Kent Developmental Assessment Clinic Report, March 2013 Bonnie Campbell, RN Barbara Corbin, Early On Coordinator Kent Intermediate School District
Kent DAC Goals 1. Eliminate duplication of effort. 2. Promote collaboration and improve communication between providers. 3. Minimize number of appointments and evaluations parents need to attend. 4. Decrease number of missed apoointments by eliminating barriers for families. 5. Give parents the knowledge to help their children develop and learn.
Developmental Assessment Clinic This multidisciplinary evaluation occurs for children who have been exited by HDVCH - NICU and are not attending other specialty clinics Follow-up occurs at 6 months adjusted and every 6 months as needed The evaluation serves as initial Early On/Special Education evaluation for some children, review for others
Developmental Assessment Clinic Clinic occurs on 2 nd and 4 th Mondays Evaluators are using the Bayley lll Special Education/Kent ISD is providing the Physical Therapist, Occupational Therapist and Speech Pathologist, Nurse HDVCH providing Psychologist, Physician Nurse and Nurse Practitioner Kent County Health Dept.-WIC, CSHCS, MIHP
Prior to Clinic Appointments EO Coordinates clinic roster with HDVCH Early On Nurse Coordinator offers home visit Conducts hearing screen Gathers medical history information Begins IFSP paperwork Sets up transportation and interpretation services Invites current service coordinators to attend with family or send report
During Clinic Appointments Full Developmental evaluation Child is weighed and measured Medical evaluation Families receive nutrition/wic assessments Immunization review Children Special Health Care options Families referred to MIHP
During Clinic Appointments Team begins or updates the IFSP as needed Team completes evaluation report Team communicates recommendations to family and medical team Medical and evaluation team review each child at the end of clinic to assure appropriate referrals and communication are occurring
After Clinic Appointments Early On Nurse Coordinator: Communicates with families to review needs, concerns and referrals Completes evaluation packets and forwards to appropriate receiving site Contacts service coordinators with concerns Makes community and audiology referrals
Birth-1 Child Find Indicator for Early On/Kent ISD UPDATE Michigan s target for 2012 is 1.24 percent of the birth population enrolled in Early On before the age of one Kent County: State Average: Ottawa County:.85 percent enrolled 1.29 percent enrolled 2.10 percent enrolled
Kent DAC Statistics March 2011 to March 2013 Total Clinics: 45 Total children: 443 Full evaluations: 423 Home visits prior: 412 Show rate: 95.4%
Kent DAC Statistics March 2011 to March 2013 Byron Center 6 Caledonia 5 Cedar Springs 20 Comstock Pk 17 Forest Hills 30 Godwin Hts 10 Grand Rapids 189 Grandville 28 Kelloggsville 5 Kenowa Hills 17 Kent City 7 Kentwood 50 Northview 4 Rockford 7 Sparta 3 ThornappleKellogg 2 Wyoming 43 Total: 443
Kent DAC Statistics March 2011 to March 2013 Enrolled in Special Education (prior) 153 Enrolled in Early On Only (prior) 46 Referred to Special Education 67 Referred to Early On Only 77 Referred to Bright Beginnings 10 Early Head Start 2 Declined referrals 16
Kent DAC Statistics March 2011 to March 2013 Medicaid eligible: 75.7% High Risk WIC: 79% CSHCS 53% Interpreters used: 24 Taxi vouchers: 72 All immunization records reviewed
Additional Referrals 5- Sibling referrals 4 -Spectrum Health Social Work Referrals 4 referrals to MIHP 2-referrals to Medicaid 5-Childrens Special Health Care Services: air conditioners, 5-respite, 3 trust fund 3-highchairs 12-car seats
Phone Survey Results Twenty-one families surveyed Winter 2013 All families report prior home visit by nurse to be very helpful Most families found the clinic to be informative and helpful; appreciated the coordination and referrals The concerns included the length of the clinic being hard on the babies and not sure of the added value to coming more than one time.