Mvna

IMPROVING LIVES AT EVERY AGE THROUGH HOME AND COMMUNITY HEALTH SERVICES.

COMMUNITY HEALTH SERVICES INCLUDES:WELLNESS SERVICES ARE DESIGNED TO MEET WORKSITE AND COMMUNITY WELLNESS NEEDS. SERVICES CONSIST OF ANNUAL FLU VACCINATION CLINICS AND BIOMETRIC HEALTH SCREENS (I.E. CHOLESTEROL, DIABETES, BLOOD PRESSURE, BODY MASS INDEX RESULTS, AND ONE-TO-ONE REGISTERED NURSE CONSULTATION). PROCEEDS FROM THESE PROGRAMS HELP TO SUPPORT OTHER MISSION-FOCUSED PROGRAMS PROVIDED BY MVNA. JUMPSTARTSCREENS WAS RETITLED IN 2015 TO JUMPSTART! CHILDREN'S HEALTH. ONE PROGRAM FOCUS IS ON IDENTIFYING AND SCREENING CHILDREN AGES 3 TO 5 YEARS OLD USING A MORE COMPREHENSIVE SCREENING PROCESS AND MEETING THE GUIDELINES OF THE MINNESOTA DEPARTMENT OF EDUCATION. THE GOAL IS TO REACH CHILDREN WHO ARE AT GREATEST RISK FOR NOT BEING SCREENED AND TO PROVIDE DEVELOPMENTAL AND HEALTH INTERVENTIONS TO PREPARE THEM FOR SCHOOL SUCCESS. THE OTHER FOCUS IS PROVIDING HEALTH SCREENINGS IN THE COMMUNITY FOR CHILDREN AGES 1-10 IN HENNEPIN COUNTY WHO ARE AT RISK FOR HEALTH ISSUES DUE TO POVERTY, MINORITY STATUS, OR OTHER PSYCHOSOCIAL ISSUES THAT IMPACTS HEALTH EQUITY, SCHOOL READINESS AND SCHOOL PERFORMANCE. SCREENINGS TAKE PLACE AT SCHOOLS, CHILDCARE SETTINGS, PRESCHOOLS, HOMELESS SHELTERS AND COMMUNITY SITES.PERSONAL CARE ATTENDANT (PCA) ASSESSMENT PROGRAM PROVIDES IN-HOME CLINICAL ASSESSMENTS PERFORMED BY PUBLIC HEALTH NURSES (PHNS) TO EVALUATE QUALIFICATIONS FOR PCA SERVICES BASED ON DEPARTMENT OF HUMAN SERVICES' GUIDELINES. IN ADDITION, THE PHNS PROVIDE CLIENTS WITH RESOURCES AND REFERRALS TO OTHER PROGRAMS AND SERVICES TO HELP CLIENTS REMAIN INDEPENDENT IN THEIR HOME AND THE COMMUNITY.SCHOOL NURSE CONSULTATION PROGRAM WORKS WITH CHARTER SCHOOLS THROUGHOUT THE METROPOLITAN AREA GUIDING THEM TOWARDS SAFE, COMPLIANT AND HEALTHY LEARNING ENVIRONMENTS FOR ALL STUDENTS. LICENSED SCHOOL NURSES ADVISE SCHOOL ADMINISTRATIONS IN COMPLYING WITH STATE AND FEDERAL REQUIREMENTS AND BEST PRACTICES IN SCHOOL HEALTH. THEY CREATE AND HELP IMPLEMENT INDIVIDUAL PLANS TO MEET THE NEEDS OF STUDENTS WITH SPECIAL HEALTH NEEDS, TRAIN STAFF, PROVIDE ASSESSMENT AND TEAM INPUT FOR SPECIAL EDUCATION, AND REFER TO COMMUNITY RESOURCES. UCARE CONNECT HAS TWO SUB-PROGRAMS:UCARE CONNECT-CASE COORDINATION IS AN INNOVATIVE HEALTH COVERAGE PLAN FOR UCARE MEMBERS WITH A CERTIFIED PHYSICAL DISABILITY, DEVELOPMENTAL DISABILITY, AND/OR