Plan for Application Year Child Health (Early Hearing Detection and Intervention)
Priority Area: Increase access to comprehensive health care.
Objective 1: Lead efforts to engage and coordinate all stakeholders in the state/territory EHDI system to meet the goals of this program
***Strategy 1: Provide a coordinated infrastructure to ensure that all newborns are screened by 1 month of age, diagnosed by 3 months of age, and enrolled in EI by 6 months of age (1-3-6 recommendations); and reduce loss to follow-up/loss to documentation (LTF/D).
Rational Strategy 1: Please see rationale 1 in Annual Report for Early Hearing Detection and Intervention.
Activity 1a: Collaborate with hospital personnel to ensure timely referrals to diagnostic providers
Activity 1b: Collaborate with national trainings and technical assistance providers to increase the number of audiologists in Mississippi trained to work with pediatric populations
Activity 1c: Conduct outreach to focus on follow-up on cases to reduce LTF/D
***Strategy 2: Conduct outreach and education to health professionals and service providers in the EHDI system about the following
Rational Strategy 2: Please see rationale 2 in Annual Report for Early Hearing Detection and Intervention.
Activity 2a: Recruit parents/families of DHH children, and DHH individuals
Activity 2b: Hold annual orientation for new members
Activity 2c: Conduct quarterly meetings to provide program updates and receive advice
***Strategy 3: Conduct outreach and education to health professionals and service providers in the EHDI system about the following
Rational Strategy 3: Please see rationale 3 in Annual Report for Early Hearing Detection and Intervention.
Activity 3a: Conduct outreach and education using a variety of communication channels which may include, sharing information via webinars, workshops, hospital grand rounds, presentations at professional conferences, professional newsletters, and web-based content
***Strategy 4: Engage families throughout all aspects of the project, involving family partners in the development, implementation, and evaluation of the EHDI Program
Rational Strategy 4: Please see rationale 4 in Annual Report for Early Hearing Detection and Intervention.
Activity 4a: Conduct outreach and education to inform families about opportunities to be involved in different roles within the state EHDI system
Activity 4b: Facilitate partnerships among families, health care professionals, and service providers to ensure that providers understand the best strategies to engage families
Activity 4c: Provide direct family-to-family support services to parents and families with a child newly identified as DHH
Planned Evidenced Based Measures for Child Health (Early Hearing Detection and Intervention)
ESM 1: Training/Outreach Conducted
ESM 2: Advisory Committee Meetings
ESM 3: Families provided direct peer-to-peer support
Plan for Application Year Child Health (Early Intervention)
Priority Area: Increase access to comprehensive health care.
Objective 1: By September 2019, increase 10% over baseline of early care and education providers report the use of developmental screening best practices with children birth through 5
***Strategy 1: Develop and distribute resources among MSFSEIP and other early childhood stakeholders regarding early identification of infants/toddlers who me be eligible for MSFSEIP services.
Rational Strategy 1: Please see rationale 1 in Annual Report for Early Intervention.
Activity 1a: Participate in health fairs, early childhood and professional organization conferences explaining MSFSEIP program and services available to families, as well as distribution of pamphlets describing services available for those who qualify for services under IDEA Part C.
Planned Evidenced Based Measures for Child Health (Early Intervention)
ESM 1: None created at this time.
ESM 2:
ESM 3:
Plan for Application Year (Office of Oral Health)
Priority Area: Increase access to comprehensive health care. (Newly adopted for Oral Health)
NPM 13: A) Percent of women who had a dental visit during pregnancy and B) Percent of children, ages 1 through 17 who had a preventive dental visit in the past year (NEW)
Objective 1: By 2021, increase public knowledge about the importance of oral health over the entire lifespan by promoting health literacy materials that are readable, accurate and consistent, as well as show linkages between oral health and overall health by 12%.
***Strategy 1: Continue to Increase Oral Health Awareness.
Rational Strategy 1: Please see rationale 1 in Annual Report for Oral Health.
