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Quarterly Action Alert:

The first 2019/2020 cycle quarterly Level 2 CQI meeting will be held on Monday, November 4, 2019, from 2:00 pm to 4:00 pm.

Each LIA’s Level 1 Team Leader and one additional representative will join the Level 2 CQI team meeting via the WebEx call number listed left of this article.

During this meeting: A Level 2 Leader and Scribe will be selected. A representative of each of the three evidence-based home visiting models the leader

does not represent will be selected.

The new Level 2 Leader and the three Level 2 model representatives will join the Level 3 meeting on December 9, 2019, via the WebEx call number listed left of this article.

Quality Outlook F I R S T Q U A R T E R 2 0 1 9 / 2 0 2 0 C Y C L E

“We would accomplish many more things if we did not think of them as impossible.”- Vince Lombardi

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October 2019

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December 2019

Level 1 CQI All Level 1 Teams

October 7-18, 2019

Level 3 CQI December 9, 2019 1:30 pm—3:30 pm

DHSS—Pine A 650-479-3207

Access Code: 806 503 664#

Level 2 CQI November 4, 2019 2:00 pm—4:00 pm

650-479-3207 Access Code: 800 317 445 #

Level 2 and Level 3 Modifications for 2019/2020 Cycle

The Continuous Quality Improvement (CQI) Level 2 meeting is being transformed from three individual meetings to a single meeting encompassing representation of every local implementing agency’s (LIA) Level 1 team. At Level 3, four Level 2 team members representing each of the four evidence-based models implemented in DHSS home visiting will join the Level 3 team.

This single Level 2 team will be truly inter-agency, bringing together DHSS supported home visiting across a variety of agency sizes, geographic areas, and the four evidence-based models implemented through the LIAs. The shared knowledge and skills of the single Level 2 team will allow for greater input and support by those with a shared investment in the Continuous Quality Improvement of the overall DHSS Home Visiting Program.

Local Level 1 teams will continue to meet in the first month of each quarter during the designated two week period. Each local Level 1 team leader and selected representative will join the new Level 2 team via a WebEx call scheduled for the second month of each quarter. The Level 3 team meeting will continue to be held the third month of each quarter.

The new required members at Level 3 team meetings will include the Level 2 team Leader, and three Level 2 representatives of the evidence-based home visiting models the Leader does not represent in order to ensure representation from all four models. The Level 2 Leader, with the three selected model representatives, will ensure that the perspectives of the four home visiting models implemented through DHSS support are conveyed and considered.

The specifics of these changes can be reviewed in the October 2019, revised edition of the Missouri Home Visiting CQI Handbook, accessible at this link, https://health.mo.gov/living/families/hvcqigateway/pdf/miechvcqihandbook.pdf

Quarterly meeting dates and WebEx call numbers for Level 2 and Level 3 are identified in every issue of this Quality Outlook Newsletter. A yearly schedule can be found in the appendices of the Missouri Home Visiting CQI Handbook.

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CQI ACTIVITY LOGS

Level One EHS-HBO & PAT Teams, please submit your detailed agenda-minutes to Melinda Kirsch at: HVCQI@health.mo.gov by October 25, 2019.

Level One HFMoHV Teams, please submit your detailed agenda-minutes to Tracy Marshall at: HVCQI@health.mo.gov by October 25, 2019.

Level One NFP Teams, please submit your detailed agenda-minutes to Beth Stieferman at: HVCQI@health.mo.gov by October 25, 2019.

Level Two Team, please submit your detailed agenda-minutes to Tracy Marshall and Melinda Kirsch at: HVCQI@health.mo.gov by November 27, 2019.

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.

Level 3 CQI Meeting Recap

2nd Quarter Level 3 CQI Recap - June 10, 2019.

Meeting minutes are posted in the secure section of the DHSS Home Visiting website accessible to DHSS

contracted LIA staff using the secure user-id and password at: https://health.mo.gov/homevisiting/cqi/.

The 1st Quarter Level 3 CQI meeting will be held on:

December 9, 2019

1:30 p.m. – 3:30 p.m.

Pine A Conference Room

Phone #: 650-479-3207— Access Code: 806 503 664 #

Webinar Link: https://stateofmo.webex.com/stateofmo/e.php?MTID=m4c34421c3372e71bb47ca9432491388b

The Missouri Home Visiting CQI Handbook has been updated for the 2019/2020 cycle year.

Some of the updates include:

Level 2 CQI meeting will include Level 1 team representatives from all LIAs on one conference call to interact and support each other;

New guidelines for holding the Level 2 CQI conference call; and

2019/2020 and 2020/2021 calendars for all team level meetings

The updated handbook can be accessed at:

https://health.mo.gov/living/families/hvcqigateway/pdf/miechvcqihandbook.pdf.

Updated CQI Handbook

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October

Domestic Violence Awareness Month Each year thousands of Missourians become victims of domestic violence, a serious crime that can have devastating consequences. However, help is available to victims of abuse. Domestic Violence, Protecting Adult Victims of Domestic Violence publication can be ordered or viewed on-line from the Missouri Attorney General at: https://ago.mo.gov/other-resources/publications/order-publications.

