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Kent County Home Visiting Hub

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.

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Kent County Home Visiting Hub

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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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)

  8. WHB Referral Feedback • New data definitions in 2013 • Collection of data 90 days after referral • MOU includes data expectations

  9. 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%

  10. 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%

  11. 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

  12. 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%)

  13. 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

  14. 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)

  15. 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

  16. 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

  17. Christina Pavlak, LMSW Program Manager, Welcome Home Baby Project Director, Kent County Home Visiting Hub cpavlak@firststepskent.org 616-632-1016 www.firststepskent.org

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