Julie Kotchevar, PhD Brian Sandoval Administrator Governor Ihsan Azzam, MD, PhD Richard Whitley, MS Chief Medical Officer Administrator Nevada Title V Maternal and Child Health(MCH) Block Grant Highlights and Updates Mitch DeValliere, DC Department of Health and Human Services Title V MCH Program Manager Division of Public and Behavioral Health Ingrid Mburia, PhD, MPH Maternal and Child Health Program MCH Epidemiologist August 24, 2018
Table of Contents Organization Priorities Activity Highlights Data Highlights Fiscal Updates Contacts 2 Department of Health and Human Services 2
Nevada Maternal, Child and Adolescent Health Section Includes: Teen Pregnancy Prevention Pregnancy Risk Title V Maternal Child Assessment Monitoring • Personal Responsibility Health (MCH) Program Education Program (PREP) System (PRAMS) • Abstinence Education Grant Program (AEGP) Nevada Maternal Infant Early Hearing Detection and Early Childhood Home and Intervention (EHDI) Visiting (MIECHV) Program Department of Health and Human Services 3
Nevada Title V MCH Program Includes: Children and Youth Adolescent Health Maternal Infant with Special Health and Wellness Program (MIP) Care Needs Program (AHWP) (CYSHCN) Rape Prevention and Education MCH Epidemiology Fiscal Staff (RPE) Program Department of Health and Human Services 4
Beth Handler, MPH Title V MCH Title V MCH Organizational Director Chart Vickie Ives, MA CYSHCN Director Mitch DeValliere, DC Title V Program Manager Justin Bennett, MA Jennifer Quihuis Christina Turner Deborah Duchesne Eileen Hough, MPH Ingrid Mburia, PhD CYSHCN Management MIP Coordinator RPE Coordinator AHWP Coordinator MCH Epidemiology Coordinator Analyst Department of Health and Human Services 5
Priority Areas Improve preconception and interconception health among women of childbearing age, National Performance Measure (NPM) 1 Breastfeeding promotion (NPM 4) Increase developmental screening (NPM 6) Promote healthy weight (NPM 8) Department of Health and Human Services 6
Priority Areas Reduce teen pregnancy, State Performance Measure (SPM) 2 Improve care coordination (NPM 10) Reduce substance use during pregnancy (NPM 14) Increase adequate insurance coverage among children (NPM 15) Department of Health and Human Services 7
Improve Preconception and Interconception Health among Women of Childbearing Age Increase the percent of women ages 15-44 receiving routine check-ups in the previous year to 70% by 2020 Increase to 77.9% the percent of women receiving prenatal care in the first trimester by 2020 Increase the percent of adolescents aged 12-17 with a preventive medical visit in the past year to 78% by 2020 Department of Health and Human Services 8
Breastfeeding Promotion Increase the percent of children who are ever breastfed to 90% by 2020 Increase the percent of children who are exclusively breastfed at 6 months to 28% by 2020 Increase the percent of baby-friendly hospitals in Nevada to 33% by 2020 Department of Health and Human Services 9
Increase Developmental Screening Increase the percent of children (10- 71 months) who receive a developmental screening using a parent-completed screening tool to 31.9% by 2020 10
Promote Healthy Weight Increase the percent of middle and high school students who are physically active at least 60 minutes a day to 48.8% Increase the percent of children ages 6-11 who are physically active at least 60 minutes a day to 48.8% 11
Reduce Teen Pregnancy Reduce pregnancies among adolescent females aged 15 to 17 years old to 36.2 pregnancies per 1,000 by 2020 Reduce pregnancies among adolescent females aged 18 to 19 years old to 105.9 pregnancies per 1,000 by 2020 Reduce repeat pregnancies among adolescent females aged 15 to 19 years to 15% by 2020 12
Improve Care Coordination Increase the percent of children with special health care needs with a medical home in the past year to 53.3% by 2020 Increase the percent of children without special health care needs with a medical home in the past year to 58.4% by 2020 Increase the number of WIC, Home Visiting, Healthy Start, and other program participants that received information on the benefits of a medical home Increase the number of referrals to Nevada Children’s Medical Home Portal 13
Reduce Substance Use During Pregnancy Reduce the percent of women who smoke during pregnancy Reduce the percent of children who are exposed to secondhand smoke Increase the percent of women who call the Quitline for assistance Reduce the percent of women using substances during pregnancy 14
