12/30/14
LHJ: X County
Deliverable Form E – 5-Year Action Plans
(For further instructions see separate document titled “Action Plan Guidelines”)
MCAH SOW Goal 3: Improve Infant Health
Problem Category
SIDS/SUID
Problem Statement(s)
X County infants die of asphyxia associated with bed-sharing and unsafe sleep environment conditions
Five Year Local Goal(s)
The number of infants who die of asphyxia has been reduced by promoting infant safe sleep and Sudden Infant Death Syndrome (SIDS)
risk reduction education activities
Risk/Contributing Factors
Best Practice Strategies/
Interventions
Strong breastfeeding advocates who promote co-bedding as a strategy to increase breastfeeding, parents lack of knowledge and
understanding of what a safe sleep environment looks like, lack of consistent messaging across disciplines, lack of funding to purchase
safe cribs, residential shelters and treatment facilities lack cribs to provide a safe sleep environments for infants of shelter guests.
In 2011, the American Academy of Pediatrics (AAP) released the policy statement, SIDS and Other Sleep-related Infant Deaths: Expansion
of Recommendations for a Safe Infant Sleeping Environment, and an accompanying technical report. The Safe to Sleep campaign—formerly
known as the Back to Sleep campaign—aims to educate parents, caregivers, and health care providers about ways to reduce the risk for
SIDS and other sleep-related causes of infant death. The safe sleep strategies outlined in Safe to Sleep materials and publications are based
on recommendations defined by the 2011 AAP recommendations. http://pediatrics.aappublications.org/content/128/5/1030
Targeted outreach to MCAH population and other public health programs and providers. Increase knowledge of parents of newborns and
childcare providers, birth hospitals/midwife
Intervention Population(s)
Short and/or Intermediate Objective(s)
Fiscal Year 1: 2015-2016
By June 30, 2016, all home
visiting staff will have adequate
knowledge and skills to
incorporate motivational
interviewing technique into
messaging about safe sleep
environment when working
with clients
MI
MCAH and other public health programs, parent educators, child care providers, health care professionals, breastfeeding advocates and
parents of newborns, staff at homeless shelters and residential substance use treatment facilities, community based organizations that
serve target population (such as Early Head Start, Head Start, etc)
Inputs, including
Community Partner
involvement
 MCAH home
visiting programs
and their
supervisors
 Public health staff
including social
workers, public
health nurses and
Public health
assistants
Intervention Activities to Meet Objectives
Incorporate motivational interviewing skill
building techniques into MCAH new hire
orientation book.
Assess level of MI training for staff, establish
guidelines for adequate education, ask about
attending training and often they use the MI
skills – developing a measure of training
adequacy
Ensure all home visiting program protocols
Local Health Jurisdictions (LHJ) Needs Assessment Timeline and Deliverables
Performance Measures
Short and/or Intermediate
Process Description and Measure(s)
including data source
Outcome Measure(s) including data
source
MCAH new hire orientation book
will include MI skill building
techniques suitable for public
health staff
MCAH Public Health staff will
demonstrate increased skill
using MI technique to
educate clients about safe
sleep
Home visiting protocols will
incorporate procedures that
support use of MI technique
when providing safe sleep
education to clients
MCAH public health staff will
incorporate use of MI
technique when providing
safe sleep education to
clients
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Short and/or Intermediate Objective(s)
LHJ: X County
Inputs, including
Community Partner
involvement
Intervention Activities to Meet Objectives
related to safe sleep environment messaging
incorporate motivational interviewing
techniques when appropriate.
Establish procedures to track the use of MI in
providing safe sleep education
Performance Measures
Short and/or Intermediate
Process Description and Measure(s)
including data source
Outcome Measure(s) including data
source
Staff training materials on MI will
be compiled and provided to
home visiting supervisors for use
with staff
Number of MCAH home
visiting staff who completed
training on use of MI when
discussing safe sleep/Number
of MCAH home visiting staff
Compile materials suitable for staff trainings on
use of motivational interviewing when
discussing safe sleep. Curriculum to include:
case studies, health education materials and
related articles.
Fiscal Year 2: 2016-2017
By June 30, 2017,
By June 30, [20xx], [x/X] (specify
targeted organization) will
demonstrate increased
knowledge and adopt infant
safe sleep and SIDS risk
reduction practices into (specify
targeted organization such as
WIC, homeless shelter, shelter
for battered women, child birth
class, faith-based organizations)
Messaging at specific community based
organizations such as Vital Stats, WIC, stores
(floor talkers?) Bus campaign? Sites where
target population gather
Identify barrier to providing a safe sleep
information and environment, do they have the
materials needed to create a safe sleep
environment
CBOs
Fiscal Year 3: 2017-2018
By June 30, 2018,
Train CPSP staff to educate Medi-Cal Moms on
infant safe sleep and SIDS risk reduction
CPSP
By June 30, [20xx], [x/X] CPSP
providers will provide correct
infant safe sleep and SIDS risk
Local Health Jurisdictions (LHJ) Needs Assessment Timeline and Deliverables
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12/30/14
Short and/or Intermediate Objective(s)
LHJ: X County
Inputs, including
Community Partner
involvement
Intervention Activities to Meet Objectives
Performance Measures
Short and/or Intermediate
Process Description and Measure(s)
including data source
Outcome Measure(s) including data
source
reduction information to all
their pregnant and postpartum
women
Fiscal Year 4: 2018-2019
By June 30, 2019,
HOSP
By June 30, [20xx] [x/X] parents
of newborns will demonstrate
increased knowledge and
intention to follow infant safe
sleep practices and SIDS risk
reduction in [number] birth
hospitals
Fiscal Year 5: 2019-2020
By June 30, 2020,
CBOs
Messaging at specific community based
organizations such as Vital Stats, WIC, stores
(floor talkers?) Bus campaign? Sites where
target population gather
By June 30, [20xx], [x/X] (specify
targeted organization) will
demonstrate increased
knowledge and adopt infant
safe sleep and SIDS risk
reduction practices into (specify
targeted organization such as
WIC, homeless shelter, shelter
for battered women, child birth
class, faith-based organizations)
Local Health Jurisdictions (LHJ) Needs Assessment Timeline and Deliverables
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