Activity 1a: Develop a written Oral Health Literacy Campaign focused on addressing the oral health needs of MS citizens throughout the different stages of one’s life.
Activity 1b: Develop a report around oral health indicators shared in our oral health surveillance plan.
Activity 1c: Develop printable on-line educational materials, public service announcements and social marketing geared to target populations and health professionals (medical/dental) to promote preventive oral health services.
Activity 1d: Partner with PHRM/ISS to provide health education, oral health materials, and referral to establish a dental home and/or receive further dental assessment/treatment to the maternity patients being seen in the clinics.
Activity 1e: Increase capacity in Mississippi Head starts and Daycare centers.
***Objective 2: Fully integrate oral health literacy into all 9 MCH programs within Health Services at MSDH by December 31, 2019.
Strategy 2: Provide oral health literacy to all MCH programs and its participants within Health Services at MSDH.
Rational Strategy 2:
Please see rationale 2 in Annual Report for Oral Health.
Activity 2a: Work with the Title V director on developing activities for all other MCH programs that reflect the importance of proper Oral Care.
Activity 2b: Meet with Program Directors and exchange ideas on how to integrate oral health into their programs.
***Strategy 3: Increase the number of Women Infants and Children (WIC) centers and health departments where oral health education is provided by regional oral health consultants.
Rational Strategy 3:
Please see rationale 3 in Annual Report for Oral Health.
Activity 3a: Provide updated Successful Partners In Reaching Innovative Technology (SPIRIT) training to all ROHCs (regional oral health consultants).
Activity 3b: Synchronize protocol on data input and retrieval from the SPIRIT system
Activity 3c: Increase by a minimum of 2 the number of WIC sites each ROHC provides oral health education.
Activity 3d: Incorporate a dental care coordination system that will follow up with participants of WIC to assure they have identified and utilized a dental home.
***Strategy 4: Increase the number of faith-based organizations partnerships that provide resources for families
Rational Strategy 4:
Please see rationale 4 in Annual Report for Oral Health.
Activity 4a: Provide oral health education at faith-based conventions in the state
Activity 4b: Identify oral health missions offered through churches in the state
Activity 4c: Identify oral health services available to maternal child population in dental free clinics usually run out of churches
***Strategy 5: Monitor dental care coordination efforts.
Rational Strategy 5:
Please see rationale 5 in Annual Report for Oral Health.
Activity 5a: Create dental care coordination protocol.
Activity 5b: Incorporate oral health as EPIC users.
Activity 5c: Incorporate integrated templates in EPIC for internal agency use
Strategy 6: Work with the Mississippi Division of Medicaid to get benchmark information regarding Medicaid-funded dental providers and oral health services
Rational Strategy 6: Please see rationale 6 in Annual Report for Oral Health.
Activity 6a: Meet with the Division of Medicaid to determine how our office can assist with providing information on eligibility requirements and enrollment.
Activity 6b: Request baseline data from Medicaid regarding number of dentists enrolled in Medicaid program, dental procedures rendered, and emergency room care related to an oral pain.
Activity 6c: Participate in Medicaid sponsored provider or program trainings.
***Strategy 7: Increase the knowledge and awareness about the safety of oral health care during pregnancy to women of childbearing age.
Rational Strategy 7: Please see rationale 7 in Annual Report for Oral Health.
Activity 7a: Regional oral health consultants (dental hygienists) will continue to work with local FQHCs to provide oral health education materials regarding the safety of oral health during pregnancy, and information on the importance of good oral health over one’s lifespan.
Activity 7b: Distribute Oral health educational materials promoting fluoride varnish and the application of dental sealants in partnership efforts with health professionals working in FQHC’s.
***Strategy 8: Provide region-specific dental directory to expectant mothers for routine exams and dental procedures during and after pregnancy.
Rational Strategy 8: Please see rationale 8 in Annual Report for Oral Health.
Activity 8a: Distribute region-specific dental directory during oral health education at WIC, Baby Café, and other local health events.
Activity 8b: Oral Health Administrative staff and consultants will make follow up calls to expectant mothers that acknowledged no dental home to encourage and assist in its establishment.
