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Kansas Maternal and Child Health
Service Manual
Bureau ofFamilyHealth
Kansas DepartmentofHealthandEnvironment
Revised January, 2012
KDHE Mission: To Protect the Health
and Environmentof all Kansans
2
Contributions
Appreciation is extended to the members of the Children & Families Section staff, those
who provided consultation and technical assistance, reviewers and all others who
assisted in the preparation of this document.
Children & Families Section Staff:
Jamie Klenklen, BPA, MCH Administrative Consultant, KansasDepartmentof
Health & Environment
Joseph Kotsch, RN, BSN, MS Perinatal Consultant, KansasDepartmentof
Health & Environment
Jane Stueve, MS, BSN, RN, Child and School Health Consultant, Kansas
Department ofHealth & Environment
Consultation and Technical Assistance:
Anita Poland, RN
Barber County Community HealthDepartment
Janis Goedeke, ARNP, Administrator
Crawford County HealthDepartment
John Hultgren, Administrator
Dickinson County HealthDepartment
Diana Rice, Administrator
Edwards County HealthDepartment
Ashley Goss, Administrator
Finney County HealthDepartment
Darlene Lindskog, RN, MCH Nurse
Finney County HealthDepartment
Mary “Midge” Ransom, PhD, Director
Franklin County HealthDepartment
Rebecca Teegarden, HSHV
Kingman County HealthDepartment
Sondra Hone, RN, BSN, Administrator
Mitchell County HealthDepartment
Carolyn Muller, RN, Interim Administrator
Montgomery County HealthDepartment
Teresa K Starr, Administrator
Neosho County HealthDepartment
3
Sandra Schwinn, RN
Pottawatomie County HealthDepartment
Jeanne Ritter, RD, LD, WIC/Child Health Coordinator
Reno County HealthDepartment
Neita Christopherson, RN, BSN, MCH Program
Reno County HealthDepartment
Marci Detmer, RN, BSN, Administrator
Rice County HealthDepartment
Karen Sattler, RN, Administrator
Scott County HealthDepartment
Teresa Fisher, RN, BSN, MCH Outreach Team Leader
Shawnee County Health Agency
Susan E Wilson, BGS, Program Director
Healthy Babies ~ Sedgwick County HealthDepartment
Melanie Vogts, RN, BSN, Program Head-Child Health/KSHS
Unified Government Public HealthDepartment
Medical Review:
Secretary Robert Moser, MD
Kansas DepartmentofHealth & Environment
Dennis Cooley, MD
President, Kansas Chapter AAP
John Evans, MD, FACOG, Perinatologist, Maternal-Fetal Medicine
Stormont-Vail Health Care
Special Acknowledgement:
Linda Kenney, MPH, Director BureauofFamily Health, KansasDepartmentof
Health & Environment for her vision, support and leadership throughout the
development of this manual and continuing implementation of the Kansas Ma
Former Staff Acknowledgement:
Appreciation is extended to these former staff members of the Children and
Families Section who shared their insights and provided consultation in the
development of this manual.
• Ileen Meyer, RN, MS Director of Children & Families Section, Kansas
Department ofHealth & Environment Maternal and Child Health Program
• Brenda Nickel, RN, BSN, MS Child and School Health Consultant, Kansas
Department ofHealth & Environment
Preparation of the Manuscript:
Carrie Akin, Administrative Specialist, KansasDepartmentofHealth &
Environment
Penny Hulse, Sr. Administrative Assistant, KansasDepartmentofHealth &
Environment
Table of Contents
100 - Overview of Maternal and Child Health (MCH) Services in Kansas 12
101 BureauofFamilyHealth Mission 13
102 BureauofFamilyHealth Services Philosophy 13
103 History of MCH in Kansas 13
104 MCH Grants 13
105 MCH Services 14
106 Qualified Workforce 15
107 MCH Goal and Standards 15
108 References: 26
150 - MCH BACKGROUND 27
151 Title V Block Grant to States 28
152 Maternal and Child Health 28
153 MCH (Title V) Funding 29
154 State 5 – Year Needs Assessment 29
155 MCH Performance and Accountability 30
156 MCH Performance Measures 30
157 Criteria for MCHB Performance Measures 31
158 18 National Performance Measures (2010) 31
159 6 MCH Outcome Measures 32
160 Kansas 10 State Performance Measures (2015) 32
161 MCH 10 Essential Services 33
162 Local Core MCH Public Health Services for the Perinatal Population 36
163 Local Core MCH Public Health Services for Children and Adolescent
Populations 37
164 Local Core MCH Public Health Services for Children and Youth with Special
Health Care Needs 38
200 - Social Determinants ofHealth in Kansas 39
201 Description of Social Determinants 40
202 Resources 40
250 - Guidelines for Bright Futures
®
and the Medical Home Model 42
251 Description of Medical Home 43
252 Program Goal and Outcome Objectives for MCH 2015 43
253 Bright Futures
®
and the Medical Home Model 43
254 Medical Home Defined 43
255 Resources 44
6
256 References 44
300 - MCH Administrative Manual 45
301 Grant Applications 46
302 Contracts and Subcontracts 46
303 Contract Revisions 47
304 Budgets 48
305 Documentation of Local Match 49
306 Financial Accountability 49
307 Fiscal Record Retention 51
308 Narrative/Progress Reports 51
309 Inventory or Capital Equipment 51
310 Income 52
311 Data Collection 54
