Health: Family Health Services (6240P)


Program Outcome Statement

Improve the health of children, families, and communities.

Program Services

  • Home Visiting 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 Pediatric,  Obstetric and Dental Providers
  • Physical and Occupational Therapy for Disabled Children

Overview

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 2018-19 Mid-End Story Behind Performance

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

Since last year, we have implemented joint meetings with the Family Health Home Visiting team and Behavioral Health and Recovery Services (BHRS) Pre to Three and other partners to increase collaboration and encourage connection to BHRS services.  We have also better monitored each home visiting program's depression screen rates and reviewed with staff on a regular basis to ensure that all prenatal and postpartum mothers are routinely screen for depression and referred as needed.   

Percent of infants served by WIC who are breastfed

WIC and Home Visiting are currently working on several improvement efforts related to increasing the breastfeeding rate across both programs. WIC has been piloting a breastfeeding clinic at its sites where women struggling with breastfeeding can received 1-1 support from a Lactation Consultant. In addition, a recently completed survey of all WIC and Home Visiting staff provides a roadmap on how to augment the skill set of all staff, as well as enhanced pathways for referrals for clients who need extra support. Moving forward beginning in FY 19-20, FHS will be changing the way it reports on breastfeeding to align with new state WIC metrics to measure "any breastfeeding at six (6) months". The target set by the State for this is 35%, which is lower than the current measure because fewer women breastfeed at the six-month mark.  However, WIC is striving to support long term breastfeeding to meet the recommendations of the American Pediatrics (AAP) that women breastfeed for at least one year to provide increased health benefits to the child.  


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.  This information is provided by the State and will update at FY 2018-19 year-end.



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: gwilson@smcgov.org     Last Updated: 01-25-2019