***Strategy 9: Combat oral disease in MS children and adolescents by integrating oral health education training into the medical setting.
Rational Strategy 9: Please see rationale 9 in Annual Report for Oral Health.
Activity 9a: Provide health care providers with information regarding on-line continuing education training on several oral health modules using the Smiles for Life: A National Oral Health curriculum.
Activity 9b: Provide face-to-face training to health care providers on oral health assessments and fluoride varnish application in medical settings using the Cavity Free in MS curriculum.
***Strategy 10: Build connections and strengthen opportunities with university and allied health schools with dental degree and dental hygiene degree programs.
Rational Strategy 9: Please see rationale 10 in Annual Report for Oral Health.
Activity 10a: Strengthen public health dentistry portion of curriculum with the dean of UMMC School of Dentistry and the dental hygiene school.
Activity 10b: Partner with Hinds Community College community dental health coordinator program.
***Strategy 11: Increase oral health awareness with the three MCH community-based partners.
Rational Strategy 11: Please see rationale 11 in Annual Report for Oral Health.
Activity 11a: Increase oral health awareness by providing oral health educational materials to the Mississippi Department of Education (MDE) Move to Learn Program.
Activity 11b: Establish oral health education days with the MS Urban League of Jackson.
Activity 11c: Include oral health education within Families First for MS parenting classes.
Child Health Planned Evidenced Based Measures (Office of Oral Health)
ESM 1: # of WIC sites where oral health education is given to program participants
ESM 2: # of expectant and post-partum mothers who received oral health education
ESM 3: # of pregnant women who saw the dentist post referral
ESM 4: # of trainings completed by medical providers on use of fluoride varnish in primary care setting
ESM 5: # of referrals of children 0-3 years old from MSDH nurses
ESM 6: # of referrals of children 0-3 of MSDH nurses that actually saw the dentist
ESM 7: # of inter/external agency partnerships implemented to coordinate dental and other services
ESM 8: # of organizations provided oral health educational materials
ESM 9: # of children in day centers who received fluoride varnish application by ROHCs
ESM 10: # of children in head start centers who received fluoride varnish application by ROHCs
Plan for Application year (SPM 2) (Office of WIC Services)
Priority: Increase child nutrition and early childhood obesity prevention
Objective 1: Increase enrollment and participation in the WIC Program by 5% via partnerships and evidence- based initiatives.
SPM: Percentage of children, ages 2to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile.
Strategy 1: Evaluate the effectiveness of the WIC- Head Start partnership.
Rationale Strategy 1: The WIC- Head Start partnership aimed to increase enrollment, participation, and retention of children on the WIC Program. It is important to determine if the efforts of the partnership were successful.
Activity 1a: Determine if there was a difference in child enrollment before and after the WIC- Head Start partnership.
Activity 1b: Determine if there was a difference in child participation before and after the WIC- Head Start partnership.
Activity 1c: Determine if a statistically significant difference exists between the annual retention rates of WIC participants enrolled via Head Start and WIC participants enrolled via WIC clinics (not via Head Start).
Strategy 2: Increase targeted enrollment of WIC participants by 10%.
Rationale Strategy 2: MSDH WIC has incorporated several initiatives including WIC- only clinics, WIC smartphone application, and marketing strategies to improve enrollment and participation. It is important to determine if interventions are effective.
Activity 2a: Compare the potential eligible rates (by county) to the current enrollment (by county).
Activity 2b: Compare WIC enrollment (participants certified on the WIC program) to WIC participation (participants who receive their WIC food benefits) by category.
Objective 2: Increase the number of authorized WIC vendors to a minimum of 100 by September 2020.
Strategy 3: Increase the number of WIC authorized vendors in Mississippi.
