Fort Walton Beach Council agenda — 08-27-13--regular — reading text

zda J The National Fetal and Infant Mortality Review began in 1990 as a collaborative effort between o the American College of Obstetricians and Gynecologists and the Federal Maternal and Child y Health Bureau. Since it was first introduced in the late 1980' s, Fetal and Infant Mortality Review FIMR) has been a dynamic, community process. FIMR has enjoyed continued growth and refinement as more communities have used it. m Today, there are over two hundred FIMR programs. Different types of agencies sponsor the a r FIMR program including city and county health departments, local hospitals, regional perinatal centers and community based maternal and child health coalitions. c9 E Florida adopted the FIMR model in 1992. Many of the state' s Healthy Start Coalitions have been o S contracted by the State of Florida to implement FIMR locally. There are twelve FIMR projects statewide organized under Florida Statutes 766. 101 and funded by the State of Florida. rA FIMR is: 2O A strategy to close the gap in health disparities at the community level E A timely and valuable source of information about changing health care systems and how they affect real families trying to access them A form of continuous quality improvement that allows communities to assess the performance of systems and the impact of changes in those systems A voice for local families who have lost their baby A tool that helps local health officials implement policies to safeguard families E A program endorsed by the American College of Obstetricians and Gynecologists, the March of Dimes Birth Defects Foundation and the federal Maternal and Child Health Bureau PgCNeL fig 81 Fetal and Infant Mortality Review ( FIMR) Projects are countywide efforts to better understand the issues associated with fetal and infant mortality and morbidity and to develop strategies that improve perinatal systems of care, locally and statewide. FIMR identifies strengths and areas for improvements in overall services systems and community resources for women, children and families. FIMR also provides direction towards the development of new policies to safeguard them. c a`im N LT Nd  MomCare What is MomCare? m0E MomCare is a Medicaid -funded program authorized by a special waiver from the federal nr government called the Sixth Omnibus Budget Reconciliation Act ( SOBRA). in T MomCare was developed as a partnership between the Florida Association of Healthy Start ; Coalitions, Florida Department of Health, Florida Agency for Healthcare Administration and i Florida Department of Children and Families. MomCare is managed locally by county Healthy t: Start Coalitions. a MomCare is available to women who meet the following requirements: Have proof of a positive pregnancy test on a physicians or pregnancy centers letterhead that states expected delivery date Have a household income at between 150% and 185% of the poverty level Are a United States citizens or a legal immigrants Are Florida residents Clients receive guidance selecting a prenatal care provider, assistance scheduling initial prenatal visits, and information about state programs for which they may be eligible. Na The goal of Florida' s MomCare program is to improve birth outcomes and reduce infant mortality rates through a simplified application, guidance, education and care coordination services. Other goals of MomCare include: identify any client needs Ensure health insurance for the newborn increase Healthy Start screening rates increase participation in the WIC program Assign a primary care provider within 30 days increase family planning services  Mission: Rick Scott To prated, pronole & improve he hC31N Governor Of all people in Fbnola hraugh inlegrai state, county & community efinh. JC J ckaloase cowry John H. Armstriong, rID, FAGS Sane tGeneral Vision: To be the Healthiest Shh in he Nation August 27, 2013 The Healthy Start Community Coalition of Okaloosa and Walton Counties is part of a statewide system of coalitions, empowered on the local level, to provide services to pregnant women and their babies, based on the needs and the resources of the community. The Healthy Start Coalition is a consortium of local care providers, businesses and consumers with a singular goal of healthy babies born to healthy mothers. The Healthy Start Coalition is a 501( c)( 3) non -profit organization led by a volunteer board of directors. Services listed on the Okaloosa -Walton Healthy Start website hhttp / / healthvstartokawalton oral include: Providing transportation to doctors' appointments Purchasing diapers, cribs, and car seats Assisting with prenatal care for the uninsured Assessing community needs to enhance access to care Connecting women to services they need Each local Coalition holds responsibility for meeting the project deliverables for their funded service area. Coalitions may sub -contract for specific components of the Healthy Start Program. In many, but not all counties, the local County Health Department serves as a subcontractor to their coalition to provide Care Coordination or other services under a legal contract. Thirteen coalitions including Broward, Palm Beach, and Miami -Dade contract with non -FDOH vendors to provide these services. The Florida Department of Health in Okaloosa County has historically contracted with the Okaloosa- Walton Healthy Start Coalition for the purpose of providing comprehensive Healthy Start maternal and child health care coordination to pregnant women and infants and prenatal care counseling and medical care case management to pregnant women enrolled in the Medipass Primary Care Case Management Waiver (MomCare). These services are provided in a home- based setting and not at the health department clinics. The revenue from this contract is solely committed to covering the cost of the Healthy Start Staff and activities including a Program Manager, four Social Workers, a Registered Nurse, a Family Support Specialist, and a Senior Clerk. Dr. Chapman has collaborated with FDOH Central Office, including the Healthy Start Program Office Division of Community Health Promotion/ Bureau of Family Health Services) regarding her significant concerns related to the business relationship with the Okaloosa -Walton Healthy Start Coalition over the past 10 years. The last significant event occurred in the last 3 days of the 12 -13 Fiscal Year when the Executive Director failed to manage her state funding for another portion of her program and attempted to right the situation by repeatedly insisting FDOH -Okaloosa find a way to receive the redirected surplus and provide proof to the Coalition that the funds had been encumbered for an allowable purchase prior to June 30. Based on State fiscal year -end purchasing policies, this was an impossible request and FDOH- Okaloosa clearly communicated our inability to meet her request. The Coalition' s ineffective fiscal management resulted in a reversion of over $10, 000 of funding slated to support pregnant women and babies in Okaloosa County. Florida Daparlment of Haallh w . FloriEaaliealtll 1 0kaooaa Courtly MIITTER'.HeabyFLA 221 NE Hoapilal Dnw, Foftftein Beach, FL 32548 FACEBOOK: FLDepan nerWealth PHONE: 8501833 9240 • FAX 8501833 -9252 YOUTUBE: Mar  On July 2, 2013, Dr. Chapman notified the Okaloosa Walton Healthy Start Executive Director and Board Members, as well as Okaloosa CHID Healthy Start staff that our CHD would not serve as a sub- contractor beyond November 30, 2013. This provided the Coalition nearly five months to solicit another vendor to provide the desired services, and provided FDOH employees the maximum lead time prior to the transition. Dr. Chapman offered to provide the Coalition' s Board resources to assist in developing a request for proposal, such as Healthy Start staff position descriptions and performance expectations. While Dr. Chapman was out of town in August for a family medical emergency she was contacted by the current Board President and has agreed to meet with the Board to discuss her concerns. In addition, the Okaloosa -Walton Healthy Start Coalition has released as of the week of August 26 a notice of Request for Proposal to solicit new vendors for the continuation of Healthy Start services in Okaloosa County, The RFP notice can be found at hdo: / h/ ealthvstartokawalton org. This is an excellent opportunity for one of our many community based organizations to perform a pivotal role by linking these important healthy start services with their other services to women and children. Flodda Department of Health w . Florldastfealth. eom I Olab County TWITTER'.HwltyFLA 221 NE Hoapihl Dm, FoH Walton