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Kansas City Healthy Start

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Ashley Haden-Peaches

on 28 April 2017

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Transcript of Kansas City Healthy Start

Thank You!
Opened in 1968
Federally Qualified Health Center
6 locations
5 clinics
Adult and Senior Health
Children and Adolescent Health
Women's Health
Behavioral Health

Manage case loads of 20-30 families
Assign referrals and incoming clients to CHWs
Gather and manage data for reports
Extensive documentation of each participant served
Help CHWs manage their caseloads
Coordinate services between other departments and Healthy Start
Coordinate in house training opportunities
Manage Happy Bottoms account
In addition to tasks of CHWs

Community Health Worker
Manage case loads of 30-40 families
Extensive documentation for each participant served
Connecting families to resources
Connecting families to medical services
Provide screenings
Depression, Development
Provide education
Safe Sleep, Parenting, Breast feeding, Pre/Post-natal care, Health Literacy, Immunizations, Well Child Checks, Child Safety, Insurance Options, Birthing Options and much more

Program Requirements
Zip code based
9 in Jackson County, 6 in Wyandotte County
Pregnant Women
Families with infants under age 2

Partner Programs
Parents As Teachers
Happy Bottoms
Family Conservancy
Start At Zero
Newborns in Need
Project Eagle
Nurse Family Partnership
Gentleman of the Round Table
And many more…..

Community Health Worker Roles
Community Health Workers

Rodgers Health
Swope Health Services

Kansas City Healthy Start
Opened in 1969 as Model Cities Health Corporation
Mission: Swope Health Services improves the health and wellness of the community by delivering accessible, quality, comprehensive patient care.
Federally Qualified Health Center
Not-for-profit, community-owned health care provider
Serving low income and medically underserved communities.
14 locations
10 clinic sites
4 residential treatment sites
1 outpatient treatment site

High Risk Categories
Teen mom
Mom or baby with physical or developmental disability
Domestic Violence
Rate high on Depression Screening
Live in 64132

Referral Process
Language Barriers
Citizenship Status
Low Health Literacy
Incentives vs Engagement
Repeat Pregnancies
Cultural Barriers
Navigating Resources
Changes in paperwork requirements
Other Services
Full Service Pharmacy
Marketplace/Medicaid enrollment
Healthy Start
Our Mission: To provide high quality, compassionate and affordable healthcare for all.

Populations Served
Low income
Refugees and Immigrants

Served 40,000 patients in 2016
Patient Population Characteristics
65% live below the 200% Federal Poverty Level (FPL); eligible for a sliding-fee discount.
42% are uninsured
36% have Medicaid coverage
African American: 55%
White: 28%
Hispanic: 16%
Other: 1%

Primary healthcare for adults and children
Preventative care, screening and examinations
Pediatric care, including immunizations and well-child check-ups
OB/GYN Services, including family planning, pregnancy testing and prenatal care
Dental, including dentures and limited oral surgery
Optometry-exams, glasses and fittings
Laboratory and radiology services
Pharmacy (340B, low-cost Rx programs, generic and brand name prescriptions)

Comprehensive Behavioral Health Services
Counseling-family, individual, group
Psychiatric evaluation and medication services
Crisis Intervention
Substance Abuse
Residential treatment options
Other Services
Homeless Outreach Program
WIC (Women, Infant & Children)
ACA (Affordable Care Act) Health Insurance Marketplace Certified Outreach and Enrollment Counselors
Medicaid/Medicare enrollment specialist
Patient Transportation

Retention and Engagement
Not getting to really know our participants and their environment
Language Barriers
Changes in paperwork requirements

Other Departments within Swope and Rodgers
MCHC Website
Other Agencies
Current or Former Clients
Rodgers: Confirmation of Pregnancy Report

Jobs/Lack of income
Health Insurance
Low education levels/literacy
Lack importance of medical care/preventative care
Mental Health Issues
Substance Use or Tobacco Use
Food Insecurity
Lack of appropriate/reliable childcare
English as a Second Language
Lack of support from the father of their baby and/or family and friends
Lack of citizenship status

Participant Struggles
Success Stories
Ms. Butler
Ms. Pouncil
Ms. Nelson

What's to like?
Holding/seeing babies and getting to see the kids grow and develop
Seeing success in a mom who is really taking steps to better her life or uses the information we have given to better her life.
Being able to provide resources and info that can be used immediately
Working with moms on development

Full transcript