Rationale Strategy 3: The MSDH WIC Program currently operates a direct distribution system of food delivery. This means participants present a paper food instrument to a state operated WIC food center to receive WIC food items. MSDH WIC plans to transition to a retail vendor system of food delivery using eWIC by October 2021. This will increase WIC participant access to WIC approved food items (WIC food centers are open Monday through Friday 8am- 5pm, and retail vendors will be required to be open a minimum of 6 days a week and 9 hours a day). This will also increase WIC participant access to fresh fruits and vegetables (WIC food centers currently offer about 5 fresh fruits and vegetables, and retail vendors will be required to offer allow all fresh fruits and vegetables that meet guidelines to be eligible for redemption by WIC participants).
Activity 3a: Authorize a minimum of 3 retail grocers and 3 retail pharmacies in each public health region.
Activity 3b: Implement an outreach campaign for retail vendors and track analytics.
Planned Evidenced Based Measures FY 2020 (Office of WIC Services)
ESM 1: T-test results (retention rates of WIC participants enrolled via Head Start compared to WIC participants enrolled via WIC clinics).
ESM 2: Percentage of WIC enrollees who participate= WIC participants/ WIC enrollees.
ESM 3: Number of WIC authorized vendors statewide.
Plan for Application Year Child Health (Lead Poisoning Prevention and Healthy Homes)
Priority Area: Increase access to comprehensive health care.
Currently the Lead Poisoning Prevention/Healthy Homes program does not have an associated NPM or SPM. We feel its valuable to show the work of the program.
Objective 1: By September 30, 2020, increase by 15% the number of children less than 6 years of age tested for blood lead.
***Strategy 1: Improve data usage that lead to a greater identification of geographic areas and populations at high-risk for lead exposure.
Rational Strategy 1: Please see rationale 1 in Annual Report for Lead Poisoning Prevention and Healthy Homes.
Activity 1a: Update blood lead data collection, data quality and dissemination plan.
Activity 1b: Conduct analysis of surveillance data to identify trends, prevalence and incidence.
Activity 1c: Re-evaluate the blood lead level data to identify new high-risk areas to target.
Activity 1d: Statewide GIS mapping to show where children are tested, where children with EBLLs are located, and where houses with lead have been identified by the health department.
***Strategy 2: Increased identification of children exposed to lead and linkage to recommended services.
Rational Strategy 2: Please see rationale 2 in Annual Report for Lead Poisoning Prevention and Healthy Homes.
Activity 2a: Collaborate with partners, stakeholders and community resources that can provide services to mitigate the effects of high blood lead levels (e.g. Early Intervention, MS Department of Environmental Quality etc.)
Activity 2b: Connect children with EBLL to community services (e.g. Safe Housing Program, Healthy Start Program, Mississippi Access to Care Network, etc.).
Activity 2c: Conduct education and outreach with parents and providers of children with EBLL.
***Strategy 3: Increased knowledge and awareness among the lay public, public health professionals, childhood lead prevention workforce members, and other partners and stakeholders about childhood lead poisoning and prevention interventions through tailored education and outreach.
Rational Strategy 3: Please see rationale 3 in Annual Report for Lead Poisoning Prevention and Healthy Homes.
Activity 3a: Develop and conduct train-the-trainer sessions for providers and their staff, city officials, rental property owners, head start and childcare facilities.
Activity 3b: Develop and maintain collaborative relationships with community, local, and state partners and stakeholders to address priority challenges and opportunities.
***Strategy 4: Increase the ability to target interventions to high-risk geographic areas and populations.
Rational Strategy 4: Please see rationale 4 in Annual Report for Lead Poisoning Prevention and Healthy Homes.
Activity 4a: Develop and implement a pilot project in 3 of the high-risk counties targeting families of children with confirmed blood lead levels between 5 and14.
Activity 4b: Educate public, partners, and stakeholders about lead-related issues.
Planned Evidenced Based Measures for Child Health (Lead Poisoning Prevention and Healthy Homes)
ESM 1: Decrease in number of children identified with blood lead levels 5 or higher.
ESM 2: Number of children at one and two years of age who were tested.
ESM 3: Decrease in the number of children with elevated blood lead level after intervention.
ESM 4: Number of workshops held.
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