CHDP DIRECTOR/DEPUTY DIRECTOR TRAINING SECTION VIIHealth Care Program for Children in Foster Care (HCPCFC) 7/1/2010

2 History

7/1/2010

7/1/2010

3

History

The trauma of family separation and frequent moves for foster children compound serious health conditions. Given this fact, foster children require more health services than other children, which they often fail to receive due to inadequate medical records and limited access to care.

7/1/2010

History

Code Blue: Health Services for Children in Foster Care (1998)

Report by the California Foster Care (FC) Children’s Task Force: foster care children typically suffer serious health, emotional, and developmental problems and the causes of these conditions are multiple.

Recommendations of the Task Force included: develop a system of health care for children in FC, improve coordination and delivery of services in counties, and hire FC Public Health Nurses (PHNs).

4

5 Program Legislation

7/1/2010

7/1/2010

Program Legislation

State Budget Act of 1999

Appropriated State General Funds (GF) to the California Department of Social Services (CDSS) for the purpose of increasing the use of PHNs in meeting the health care needs of children in foster care.

6

7/1/2010

Program Legislation

Assembly Bill 1111 (1999)

Enabling legislation for the Health Care Program for Children in Foster Care (HCPCFC). It defined the components of the program and added to the Welfare and Institutions (W&I) Code, Section 16501.3(a) through (e).

7

88 Program Letter

7/1/2010

7/1/2010

Child Health and Disability Prevention (CHDP) Program Letter

CHDP Program Letter (PL) No. 99-6 (10/21/99) Describes the HCPCFC (as provided for by the

State Budget Act of 1999 and the W&I Code sec. 16501.3). It states that funds to CDSS will be transferred to the Department of Health Services (DHS), CMS Branch, and will be distributed through the CHDP program in the form of an augmentation to the local CHDP program allocation.

CDSS and DHS developed a Memorandum of Understanding (MOU) to ensure the availability of federal matching funds, which are available only to DHS as the single agency (for Medicaid).

9

7/1/2010

Program Description

HCPCFC is administered through the local public health department CHDP programs to provide public health nursing expertise in meeting the medical, dental, mental and developmental health needs of children and youth in court-ordered out-of-home placement, or foster care.

FC PHN’s worksite should be in the Social Services office. The PHN works in tandem with the child’s social worker or probation officer to ensure the needed health care resources are provided. Documentation in the Health and Education

Passport (HEP) Participation in interdisciplinary team

conferences Serves in an administrative capacity, linking

the child to vital community resources

10

7/1/2010

Program Implementation Tools

Legislation Memorandum of Understanding (MOU)

Health Services Social Services Probation

Scope of Work (SOW) PHN Duty Statement HCPCFC Resource Guide

11

Legislative Mandates

FC Nurses must be PHNs and must be housed within Social Services

Purpose: enhance physical, mental, dental, &

developmental well being of foster children

Serves as liaison with health care professionals

Collaborates with Social Services/Probation workers to coordinate health care services

Services provided must be limited to Title XIX mandates (NO Direct Care)

12

7/1/2010

1313 MOU

7/1/2010

MOU

CHDP provides program oversight of activities of PHN working with Social Services and Probation

Social Services provides work-space for PHN

Probation works collaboratively with CHDP/Social Services within MOU

Probation

Social Services

CHDP

14

7/1/2010

1515 PHN Responsibilities

7/1/2010

7/1/2010

Responsibility of PHN in MOU/SOW

Accessing Resources Identify & liaise with health care providers

in the community Serve as resource & facilitate referrals Assist in out-of-county placement referrals

Health Care Planning & Coordination Collaborate with the Social Worker

(SW)/Probation Officer (PO) to develop a health plan for each child expected to remain in out of home placement

Interpret health care reports Obtain & provide medical input for the HEP

16

7/1/2010

Responsibility of PHN in MOU/SOW

Training/Orientation Provide in-services for Social

Services/Probation staff & foster care community

Policy/Procedure Development Participate in multi-disciplinary meetings for review of health-related issues

Transition from Foster Care Assist foster child & SW with community

health care resources & final HEP update

Quality Assurance Participate in joint reviews, evaluation process & data development

17

7/1/2010

HCPCFC PHN vs. Social Services - funded PHN

HCPCFC PHN limited to perform duties as specified within the MOU

“No Direct Care”

Social Services PHN may perform duties as specified by their funding source

18

1919 PM 160 Process

7/1/2010

7/1/2010

PM 160 Process

PM 160 comes to CHDP from the provider’s office

PM 160 Goes To Foster Care PHN

PHN reviews PM 160and collaborates with SW,Medical Provider, Substitute Care Provider, utilizing resources; makesappropriate referral

Assure all documentation is in the child’s HEP

20

2121 References

7/1/2010

7/1/2010

22

References

Code Blue http://www.dhcs.ca.gov/formsandpubs/publications/

Documents/CMS/CodeBlue.pdf

HCPCFC http://www.dhcs.ca.gov/services/

hcpcfc/Pages/ResourceGuide.aspx/

CHDP http://www.dhcs.ca.gov/services/chdp/Pages/default.aspx

CMS http://www.dhcs.ca.gov/services/Pages/CMS.aspx

7/1/2010

23

Public Health Nurse Resources

PHN Directory http://www.dhcs.ca.gov/services/HCPCFC

/Documents/HCPCFCDirectory.pdf Regional Meeting Calendar

http://www.dhcs.ca.gov/services/HCPCFC/Pages/Events.aspx

Web Resources and Publications http://www.dhcs.ca.gov/services/HCPCFC

/Pages/WebResources.aspx

7/1/2010

Contact Information

Nurse Consultant III CDHCS/Children's Medical Services Health Care Program for Children in

Foster Care 1515 K Street, Suite 400 P. O. Box 997413, MS 8100 Sacramento, CA 95899-7413 (916) 327-1400

24