Increase Adequate Insurance Coverage Among Children Increase the percent of adequately insured children Increase the percent of callers to Nevada 2-1-1 inquiring/requesting health insurance benefits information Increase the percent of adolescents aged 12-17 with a preventive medical visit in the past year to 78% by 2020 15
Improve Pre- and Interconception Health National Performance Measure (NPM) 1 16
Improve Pre- and Interconception Health Federal Fiscal Year (FFY) 2018 Highlights : Developed and distributed Medicaid coding sheets: Postpartum depression screens Screening, Brief Intervention, and and support of the Perinatal Referral to Treatment (SBIRT); Mood and Anxiety Disorders Long Acting Reversible (PMAD) program Contraceptives (LARC); post- partum depression screen Collaborative Improvement and Go Before You Show media Innovation Network (CoIIN) on campaign Infant Mortality 17
Improve Pre- and Interconception Health Highlights: SoberMomsHealthyBabies.org website and media campaign Perinatal quality activities to reduce neonatal abstinence syndrome (NAS) through Nevada National Governors Association (NGA) Learning Network for Improving Birth Outcomes and CoIIN efforts Pregnancy Risk Assessment Monitoring System (PRAMS) media campaign 18
Breastfeeding Promotion NPM 4 Baby Steps to Breastfeeding Success training given at eleven Nevada hospitals 86 Nevada businesses pledged to provide welcoming environments to breastfeeding mothers through the Breastfeeding Welcomed Here campaign by Nevada WIC and supported with Title V MCH funds Seven (7) hospitals in Clark County implemented the parent education portion of the Baby Safe Sleep program 19
Increase Developmental Screening NPM 6 20
Increase Developmental Screening Collaborate with public and private partners to • Promote Early Periodic Screening Diagnosis and Treatment (EPSDT) improve the percent of • Milestone Moments distribution children receiving • Support University Center for Autism and Neurodevelopment (UCAN) and Nevada Leadership Education in Neurodevelopment developmental and Related Disabilities (NvLEND) to increase screening, and screening, and increase training to identify developmental delays the number of partners • Increase capacity to deliver ASQ-SE and other screenings • Training for tribal public health nurses in Owyhee and Elko trained on • NV Home Visiting partnership developmental screenings. 21
Promote Healthy Weight NPM 8 Trauma informed yoga for Adolescent physical high risk youth: Cutting activity social media Edge Practice Innovation campaign aimed at Station adolescents Partnered with Chronic Disease Prevention and Kindergarten Health Health Promotion (CDPHP) Survey on elementary-aged youth social media campaign 22
Reduce Teen Pregnancy Support rural public health nurses to provide pregnancy risk screening and education Promote access to health insurance and well visits for adolescents Promote “One Key Question” Provide support to Local Health Authority (LHA) efforts to reduce teen pregnancy, especially increasing access to Long Acting Reversible Contraception (LARC) 23
Reduce Teen Pregnancy State Performance Measure (SPM) 2 Support rural public health nurses to provide pregnancy risk screening and education Promote access to health insurance and well visits for adolescents Promote “One Key Question” Provide support to Local Health Authority (LHA) efforts to reduce teen pregnancy 24
Improve Care Coordination NPM 11 • Community-based programs Statewide • MCH coalitions • Nevada’s Family -to-Family/Family Voices entity Family TIES Partners: • Nevada 2-1-1 and • Public and private stakeholders. Established Nevada • Improve access to healthcare and transition supports, social service resources, and Children’s Medical information for children, families, and Home Portal providers. https://nv.medicalhomeportal.org/ 25
Reduce Substance Use During Pregnancy NPM 14 • SoberMomsHealthyBabies.org • Comprehensive Addiction and Recovery Act (CARA) Partnership Resources for Prevention • Substance Use Tool Kit • Marijuana Informational Resources Support systems to collect • PRAMS information regarding the • Tobacco Quitline promotion percent of women who • SoberMomsHealtyBabies.org smoke or use/misuse • Tobacco Social Media campaign with Chronic substances during Disease Prevention and Health Promotion pregnancy 26
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