RECOMMENDATION)
Federally Available Data
34.3% (2011/2012 National Survey of Children’s Health
(NSCH)-revised)
NPM 6:
Percent of
children,
ages 9-71
months,
receiving a
developmen
tal
screening
using a
parentcompleted
screening
tool
Strategy
Promote parent and caregiver
awareness of developmental screening
Work with provider champions to
promote developmental screenings
within clinical settings to associations of
health professionals
2020 Objective
39.3% (NSCH)
Narrative
• Iowa’s 1st Five program engages healthcare providers in supporting the use of
developmental surveillance and screening tools. A partnership between
providers and 1st Five staff is established for care coordination, referral, and
follow up services. 1st Five will identify parent/caregiver champions that have
utilized 1st Five services to provide strategies on reaching families to promote
the importance and recognition of developmental screening.
• Title V Child Health agencies will reinforce the importance of developmental
screening through the informing process for newly enrolled Medicaid families.
Bureau of Family Health (BFH) will provide Title V Child Health agencies with
needed information and resources for this process.
• BFH staff will identify champions in professional organizations to conduct
developmental screening outreach to health professional staff. Identified
organizations may include, but are not limited to, the following: American
Academy of Pediatrics – Iowa Chapter, American Academy of Family Physicians –
Iowa Chapter, American Academy of Physician Assistants – Iowa Chapter, Early
and Periodic Screening, Diagnostic and Treatment (EPSDT) Iowa Workgroup, and
the Iowa Association of Nurse Practitioners. Outreach may include, but is not
limited to, screening information displayed in newsletters, trainings, and guide
books.
• Local 1st Five site coordinators (currently engaged with 49 Iowa counties) will
work on outreach to front desk office staff. Outreach may include, but is not
limited to, screening information displayed in newsletters, trainings, and guide
books. Incentives promoting the 1st Five logo may be provided as well.
• Local 1st Five site coordinators will work with 1st Five Medical Consultants
(one family practice physician and one pediatrician) on providing developmental
screening trainings to office staff and engaged healthcare partners.
Support retaining reimbursement for
developmental screening among newly
established Medicaid managed care
organizations
Maintain requirements for the provision
of developmental screening in Title V
contract agencies
Promote collaboration between Title V,
early care and education, and home
visiting providers on the provision of
developmental screens
Local 1st Five sites will engage at least
one primary care practice in each county
of the service delivery area
Local 1st Five sites will promote
increasing developmental screening in
engaged 1st Five practices
Title V Child Health contract agencies are approved Medicaid Screening Centers.
Due to the strong working relationship between Title V MCH and Iowa Medicaid
Enterprise (IME), BFH staff will work with Medicaid’s liaison to continue payable
developmental screening services within the new Medicaid MCO payment
structure. Billing and payment methodologies among the contracted Medicaid
MCOs will be identified and shared with local Child Health Screening Centers.
In the Title V Child Health application process and resulting contract, the Bureau
of Family Health will continue the requirement for provision of developmental
screening services, including maintaining the working relationship with the Area
Education Agencies (AEAs) on developmental screening and developmental
monitoring under Early ACCESS.
•Through the Title V Child Health application process and resulting contracts, the
Bureau of Family Health will both continue, and enhance collaboration with early
care and education providers to encourage developmental screening.
•Through the Maternal, Infant, and Child Health Home Visiting contract, the
Bureau of Family Health will continue to include developmental testing as a
REDCap data requirement, and a performance measure for all MIECHV funded
contractors.
Contracts with local 1st Five sites will include a performance measure to
incentivize engagement of primary care practices in each county of the service
delivery area (49 total Iowa counties).
Contracts with local 1st Five sites will include a performance measure to
incentivize increasing developmental screening within engaged 1st Five practices
by 5%.
Federally Available Data
29.1% (2011 Youth Risk Behavioral Surveillance Survey)
14.8% (2011/2012 NSCH)
NPM 9:
Percent of
adolescents,
ages 12-17
years, who
are bullied
Strategy
Evidence-based program
implementation
Relationship building and coordination
at the state level
2020 Objective
14% (NSCH)
Narrative
Evidence-based curriculum models related to bullying, mental health, and
positive youth development will be identified for implementation with youth,
such as Kognito, Olweus, SOS Signs of Suicide, and the Teen Outreach Program.
