Welcome Home BabyReport to the First Steps CommissionJuly 31, 2014

WHB Objectives Serve as a gateway into early childhood

services for families with newborns; triage families based on need

Impact newborn health outcomes (use of medical home, ED & hospital use, breastfeeding)

Track referral partner data and use for system improvement

WHB 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

WHB Eligibility Welcome Home Baby is available to mothers

and/or fathers who are Kent County residents and have an infant under 30 days old and are one or more of the following:

First-time parents 25 years old or younger Giving birth in the U.S. for the first time Parents of a newborn in the Neonatal Intensive

Care Unit (NICU) at Mercy Health Saint Mary’s Hospital

WHB 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

WHB Client Demographics 82% First-time parents

2% First U.S. birth

Mother’s age 49% 25 & younger

45% Infants on Medicaid

2014 Data

WHB Client Demographics Mother’s language: 93% English, 4% Spanish, 3% Other

Mother’s race/ethnicity

2014 Data

WHB Client Demographics Marital status

Mother’s education

2014 Data

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%

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%

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%)

Challenges

Hospital access Data sharing/analysis of health

outcomes, ED use, hospital readmissions

Sustainable funding Data reporting (new database &

reporting mechanism being developed)

System change affecting WHB Timeframe of first medical home visit for

newborn has improved

Parents perceive reduced need for WHB

CQI project to address acceptance rate

MDCH Home Visiting Hub Home Visiting Hubs will streamline and

coordinate outreach, intake, referral and feedback loops across home visiting programs at the community level, assuring equitable access to the most appropriate services for high risk families.

Target population: prenatal to age 5

HV Hub – WHB Role Blend MDCH grant & WHB funding to

further develop HV Hub and convene home visiting agencies- MOU’s in place with 15 partner agencies

Establish a pilot in one area hospital in an effort to test universal outreach, screening and referral at birth- Mercy Health Saint Mary’s

HV Hub – WHB Role Reduce duplicative home visits for clients

engaged prenatally in home visiting programs- prenatal client database, gathering first set of data currently

Outreach & marketing- additional funding opportunity through September 2014, promoting 211 as the number to call

WHB Lessons LearnedTime & persistence

Adaptation

More work to be done

Advocacy NeededPhysician champion

Evaluation/data analysis focus

Funding

Q & A