Sonoma County, California
-
Upload
jescie-soto -
Category
Documents
-
view
31 -
download
0
description
Transcript of Sonoma County, California
Key Accomplishments
• Bundled screening tool is being piloted at 3 sites• Family planning clinicians better prepared to
offer LARCs• Increase awareness about prescription drug
misuse
Findings of Plan-Do-Study-Act
• Clinical staff need more training on what is “risky behavior”
• Missed opportunities to promoting Tier 1 contraception among risky users
• Positive screens for mental health concerns are common → ensure adequate resources
• Simplify form!
Kaiser FOR PROVIDER USE ONLY
Provided brief education
Provided handout:
Preconception Health (Half of all pregnancies are
unplanned)
Harmful Effects of Alcohol Use
Marijuana
Smoking/Tobacco tear sheet
Domestic Violence tear sheet
Resources for your Emotional Well-Being tear
sheet
Perinatal Mental Health Resources
Assessed contraception use
Referral to BMS
Referral to Chemical Dependency
Referral to Early Start, if pregnant
Administered PH-Q9
Implemented depression care path
Provided referral
Short (1-2 yrs)By October 2012, 30 Family PACT clinicians in Sonoma County have completed training on use of intrauterine contraception &/or implants.-26 clinicians have completed IUC training-Upcoming LARC training for all home visitors
Intermediate (3-4 years)By 2014, the rate of LARC use among Family PACT enrollees has increased 10% at participating sites and 5% county-wide compared to levels for FY2009-10. Baseline for Title X Family Planning Services in Sonoma:
-5.2% clients use IUC-0.9% clients use Implants
Long-Term (5+ yrs)By 2016, 50% of women identified at-risk for substance exposed pregnancies receiving family planning services at SRCHC are utilizing tier 1 contraceptives.
Desired Outcomes: ↓ Unintended Pregnancies
Community Award for 2012
Professional Education
http://www.scma.org/magazine
Challenges
• Balancing the “right” level of engagement with our partners
• Spanish-language materials and translation • Trying to prevent John C. Higgins-Biddle’s 3rd
biggest mistake“Training people without first establishing an
organizational policy decision, communicated to everyone involved, to implement a new program.”
Work Ahead• Supporting policy work on prescription drug
disposal• Plan-Do-Study-Act with SBIRT• Reproductive life planning curriculum to
prevent unintended pregnancies
http://www.thedoctorstv.com/videolib/init/7218