MENTAL ILLNESS. IT IS A SPECIAL NEEDS BASIC CARE (SNBC) PROGRAM DESIGNED BY THE MINNESOTA DEPARTMENT OF HUMAN SERVICES (DHS). AS A DELEGATE FOR UCARE, MVNA'S SERVICE AREA FOR CASE COORDINATION IS HENNEPIN AND ANOKA COUNTIES. THE FOCUS IS ON MEMBERS WHO HAVE BEEN DETERMINED TO REQUIRE LONG-TERM CASE COORDINATION BEYOND 120 DAYS. THE ASSIGNED CASE COORDINATOR SERVES AS THAT MEMBER'S ADVOCATE, HELPING THE MEMBER NAVIGATE COMPLEX SOCIAL SERVICE AND HEALTH CARE DELIVERY SYSTEMS. UCARE CONNECT-COMPLEX CASE MANAGEMENT PROVIDES TELEPHONIC SERVICES THAT ARE SHORT-TERM WITH A MAXIMUM OF 90 DAYS. REGISTERED NURSES PROVIDE SERVICES FOR INDIVIDUALS 18-64 YEARS-OF-AGE THAT HAVE A CERTIFIED PHYSICAL DISABILITY, DEVELOPMENTAL DISABILITY AND/OR MENTAL ILLNESS. THIS PROGRAM IS DESIGNED BY THE MINNESOTA DEPARTMENT OF HUMAN SERVICES SNBC. NURSES WORK WITH THE CLIENTS TO IDENTIFY NEEDS, FACILITATE CARE, PROMOTE PRIMARY CARE RELATIONSHIPS AND PREVENT UNNECESSARY EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. HEALTH AND WELLNESS, EDUCATION AND ADVOCACY ARE FOCUSES WITH THE GOAL OF KEEPING CLIENTS INDEPENDENTLY FUNCTIONING.UCARE FOR SENIORS-COMPLEX CASE MANAGEMENT, ALSO KNOWN AS "MEDICARE ADVANTAGE," IS A PROGRAM THAT PROVIDES TELEPHONIC ASSESSMENTS, SUPPORT, AND ASSISTANCE TO IDENTIFIED UCARE FOR SENIORS CLIENTS 65 YEARS OF AGE AND OLDER WHO RESIDE IN MINNESOTA AND WESTERN WISCONSIN. REGISTERED NURSES PROVIDE TELEPHONIC COMPLEX CASE MANAGEMENT SERVICES FOR INDIVIDUALS THAT HAVE A PRIMARY DIAGNOSIS OF A COMPLEX CHRONIC CONDITION INCLUDING DIABETES, CHRONIC KIDNEY DISEASE AND HEART FAILURE. CASE MANAGEMENT IS PROVIDED TO ASSIST CLIENTS IN ACCESSING NEEDED COMMUNITY RESOURCES AND TO BE A CONDUIT FOR COMMUNICATION AMONG MULTIPLE PROVIDERS. MEDICATION THERAPY MANAGEMENT IS ALSO AVAILABLE. THE NUMBER OF UNDUPLICATED INDIVIDUALS SERVED IN 2015 WERE: WELLNESS SERVICES COLLABORATED WITH 1,022 COMPANIES AND BUSINESSES PROVIDING 2,223 BIOMETRIC SCREENS; AND 1,571 SEASONAL FLU CLINICS HELD WITH 77,703 VACCINATIONS ADMINISTERED; JUMPSTART! SCREENED 4,014 CHILDREN; PERSONAL CARE ATTENDANT ASSESSMENT COMPLETED 8,841 INDIVIDUAL ASSESSMENTS; SCHOOL NURSE CONSULTATION WORKED WITH 44 CHARTER SCHOOLS; UCARE CONNECT - CASE COORDINATION SERVED 195; UCARE CONNECT - COMPLEX CASE MANAGEMENT SERVED 111 INDIVIDUALS; AND UCARE FOR SENIORS SERVED 486. PRIOR TO CLOSING, CHILD CARE CONSULTATION SERVED 279 CENTERS.

