In February 2019, ACIP updated its immunization guidelines for children and adolescents. The revised guidelines are available in two newly redesigned charts, one for providers and one for parents. They include new or revised recommendations for hepatitis A vaccine (HepA), hepatitis B vaccine (Hep B), influenza vaccine, and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap), as well as clarification of the recommendations for inactivated poliovirus vaccines (IPV).
Benchmark: Well Child Visits
Increase proportion of Healthy Start child participants who receive the last age-appropriate recommended well child visit based on AAP schedule to 90%.
The American Academy of pediatrics recommends regular well-child visits to assess if the child is meeting developmental milestones on hearing, vision, nutrition, safety, sleep, diseases, and growth. These visits also provide an opportunity for additional age- and developmentally-appropriate preventive services such as immunizations and anticipatory guidance.
A Performance Measure Resource Sheet is available summarizing recommended strategies and a selection of resources and evidence-based practices related to this benchmark to aid Healthy Start grantee organizations, partners and their staff in supporting the women and families they serve.
Featured Resource: Evidence-Based Practice
Recommendations for Preventive Pediatric Health Care
This chart shows recommended pediatric preventive health care services to be delivered at well-child visits for children ages 0-21, including history, measurements, screenings, assessments, procedures, physical exam, oral health, and anticipatory guidance. These guidelines represent a consensus by the American Academy of Pediatrics (AAP) and Bright Futures. The recommendations in this statement do not indicate an exclusive course of treatment or standard of medical care. Variations, taking into account individual circumstances, may be appropriate.
Providing Culturally Effective Care
This toolkit is a practical, hands-on resource designed to promote culturally effective services for children and families. It consists of nine brief “chapters” addressing health literacy and cultural differences in areas such as health beliefs and practices, infant care and feeding, the role of women, and child behavior and discipline. Each of the brief narratives is accompanied by a list of resources, including links to supplemental reading, patient education materials in multiple languages, checklists, assessments, and more.
Health Literacy Nutrition Parenting Education Safe Sleep Socio-emotional Development for Children
Ask the Expert: Improving the health of Women, Children and Men: A Primer on Preventive Services Covered Under the Affordable Care Act
Healthy Start programs are an invaluable resource for women, children and men to increase their understanding of the preventive services covered under the Affordable Care Act. For example, did you know that comprehensive breastfeeding support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women is a covered benefit under Marketplace health plans at no charge to the client? This webinar will provide an overview of the preventive services that are covered for women, children and men. Given the substantial amount of content to cover the webinar has been divided up into three parts. The first webinar will be live. The two subsequent webinars will be recorded and available for listening shortly following the live webinar.
Objectives:
1. Identify the preventative health services for women (Part I), children (Part II), and men (Part III) available with no co-pay and deductible.
2. Describe access points for the service (Parts I – III)
3. Identify models of payments related to these services and how it might affect access and payment for the services (Part III)
4. Define barriers created by some states/insurers to reduce access to some services (Part III).
Webinar Materials:
Home Visiting Life Course Model Nutrition Parenting Education Prenatal Care and Education Reproductive Life Planning/Family Planning Socio-emotional Development for Children STDs including HIV Tobacco Cessation
Ask the Expert: Parenting Children from Birth to Age 2
This webinar will focus on helping Healthy Start team members:
- Support participants in making healthy parenting choices
- Assist parents in creating safe environments for their young children
- Reinforce and clarify the advice and recommendations of babies’ health care providers
- Identify and help parents recognize warning signs that a baby or young child may be at risk.
Objectives:
- Describe recommendations for care of a child from birth to age 2.
- Discuss the importance of recommended well baby checks and describe tests and procedures that are performed during these visits.
- Identify warning signs that a baby or toddler may be at risk for medical or developmental problems.
Webinar Materials:
Breastfeeding Depression Father/Partner Involvement Immunization Insurance Coverage Intimate Partner Violence Nutrition Parenting Education Patient-centered Medical Home Risk Assessment Safe Sleep Socio-emotional Development for Children Tobacco Cessation
Immunization Schedules for Infants and Children
The recommended immunization schedule is designed to protect infants and children early in life, when they are most vulnerable and before they are exposed to potentially life-threatening diseases. This web page contains immunization schedules that parents can view or print showing the age or age range when each vaccine or series of shots is recommended. Available in English and Spanish.
The Injury Prevention Program (TIPP): A Guide to Safety Counseling in Office Practice
Counseling parents and children about the prevention of common childhood injuries is an important contribution toward preventing the major cause of childhood morbidity and mortality. TIPP is designed to provide a systematic method for pediatricians to counsel parents and children about adopting behaviors to prevent injuries—behaviors that are effective and capable of being accomplished by most families.This Guide includes a table showing the major safety issues and injury hazards for each age group for children 0-10 years old, and provides counseling guidelines for educating parents about injury prevention tailored to the age of their child.
Baby Basics
Baby Basics is a set of materials (book, planner, posters) and programs designed specifically to provide lower-income and lower-literacy populations with crucial prenatal health information and support. The materials are designed to be beautiful and easy to read, serving as a catalyst for learning and family literacy. Both materials and programs strive to engage and educate underserved parents to become effective users of the healthcare system and advocate for themselves and their families.
Practical applications of the life course approach
Three ways in which Maternal and Child Health researchers and practitioners are using data and the life course approach were discussed.
Association of Maternal & Child Health Programs
AMCHP is a national resource, partner, and advocate for state public health leaders and others working to improve the health of women, children, and families, including those with special health care needs. AMCHP’s website includes a calendar of events, policy and advocacy resources, information on MCH topics, and a searchable database of best practices.
Chronic Disease Community Needs Assessment Cultural Competence EBP Implementation Home Visiting Intimate Partner Violence Life Course Model Patient-centered Medical Home
Bright Futures, American Academy of Pediatrics
Bright Futures uses an evidence-driven, developmentally-based approach to address children’s health needs in the context of family and community. The website includes a range of evidence-based resources and systems-oriented tools for health care professionals, parents, and youth-serving organizations striving to improve the health and well-being of all children.
Breastfeeding Chronic Disease Prenatal Care and Education Reproductive Life Planning/Family Planning