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    Quarterly Action Alert

    To comply with COVID -19 public health social distancing recommendations:  Plan and hold “virtual” Level 1 meetings by conference call or another method

     Expand family involvement at Level 1 for input on improving tele -home visits and increased investment of continued enrollment in home visiting

    Quality Outlook T H I R D Q U A R T E R 2 0 1 9 / 2 0 2 0 C Y C L E “Continual imp rovement is an un ending journ ey .” - Lloyd Dobens

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    April 2020

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    May 2020

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    June 2020

    Level 1 CQI All Level 1 Teams

    April 6-17, 2020

    Level 3 CQI June 8, 2020

    1:30 pm—3:30 pm

    DHSS—Pine A

    650-479-3207 Access Code: 809 893 108 #

    Level 2 CQI

    May 12, 2020 9:00 am—11:00 am


    Access Code: 805 307 380 #

    Continuous Quality Improvement (CQI) and COVID-19

    With the impact of COVID -19 creating new work environments and home visitors following their model’s guidance for tele-home visiting, the continuation of the

    Missouri DHSS Home Visiting Program’s three-tiered CQI process is essential as a mode to work through how to continue and even improve support to families at this time of

    uncertainty and apprehension.

    The DHSS Home Visiting Program recommends all local implementing agencies (LIAs)

    hold their Level 1 meetings virtually by conference call or other methods available. This will provide an opportunity for LIA staff and their family participant(s) to come

    together safely to discuss ways to maintain connection and support of the families we

    all serve.

    During this unprecedented situation LIAs are encouraged to make working with their Level 1 family participant team member(s) a priority of this quarter ’s Level 1 team

    meeting. Inviting additional family participants at this time would be a valuable approach to take to bring families more closely into the process of improving home

    visiting and increase their investment in continued enrollment in home visiting.

    Expanded family involvement in the Level 1 meetings may also result in innovative

    suggestions for home visitors to complete crucial screenings such as child development, parent child observations, and depression screenings as related to

    post -partum, feelings of isolation, how to cope with family, and other issues.

    Until home visiting returns to family homes, expanding family involvement in Level 1

    meetings allows LIAs to bring families into their “virtual home” to maintain and enhance connection with families during this time.

    It has been said in this space in the past that it is…

    impossible to improve a system without involving those that the system affects .

    State Priority Focus #3 and COVID -19

    Over the last three quarters, all LIAs have been working on CQI projects to address the current State Priority Focus #3, Increase the Percentage of Completed American

    Academy of Pediatrics (AAP) Recommended Well -child Visits, for the period of June 30, 2019 through June 30, 2020. We recognize that continuation of PDSA tests of

    strategies related to State Priority #3, may need to be put on hold, and that the outcome of the overall project may have unpredictable impacts from tele -home

    visiting, shelter in place recommendations for Missouri citizens, and the possibility of

    the health care system being redirected to address COVID -19 care as a priority over all other non-emergency medical care in the coming months. As a result of these

    considerations, the DHSS Home Visiting Program advocates that efforts to promote

    well-child visits follow all safety and health recommendations to keep families safe.

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    Level One EHS-HBO & PAT Teams, please submit your detailed agenda-minutes to Kelly Beisser at: kelly.beisser@phelpscounty.org,

    and Melinda Kirsch at: HVCQI@health.mo.gov by May 1, 2020.

    Level One HFMoHV Teams, please submit your detailed agenda-minutes to Kelly Beisser at: kelly.beisser@phelpscounty.org,

    and Tracy Marshall at: HVCQI@health.mo.gov by May 1, 2020.

    Level One NFP Teams, please submit your detailed agenda-minutes to Kelly Beisser at: kelly.beisser@phelpscounty.org,

    and Beth Stieferman at: HVCQI@health.mo.gov by May 1, 2020.

    Level Two CQI Scribe, please submit your detailed agenda-minutes to Holly Robinson at: Holly.Robinson@health.mo.gov,

    And Beth Stieferman at: HVCQI@health.mo.gov by May 22, 2020.