Implementation of this program will be similar to other youth programs where a
local agency would provide programming to youth either in a school or
community-based setting. Success of this strategy would be measured by the
number of youth participating in programming, along with those who attained at
least 75% completion of lessons. Programs will also be identified for staff and
other adults who interact with youth regarding warning signs and how to
address bullying and mental health.
With a legislative focus on bullying prevention, efforts will center around
relationship building with the Department of Education for statewide
coordination, as they are the primary gatekeeper in Iowa. The Adolescent Health
team with also partner closely with intra-agency staff working on bullying
prevention and mental health to coordinate programming and outreach.
Federally Available Data
84.5% (2011 NSCH)
NPM 10:
Percent of
adolescents
with a
preventive
services
visit in the
last year
Strategy
Gather and synthesize both qualitative
and quantitative data
Develop and disseminate patient
education and outreach materials
Provide resources and additional
training for providers
2020 Objective
86.5% (NSCH)
Narrative
The adolescent health team will focus on discovering, identifying, and
implementing evidence- informed strategies to increase adolescents’ access to
preventive health care visits and to improve the quality of these visits. Needs will
be identified through qualitative and quantitative data collection, such as indepth interviews with providers, clinic staff, youth, and parents, as well as
analyzing Medicaid claims data.
In order to create awareness, the team will develop and disseminate patient
education and outreach materials for adolescents, parents, and professionals.
The team will work with providers to identify what resources and trainings they
need to provide a quality preventive health care visit in which both the Provider
and the adolescent feel comfortable. Establishing this relationship early on will
increase subsequent preventive visits and prepare adolescents for becoming a
health care consumer.
NPM 13:
Federally Available Data
A) Not Available (Pregnancy Risk Assessment Monitoring
System (PRAMS))
B) 82.1% (2011/2012 NSCH-revised)
A) Percent
of women
who had a
dental visit
during
pregnancy
and
Strategy
Inform, educate, and disseminate
scientific evidence about importance of
prenatal dental screening and treatment
Provide targeted outreach for medicaldental integration
B) Percent
of infants
and
children,
ages 1-6
years, who
had a
preventive
dental visit
in the last
year
Expand preventive school-based sealant
programs
2020 Objective
A) 60% (PRAMS)
Note: PRAMS data is unavailable. Performance objective was determined using
2013 Barriers to Prenatal Care data (55.0% of women reported going to the
dentist).
B) 87% (NSCH)
Narrative
Staff will work to Inform, educate, and disseminate scientific evidence about
importance of prenatal dental screening and treatment.
The Oral Health Center (OHC) will investigate best practices for medical-dental
integration, particularly targeting nurse practitioners, physician assistants, and
midwives. Staff will review available state and local data to direct efforts in
specific areas with low numbers of pregnant women accessing dental services.
OHC staff will participate on interagency and other organizational collaborations
to address oral health issues for women of childbearing age, infants, children,
and adolescents. Medical-dental integration efforts will also focus on the
importance of early preventive services for infants/children and use of fluoride
varnish and fluoridated water. OHC staff will work with I-Smile coordinators to
determine local activities to enhance efforts (e.g. collaboration with 1st Five
coordinators).
Data will be monitored and reviewed to assist with program development. OHC
staff will look for trends regarding lack of dental insurance, Medicaid enrollment,
Dental Wellness Plan (Medicaid expansion) use and needs, and School-based
Sealant Program (SBSP)/school dental screening results.
OHC will continue oral health promotion activities, identifying ways to inform
the public and families as well as health care providers about the importance of
oral health throughout the life course. Health promotion will include maintaining
a Facebook page targeting new moms, I-Smile displays at conferences,
newsletter articles, radio spots, and presentations. Local health promotion will
include participation in community events, partnering with other organizations
Assure statewide care coordination
network that includes dental home
referral, tracking, and follow-up for
children
for messaging, and providing educational materials to families.
Population-based preventive dental services will be maintained through local
contractors to include children ages 0-2 in public health settings and for children
ages 6-14 in SBSP. SBSP will target schools with 40% or greater free/reduced
lunch program participation to reach underserved children. Contractors will
maintain referral and care coordination services through I-Smile to assure
regular dental visits and follow-up treatment is provided.