The 2015 Application is now available for: Brooklyn Perinatal Network Inc. s

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The 2015 Application is now available for: Brooklyn Perinatal Network Inc. s Perinatal Service Coordinator Field Placement For the Brooklyn Perinatal Health Information Technology Program Sponsored By: Brooklyn Perinatal Network, Inc. Application Deadline: December 5, 2014 For more information contact Rebecca Shore at: rshore@bpnetwork.org

Perinatal Service Coordinator Field Placement Brooklyn Perinatal Health Information Technology (BPHIT) Program The goal of the New York State Department of Health s Perinatal Health Information Technology (PHIT) program is to address fragmentation in maternal and child health care by closing the referral loop and ensuring better care transitions for at risk and low income women. This is a NY state funded project that comes out of Medicaid Redesign recommendations to improve care delivery by supporting initiatives demonstrating effective use of HIT technology to link health care systems and community based health organizations. Using a newly designed software platform, communication will be facilitated between medical and social services providers to promote timely referrals, coordinated care, and enhanced screening of risks for women at risk of poor maternal and child outcomes. Perinatal Service Coordinators (PSCs) will be assigned to one of the ten medical and social services agencies we term Project Users. PSCs will assist in care coordination for clients at risk of poor birth and/or maternal outcomes. PSCs will perform a variety of duties, including: working on-site to help support implementation of a Community Based Service Navigation (CBSN) system, ensuring timeliness of patient referrals, and supporting communication between BPN and Project Users. PSCs will be trained in the utilization of a health information technology (HIT) solution developed to screen and identify risks, refer women for services, and plan care coordination. Internship Overview: The Brooklyn PHIT PSC Program is a field experience for academic credit. It is ideal for undergraduate or graduate students in the health and human services fields with knowledge of and/or an interest in health equity, community health, public health, and women s health to gain hands-on experience in the expanding health delivery and health technology field. This field experience is unpaid. PSCs are expected to work for at least 12 hours per week (with additional hours as approved) for the Spring semester. Each PSC is matched with a medical or social service provider and site supervisor. Some of the sites participating in the PHIT Program are: Brooklyn Perinatal Network Wyckoff Medical Center Caribbean Women s Health Association New Dimensions and Abundant Life Healthy Start Brooklyn BMS Family Health Center SCO Nurse Family Partnership CAMBA Responsibilities will include: 1. Assist in care coordination between medical providers and social service providers in order to address barriers in care for high-risk women and mothers 2. Support medical and social service agency staff with sending and receiving referrals through Community Based Service Navigation PeerPlace systems including data entry of client data, following up with providers as well as other everyday needs related to the program 3. Troubleshoot issues with the Community Based Service Navigation PeerPlace system and be available for technical assistance to agency 4. Document and analyze ways that Community Based Service Navigation PeerPlace system can be made more efficient for clinicians and providers 5. Collaborate with BPN staff on the PHIT project through meetings and conference calls 6. Other duties as assigned to provide a meaningful experience Eligibility and Other Requirements Applicants must: Be a current student, with a declared major in a health and human services field Be eligible and available for intern field placement for at least 12 hours per week, for the 2015 Spring semester Apply for school credit for this field placement If selected as an intern, you will be required to complete: A 2 ½ -day training/orientation program, including a half-day training program on PeerPlace software Brooklyn Perinatal Network Volunteer Form For more information contact: Rebecca Shore, MPH at rshore@bpnetwork.org

Brooklyn Perinatal Health Information Technology Program Brooklyn, NY Perinatal Service Coordinator Field Placement Spring 2015 Application Packet Completed applications must be received by December 5, 2014 for spring 2015 placement

Overview Brooklyn Perinatal Network (BPN) was established in 1988 from a community task force looking to address high infant mortality in several Brooklyn communities. We work to prevent and reduce infant and maternal illness and death by enabling at-risk residents to access vital information and coordinated care, and assisting families in securing public health benefits and resources. Since BPN s launch over 20 years ago there have been significant reductions in infant death and improved maternal and child health status. BPN collaborates with several community organizations in order to provide medical care, psycho-social health, and educational services; referrals to other providers; and coordinate and provide social health and supportive services. The mission of the organization is: Improve the health and well-being of children, youth, parents, individuals (males and females) and families through linkages to culturally appropriate services to optimize health Identify & develop needed resources Facilitate collaboration & partnership to coordinate services and affect public policy Brooklyn Perinatal Health Information Technology: Program Description The goal of the New York State Department of Health s Perinatal Health Information Technology (PHIT) program is to address fragmentation in maternal and child health care by closing the referral loop and ensuring better care transitions for at risk and low income women. This is a NY state funded project that comes out of Medicaid Redesign recommendations to improve care delivery by supporting initiatives demonstrating effective use of HIT technology to link health care systems and community based health organizations. Using a newly designed software platform, communication will be facilitated between medical and social services providers to promote timely referrals, coordinated care, and enhanced screening of risks for women at risk of poor maternal and child outcomes. Perinatal Service Coordinator Field Placement Description Perinatal Service Coordinators (PSCs) will be assigned to one of the ten medical and social services agencies we term Project Users. PSCs will assist in care coordination for clients at risk of poor birth and/or maternal outcomes. PSCs will perform a variety of duties, including: working on-site to help support the partners with implementation of a Community Based Service Navigation (CBSN) system, ensuring timeliness of patient referrals, and supporting communication between BPN and Project Users. They will be trained in the utilization of a health information technology (HIT) solution developed by this project that the partners will be using to screen and identify risks, refer women for services, and care coordination planning. Responsibilities will include: 1. Assist in care coordination between medical providers and social service providers in order to address barriers in care for high-risk women and mothers 2. Support medical and social service agency staff with sending and receiving referrals through Community Based Service Navigation PeerPlace systems including data entry of client data, following up with providers as well as other everyday needs related to the program 3. Troubleshoot issues with the Community Based Service Navigation PeerPlace system and be available for technical assistance to agency 4. Document and analyze ways that Community Based Service Navigation PeerPlace system can be made more efficient for clinicians and providers