TWO PROGRAMS PROVIDED ASSISTANCE TO PROGRAMS ACROSS THE AGENCY. COMMUNITY OF CARING PROVIDES NON-MEDICAL HEALTH AND SAFETY SUPPORT ITEMS FOR CLIENTS AND THEIR FAMILIES. THE GOALS OF THE PROGRAM ARE: TO PROMOTE HEALTH EDUCATION AND SAFETY, INCREASE CLIENT ENGAGEMENT, BUILD COMMUNITY RELATIONSHIPS, AND PROMOTE END-OF-LIFE COMFORT. IN 2015, THIS PROGRAM SERVED 1,162 AGENCY CLIENTS AND DISTRIBUTED 5,749 ITEMS. INTERPRETERS PROVIDE LANGUAGE/COMMUNICATION ASSISTANCE TO CLIENTS WHO HAVE LIMITED ENGLISH PROFICIENCY AND/OR OTHER COMMUNICATION NEEDS, IN THE CLIENT'S HOME, IN CONJUNCTION WITH AN MVNA HOME VISITOR. IN 2015, 4,482 VISITS WERE AIDED BY INTERPRETERS. THE TOP LANGUAGES WERE: SOMALI, SPANISH, VIETNAMESE, HMONG, OROMO, LAOTIAN AND AMHARIC.

FAMILY HEALTH SERVICES INCLUDES: FAMILY HEALTH CORE HOME VISITING PROVIDES FAMILY-CENTERED AND COMMUNITY-BASED PUBLIC HEALTH NURSING SERVICES TO CLIENTS FROM DIVERSE RACIAL, ETHNIC AND SOCIO-ECONOMIC BACKGROUNDS. PUBLIC HEALTH NURSES (PHNS) WORK WITH FAMILIES IN THEIR HOMES AND OTHER COMMUNITY SETTINGS. IN COORDINATION WITH HEALTH CARE PROVIDERS AND LOCAL COMMUNITY AGENCIES, PHNS HELP: (1) PROMOTE HEALTHY BIRTH OUTCOMES AND POSITIVE PARENT-INFANT RELATIONSHIPS; (2) ENCOURAGE HEALTHY GROWTH AND DEVELOPMENT FOR INFANTS AND YOUNG CHILDREN; (3) PREVENT COMPLICATIONS OF ILLNESS AND CHRONIC DISEASE CONDITIONS; (4) PROMOTE HEALTHY AND SAFE ENVIRONMENTS; AND (5) ENCOURAGE FAMILY SELF-SUFFICIENCY, SCHOOL ATTENDANCE, AND USE OF COMMUNITY RESOURCES.HEALTHY FAMILIES AMERICA (HFA) - PROGRAM USES THE EVIDENCE-BASED NATIONAL HOME VISITING MODEL, HEALTHY FAMILIES AMERICA, WHICH HAS BEEN PROVEN TO DECREASE CHILD MALTREATMENT. MVNA PUBLIC HEALTH NURSES VISIT FAMILIES IN THE HOME WEEKLY FOR THE FIRST 6-12 MONTHS AND CONTINUE WITH DECREASING FREQUENCY UP TO AGE TWO THE NURSE HELPS NEW PARENTS UNDERSTAND HOW TO CARE FOR AND PLAY WITH THEIR BABY, HELP THEM CREATE A SAFE, NURTURING ENVIRONMENT, AND CONNECTS THEM TO OTHER RESOURCES IN THE COMMUNITY. THIS PROGRAM IS CARRIED OUT PRIMARILY IN THE CITY OF MINNEAPOLIS. THE MAIN FOCUS IS ON ENROLLING WOMEN 22-YEARS-OLD AND YOUNGER WHILE THEY ARE PREGNANT OR VERY NEWLY DELIVERED (WITHIN TWO WEEKS).HENNEPIN HEALTHY