work to be done
Advocacy NeededPhysician champion
Evaluation/data analysis focus
Funding
Q & A