youth health partnership 2010 annual meeting. welcome and opening remarks mark laney, m.d

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Youth Health Partnership 2010 Annual Meeting

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Page 1: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Youth Health Partnership

2010 Annual Meeting

Page 2: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Welcome and Opening Remarks

Mark Laney, M.D.

Page 3: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Introductions

Eileen Duty, R.N.

Page 4: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Key Accomplishments

• Ten-Twenty Clinic developed

• New child & adolescent psychologist hired

• Health Express/Call Center pilot a success

• Linda Kerr completing fellowship

• Dental referrals continue to decrease

• School-based TdaP immunization clinics

• Teen pregnancy class - Why Try Program

• SAFE Exam process improved

Page 5: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Results Monitoring

• The following slides are health indicators we will continue to monitor.

Page 6: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Well Child Examinations

Well Child Checks

-

2,000

4,000

6,000

8,000

10,000

12,000

14,000

Nu

mb

er o

f V

isit

s

# Visits 8,416 9,279 10,709 12,067 12,215

2006 2007 2008 2009 2010

Page 7: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Oral HealthNumber of School Referrals for Oral Health

932900

1,082

1,403990

799714

684573

553519

455

0 200 400 600 800 1000 1200 1400 1600

Preschool-3rd

Preschool-6th

K-12th

K-12th

K-12th

K-12th

K-12th

2004-05

2002-03

2003-04

2000-01

2001-02

1998-99

1999-00

2005-06

2006-07

2007-08

2008-09

2009-10

Page 8: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Pre-School Preparation

SJSD DIAL 3 Scores

Percent of incoming kindergarteners scoring at or above a 5 year old level50

.3%

64.1%

46.0% 51.3%61

.0%

52.6%

45.3%

50.1%

47.0%

43.5%

61.9%

51.4%

48.9%

43.9%

62.6%

52.5%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Motor Concepts Language Total

2006

2007

2008

2009

Page 9: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Promoting Healthy WeightPercent of Students Not Meeting Healthy

Fitness Zone

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

4th Grade 5th Grade 6th Grade

2007-08 2008-09 2009-10

Page 10: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Teen Pregnancies

* Pregnancy-related hospital discharges (MSDRG codes 765-795)

Year – Number

2006 – 115

2007 – 139

2008 – 138

2009 – 136

Teen Pregnancies/Births* by Age - St. Joseph (#s represent number of pregnancies)

14 13 11 7

42 62 62 63

59 64 65 66

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2006 2007 2008 2009

15 & Younger 16 - 17 Years Old 18 Years Old

Page 11: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Youth Mental Health

Circle of H.O.P.E.• 417 Referrals• 284 Enrolled• 423 participants in FOCUS (Parent Support)• 275 participants in Youth Support• A full time Licensed Clinical Social Worker is now on-site at Lakeside Pediatrics

Page 12: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

New Systems Approach

• Past = Focus on specific programs and services

• Future = Systems approach to improve multiple outcomes

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

Page 13: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

System Model

Page 14: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

St. Joseph School District• Childhood obesity treatment

• 4th Grade Challenge 16 sites

• Behavioral health (age <6)

• Concussion protocol

• AED medical management

• Vision fund

• Current medicine resources

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

Page 15: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Clinics and Care Providers

• Standard of Care

• Monitor Access

• Ten-Twenty Clinic

• Specialty servicesSt. Joseph

SchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

Page 16: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Resources

• Coordinate overall strategy

• Document investments & activities

• Recognition events

• Link Business Roundtable & faith community to schools

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

Page 17: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Teen Pregnancy

• Infant childcare needs

• Service matrix

• Social worker (OB) St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

Page 18: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Dental Health

• Relocate clinic (Dec 2012)

• Expanded Partnership (UMKC)St. Joseph

SchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

St. JosephSchoolDistrict

Resources(poverty)

Dental

TeenPregnancy

Clinics& Care

Providers

Child&

Family

Page 19: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

System Model

Page 20: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Comments and Discussion

Access the presentation on-line www.nwmoinfo.org

Page 21: Youth Health Partnership 2010 Annual Meeting. Welcome and Opening Remarks Mark Laney, M.D

Closing Remarks

Melody Smith, Ed.D.