Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014

Transcript of Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

Page 1: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

Kent County Home Visiting Hub

Michigan Home Visiting Conference

August 6, 2014

Page 2: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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

Page 3: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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

Page 5: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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

Page 6: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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

Page 7: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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)

Page 8: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

WHB Referral Feedback

New data definitions in 2013

Collection of data 90 days after referral

MOU includes data expectations

Page 9: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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%

Page 10: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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

Page 12: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

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

Page 17: Kent County Home Visiting Hub Michigan Home Visiting Conference August 6, 2014.

Christina Pavlak, LMSWProgram Manager, Welcome Home Baby

Project Director, Kent County Home Visiting Hub

[email protected]

www.firststepskent.org