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Community Activities -NW

Clallam Team contact list

• Team members communicate frequently through their job activities, although they are not able to meet regularly.

• There is not a team physician member at this point, but team members work closely with the pediatricians in the one pediatric office. They also support the 12+ family physicians in the county.

• Team members use their contacts at the state level to help local families access services in Seattle, Mary Bridge, and elsewhere. They are usually able to get families who need it into services.

• A challenge for the team is the lack of time they have to focus on team-specific activities. Their agencies are short-staffed. The philosophy of the local health department is to have generalist nurses who can handle anything who comes up, so the CSHCN Coordinator also works in WIC, Immunizations, Communicable Disease, and Maternal and Infant Health.

Skagit Team contact list

• Utilize public awareness contacts and visits to provide/distribute resources in the form of parent resource notebooks and/or resource bulletin boards (pre-made, “you hang” type) to interested pediatric practices 2004-05.

• Duplication and distribution of Medical Home toolkits to physicians offices as part of ongoing presentations

• Physician presentations included birth-to-three, medical home, Parent to Parent and resources information

• Produced “Quick Resource Card” for providers with service information for CSHCN in Skagit and two neighboring counties of Island and San Juan.

• Developed bulletin board for the new Children’s Museum so that families who have CSHCN can get information somewhere other than a physician’s office.

• Team physician is piloting a parent advisory group for her practice with both parents of special needs and typically developing children. Team family resources coordinator/parent to parent coordinator and public health nurse are participating as members. The focus of the parent group is broader than CSHCN but there is still an emphasis in that area because more information and support is typically useful for those families.

Snohomish Team contact list

• The Snohomish County team, along with Dr. Katherine TeKolste of the University of Washington and Judy Ward of Snohomish Health district, implemented a pilot project to explore the feasibility of universal developmental screening through CHILD Profile mailings. During April and May, 2003 families of 18 month old children in Snohomish County were invited through their CHILD Profile mailing to complete an Ages and Stages Questionnaire for their child. Questionnaires were scored by the team. Families whose children have possible developmental concerns were called with those results. Results were also sent to the child's primary care provider (PCP), with parent permission. Parents and PCP's were surveyed about the project.

• The team feels the project was beneficial and are working on their final report and recommendations at this time (7/04).

Whatcom Team contact list

• Original developer of Child Health Notes; ongoing development and distribution of Child Health Notes www.co.whatcom.wa.us/health/children/newsletter/news_index.jsp

• Applied for and received EDHHI grant for newborn hearing screening and follow up. Have targeted the Native American population and migrant Hispanic populations.

• Held training at Lummi Tribal Reservation

• Developed materials in English and Spanish and will distribute to doctors’ offices and libraries in the county.

• Providing technical assistance to MHLN staff on development of state website.

• Whatcom is one of the WISE (www.doh.wa.gov/cfh/mch/WISE.htm) integrated services grant pilot sites, and is looking at a single cross agency care coordination for young children with special health care needs