Community Health Services Maternal and Child Health Program - PowerPoint PPT Presentation

Community Health Services Maternal and Child Health Program

Community Health Services 2  Community Health Services (CHS) provides public health coverage and epidemiology activities in 12 of Nevada’s rural and frontier counties including: Lyon, Churchill, Mineral, Humboldt, Pershing, White Pine, Nye, Lincoln, Elko, Esmerelda, Lander and Eureka.  CHS has 9 full time Registered Nurses (RN) and 2 full time Advanced Practice Registered Nurses (APRN) serving low income, underinsured and uninsured populations in underserved geographic areas of Nevada.  Community Health Nursing staff identify needs and work to fill health care gaps in their communities that typically lack adequate medical resources. 1/24/2019

Community Health Services 3  Demographics, economic structure, and social characteristics of rural and frontier Nevada produce challenges in health care priorities, access to care and timeliness.  Rural and frontier communities incur barriers to healthcare access including: limited or no available resources, a shortage in qualified and license providers, no availability or primary or specialty care, lower rates of health care coverage, long distance travel for care or inadequate public transportation.  For many communities, CHS clinics are the only means to access healthcare and meet their needs. 1/24/2019

Community Health Services 4 There are 12 Community Health Service Clinics in eight rural and frontier counites: Lyon County- Dayton, Fernley, Silver Springs, Yerington • Churchill County – Fallon • Mineral County – Hawthorne • Pershing County – Lovelock • Humboldt County – Winnemucca • White Pine – Ely • Lincoln County – Panaca • WIC Services 1-2 times monthly in Alamo • Nye County – Pahrump, Tonopah • 1/24/2019

Community Health Services 5  Mandatory Services Include:  Investigation and reporting infectious disease  STI: control, prevention, and treatment  HIV: testing, counseling referral for treatment  TB: screening, control, prevention, and treatment  Vaccine clinics scheduled as necessary for outbreaks  Participation in Local Emergency Preparedness Committees, Points of Dispensing exercises, and Board of Health meetings 1/24/2019

Community Health Services 6  Optional Essential Services  Family Planning and Reproductive Health  Preventive Health Care  Adult and childhood immunizations  Breast and cervical cancer screenings  Laboratory testing  Early Periodic Screening Diagnosis and Treatment (EPSDT) exams  Topical fluoride varnish treatment  Outreach and education  Women, Infants, and Children (WIC) services 1/24/2019

Community Health Services 7  Maternal and Child Health Program  Overview: MCH provides funding to CHN clinics to provide education, screenings, contraceptive care, immunizations and referrals for populations including: Women (15-44 years old), Infants, Children, Adolescents and Children and Youth with • Special Health Care Needs  Scope of Work Planning, managing, and directing program activities for the benefit of MCH • populations. CHS to submit reports, documents, monitor program expenditures and perform required • program activities. 1/24/2019

Community Health Services 8  Maternal and Child Health Program funds:  Approved Budget: $196,638.00  Annual Personnel Costs at 10% for clinic RNs and APRNs  In-State Travel for RNs and APRNs for travel between clinics  Medical Supplies: immunizations, contraceptive supplies, testing supplies, infection testing and control products, exam room supplies  Operating Supplies: office supplies, outside printing, postage costs for shipping supplies to rural clinics  Contractual Costs: 25% of the costs for a contracted part-time RN in Ely  Clinic printing costs at 10%, communication cost at 10%, and operating lease expense for clinic copiers at 10% 1/24/2019

Community Health Services 9  2nd Quarter Reporting  Preventative education  Ages 12-17 2017  Ages 188-44 2828  Well Woman Care includes: LARC and preconception care  Ages 12-17 279  Ages 18-44 807  Well Child Visits (all genders)  Ages 0-11 1visit 1/24/2019

Community Health Services 10  2nd Quarter Reporting  Immunizations (all genders)  Ages 0-11 382  Ages 12-17 159  Ages 18-44 167  Oral Health (education, materials and products)  Fluoride Varnish Children 75  Smoking Cessation (education, materials, and referrals)  Ages 12-17 3  Ages 18-44 17 1/24/2019

Community Health Services 11  Screenings and Outreach Activities  Domestic Violence Screenings  Perinatal Mood and Anxiety Depression (PMAD) Screenings  Depression Screenings  Local community health and wellness activities:  Immunization clinics  Fluoride varnish events  TB testing 1/24/2019

Contact Information 12 Tammy Ritter, RN-BC Community Health Nursing Supervisor 775-684-5031 Tritter@health.nv.gov Nicole Batien, LSW Health Program Manager 775-684-5022 nibatien@health.nv.gov 1/24/2019