enhanced 18-month well-baby visit initiative public health, community partnerships, and primary care...
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Enhanced 18-month Well-Baby Visit Initiative Public Health, Community Partnerships, and Primary Care Practice
Presented by: Sue McLeod, RN, MN Public Health Nurse Family Health Service, Child Health Program
Jan 2012
Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative
OutlineOutline
How and Why Public Health would want to be involved?How and Why Public Health would want to be involved?
Child Health Multi-pronged strategyChild Health Multi-pronged strategy
What we have accomplished?What we have accomplished?
Planning for next phasePlanning for next phase
Child Health Healthy Growth and Development WorkplanChild Health Healthy Growth and Development Workplan
Community Partnerships Early Intervention Services
Reviewed Evidence and Background DocumentsSituational Assessment
Child Health Healthy Growth and Development WorkplanChild Health Healthy Growth and Development Workplan
Partnerships With Primary Care Practitioners
HBHCSurvey 2008
SMDHU Programs
Paediatricians
Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative
OutcomesOutcomes
Build effective partnerships among parents, primary care providers and community Build effective partnerships among parents, primary care providers and community resourcesresources
Provide information, education and support for primary care providersProvide information, education and support for primary care providers
Provide parents and providers with tools to support an enhanced 18 month well baby Provide parents and providers with tools to support an enhanced 18 month well baby visitvisit
Encourage timely access to services and manage wait timesEncourage timely access to services and manage wait times
Describe the developmental health status of our children through universal screeningDescribe the developmental health status of our children through universal screening
Evaluate the impact of the enhanced 18 month well baby visitEvaluate the impact of the enhanced 18 month well baby visit
Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative
Child Health Program Healthy Growth and Development OPHS Child Health Program Healthy Growth and Development OPHS (2008) standard goal (2008) standard goal “to enable all children to attain and sustain “to enable all children to attain and sustain optimal health and developmental potential”optimal health and developmental potential”
Broadening of universal screening activity at the community level to Broadening of universal screening activity at the community level to include primary care practiceinclude primary care practice
Relationships already established between Public Health, Community Relationships already established between Public Health, Community Partners and Primary Care practitionersPartners and Primary Care practitioners
Leadership and supportive engagement strategy with primary care Leadership and supportive engagement strategy with primary care practitioners support universal developmental surveillance and practitioners support universal developmental surveillance and promotion of early child development for toddlers and preschoolerspromotion of early child development for toddlers and preschoolers
Child Health Program: Multi-pronged Promotion StrategyChild Health Program: Multi-pronged Promotion Strategy
PHN visits to primary care providers PHN visits to primary care providers in Sept-Dec 2011in Sept-Dec 2011
Provide “academic detailing” related Provide “academic detailing” related to use of existing resources and to use of existing resources and access to web-based supportsaccess to web-based supports
Gather information about current Gather information about current practices, including provision of practices, including provision of immunization at 18-monthsimmunization at 18-months
Follow-up with telephone contact to Follow-up with telephone contact to determine changes in practice 3 determine changes in practice 3 months after the visit will take placemonths after the visit will take place
Parent Advocacy strategy (2012)Parent Advocacy strategy (2012)
www.18monthvisit.ca
Child Health Program: Multi-pronged Promotion StrategyChild Health Program: Multi-pronged Promotion Strategy
Approximately 75% of PCP PHN local 1Approximately 75% of PCP PHN local 1stst visits complete visits complete
2012 CH Operational Plan to complete Visits/Data Collection 2012 CH Operational Plan to complete Visits/Data Collection by March 30, 2012by March 30, 2012
Begin 2Begin 2ndnd visits June 2012 visits June 2012
Parent Advocacy Promotion strategyParent Advocacy Promotion strategy VPD messagesVPD messages eNDDSeNDDS
End of 2012 – Final Data Compile/ReportEnd of 2012 – Final Data Compile/Report
Enh Enhanced 18 Month Well Baby Visit Initiative anced 18 Enh Enhanced 18 Month Well Baby Visit Initiative anced 18 Month Well Baby Visit InitiativeMonth Well Baby Visit Initiative
Support from SMDHU and FHS ManagementSupport from SMDHU and FHS Management
AMOH – Dr.Sue Surry, MOH - Dr.Charles GardnerAMOH – Dr.Sue Surry, MOH - Dr.Charles Gardner Board of HealthBoard of Health Human Resources – PHNHuman Resources – PHN Resources – Documentation/Presentations – internal and externalResources – Documentation/Presentations – internal and external FHT/FHN Liaison role support to local areasFHT/FHN Liaison role support to local areas Priority of Child Health Team operational plans to structure Priority of Child Health Team operational plans to structure
initiative work into HG&D workplansinitiative work into HG&D workplans
Offord CenterOfford Center Data CollectionData Collection ResourcesResources CommunicationCommunication
Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative
Wonderful collaboration between public health and primary careWonderful collaboration between public health and primary care
Building and strengthening relationships between local PHN’s and Building and strengthening relationships between local PHN’s and FHTsFHTs
““Best visit Best visit ever ever from Public Health!”from Public Health!”
““Spin- off to other collaborative activities between PH and PCP Spin- off to other collaborative activities between PH and PCP are immeasureable!”are immeasureable!”
We are receiving referrals from primary care practitioners – first in We are receiving referrals from primary care practitioners – first in my 30 years of early intervention service!my 30 years of early intervention service!
Primary Care Practices want to hear from Public Health – Primary Care Practices want to hear from Public Health – connectedness!connectedness!