Health System: Family Health Services (6240P)

Program Outcome Statement

Improve the health of children, families, and communities.

Program Services

  • Home Visting Services for Infants, Children, and Adults
  • Nutritional Support and Education
  • Care Coordination and Medical Support for Low-Income and Disabled Children
  • Immunizations for Children and Adults
  • Training and Technical Assistance for Pedriatric and Obstetric Medical Providers
  • Physical and Occupational Therapy for Disabled Children


Family Health Services (FHS) provides services to more than 30,000 low-income clients annually. FHS home visiting conducts approximately 15,000 home visits per year using evidence-based models to teach parenting and nutrition skills, provide education to  parents and caregivers regarding infant attachment and bonding, and link families to medical and other services as necessary. FHS nutrition programs serve more than 15,000 participants annually, providing nutrition education to mothers and children through school ages. FHS provides physical and occupational therapy to over 500 children per year with severe disabilities. FHS collaborates with community organizations, leads group efforts to improve community health, and staffs immunization clinics. Programs include California Children’s Services, Child Health & Disability Prevention Program, Oral Health Program, Home Visiting (Black Infant Health, Dad’s Program, Field-Nursing, Nurse-Family Partnership, Lead Program, and Prenatal-to-Three), Women, Infants and Children (WIC), and the Nutritional Education and Obesity Prevention Program (NEOP).

Percent of Mothers and Expectant Mothers Served by Home Visiting who are Screened for Depression Exceeding Target

Percent of Infants Served by WIC who are Breastfed Below Target

Percent of Live Births to SMC Residents that Were Low Birth Weight Exceeding Target for White, Black and Hispanic Residents

FY 2017-18 Year-End Story Behind Performance

Percent of mothers and expectant mothers served by Home Visiting who are screened for depression

We continue to update all staff on our progress with this performance measure to encourage staff to continue screening for depression and to identify barriers to screening. Some reasons for missed assessments include - client unavailable, client refused, client already served by a Behavioral Health and Recovery Services (BHRS) program and regularly screened by BHRS.  Over the last fiscal year we scheduled joint meetings between the FHS Home Visiting team and the BHRS Pre-to-Three and Partners team to increase collaboration and encourage connection to BHRS services.  

Percent of infants served by WIC who are breastfed

There are quite a few factors that may be contributing to why the breastfeeding target was not met. Some internal factors include a decrease in the number of breastfeeding classes at our WIC sites. In order to increase the percent of infants served by WIC who are breastfed, we will be piloting a new breastfeeding clinic where participants struggling with breastfeeding can have 1:1 support with a lactation consultant. WIC is also in the process of launching a brand new, extensive breastfeeding curriculum for WIC staff in which we will have 3 master trainers. To address potential external factors, we are working with birthing hospitals to review their current process of breastfeeding education. Additionally, our Regional Breastfeeding Liaison has been working with several OBs within our birthing hospitals to promote WIC resources and breastfeeding education.

Percent of live births to San Mateo County residents that were low birth weight

The overall low birthweight rate in San Mateo County decreased over the prior year from 7.5 percent to 6.6 percent.  This decrease was reflected in most racial/ethnic groups, all county regions, and in both Medi-Cal and non-Medi-Cal populations.  The decrease was greatest in the Coastside and mid-County, in the non-Medi-Cal population, and among African American families. Implementation of increased evidence based home visiting interventions will drive greater decreases in low birthweight in the Medi-Cal population, and the less affluent regions of the county.

Future Priorities

  • Deepen performance improvement and problem solving skills using LEAP tools and data in a meaningful way to achieve ongoing improvement in our programmatic and operational results.
  • Increase employee engagement to sustain strong performance across the division.
  • Use and continue learning from a client satisfaction survey that has been implemented across all FHS programs.
  • Further progress in three areas of strategic focus to better serve low-income children and families - developing client-centered processes (working in ways that put our clients first), using evidence driven care (doing what works to make the highest impact), and delivering seamless care coordination (collaborating to leverage collective strengths).

Author: Gina Wilson, Chief Financial Officer    Contact Email:     Last Updated: 08-20-2018