312 Schedule 55
313 Monitoring 56
350 - Guidelines for Records Management 58
351 Scope of Records Management 59
352 Statutes and Laws for Records Management 59
353 Resources 59
400 - Maternal and Infant Health 62
401 Program Description 64
402 Multidisciplinary Health Professional Team 64
403 Program Purpose 65
410 - Guidelines for Outreach andFamily Support: Home Visiting and the Kansas
Healthy Start Home Visitor (HSHV) Services 65
411 Description of Services 65
412 Eligibility for Services 66
413 Program Philosophy, Goals and Objectives 66
414 Supervision Standards and Provision of Services 67
415 Qualifications of Supervisors 67
416 Responsibilities of Supervisors 67
417 Qualifications of Home Visitors 68
418 Making a Home Visit 68
419 Responsibilities of Home Visitors 69
420 Community Collaboration and Local Coordination 69
421 Healthy Start Home Visitor Services Pamphlets 70
7
422 Orientation and Training Standards 70
423 Initial Training for Healthy Start Home Visitors 70
424 Continuing Education 71
425 Provision of Services 71
426 Provision of HSHV Services Algorithm 72
427 Confidentiality 72
428 Administrative Information and Documenting Services 73
429 Documentation of Visits for the Client’s Permanent Health Record 73
430 Client Encounter Data 73
431 Evaluating Outreach andFamily Support Services 74
432 MCH Client Satisfaction Survey Card 74
433 Do’s and Don’ts of Successful Home Visitation 75
434 Federal Healthy Start Programs Serving Kansas 75
435 References 76
440 Preconception Health 77
441 Access to Health Care 77
442 Sexually Transmitted Infections (STI) 77
443 Intimate Partner Violence 78
444 Alcohol, Tobacco and Other Drugs 78
445 Nutrition 79
446 Physical Healthand Oral Health Status 79
447 Physical Activity 80
448 Cultural Competence 80
449 Emergency Planning 81
450 General Preconception Health Resources 81
460 Prenatal Health 82
461 Access to Health Care 82
462 Prenatal Screening Tests 82
463 Genetic Screening 83
464 Risks, Warning Signs and Hazards 83
465 Sexually Transmitted Infections (STI) 84
466 Intimate Partner Violence 84
467 Alcohol, Tobacco and Other Drugs 84
468 Nutrition 85
469 Physical Healthand Oral Health Status 85
470 Physical Activity 85
471 Cultural Competence 86
8
472 Emergency Planning 86
473 Immunizations 86
474 Labor and Delivery 87
475 General Prenatal Health Resources 87
460 Postpartum Health 882
481 Access to Health Care 88
482 Common Considerations 88
483 Sexually Transmitted Infections (STI) 89
484 Intimate Partner Violence 89
485 Nutrition 89
486 Physical Activity 89
487 Cultural Competence 90
488 Emergency Planning 90
489 Immunizations 90
490 Mental Health Considerations 90
491 General Postpartum Health Resources 91
492 Breastfeeding 91
493 Sudden Infant Death Syndrome (SIDS) 92
494 Safe Haven: Newborn Infant Protection Act 92
500 Infant Health 93
501 Access to Health Care 93
502 Parent-Infant Bonding 93
503 Infant Mental Health 94
504 Newborn Screening 94
505 General Infant Care 95
506 Growth and Development 95
507 Infant Nutrition 96
508 Oral Health 96
509 Safety and Security 97
510 Emergency Planning 97
511 Immunizations 97
512 General Infant Health Resources 98
550 - Guidelines for Child and Adolescent Health 100
551 Purpose for Child and Adolescent Health Services 101
552 Leading Health Indicators for Children and Adolescents 101
553 Settings for Service Provision 101
9
554 Medical Home Program Goal and Outcome Objective 101
555 Standard of Practice for Health Supervision of Infants, Children and
Adolescents 102
556 Components ofHealth Assessments 103
557 Resources 103
558 References 106
600 - Adolescent Healthand Development 107
601 Adolescent Health 108
602 Adolescent Brain Development 108
603 Adolescent Development andHealth 109
604 Alcohol, Tobacco and Other Drugs (ATOD) 110
605 Dental Care 113
606 Injury 114
607 Mental Health 115
608 Nutrition and Physical Activity 118
609 Sexual Health 119
610 Teen Pregnancy 120
611 Violence 121
612 Youth Development 121
613 Youth Engagement 123
650 - Guidelines for Children and Youth with Special Health Care Needs (CYSHCN) 125
651 Defining Children and Youth with Special Health Care Needs (CYSHCN) 126
652 Individuals with Disabilities Act (IDEA) 126
653 Resources 126
654 References 127
700 - Guidelines for School Health Services 128
701 School-Age Populations 129
702 Federal Laws to Consider when Providing Health Services in School Settings
129
703 Delivery of School Health Services 129
704 Definition of School Nursing 130
705 Services Provided by School Nurses 130
706 Health Care Plans, Accommodations and Special Education 130
707 Collaborative Partners 131
708 School Health Policies, Statutes and Regulations 131
709 Kansas Statutes and Regulations Addressing School Health 131
710 School Health Statutes and Regulations in the Kansas Nurse Practice Act 132
711 Confidentiality and School Health Records 132
10
712 Resources 133
750 - MCH Resources for Practice 134
751 General State ofKansas Resources 135
