happy children, mother and child, and expecting mother and father

Funded Projects

Grant Status: Active

Grant Title: Healthy Tomorrows Tulsa County

Web Site: Community Service Council of Greater Tulsa Project Exit Disclaimer

Project Director(s):

Jan Figart
Community Service Council of Greater Tulsa
Tulsa, OK
Phone: (918) 585-5551
Email: jfigart@csctulsa.org

Problem:

The Family Health Coalition (inception 1987) analyzed the health care delivery system and supported health care transformation. The transformation includes infrastructure, health education, health literacy and care coordination. The care coordination of children during early childhood is absent in Tulsa County except for the relationship with home nurse-visiting programs, Healthy Women-Healthy Futures (HWHF) or Healthy Start to reduce infant mortality or prevent child abuse. The focus in both programs is the mother.

Goals and Objectives:

The goals and objectives are consistent with the Healthy Tomorrows goals of reducing health care disparities, and improving the health workforce. I. Expand the health care workforce by deploying 10 indigenous promotoras per year in east Tulsa County, Oklahoma. a. Recruit 10 current or former HWHF graduates annually to conduct care navigation and support to women in east Tulsa targeting Hispanic women and their children. b. Provide stipends for training and services provided to the women and their children. c. Provide 80 hours of pre-service training to the promotoras from the HWHF curriculum. d. Provide supervision of the promotoras using licensed personnel (nursing or social work) affiliated with the federally qualified health centers and university services in east Tulsa. II. Improve the health disparities created by geographic and social isolation among low income children of Hispanic and other minority women. a. Identify children 0-8 years whose mothers are interconceptional from the federally qualified health centers and university services in east Tulsa. b. Screen the women for interest in the HWHF program by licensed personnel. c. Receive informed consent for the women and her children to be a part of the program while the child is 0-8 years old by licensed personnel. d. Assess the maternal risk factors using the Interconception Risk Assessment for counseling and referral services by licensed personnel. e. Assess the infant and child risk factors using Ages and Stages (Sprout online). f. Refer women and children to risk appropriate services and preventative health care (within the medical home as appropriate). g. Provide risk appropriate awareness and health education using face to face, ehealth and telephone access by promotoras. h. Conduct staffing with promotoras and licensed personnel to identify unmet needs of women and their children, and to the support needs of the promotoras. i. Evaluate the success of the program using qualitative and quantitative methods with the women, children, promotoras and licensed personnel involved in the program.

Methodology:

To expand pediatric medical homes for children 0-8 years old, Healthy Start will identify children who might benefit from continuous care coordination through the safety-net and private providers. The care coordination will be conducted using clinic, home and community contacts with the mother and child. Emphasis will be placed on maintaining the developmental milestones of the child, immunizations and early periodic screening, diagnosis, and treatment schedules (EPSDT), and maintaining the health of the mother.

Evaluation:

An independent evaluator from the University of Oklahoma College of Nursing is under contract with CSC for optimal participation in the national MCHB program evaluation, evaluation of performance measures, and quality assurance.

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