Child Health Domain

 

Child Injury Prevention Plan (October 2022 – September 2023)

 

National Performance Measure:

Rate of injury-related hospital admissions per population ages 0 through 19 years.

 

Child Injury Prevention Strategy #1:

Identify child injury prevention needs and priorities; use them to develop, promote and/or implement data-informed child injury policy.

 

ESMs:

7.1.1:  Injury death rate among children 0 - 9 years of age.

7.1.2: Transportation injury death rate among children 0 - 9 years of age.

7.1.3: Drowning death rate among children 0 - 9 years of age.

7.1.4: Poisoning injury rate among children 0 - 9 years of age.

 

State level activities/timeline:

1. Continue to work with Safe Kids Water Safety Task Force to identify and assess injury prevention policy gaps around drowning prevention for possible legislative proposal for the 2023 session.

Timeline: October 2022-June 2023

2. Identify injury prevention policy gaps and opportunities for at least one additional injury cause (motor vehicle or poisoning). 

Timeline: April-September 2023

3. Provide data and technical assistance to local Title V partners working on this strategy and related activities.
4. Timeline: October 2022-September 2023

 

Local level activities/timeline:

• Marion County: Assess opportunities to strengthen child injury prevention policies through local CCO. Focus on anticipatory guidance during WCV for car seats, booster transition, bike helmets, and carbon monoxide poisoning prevention.
• Wheeler County: Assess opportunities to strengthen child injury prevention policies in collaboration with schools and the Asher Clinic.
• Yamhill County: Convene local partners to identify policy priorities and develop plans to advance priorities related to motor vehicle safety and car seat installation.

Timeline: 10/1/22 – 9/30/23

 

Child Injury Prevention Strategy #2:

Strengthen workforce capacity to address child injury prevention at the state and local level.

 

ESMs:

7.1.5: Among local grantees who select child injury prevention, percent who report improved knowledge, skills, or policies based on provided technical assistance.

7.1.7: Completed assessment of injury prevention risk assessment, education, and remediation in Oregon’s public health home visiting programs.

 

State level activities/timeline:

1. Continue review of home visiting program guidance, materials and training for injury prevention education and support to families enrolled in home visiting programs. Look for opportunities to increase consistency, identify gaps for training, and identify training resources for home visitors.

Timeline: October 2022-September 2023

2. Provide data and technical assistance to local Title V partners working on this strategy and related activities.

Timeline: October 2022-September 2023

 

Local level activities/timeline:

• Deschutes County:

• Engage nurse family support services team to discuss use of home environmental safety screen and identify areas where training is needed.
• Conduct trainings with nurse family support services team on identified child injury topics to enhance home environmental safety assessment and anticipatory guidance.

• Jackson County:
  • Enhance harm reduction education around bed sharing through updating the educational tools that nurses utilize with families and supporting nurses to use motivational interviewing to guide a more meaningful dialogue.
  • Assess needs of the nurse team and broader home visiting community around training and education for SUID harm reduction.
• North Central Health District: Provide or arrange for staff to participate in child injury prevention trainings.
• Wheeler County: Provide or arrange for staff to participate in child injury prevention trainings.

Timeline: 10/1/22 – 9/30/23.

 

Child Injury Prevention Strategy #3:

Strengthen partnerships and coalitions to support child injury education, prevention plan implementation, and communication strategies.

 

State level activities/timeline:

1. Participate in Oregon Safe Kids and Water Safety Task Force meetings and related special projects.

Timeline: October 2022-September 2023

2. Work with MCH Health Educator on coordinated social media messages with injury prevention partners.

Timeline: October 2022-September 2023

3. Provide technical assistance to local Title V partners focusing on this strategy and related activities.

Timeline: October 2022-September 2023

 

Local level activities/timeline:

• Benton County: Develop and disseminate child injury prevention messaging to the public; continue child abuse blue pin awareness campaign in collaboration with community partners; expand outreach to community; integrate across MCH team approaches.
• Cow Creek: Conduct in partnership and/or fund culturally specific health outreach and education efforts.
• Hood River County:
  • Participate in community infant safety and wellness group to coordinate prevention services.
  • Participate in multidisciplinary team that serves families involved with the DHS system.

• Marion County: Conduct or fund culturally specific health outreach and education efforts.
• Confederated Tribes of Warm Springs: Conduct culturally specific health outreach and education, with focus on car seat distribution and back to boards classes with safe sleep education for families.
• Wheeler County: Conduct outreach, education and provide prevention messaging to students and staff regarding leading causes of injury.

Timeline: 10/1/22 – 9/30/23.

 

Child Injury Prevention Strategy #4:

Improve data collection, analysis, interpretation, and dissemination of child injury data to focus on prevention efforts.

 

ESM:

7.1.6: Percent of engaged partner groups including other state agencies, local grantees, and marginalized community representatives, that report satisfaction with level of engagement in the development of a collaborative child injury report.

 

State level activities/timeline:

1. Participate on State Child Fatality Review Team (SCFRT). Serve as a liaison to local fatality teams.

Timeline: October 2022-September 2023

2. Convene with SCFRT and PHD staff to develop a plan for child injury and injury fatality report.

Timeline: October 2022-September 2023

3. Provide data and technical assistance to local Title V partners focused on this strategy and related activities.

Timeline: October 2022-September 2023

 

Local level activities/timeline:

• Benton County: Participate in Child Abuse Response Team meetings in county. Participate in child fatality review training. Develop presentation about MCH services for CART team.
• Malheur County: Participate in local child death review teams and contribute to subsequent data reporting into NCDRRS.
• Wheeler County: Participate in local child death review teams and contribute to subsequent data reporting into NCDRRS.

Timeline: 10/1/22 – 9/30/23.

 

Critical partnerships:

• Safe Kids Oregon members and Local Coalitions
• State Child Fatality Review Team members
• Oregon Injury and Violence Prevention Program
• Local fatality review teams
• MCH home visiting programs and staff

 

Other Title V Work in the Child Health Domain

Title V’s work in child health will continue to provide leadership, technical assistance and analytic expertise for the integration of child health promotion into programs and policies across state and local agencies. Title V will also continue to support work in Oral Health for children, although it is no longer one of Oregon’s selected Title V NPMs. Some specific child health work that will be supported in the coming year includes:

 

• Title V staff will partner with Medicaid to implement the newly revitalized EPSDT program for Oregon. EPSDT was previously incorporated into Oregon’s 1115 waiver, and now will be developed and implemented as a visible and comprehensive child health prevention program within Medicaid.
• The Oral Health program is collaborating with Medicaid and CCOs to increase fluoride varnish application in primary care for children ages 1-6 as part of a CMS “Advancing Prevention and Reducing Childhood Caried in Medicaid and CHIP initiative.
• Title V staff will collaborate with the OHA Transformation Center to review submitted CCO Community Health Improvement Plans for child and adolescent health impacts.
• Title V will support the Child Fatality Review Team with staffing and in-kind data assistance.
• Title V will work with OHA’s Child Social Emotional Metrics Team to provide support to CCOs for implementation of this work and metric.
• Title V supported audiologist will conduct professional development with audiologists across the state.