Cedar Valley United Way Progress Report 2013/2014 Target Issue: Health-Maternal Health and Infant Well-Being Allen Hospital 2013/2014 Request: $26,585 Maternal Health Enhanced Services 2013/2014 Award: $10,172 Number of anticipated participants to be directly served by the program annually: Changes to the number of anticipated participants based on current conditions: decrease, due to Maternal Health nurse on maternity leave in 2013 Total number of actual participants: Phase 1: 435 Phase 2: 435_ # of participants who achieve at least one health goal related to pregnancy # of participants that are on track to successfully exit this program Number of patients who quit smoking through our program 900 Phase 1* 435** (See below) Phase 2* 435 (re-checked number 3 times, # is the same as first phase) Cumulative Totals* 435** 435 (re-checked number 3 times, # is the same as first phase) 870 total patients will successfully exit program 45 49 (58 of the 435 had reported smoking) (60 of the 435 reported smoking) 94 patients quit smoking through our program 870 total patients achieved at least one health goal *Report only unduplicated numbers ** The Maternal Health nurse was on maternity leave between May 13th and August 5th, so numbers are a little lower than originally projected. Based on the above information, what changes, challenges or improvements are being implemented or experienced to impact the effectiveness of the program? Phase 1: The maternal health nurse attended a seminar about Dental Health in the pregnant mother in December 2013. The seminar discussed ways to reduce the occurrence of tooth infections and complications, in the pregnant mother. It also reinforced the importance of preventative care and regular dental checkups throughout pregnancy, and also post pregnancy. Phase 1= July 1, 2013-December 31, 2013 Phase 2=January 1, 2014-June 30, 2014 Report Due: January 15, 2014 Report Due: July 15, 2014 Cedar Valley United Way Progress Report 2013/2014 Target Issue: Health-Maternal Health and Infant Well-Being The maternal health nurse has also worked directly with our Maternal Health population in educating on the importance of dental health. We have a 45 minute appointment discussing proper dental care, brushing, flossing, signs of infection, when to see a dentist, and we also educate on when the mother needs to take her child for their first dental checkup (at age 1 year.) We also educate at each appointment the importance of quitting smoking, if the patient is a smoker. We follow up each time to see how they are doing with their goal of quitting. We have seen a good number of people quit smoking in this 6 month phase. Phase 2: The maternal health nurse has been trained to start doing at home listening visits with our patients who score high on their Edinburgh Depression screen at their first prenatal appointment at Allen Women’s Health. If the patient scores between 10 and 23 on this screening, we will recommend they meet with a nurse in their home for these visits in an effort to show them that counseling may be a beneficial thing for them. If the patients agree to the listening visits, they will meet with the maternal health nurse for a total of 4 sessions throughout their pregnancy. Listening visits will last between 30-50 minutes. The nurse will simply meet with the patient and act as a sounding board for the patient to discuss anything that may be going on in their life at the time, and the nurse will act as a resource to help get that patient the resources they need. We will begin these visits in August, and we hope that they will really have a positive impact on our patients and help them get the counseling and help that they need. Share at least one of the “success stories” or accomplishments that a participant has experienced during each reporting period. This must be participant focused and aligned with the intent of this award. Phase 1: In October, 2013, the enhanced services nurse saw a pregnant mother for her dental education visit. When asked if she had a regular dentist, she replied, “No, I do not have insurance and I cannot afford to go. I have not seen a dentist for over 5 years.” At that time, the nurse told her she now has insurance coverage through Title 19 and dental visits would be covered. She helped the patient choose a dentist, and then offered to call and set up an appointment for her. The patient was happy for assistance in this process. The nurse called the dental office and was able to schedule an appointment for a checkup and cleaning. She also scheduled a follow up appointment with Allen Women’s Health, and we will check to be sure she made it to her dental appointment. We stressed the importance of keeping this appointment, especially since she had not seen a dentist in 5 years. Phase 1= July 1, 2013-December 31, 2013 Phase 2=January 1, 2014-June 30, 2014 Report Due: January 15, 2014 Report Due: July 15, 2014 Cedar Valley United Way Progress Report 2013/2014 Target Issue: Health-Maternal Health and Infant Well-Being It is important for patients to maintain good oral health during pregnancy, because their risk for periodontal disease is higher due to the changes in hormones. An oral infection during pregnancy can also affect the baby’s health. Allen Women’s Health does a whole appointment on dental health education for this reason. At all appointments, the nurse checks with patients to see if they have heard about Stork’s Nest. Patients are encouraged to keep all of their scheduled appointments and to see a dentist during pregnancy; by keeping appointments, they can earn points to be redeemed for items for the baby. Phase 2 : In June 2014, the maternal health nurse met with a patient who was 38 weeks pregnant and had not been seen at our clinic prior to now. She had been receiving her prenatal care at Allen OBGYN, but had not been referred to us for our services until now. This will be her first child, and she is a single parent. She lacks support/help with the pregnancy and also once the baby is born. She has a number of mental health needs and has gone off her mental health medications during the pregnancy. She has continued to meet with her psychiatrist, but she is still having a lot of anxiety about things related to the pregnancy. She was feeling overwhelmed with the decisions she was going to have to make by herself. She voiced concern with not knowing how to tell when she is in labor and when to go to the hospital. We were able to counsel her on pre-labor signs and symptoms, signs of labor and when to present to hospital. We also discussed planned length of stay the hospital, who will be with her and what to expect. Discussed pain medication options while in labor and what her preference might be. She was referred to a home visiting program from the community for additional pregnancy and parenting education and support. When she left the appointment, she told us how much more at ease she felt with everything, and she was so thankful she had met with us and had her questions answered. She felt that she had support through us, when there was no one else there for her. Phase 1= July 1, 2013-December 31, 2013 Phase 2=January 1, 2014-June 30, 2014 Report Due: January 15, 2014 Report Due: July 15, 2014