FAMILIES ALSO PROVIDES HOME VISITING USING THE HEALTHY FAMILIES AMERICA MODEL. THIS PROGRAM IS PART OF THE METRO ALLIANCE FOR HEALTHY FAMILIES AND PRIMARILY SERVES CLIENTS IN SUBURBAN HENNEPIN COUNTY. THE MAIN FOCUS IS ON ENROLLING PRIMIPS WHILE THEY ARE PREGNANT OR NEWLY DELIVERED. NURSE-FAMILY PARTNERSHIP TRANSFORMS LIVES OF VULNERABLE FIRST-TIME MOTHERS LIVING IN POVERTY BY IMPROVING PRENATAL CARE, QUALITY OF PARENTING, AND LIFE PROSPECTS FOR MOTHERS BY PARTNERING THEM WITH A REGISTERED NURSE. THIS PROGRAM ALLOWS NURSES TO DELIVER THE SUPPORT FIRST-TIME MOTHERS NEED TO HAVE A HEALTHY PREGNANCY, BECOME KNOWLEDGEABLE AND RESPONSIBLE PARENTS, AND PROVIDE THEIR BABIES WITH THE BEST POSSIBLE START IN LIFE. NURSE-FAMILY PARTNERSHIP IS AN EVIDENCE-BASED NATIONAL HOME VISITING MODEL BASED ON 30 YEARS OF RESEARCH DEMONSTRATING SUCCESS IN IMPROVING PRENATAL HEALTH, REDUCING CHILDHOOD INJURIES, INCREASING MATERNAL EMPLOYMENT AND IMPROVED SCHOOL READINESS. IN 2015, THE PROGRAM EXPANDED TO ACCEPT FIRST-TIME MOTHERS OF ANY AGE WHO ARE 28 WEEKS GESTATION OR LESS AND LIVE IN MINNEAPOLIS. THE TEEN HOPE PROGRAM PROVIDES PUBLIC HEALTH HOME VISITING SERVICES FOR TEEN PARENTS WHO RECEIVE PUBLIC ASSISTANCE (MINNESOTA FAMILY INVESTMENT PROGRAM [MFIP], RESIDE IN HENNEPIN COUNTY AND ARE ENROLLED IN A HIGH SCHOOL OR GED PROGRAM. AS THE SINGLE POINT-OF-CONTACT FOR THESE TEENS, THE PUBLIC HEALTH NURSE PROVIDES EDUCATION MONITORING, PARENT EDUCATION, HEALTH EDUCATION/ FAMILY PLANNING AND BENEFIT STABILIZATION SERVICES. IN ADDITION, MVNA COLLABORATES WITH HIRED (A NONPROFIT EMPLOYMENT SERVICES AGENCY) THAT PROVIDES POST SECONDARY PLANNING FOR TEENS WHO ARE NEARING GRADUATION. THE GOAL OF THE PROGRAM IS TO INCREASE THE NUMBER OF TEEN PARENTS WHO GRADUATE FROM HIGH SCHOOL, DELAY A SECOND PREGNANCY, AND RAISE HEALTHY CHILDREN WHO ARE ENROLLED IN HIGH QUALITY CHILDCARE AND ARE ON TRACK TO MEET DEVELOPMENTAL MILESTONES. THE PATHWAYS TO SUCCESS PROGRAM WITHIN TEEN HOPE IS DESIGNED TO AID OUT-OF-SCHOOL YOUTH AGES 18-23 IN THE DEVELOPMENT OF A RE-ENGAGEMENT PLAN FOCUSED ON HELPING THEM DETERMINE AN APPROPRIATE PATH FOR RE-ENTERING HIGH SCHOOL, PREPARING FOR THE GED, OR INCREASING THEIR ACCUPLACER COLLEGE