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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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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
650-479-3207
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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CQI ACTIVITY LOGS
Level One EHS-HBO & PAT Teams, please submit your detailed agenda-minutes to Kelly Beisser at: [email protected],
and Melinda Kirsch at: [email protected] by May 1, 2020.
Level One HFMoHV Teams, please submit your detailed agenda-minutes to Kelly Beisser at: [email protected],
and Tracy Marshall at: [email protected] by May 1, 2020.
Level One NFP Teams, please submit your detailed agenda-minutes to Kelly Beisser at: [email protected],
and Beth Stieferman at: [email protected] by May 1, 2020.
Level Two CQI Scribe, please submit your detailed agenda-minutes to Holly Robinson at: [email protected],
And Beth Stieferman at: [email protected] 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: [email protected].
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.
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April
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.
June
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 citizens at risk for sickle cell disease. Get more information about Missouri ’s Sickle Cell Anemia Program at https://health.mo.gov/living/families/genetics/sicklecell/index.php.
May
Better Hearing and Speech Month The Missouri Newborn Hearing Screening Program strives to assure all newborns meet the goals of the 1-3-6 Plan. The goals are that all newborns are screened for hearing loss by 1 month of age, all newborns who fail the hearing screening are evaluated by an audiologist by 3 months of age, and all infants diagnosed with a permanent hearing loss are enrolled in a program of early intervention by 6 months of age. Get more information on the 1-3-6 Plan and other publications at https://health.mo.gov/living/families/genetics/newbornhearing/index.php.
Preeclampsia Awareness Month Preeclampsia is a serious blood pressure condition that can happen after the 20th week of pregnancy or after giving birth (called postpartum preeclampsia). It ‘s when a woman has high blood pressure and signs that some of her organs, like kidneys and liver, may not be working normally. High blood pressure (also called hypertension) is when the force of blood against the walls of the blood vessels is too high. It can stress the heart and cause problems during pregnancy. Preeclampsia is a serious health problem for pregnant women around the world. It affects 2 to 8 percent of pregnancies worldwide (2 to 8 in 100). In the United States , it’s the cause of 15 percent (about 3 in 20) of premature births. Most women with preeclampsia have healthy babies. But if it’s not treated, it can cause severe health problems for women and their babies. Get resources to share with families on preeclampsia at https://www.marchofdimes.org/complications/preeclampsia.aspx.
Upcoming Health Awareness
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number X10MC31151,
Maternal, Infant and Early Childhood Home Visiting Grant Program, in the amount of $3,956,703 with 0% financed with nongovern mental 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.
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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 fourth annual DHSS Specific Session of the Home Vis iting Summit
was held Wednesday, March 11, 2020, at Margaritaville Resort at the Lake (aka: Tan -Tar-A) in Osage Beach, Missouri. The 2020 DHSS Specific Session was a fu ll-day event! Evaluations confirmed it as an overall success,
though we all wish we could control the thermostat!
The DHSS Specific Session, supported by the Maternal, Infant, and Early Childhood Home Visiting Program Grant and the Title V Maternal and Child Health Services Block Grant, brought together 66 participants that
included home vis itors, supervisors, and data entry personnel from the eleven DHSS contracted home visiting LIAs. Among the eleven LIAs, there were four evidence -based home visiting models represented: Early Head
Start Home Based Option; Healthy Families America; Nurse Family Partnership; and Parents as Teachers.
The day’s featured speakers provided training, information, and resources on topics that support model goals
and align with performance measures all DHSS contracted LIAs are currently working to enhance.
2020 Home Visiting Summit DHSS Specific Session
Lisa Marini, Certified Brain Health Coach Presented:
Power of Self-Care
DHSS Office of Epidemiology Staff Presented:
FY 2019 DHSS Home Visiting Performance Measures
Dr. Joy Sweeney, Executive Director Council for Drug Free Youth Presented:
Understanding Prenatal Drug Exposure
Missouri Managed Care and Transportation Panel featured:
Kim Evans, Assistant Director, Division of Family Services, Department of Social Services
Edward Williams, Sr. Manager, Marketing and Community Relations, Missouri Care
Jessica Pabst, Director Health Programs, Home State Health
Julie Phillips, Manager, and Sarah Becker, Medicaid Specialist, Department of Social Services
Non-Emergency Medical Transportation (NEMT) Program
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