Martha Smith MSN RN LNHA MCH Services Program Manager Center for Local Public Health Services MarthaSmithhealthmogov District Nurse Consultants Amy Bradshaw SE District Nurse Consultant ID: 671501
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Slide1
MCH Services Contract Overview & Program Updates
Martha Smith, MSN, RN, LNHAMCH Services Program ManagerCenter for Local Public Health ServicesMartha.Smith@health.mo.govSlide2
District Nurse Consultants
Amy Bradshaw, SE District Nurse Consultant Amy.Bradshaw@health.mo.govLeah 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.govSlide3
Program Staff
Michael Bonnett, BS/BAHealth Program RepresentativeMichael.Bonnett@health.mo.gov
Carry Schroeter
Senior Office Support Assistant
Carry.Schroeter@health.mo.govSlide4
MCH Program Updates
FFY2017 Site VisitsPublicity Statement & ApprovalFFY2017 End-of-Year ReportsMonthly Invoices & PaymentProgram Monitoring
Annual Invoice Monitoring Audits
Contractor Risk MonitoringSlide5
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.Slide6
FFY2017 REPORTS
FFY2017 Reports are due by October 31stSubrecipient Annual Financial ReportUpdated Progress ReportContract 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 scanSlide7
FFY2017 Invoicing & Payment
Monthly Invoices and Invoicing Tool for Calculating Indirect due by 15th of the monthReallocation of fundsBetween operational expense budget categories ONLYCan NOT affect IndirectEquipment, Rentals/Leases, Subcontracts
$0.00 Invoices
Invoice Payment
Vendor PortalSlide8
Program Monitoring
Annual Invoice Monitoring AuditsSupporting documentationContractor Risk MonitoringHistory of program compliance issuesYears 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 AwardSlide9
FFY2018 MCH Services Scope of Work
Changes in Standard Contract LanguageDHSS payor of last resort Eligibility and ProposalCompletion 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,
2017Slide10
FFY2018 MCH Services Contract Budget
FFY2018 Budget Worksheet Due August 17th Funding Provisions UnchangedOperational ExpensesEquipmentRentals/Leases
Subcontract(s)
Services
StaffSlide11
FFY2018 MCH Services Scope of Work
MCH Services Contract PurposeLeadership role at local levelCommunity-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
).Slide12
FFY2018 MCH Services Scope of Work
Contract Deliverables and OutcomesA timeline with due dates for all contract deliverables will be provided by October 1st.
E
mphasis
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 inputSlide13
FFY2018 MCH Services Scope of Work
Contract Deliverables and Outcomes (Cont.)Focused Local AssessmentPriority Health Issue (PHI) and outcome measure selectionSummary 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 trendsSlide14
Focused Local Assessment
Based on state and local data, community engagement, and self-determination of local capacityCommunity 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
M
aternal
,
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 careSlide15
Community Engagement
Organized method to seek input from families/consumers, providers, and other community membersStakeholder meeting(s) & inputReview of focused local assessment
C
ommunity’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
C
ompare
and contrast
to
the MCH Services Program
PHIsSlide16
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
Improve Pre-conception, Prenatal and Postpartum Health Care Services for Women of Childbearing Age
Address the Risks and Challenges Associated with Neonatal Abstinence Syndrome
Reduce Intentional and Unintentional Injuries among Children & Adolescents (Motor Vehicle Safety, Suicide, Substance Use)
Reduce Obesity among Women of Childbearing Age
Ensure Risk-Appropriate Care for High Risk Infants to Reduce Deaths
Reduce Obesity among Children & Adolescents
Slide17
Priority Health Issues (PHIs)
Maternal Health (childbearing age)Prevent and Reduce Smoking among Women of Childbearing Age & Pregnant WomenImprove Pre-conception, Prenatal and Postpartum Health Care Services for Women of Childbearing AgeReduce Obesity among Women of Childbearing AgeSlide18
Priority Health Issues (PHIs)
Infant Health (0-1 years)Promote Safe Sleep Practices among Newborns to Reduce Sleep-Related Infant DeathsAddress the Risks and Challenges Associated with Neonatal Abstinence Syndrome
Ensure Risk-Appropriate Care for High Risk Infants to Reduce DeathsSlide19
MCH Priority Health Issues (PHIs)
Child/Adolescent Health (1-19 years)Reduce Childhood Exposure to Secondhand SmokeReduce Intentional and Unintentional Injuries among Children & Adolescents (Motor Vehicle Safety, Suicide, Substance Use)
Reduce Obesity among Children & AdolescentsSlide20
Summary of Process & Findings
Describe: Focused local assessment methodology Data
sources
utilized
Q
uantitative
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 planSlide21
FFY2019-2021 Work Plan
Identification of the Selected Priority Health Issue and targeted national, state, and/or local outcome measure(s)Statement of the ProblemGoals for addressing the stated problemEvidence-based strategies that will be used to address the problemSlide22
FFY2019-2021 Work Plan
Identification of risk and protective factors that influence health disparities within families and the community through the Life Course PerspectiveStrategies to address the identified health inequitiesStrategies to address existing weaknesses/gaps in access to careSlide23
FFY2019-2021 Work Plan
System Outcome(s) and Activities at each of the six levels of the Spectrum of PreventionSlide24
FFY2019-2021 Work Plan
System OutcomesSMARTS - specific, significant, stretchingM - measurable, meaningful, motivationalA - agreed upon, attainable, achievable, acceptable, action-orientedR - realistic, relevant, reasonable, rewarding, results-oriented
T
- time-based, time-bound, timely, tangible, trackableSlide25
FFY2019-2021 Work Plan
ActivitiesAt least one for each year of the work planProgressive growth toward the system outcome (anticipated change)Based on evidence-based, field-tested, or expert-validated strategiesMultifacetedSlide26
FFY2018 MCH Services Scope of Work
FFY2018 ReportsAmendment ProcessMonitoring Review of Progress and Year-End ReportsAnnual Site VisitsProgram MonitoringSlide27
MCH RESOURCES
Spectrum of PreventionLife Course PerspectiveMCH Coordinator Orientation ManualMCH Services Reminder CalendarMap of District Nurse Consultant (DNC) RegionsProgram Staff
http://
clphs.health.mo.gov/lphs/lphainfo.phpSlide28
MCH Block Grant (MCHBG) RESOURCES
MCH Needs AssessmentMCHBG National Performance MeasuresFFY2016 through FFY2020MCHBG State Performance Measures
FFY2016 through
FFY2020
MCHBG
Pyramid of
Resources
http://health.mo.gov/living/families/mch-block-grant/Slide29
OTHER RESOURCES
MCH EpidemiologistBecca 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 ManualSlide30
DHSS Program Contacts
DCPH Organization ChartPosted
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