PLACEMENT SCORES. THE OVERALL GOAL OF PATHWAYS IS TO INCREASE THE NUMBER OF YOUNG PARENTS WHO COMPLETE HIGH SCHOOL OR EARN THEIR GED AND GO ON TO ENROLL IN COLLEGE. THE PATHWAYS TO SUCCESS PROGRAMS ARE LOCATED AT MINNEAPOLIS COMMUNITY AND TECHNICAL COLLEGE (MCTC) AND BROOKLYN CENTER ACADEMY (BCA). IN 2015, SERVICES WERE EXTENDED TO NON-MFIP YOUNG PARENTS.HEALTHY START AT MVNA IS DESIGNED TO PROVIDE COORDINATION OF SERVICES OFFERED BY MINNEAPOLIS HEALTHY START GRANT FOR PREGNANT AND PARENTING WOMEN AND THEIR INFANTS IN LONG TERM HOME VISITING SERVICES. WOMEN AND THEIR INFANTS ENROLLED IN THE NURSE-FAMILY PARTNERSHIP PROGRAM, THE HEALTHY FAMILIES AMERICA PROGRAM AND THE TEEN HOPE PROGRAM ARE CONSIDERED HEALTHY START PARTICIPANTS. THE GOALS OF HEALTHY START ARE TO IMPROVE PREGNANCY OUTCOMES, DECREASE INFANT MORTALITY, AND IMPROVE THE HEALTH OF WOMEN BETWEEN PREGNANCIES. THERE IS A FOCUS ON THE MINNEAPOLIS AFRICAN AMERICAN POPULATION. NUMBER OF UNDUPLICATED INDIVIDUALS SERVED IN 2015 IN ALL FAMILY HEALTH PROGRAMS WAS 3,286.

ADULT HEALTH SERVICES: HOME HEALTH UTILIZING REGISTERED NURSES, LICENSED PRACTICAL NURSES, AND HOME HEALTH AIDES TO PROVIDE HOME VISITS TO: (1) ADULTS WITH ACUTE AND CHRONIC MEDICAL CONDITIONS INCLUDING, BUT NOT LIMITED TO CANCER, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, DEMENTIA, DIABETES, HEART DISEASE, AND HIV/AIDS; (2) INDIVIDUALS REQUIRING IV THERAPY, CARE FOR WOUNDS AND REHABILITATIVE THERAPIES; AND (3) PEOPLE STRUGGLING WITH CHEMICAL DEPENDENCY AND BEHAVIORAL HEALTH ISSUES. MANY CLIENTS HAVE BOTH A PHYSICAL AND BEHAVIORAL HEALTH CONDITION REQUIRING SPECIALIZED SERVICES AND A LICENSED PSYCHOLOGIST PROVIDES OVERSIGHT. A MEDICAL SOCIAL WORKER FACILITATES CARE COORDINATION MEETINGS AND ASSISTS WITH PSYCHOSOCIAL CONCERNS. COMMUNITY HEALTH WORKERS PROVIDE CLIENT EDUCATION AND CONNECT CLIENTS TO COMMUNITY RESOURCES. PHYSICAL, OCCUPATIONAL AND SPEECH REHABILITATION THERAPISTS PROVIDE RECOVERY SUPPORT TO PROVIDE PHYSICAL INTERVENTION AND PROMOTE MOBILITY, AND IMPROVE SAFETY IN THE HOME ENVIRONMENT. THE NUMBER OF UNDUPLICATED INDIVIDUALS SERVED IN 2015 WAS 1,520. PRIOR TO ENDING, THE ADVANCED ILLNESS MANAGEMENT PILOT SERVED 68 INDIVIDUALS IN 2015.