Enhanced 18-month Well-Baby Visit Initiative Public Health, Community Partnerships, and Primary Care Practice

Presented by: Sue McLeod, RN, MN Public Health Nurse Family Health Service, Child Health Program

Jan 2012

Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative

OutlineOutline

How and Why Public Health would want to be involved?How and Why Public Health would want to be involved?

Child Health Multi-pronged strategyChild Health Multi-pronged strategy

What we have accomplished?What we have accomplished?

Planning for next phasePlanning for next phase

Child Health Healthy Growth and Development WorkplanChild Health Healthy Growth and Development Workplan

Community Partnerships Early Intervention Services

Reviewed Evidence and Background DocumentsSituational Assessment

Child Health Healthy Growth and Development WorkplanChild Health Healthy Growth and Development Workplan

Partnerships With Primary Care Practitioners

HBHCSurvey 2008

SMDHU Programs

Paediatricians

Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative

OutcomesOutcomes

Build effective partnerships among parents, primary care providers and community Build effective partnerships among parents, primary care providers and community resourcesresources

Provide information, education and support for primary care providersProvide information, education and support for primary care providers

Provide parents and providers with tools to support an enhanced 18 month well baby Provide parents and providers with tools to support an enhanced 18 month well baby visitvisit

Encourage timely access to services and manage wait timesEncourage timely access to services and manage wait times

Describe the developmental health status of our children through universal screeningDescribe the developmental health status of our children through universal screening

Evaluate the impact of the enhanced 18 month well baby visitEvaluate the impact of the enhanced 18 month well baby visit

Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative

Child Health Program Healthy Growth and Development OPHS Child Health Program Healthy Growth and Development OPHS (2008) standard goal (2008) standard goal “to enable all children to attain and sustain “to enable all children to attain and sustain optimal health and developmental potential”optimal health and developmental potential”

Broadening of universal screening activity at the community level to Broadening of universal screening activity at the community level to include primary care practiceinclude primary care practice

Relationships already established between Public Health, Community Relationships already established between Public Health, Community Partners and Primary Care practitionersPartners and Primary Care practitioners

Leadership and supportive engagement strategy with primary care Leadership and supportive engagement strategy with primary care practitioners support universal developmental surveillance and practitioners support universal developmental surveillance and promotion of early child development for toddlers and preschoolerspromotion of early child development for toddlers and preschoolers

Child Health Program: Multi-pronged Promotion StrategyChild Health Program: Multi-pronged Promotion Strategy

PHN visits to primary care providers PHN visits to primary care providers in Sept-Dec 2011in Sept-Dec 2011

Provide “academic detailing” related Provide “academic detailing” related to use of existing resources and to use of existing resources and access to web-based supportsaccess to web-based supports

Gather information about current Gather information about current practices, including provision of practices, including provision of immunization at 18-monthsimmunization at 18-months

Follow-up with telephone contact to Follow-up with telephone contact to determine changes in practice 3 determine changes in practice 3 months after the visit will take placemonths after the visit will take place

Parent Advocacy strategy (2012)Parent Advocacy strategy (2012)

www.18monthvisit.ca

Child Health Program: Multi-pronged Promotion StrategyChild Health Program: Multi-pronged Promotion Strategy

Approximately 75% of PCP PHN local 1Approximately 75% of PCP PHN local 1stst visits complete visits complete

2012 CH Operational Plan to complete Visits/Data Collection 2012 CH Operational Plan to complete Visits/Data Collection by March 30, 2012by March 30, 2012

Begin 2Begin 2ndnd visits June 2012 visits June 2012

Parent Advocacy Promotion strategyParent Advocacy Promotion strategy VPD messagesVPD messages eNDDSeNDDS

End of 2012 – Final Data Compile/ReportEnd of 2012 – Final Data Compile/Report

Enh Enhanced 18 Month Well Baby Visit Initiative anced 18 Enh Enhanced 18 Month Well Baby Visit Initiative anced 18 Month Well Baby Visit InitiativeMonth Well Baby Visit Initiative

Support from SMDHU and FHS ManagementSupport from SMDHU and FHS Management

AMOH – Dr.Sue Surry, MOH - Dr.Charles GardnerAMOH – Dr.Sue Surry, MOH - Dr.Charles Gardner Board of HealthBoard of Health Human Resources – PHNHuman Resources – PHN Resources – Documentation/Presentations – internal and externalResources – Documentation/Presentations – internal and external FHT/FHN Liaison role support to local areasFHT/FHN Liaison role support to local areas Priority of Child Health Team operational plans to structure Priority of Child Health Team operational plans to structure

initiative work into HG&D workplansinitiative work into HG&D workplans

Offord CenterOfford Center Data CollectionData Collection ResourcesResources CommunicationCommunication

Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative

Wonderful collaboration between public health and primary careWonderful collaboration between public health and primary care

Building and strengthening relationships between local PHN’s and Building and strengthening relationships between local PHN’s and FHTsFHTs

““Best visit Best visit ever ever from Public Health!”from Public Health!”

““Spin- off to other collaborative activities between PH and PCP Spin- off to other collaborative activities between PH and PCP are immeasureable!”are immeasureable!”

We are receiving referrals from primary care practitioners – first in We are receiving referrals from primary care practitioners – first in my 30 years of early intervention service!my 30 years of early intervention service!

Primary Care Practices want to hear from Public Health – Primary Care Practices want to hear from Public Health – connectedness!connectedness!

Enhanced 18 Month Well Baby Visit InitiativeEnhanced 18 Month Well Baby Visit Initiative

Questions??Questions??

Thank you!Thank you!