Adolescent Health Annual Report
Priority Area: Improve the quality and uptake of well-visits for adolescents.
Objective 1: By September 30, 2020, increase the number of adolescents and young adults who receive a high-quality annual preventive healthcare visit by 15%.
Strategy 1: Collaborate with school-based health clinics to increase rates of youth-centered preventative wellness visits completed.
Rationale for Strategy 1: Delivery of preventative wellness visits in a school-based setting at a clinic equipped to provide other key health screenings and services offers an opportunity to improve youth friendly provision at a site that is solely for youth. Leveraging school administration relationships and parent buy-in, school-based clinics are able to provide high quality youth friendly well visits that include all important aspects of well care. June of 2019, Mississippi gained acceptance to participate in the School Health Services National Quality Initiative Collaborative Improvement and Innovation Network (NQI CoIIN) for School-Based Health Centers. The goals of this initiative include:
- Improving the quality and sustainability of health and mental health services delivered to students in schools;
- Expanding access to school-based health and mental health services to a greater number of children and adolescents; and
- Working with state leadership to advance policies and programs that promote quality, sustainability, and growth of school-based health and mental health services.
Adolescent Health bureau will partner with SBHCs operated by UMMC school of nursing and Aaron E. Henry Community Health Services Center, Inc. This CoIIN will work with 8 SBHC around the state.
Activity 1a: Review patient satisfaction survey data with school-based clinics to identify priority areas for the first three months of improvement activities in the Fall. Target at least one shared priority area between all clinics to share in testing cycles.
Report Activity 1a: MSDH Adolescent Health Team along with the School-based Health Alliance reviewed data from MS CoIIN participating school-based clinics to identify improving EHR systems for collection of clinical performance measures as one shared priority area between all clinics.
Activity 1b: Host monthly calls with clinic champions to share progress and troubleshoot.
Report Activity 1a: Mississippi CoIIN Champions participated in all monthly call to share our progress and trouble shoot any issues.
Activity 1c: Host annual learning sessions clinic champions to share lessons learned and best practices
Report Activity 1c: The MSDH Adolescent Health Program along with The School-Based Health Alliance hosted an annual learning session in October 2019. Representatives from the University of Mississippi Medical Center School of Nursing and Aaron E. Henry Community Health Centers sponsored school-based health clinic were present. Also, representation from MSDH Title X Family Planning joined the session. The session was successful at training the MS clinic about what to expect from the NQI CoIIN.
Activity 1d: Develop a storyboard to describe quality improvement successes and challenges to share in Summer of 2020.
Report Activity 1d: A virtual storyboard will be developed in July 2020 for the conclusion of the NQI CoIIN.
Strategy 2: Collaborate with Teen Health Mississippi to provide LGBTQ friendly services training and youth centered practices training to public health staff and school-based clinic staff and partners. Also, we will partner with Teen Health Mississippi to develop minor consent and confidentiality online trainings for MSDH and Title X funded clinic staff.
Rationale for Strategy 2: Youth centered practices are key to providing high quality well visits. Teen Health Mississippi by national experts to provide trainings on both youth centered practices and LGBTQ friendly services. The Adolescent Health Program has identified a need for better supports and improved engagement with LGBTQ youth, particularly in improving well visit services for LGBTQ youth. Also, to ensure all MSDH and Title X clinic staff has the appropriate knowledge of Title X minor’s rights, with the assistance of Teen Health Mississippi we will develop and provide online trainings. Online trainings will allow staff to take online training at their earliest convenience and to pause and resume training as needed. Furthermore, trainings will include a post test and results will be recorded in our learning management system database. This will confirm understanding and promote accountability.
Activity 2a: Provide training in Fall of 2019 on youth-centered practices to school-based clinic partners.
Activity 2b: Provide LGBTQ-friendly services training in Fall 2019 and Spring 2020, for public health staff and school-based clinic partners.
Report Activity 2b: This activity was delayed due to the Covid-19 pandemic.
Activity 2c: Develop Title X minor’s rights online trainings by Spring 2020.
Report Activity 2c: This activity was delayed due to issues with the development of MSDH’s new learning management system. This activity will resume Summer of 2020.
Activity 2d: Make available Title X minor’s rights online trainings to all clinics receiving online Title X funds by Spring 2020.
Report Activity 2e: This activity was delayed due to the Covid-19 pandemic
Activity 2e: Review evaluation data throughout training series to ensure adaptations are made as required by feedback.
Report Activity 2e: This activity was delayed due to the Covid-19 pandemic
Activity 2f: Share effectiveness of the training and approaches for engaging providers and partners.
Report Activity 2f: This activity was delayed due to the Covid-19 pandemic.
Strategy 3: Provide education to young adults on healthcare coverage options and coverage literacy
Rationale for Strategy 3: As adolescent’s transition into adulthood, many of them will no longer be covered by Medicaid or their parent’s insurance. As they become increasingly independent, they require knowledge of insurance and how to utilize their insurance coverage.
Activity 3a: Provide peer health educators with support and training using Health Hack education modules.
Activity 3b: Review evaluation data from college sessions and support staff with technical assistance as required.
Report Activity 3b: This activity was completed in November of 2020. Adolescent Health Team successfully trained a team of 5 peer health educators on the Health Hack curriculum.
Activity 3c: Provide public health staff with support and training to use Health Hack coverage education modules at high schools and community events.
Report Activity 3d: Several presentations were conducted at community events by Adolescent Health staff.
Activity 3d: Review evaluation data to support facilitators as required.
Report Activity 3d: Adolescent Health Team has reviewed evaluation data and has made the necessary changes to improve the curriculum and presentation. Also, the Adolescent Health team will adapt the curriculum and presentation for virtual learning in wake of the Covid-19 pandemic.
Evidence Based Measures
ESM 1: # of clinic sites engaged in quality care initiatives
ESM 1 Report: 7
ESM 2: # of providers trained
ESM 2 Report:
ESM 3: % of module participants who report an increase in coverage knowledge and literacy
Other Programmatic Activities
MSDH Adolescent Health Program/MCH
Health Equity and Disparities Covid-19 Response Team Efforts
During the Covid-19 pandemic, several MSDH staff were placed on Operational Orders to assist with COVID-19 efforts. MSDH Adolescent Health Program staff (Christopher Russell and Mariesha Eason) lead efforts in conjunction with staff from the Bureau of Infant Health, Office of Family Planning and various other departments to assist with resource (adult masks, children’s masks, and hand sanitizer) distribution. The team set up systems for inventory management and was responsible for coordinating pick-ups and deliveries of all resources. Since starting in late April, the team has distributed 850,000+ face masks and 90,000+ bottles of hand sanitizer to 230+ organizations, as of 8/27/20. These organizations include schools, city government, faith-based and community-based organizations. Most organizations distributed resources to their local communities using drive-thru giveaways.
The Adolescent Health team partnered with the University of Mississippi Medical Center School of Nursing and the Woman’s Foundation and Teen Health Mississippi to organize a drive-thru resource giveaway for the Georgetown Community in Jackson, MS. On May 20th, 2020, our teams distributed adult and children’s masks, hand sanitizer, hygiene items, cleaning items and fresh produce to families in the Georgetown community. The resource giveaway was set up at Lanier High School and Galloway Elementary School. We used area schools’ email listserv and social media to advertise the event to students and their families. The Adolescent Health Team distributed 8,000 masks at the event.
Also, the Adolescent Health team distributed resources at MSDH Covid-19 Testing sites in Lexington and Philadelphia, MS. MSDH provided free testing to residents of those areas. Testing didn’t require symptoms or contact with a positive person. In Lexington, August 7th & 8th, MSDH partnered with the Lexington Mayor’s office and the National Guard to provide free Covid-19 testing. Over 5,000 masks and 400 bottles of hand sanitizer were distributed. In Philadelphia on August 20th – 21st, MSDH partnered with the Band of Choctaw Indians and the Nation Guard. Over 9,000 masks were distributed.
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