752 Child Abuse and Neglect 135
753 Childhood Diseases, Infections and Immunizations 137
754 Children and Youth with Special Health Care Needs 137
755 Confidentiality and Protection ofHealth Information 138
756 Dental and Oral Health 138
757 Disabilities and the Law 139
758 Emergency and All-Hazards Preparedness 139
759 Health Literacy 140
760 Health Screenings and Assessment 141
761 Maternal and Child Health Resources 142
762 Mental Healthand Behavioral Needs 142
763 Nutrition Assistance Programs 142
764 Parenting Skills 143
765 Public Health Resource Manual 144
766 Safety 144
767 Sudden Infant Death Syndrome (SIDS) 144
800 - Appendix 145
[...]... 100 - Overview of Maternal and Child Health (MCH) Services in Kansas Table of Contents 101 - BureauofFamilyHealth Mission 102 - BureauofFamilyHealth Services Philosophy 103 - History of MCH in Kansas 104 - MCH Grants 105 - MCH Services 106 - Qualified Workforce 107 - MCH Goal and Standards 108 - References 12 101 Bureau of Family Health Mission The mission of the Bureauof Family Health is to provide...Forward The Maternal and Child Health (MCH) Services Manual reflects a commitment of the Children and Families Section, BureauofFamilyHealth (BFH), KansasDepartment of HealthandEnvironment (KDHE), to promote the KDHE mission: To protect and improve the health andenvironmentof all Kansans This manual was developed specifically for use by entry level MCH/KDHE grantees in the public health workforce... the healthof women, children, youth and their families 6 Promotion and enforcement of legal requirements that protect the healthand safety of women, children and youth and ensuring public accountability for their well-being 7 Linking women, children and youth to healthand other community andfamily services and assure quality systems of care 8 Assuring the capacity and competency of the public health. .. the State Board ofHealth shall include the issuance of educational literature on the care of the baby and the hygiene of the child, the study of the causes of infant mortality and the application of preventive measures for the prevention and suppression of the diseases of infancy and early childhood.” These original charges have served as the framework for the Kansas Maternal and Child Health program... leadership to enhance the healthofKansas s women and children through partnerships with families and communities 102 BureauofFamilyHealth Services Philosophy Holistic health services andhealth promotion for children, youth and their families should be made available and accessible through integrated systems that promote individualized, family- centered, community-based and coordinated care These... the last 94 years and are an integral component of our present services The Kansas Maternal and Child Health Service was organized as a bureau in 1974 when legislation established a Department of HealthandEnvironment with a secretary of cabinet status in the Governor’s office to replace the original Board ofHealth 104 MCH Grants Through MCH grants, local agencies increase access and participation... number) The goals and priority needs identified by the Expert Panelists are as follows: 8 Maternal and Child HealthBureau www.mchb.hrsa.gov/about/overview.htm 29 GOAL: To enhance the healthofKansas women and infants across the lifespan 1 All women receive early and comprehensive health care before, during and after pregnancy 2 Improve mental healthand behavioral healthof pregnant women and new mothers... theoretical and evidence-based principals within current standard ofhealth practices Gaps and barriers to essential services must be identified and addressed in a delivery model that sustains broad based efforts for the promotion and maintenance of optimum health 103 History of MCH in Kansas A legislative mandate created the Kansas Division of Child Hygiene in 1915 “that the general duties of this Division of. .. public healthand personal health work force to effectively address maternal and child health needs 9 Evaluation of the effectiveness, accessibility and quality of personal healthand population-based maternal and child health services 10 Support for research and demonstrations to gain new insights and innovative solutions to maternal and child health related problems www.amchp.org/programsandtopics/CAST-5/Documents/MCH.pdf... child abuse and neglect and report suspected child abuse and neglect to Social and Rehabilitation Services (SRS) appropriately Standard 8: Education and Prevention Health education, anticipatory guidance and preventive health instruction and services are available to families • 5 Rationale: Basic to health education is a foundation of knowledge about the interrelationship of behavior and health, interactions .
Kansas Maternal and Child Health
Service Manual
Bureau of Family Health
Kansas Department of Health and Environment. Director Bureau of Family Health, Kansas Department of
Health & Environment for her vision, support and leadership throughout the
development of this