5. Collaborate with BPN staff on the PHIT project through meetings and conference calls 6. Other duties as assigned to provide a meaningful experience Academic credit, unpaid opportunity possibility of travel stipend Reports to: PHIT Project Director and Project Coordinator, and an assigned site supervisor Eligibility and Other Requirements Applicants must: Be a current student pursuing a degree in public health, social work, nursing, community health, or a related human and social services field Be available to work a minimum of 12 hours per week, with additional hours as approved Have strong communication and interpersonal skills, including exceptional attention to detail Have an ability to work independently and as part of a team Be computer literate ability to work with Microsoft Office Interest in service delivery and health information technology If selected as a Perinatal Service Coordinator, you will be required to complete the following: A 2 ½ -day mandatory orientation, including a half-day training on the Community Based Service Navigation PeerPlace technology system Application/Internship Timeline December 5 th, 2014: Applications due. Applications must include: Completed Application Form Résumé December 2014: Application screening and review, including phone interviews January 1, 2015: Applicants will be notified of the program s final decision January 26, 2015: Internship begins Training Session during Mid-Winter Session (Dates TBD): Perinatal Service Coordinators will complete a 2½ day training. All PSCs must attend all days. Refresher hands-on training mid-february (TBD): Perinatal Service Coordinators will complete a refresher half-day training on the Community Based Service Navigation PeerPlace system How to Apply Please e-mail completed application forms and résumé to: Rebecca Shore, MPH, Program Coordinator rshore@bpnetwork.org Be sure to include the name of the position and application last name in the subject line of your email. No phone calls, please.

Brooklyn Perinatal Health Information Technology Staff Extender Application Form Application Information Last Name: First Name: Date of Birth: Current address: City: State: Zip Code: Home Phone: Cell Phone: E-mail Address: Gender: Ethnic Identity (Optional): (Check all that apply) If yes, please indicate your speaking and reading ability below: How did you hear about the Perinatal Service Coordinator opportunity? Faculty Member University Career Services School Website Other: List days and times you are available to work: Day Time available Monday Tuesday Wednesday Thursday Friday

Relevant Experience Have you ever worked or volunteered in the healthcare field? If yes, please tell us about the longest job/volunteer position you have held in the healthcare field: Name of the facility or organization where you worked/volunteered: City/State of the facility or organization where you worked/volunteered: Length of employment/volunteer position: Description of Duties: What were the most enjoyable aspects of this experience: What were the most challenging aspects of this experience: How did you address the challenges that you experienced: Describe your level of contact with patients/clients: How will the skills you learned in this position assist you in being an effective Perinatal Service Coordinator for the PHIT program?

Have you ever worked in a professional office? If yes, please tell us about the longest job/volunteer position you have held in a professional office: Name of the organization or company: City/State of the organization or company where you worked/volunteered: Length of employment/volunteer position: Description of Duties: Do you have experience working with technical systems? Or offering technical assistance? If yes, please tell us when and where, and the specifications of the job/volunteer experience: Do you have a laptop that you could bring to your internship site?

Technology Questionnaire What level of experience do you have with the following programs? If yes, please describe your experience with conducting research: Education Please provide the following information about your current educational program: College/University: Degree Pursued: Associate Bachelor s Master s Other: describe Major: Minor: How many credits have you completed towards your degree? When is your anticipated graduation date? Are you required to complete an internship for your degree? Yes No If yes: How many semesters and hours of internship/practicum/field experience are required? Please provide the name and e-mail address of the internship/practicum/field experience coordinator from your academic program: Name: E-mail:

Personal Statement On a separate sheet of paper, in no more than 750 words (two and a half double spaced pages) prepared a typed statement that addresses the following questions: 1) What are your future academic and career plans? 2) Please describe the reasons for your interest in this internship program. In your response please discuss any academic, personal, or employment experience that will be relevant to your success as a Perinatal Service Coordinator. 3) Discuss any additional information you feel might further your candidacy for this internship. Certification I certify that I have read and understood all instructions on this application and have answered all questions truthfully and to the best of my knowledge. I understand that any misrepresentation or omission may be cause for denying acceptance to this program. Signed: Date: