Maternal and Child Health Services Program Overview and Updates

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Get the latest updates on the Maternal and Child Health Services program, including details about program staff, district nurse consultants, FFY2017 reports, invoicing and payment procedures, and funding information. Stay informed about site visits, end-of-year reports, program monitoring, audits, and more.

  • Health
  • Services
  • Program
  • Updates
  • Maternal Child

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  1. MCH Services Contract Overview & Program Updates Martha Smith, MSN, RN, LNHA MCH Services Program Manager Center for Local Public Health Services Martha.Smith@health.mo.gov

  2. District Nurse Consultants Amy Bradshaw, SE District Nurse Consultant Amy.Bradshaw@health.mo.gov Leah Vincent, NE District Nurse Consultant Leah.Vincent@health.mo.gov Patsey Dieleman, Eastern District Nurse Consultant Patsey.Dieleman@health.mo.gov Sandy Hong, SW District Nurse Consultant Sandy.Hong@health.mo.gov Nola Martz, NW District Nurse Consultant Nola.Martz@health.mo.gov

  3. Program Staff Michael Bonnett, BS/BA Health Program Representative Michael.Bonnett@health.mo.gov Carry Schroeter Senior Office Support Assistant Carry.Schroeter@health.mo.gov

  4. MCH Program Updates FFY2017 Site Visits Publicity Statement & Approval FFY2017 End-of-Year Reports Monthly Invoices & Payment Program Monitoring Annual Invoice Monitoring Audits Contractor Risk Monitoring

  5. Publicity Statement This project is/was funded in part by the Missouri Department of Health and Senior Services Maternal and Child Health Services Contract # _____________, and is/was supported by the Health Resources Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant #B04MC28109, Maternal and Child Health Services for $9,095,311, of which $0 is from non-governmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

  6. FFY2017 REPORTS FFY2017 Reports are due by October 31st Subrecipient Annual Financial Report Updated Progress Report Contract Outcomes Report Submit Progress Report and Contract Outcomes Report electronically to your DNC Subrecipient Annual Financial Report must be signed and dated Prefer scanned and emailed, but may fax or mail if unable to scan

  7. FFY2017 Invoicing & Payment Monthly Invoices and Invoicing Tool for Calculating Indirect due by 15thof the month Reallocation of funds Between operational expense budget categories ONLY Can NOT affect Indirect Equipment, Rentals/Leases, Subcontracts $0.00 Invoices Invoice Payment Vendor Portal

  8. Program Monitoring Annual Invoice Monitoring Audits Supporting documentation Contractor Risk Monitoring History of program compliance issues Years of experience (Years held contract) Programmatic knowledge of key staff Reliability of Submitted Documents Performance Measures/Goals (Progress on Deliverables) Rate of Sub-recipient spending on Award

  9. FFY2018 MCH Services Scope of Work Changes in Standard Contract Language DHSS payor of last resort Eligibility and Proposal Completion and approval of a proposed work plan in advance NOT required to participate in FFY2018 MCH Services Contract Submission and approval of a proposed FFY2018 MCH Services Contract Budget required for participation FFY2018 MCH Services Contract Budget Worksheet Due August 17, 2017

  10. FFY2018 MCH Services Contract Budget FFY2018 Budget Worksheet Due August 17th Funding Provisions Unchanged Operational Expenses Equipment Rentals/Leases Subcontract(s) Services Staff

  11. FFY2018 MCH Services Scope of Work MCH Services Contract Purpose Leadership role at local level Community-based systems to respond to priority MCH issues Provide and assure access to quality MCH services Reduce health disparities for women, infants, and children Assure prenatal, delivery, and postpartum care for low-income, at-risk pregnant women Provide preventive and primary care services for low income children Efforts to fulfill purpose will include activities and services to address needs of children and youth with special health care needs (cyshcn).

  12. FFY2018 MCH Services Scope of Work Contract Deliverables and Outcomes A timeline with due dates for all contract deliverables will be provided by October 1st. Emphasis on performance and accountability Data driven Community- based system to address priority MCH issues Life Course Perspective Descriptive overview of programs and/or services currently provided by the LPHA to the MCH population Community Engagement MCH Stakeholder input

  13. FFY2018 MCH Services Scope of Work Contract Deliverables and Outcomes (Cont.) Focused Local Assessment Priority Health Issue (PHI) and outcome measure selection Summary of Process and Findings Three-Year Work Plan October 1, 2018 September 30, 2021 FFY2019 Proposed Annual Contract Budget Process for tracking, monitoring and analyzing progress and trends

  14. Focused Local Assessment Based on state and local data, community engagement, and self-determination of local capacity Community Maternal, Infant and Child Health Profile(s) provided by the Missouri Department of Health and Senior Services Quantitative and qualitative data MOPHIMS, MICA, local health data, surveillance data, narratives (What s your story?) 3 population domains Maternal, Infant, and Child/Adolescent Shall include assessment of: The health status, strengths, weaknesses, and needs of the MCH population Existing health inequities and weaknesses/gaps in access to care

  15. Community Engagement Organized method to seek input from families/consumers, providers, and other community members Stakeholder meeting(s) & input Review of focused local assessment Community s standing with respect to the population domains MCH Services Program PHIs Discussion of existing health inequities and weaknesses/gaps in access to care Discussion of ongoing opportunities for engaging stakeholders and families in programming efforts Prioritization of community s MCH PHIs Compare and contrast to the MCH Services Program PHIs

  16. Priority Health Issues (PHIs) MATERNAL CHILD HEALTH SERVICES PROGRAM PRIORITY HEALTH ISSUES POPULATION FOCUS AREAS Maternal Health (childbearing age) Infant Health (0-1 year) Child/Adolescent Health (1-19 years) PRIORITY HEALTH ISSUES Prevent and Reduce Smoking among Women of Childbearing Age & Pregnant Women Promote Safe Sleep Practices among Newborns to Reduce Sleep-Related Infant Deaths Reduce Childhood Exposure to Secondhand Smoke Reduce Intentional and Unintentional Injuries among Children & Adolescents (Motor Vehicle Safety, Suicide, Substance Use) Improve Pre-conception, Prenatal and Postpartum Health Care Services for Women of Childbearing Age Address the Risks and Challenges Associated with Neonatal Abstinence Syndrome Ensure Risk-Appropriate Care for High Risk Infants to Reduce Deaths Reduce Obesity among Women of Childbearing Age Reduce Obesity among Children & Adolescents

  17. Priority Health Issues (PHIs) Maternal Health (childbearing age) Prevent and Reduce Smoking among Women of Childbearing Age & Pregnant Women Improve Pre-conception, Prenatal and Postpartum Health Care Services for Women of Childbearing Age Reduce Obesity among Women of Childbearing Age

  18. Priority Health Issues (PHIs) Infant Health (0-1 years) Promote Safe Sleep Practices among Newborns to Reduce Sleep-Related Infant Deaths Address the Risks and Challenges Associated with Neonatal Abstinence Syndrome Ensure Risk-Appropriate Care for High Risk Infants to Reduce Deaths

  19. MCH Priority Health Issues (PHIs) Child/Adolescent Health (1-19 years) Reduce Childhood Exposure to Secondhand Smoke Reduce Intentional and Unintentional Injuries among Children & Adolescents (Motor Vehicle Safety, Suicide, Substance Use) Reduce Obesity among Children & Adolescents

  20. Summary of Process & Findings Describe: Focused local assessment methodology Data sources utilized Quantitative and qualitative methods used Stakeholder involvement Strengths, weaknesses, and needs of the community s MCH population, LPHA and community capacity, established partnerships/collaborations, and opportunities for engaging families and other stakeholders in programming efforts Interface between data collection and analysis and the prioritization of the community s MCH PHIs Identification of the selected PHI(s) to be addressed in the FFY2019-2021 work plan

  21. FFY2019-2021 Work Plan Identification of the Selected Priority Health Issue and targeted national, state, and/or local outcome measure(s) Statement of the Problem Goals for addressing the stated problem Evidence-based strategies that will be used to address the problem

  22. FFY2019-2021 Work Plan Identification of risk and protective factors that influence health disparities within families and the community through the Life Course Perspective Strategies to address the identified health inequities Strategies to address existing weaknesses/gaps in access to care

  23. FFY2019-2021 Work Plan System Outcome(s) and Activities at each of the six levels of the Spectrum of Prevention

  24. FFY2019-2021 Work Plan System Outcomes SMART S - specific, significant, stretching M - measurable, meaningful, motivational A - agreed upon, attainable, achievable, acceptable, action-oriented R - realistic, relevant, reasonable, rewarding, results-oriented T - time-based, time-bound, timely, tangible, trackable

  25. FFY2019-2021 Work Plan Activities At least one for each year of the work plan Progressive growth toward the system outcome (anticipated change) Based on evidence-based, field-tested, or expert-validated strategies Multifaceted

  26. FFY2018 MCH Services Scope of Work FFY2018 Reports Amendment Process Monitoring Review of Progress and Year-End Reports Annual Site Visits Program Monitoring

  27. MCH RESOURCES Spectrum of Prevention Life Course Perspective MCH Coordinator Orientation Manual MCH Services Reminder Calendar Map of District Nurse Consultant (DNC) Regions Program Staff http://clphs.health.mo.gov/lphs/lphainfo.php

  28. MCH Block Grant (MCHBG) RESOURCES MCH Needs Assessment MCHBG National Performance Measures FFY2016 through FFY2020 MCHBG State Performance Measures FFY2016 through FFY2020 MCHBG Pyramid of Resources http://health.mo.gov/living/families/mch-block-grant/

  29. OTHER RESOURCES MCH Epidemiologist Becca Lander, PhD Rebecca.Lander@health.mo.gov 12345 Fit-Tastic! Developing Effective Coalitions: An Eight Step Guide (Prevention Institute) Revised TBI resource: Resources for Traumatic Brain Injuries in Early Childhood Revised Public Health Nursing Manual

  30. DHSS Program Contacts DCPH Organization Chart Posted at: http://clphs.health.mo.gov/lphs/lphahealthportal.php _________________________ Maternal & Infant Mortality Prevention/Infant Mortality CoIIN Ashlie Otto Ashlie.Otto@health.mo.gov Injury Prevention Coordinator/Child Safety CoIIN Lesha Peterson Lesha.Peterson@health.mo.gov Obesity Prevention Coordinator Karen Wallace Karen.Wallace@health.mo.gov Adolescent Health Coordinator Andra Jungmeyer Andra.Jungmeyer@health.mo.gov School Health Services Program Manager Marjorie Cole Majorie.Cole@health.mo.gov Comprehensive Tobacco Control Program Manager Valerie Howard Valerie.Howard@health.mo.gov

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