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and other factors necessary for ° achieving projected outcomes. y LE f) Build broad -based community support. 0 Q 3) Supervision of the prenatal and infant health care coalitions is the responsibility of the department. The department shall: a) Assist in the formation and development of the coalitions. Pates,fig: 19 st.c b) Define the core services package so that it is consistent with the prenatal and infant health care services delivery plan. c) Provide data and technical assistance. d) Assure implementation of a quality management system within the provider coalition. e) Define statewide, uniform eligibility and fee schedules. f) Evaluate provider performance based on outcome measures established by the prenatal and infant health care coalition and the department. 4) In those communities which do not elect to establish a prenatal and infant health care coalition, the Department of Health is responsible for all of the functions delegated to the coalitions in this section. 5) The membership of each prenatal and infant health care coalition shall represent health care providers, the recipient community, and the community at large; shall represent the racial, ethnic, and gender composition of the community; and shall include at least the following: a) Consumers of family planning, primary care, or prenatal care services, at least two of whom are low- income or Medicaid eligible. b) Health care providers, including: 1. County health departments. 2. Migrant and community health centers. 3. Hospitals, 4. Local medical societies. 5. Local health planning organizations. c) Local health advocacy interest groups and community organizations. d) County and municipal governments. e) Social service organizations. f) Local education communities. 6) Prenatal and infant health care coalitions may be established for single counties or for services delivery catchment areas. A prenatal and infant health care coalition shall be initiated at the local level on a voluntary basis. Once a coalition has been organized locally and includes the membership specified in subsection ( 5), the coalition must submit a list of its members to the Secretary of Health to carry out the responsibilities outlined in this section. 7) Effective January 1, 1992, the Department of Health shall provide up to $ 150, 000 to each prenatal and infant health care coalition that petitions for recognition, meets the membership criteria, demonstrates the commitment of all the designated members to participate in the 6.7. c coalition, and provides a local cash or in - kind contribution match of 25 percent of the costs of the coalition. An in -kind contribution match may be in the form of staff time, office facilities, or supplies or other materials necessary for the functioning of the coalition. 8) Local prenatal and infant health care coalitions may hire staff or contract for independent staffing and support to enable them to carry out the objectives of this section. Staff shall have knowledge and expertise in community health and related resources and planning, grant writing, public information and communication techniques, organizational development, and E data compilation and analysis. 00 o. 9) Local prenatal and infant health care coalitions shall incorporate as not -for -profit corporations for the purpose of seeking and receiving grants from federal, state, and local m government and other contributors. However, a coalition need not be designated as a tax- y exempt organization under s. 501( c)( 3) of the Internal Revenue Code. z m 10) The Department of Health shall adopt rules necessary to administer this section, 2 including rules defining acceptable " in- kind" contributions and rules providing definitions of terms, coalition responsibilities, coalition operations and standards, and conditions for r establishing and approving a coalition. A coalition may not be a direct provider of prenatal and o. n infant -care services. History. - s-. 26, ch. 91 - 282; s. 69, ch. 95 -143; s. 62, ch. 97 -101; s. 20, ch. 2000 -242. 65 Healthy Start How Healthy Start Works E n Healthy Start Coalitions are non -profit organizations dedicated to improving the health of c pregnant women and babies in a community. MtN: The state' s 33 Coalitions are partnerships made up of local public and private medical r professionals, hospitals, schools, charities, social services agencies, the United Way, the March of Dimes and individuals. Coalition members will work together to identify and resolve local health problems that affect pregnant women and their families. TheThe HealthyHealthy StartStart Program Program TheThe cornerstonecornerstone ofof allall CoalitionCoalition programsprograms isis HealthyHealthy Start,Start, whichwhich isis aa comprehensive comprehensive programprogram promotingpromoting optimaloptimal prenatalprenatal healthhealth andand developmentaldevelopmental outcomesoutcomes forfor allall pregnantpregnant womenwomen andand babiesbabies inin Florida.Florida. TheThe fundamentalfundamental goalsgoals ofof thethe HealthyHealthy StartStart ProgramProgram areare toto reducereduce infantinfant mortality,mortality, reducereduce thethe numbernumber ofof lowlow birthbirth weightweight babiesbabies andand improveimprove healthhealth andand developmentaldevelopmental outcomes.outcomes. EachEach Coalition'Coalition' ss BoardBoard allocatesallocates fundingfunding toto locallocal agenciesagencies toto provideprovide HealthyHealthy StartStart services,services, whichwhich include:include: CareCare CoordinationCoordination andand Outreach Outreach BreastfeedingBreastfeeding andand ChildbirthChildbirth educationeducation ParentingParenting educationeducation andand supportsupport SmokingSmoking CessationCessation AssistanceAssistance NutritionalNutritional servicesservices andand counseling counseling PsychosocialPsychosocial counselingcounseling HomeHome VisitsVisits ManyMany otherother servicesservices toto addressaddress individualindividual identifiedidentified risksrisks HealthyHealthy StartStart CoalitionsCoalitions willwill alsoalso seekseek grantsgrants toto helphelp addressaddress relatingrelating issues.issues. PleasePlease visitvisit youryour locallocal HealthyHealthy StartStart CoalitionCoalition websitewebsite toto findfind outout moremore onon HealthyHealthy StartStart Services.Services. WhatWhat isis HealthyHealthy StartStart Screening?Screening? EveryEvery doctordoctor inin thethe statestate ofof FloridaFlorida isis requiredrequired toto offeroffer aa HealthyHealthy StartStart ScreeningScreening toto allall pregnantpregnant womenwomen andand theirtheir babies.babies. ByBy initialinginitialing " " Yes"Yes" toto beingbeing screeningscreening onon thethe HealthyHealthy StartStart Prenatal Prenatal oror InfantInfant RiskRisk Screen,Screen, womenwomen willwill knowknow withinwithin minutes,minutes, ifif theythey oror theirtheir babybaby havehave anyany individualindividual healthhealth risks.risks. 6. 1 d Healthy Start believes every woman deserves to know if she or her baby is at risk. After completing the Healthy Start Screen, the doctor' s office or delivering facility will refer to Healthy Start based on answers provided on the Screening Form. Healthy Start and the doctor' s office continually communicate with each other to make sure the client has the best outcome possible. E m Even if women do not feel Healthy Start is the right program for them, by still initialing " Yes" to c bring screened their de- identified statistical information can be gathered to help improve T health care for all of Florida' s moms and babies. NT NN T6O N o w aJ Nb N 6. 1 J Infant Mortality Why Should We be so

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