    Please note the CQI-specific email address for submitting PDSA storyboards and

    CQI activity logs. You may also send any of your CQI related inquiries to this

    address for the quickest response, as multiple DHSS home visiting staff will access

    this account. The CQI-specific email address is: HVCQI@health.mo.gov.

    Prior Quarter Level 3 CQI Meeting FY19 - 2nd Quarter Level 3 CQI Recap—March 8, 2020.

    Meeting minutes are posted in the section of the DHSS Home Visiting website accessible to all contracted Local

    Implementing Agency staff at: https://health.mo.gov/homevisiting/cqi/.

    The City of Columbia/Boone County Healthy Families America program, partially supported through Missouri’s Title V Maternal Child Health Services Block Grant under the Healthy Families Missouri Home Visiting (HFMoHV) program, held its annual Winter Party in December. The small staff of three home visitors and their supervisor provided families with recognition of their parenting efforts throughout the year with a celebration for the whole family. Some of the highlights were a photo area for family photos and a cookie decorating table that the kids just loved! Additionally, every child received a coloring book and crayons at check-in, and parents received a holiday themed gift bag filled with laundry soap, baby wipes, dish

    soap, toothbrushes and paper towels.

    Through an innovative purchase process for supplies used in home visits, like diapers, the staff purchase through Target and receive bonus gift cards typically with every diaper purchase. These cards accumulate and in November home visitors purchase toys, books, family games, and things moms might like for themselves such as blankets, throws, lotions, and other gifts. In the past few years “dad” gifts, such as tools have been added to the list leading to an increase in dads attending. These items are distributed during a

    raffle type drawing with families choosing from among the wide variety of gifts.

    Lively Bingo games are also played by the adults with the BINGO prizes being laundry baskets filled with necessities

    such as paper towels, dish washing liquid, disinfecting wipes, toilet paper, and dryer sheets.

    mailto:kelly.beisser@phelpscounty.org mailto:HVCQI@health.mo.gov?subject=HV%20CQI%20Inquiry mailto:kelly.beisser@phelpscounty.org mailto:HVCQI@health.mo.gov?subject=HV%20CQI%20Inquiry mailto:kelly.beisser@phelpscounty.org mailto:HVCQI@health.mo.gov mailto:Holly.Robinson@health.mo.gov mailto:HVCQI@health.mo.gov mailto:HVCQI@health.mo.gov?subject=HV%20CQI%20Inquiry https://health.mo.gov/homevisiting/cqi/

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    National Child Abuse Prevention Month April is National Child Abuse Prevention Month. Keep children safe and families strong in supportive communities! Get updated tools, tips, and techniques in the 2019/2020 Prevention Resource Guide. #NCAPM2020 #childabusepreventionmonth https://www.childwelfare.gov/topics/preventing/preventionmonth/resources/resource-guide/

    National Infant Immunization Week (April 26 - May 3, 2020) April 26 - May 3, 2020 is National Infant Immunization Week. National Infant Immunization Week (NIIW) was established to raise the profile of the infant immunization program in the United States. Infant immunization protects people from vaccine-preventable diseases throughout their life. Get more infant immunization resources at https://health.mo.gov/living/wellness/immunizations/niiw.php.


    National Safety Month Observed annually in June, National Safety Month focuses on reducing leading causes of injury and death at work, on the road and in our homes and communities. Do not miss out on an opportunity to educate families on safety all year long. Get downloadable resources and more information on home safety at https://www.nsc.org/work-safety/get-involved/national-safety-month.

    National Sickle Cell Awareness June 19, 2020 is World Sickle Cell Awareness Day. The international awareness day is observed annually with the goal to increase public knowledge and an understanding of sickle cell disease, and the challenges experienced by patients, their families and caregivers. The Missouri Sickle Cell Anemia Program (MSCAP) provides information to the public and health professionals about sickle cell anemia and sickle cell traits. They promote and provide screening, referral, counseling, and follow-up services for Missouri citizen