Sudden Infant Death Syndrome (SIDS) Awareness Month SIDS is the sudden death of an infant under one year of age that cannot be explained after a thorough investigation. SIDS is the leading cause of death in the U.S. for infants one month to one year of age. In Missouri, the leading cause of death for infants one month to one year of age is illness and natural causes. In 2017, 79 Missouri infants died from unintentional suffocation/strangulation in bed, while five infants died from SIDS. To reduce the risk of SIDS and suffocation, promote the ABCs of safe sleep: place infants Alone on their Backs in a Crib in the same room where the parents sleep. To reduce the risk of suffocation, remove all soft objects from the crib and never place an infant to sleep with an adult or another child. Following are a variety of safe sleep resources: Children’s Trust Fund DVD, Never Shake & Safe Sleep for Your Baby is available to view and download at: https://ctf4kids.org/never-shake-safe-sleep-for-your-baby-dvd/. The Infant Loss Resources website offers safe sleep information as well as support for families affected by the death of an infant at: http://infantlossresources.org/. The Safe to Sleep® Campaign website includes a helpful FAQ page at: https://www.nichd.nih.gov/sts/about/Pages/faq.aspx. The 2017 Annual Report for Preventing Child Deaths in Missouri can be found at: https://dss.mo.gov/re/pdf/cfrar/2017-child-fatality-review-program-annual-report.pdf

December

Safe Toys and Gifts Month To search for recalls, to report a dangerous product, or product related injury, go online at: www.SaferProducts.gov, or call the Consumer Product Safety Commission's (CPSC) Hotline at: 1-800-638-2772.

National Influenza Vaccination Week (December 1-7, 2019) National Influenza Vaccination Week will be observed December 1-7, 2019. Flu causes millions of illnesses, hundreds of thousands of hospitalizations and thousands or tens of thousands of deaths each year in the United States. For more information visit the Center for Disease Control at: https://www.cdc.gov/flu/index.htm.

November

National Family Health History Day (November 28, 2019) Each year since 2004, the Surgeon General has declared Thanksgiving to be National Family Health History Day. Knowing your family health history risk can help you - if you act on it. Collecting your family health history is an important first step. Using My Family Health Portrait you can enter family health history, learn about your risk for conditions in your family, print your family health history to share with a health care provider, and save the health history so you can update it anytime. The Centers for Disease Control website includes tools and resources to develop a complete picture of your health and risk factors for disease at: https://www.cdc.gov/features/familyhealthhistory/

Prematurity Awareness Month November 17 is World Prematurity Day. The awareness month kicks off with the release of the national Premature Birth Report Card. More information and Missouri’s report card can be found at: http://www.marchofdimes.org/mission/prematurity-reportcard.aspx. Brochures related to prematurity issues and other issues new parents may face are available on-line from the DHSS warehouse at: https://health.mo.gov/warehouse/e-literature.html.

Upcoming Health Awareness

This newsletter is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS), grant # X10MC32201, as part of an award totaling $3,906,090.00

with 0% percentage financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.

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Reminder The Missouri Home Visiting Weekly Updates can be found on the Missouri Home Visiting Gateway at

http://health.mo.gov/living/families/hvcqigateway/.

The Department of Social Services Children’s Division held their third annual Trauma Summit on Monday,

September 16th through Tuesday, September 17th, 2019, at the Holiday Inn Executive Center in Columbia,

Missouri. For the first time, the Missouri Department of Health and Senior Services (DHSS) Home Visiting

Program helped sponsor the Trauma Summit allowing DHSS supported home visiting agencies to attend.

The Trauma Summit welcomed 39 participants of the DHSS Home Visiting Program that included home

visitors, supervisors, and data entry personnel. These participants represented ten of the eleven DHSS

supported local implementing agencies (LIAS) and the four evidence-based home visiting models

implemented among the LIAs: Early Head Start Home-Based Option; Healthy Families America;

Nurse-Family Partnership; and Parents as Teachers.

Day two began with all DHSS staff attending a Child Welfare Simulation,

presented by the Missouri Academy for Child Trauma Studies (MoACTS).

Shawn Boyd, MSW, Missouri Children’s Division, was the guest speaker on

day two. She provided training on Self-Care and Secondary Resiliency

Practices employing videos and a 911 call recording that opened the hearts

of everyone in the room. Agencies again broke into geographic regions to

finish the Community Engagement discussions from the previous day

during the working lunch. The afternoon repeated the break out sessions

allowing opportunity to attend different offerings from day one. The DHSS

Home Visiting Program hopes everyone learned new Trauma Informed

Practices.

Dr. Patsy Carter, Center for Excellence in CHILD Well-being, was the guest

speaker on day one. She provided training, information, and resources on

Working with Families that Have Experienced Trauma. A working lunch was

provided with agencies breaking into geographic regions to answer questions

and discuss Community Engagement. The first set of afternoon sessions

provided break out sessions consisting of Yoga/Mindfulness; Parent Cafés; and

Signs of Safety—highlights and benefits when engaging with families through a

trauma lens. The second set of afternoon sessions provided break out sessions

focused on, Engaging and Working with Families Struggling with Substance

Abuse; Mental Illness; and Domestic Violence.