203609 Through the Looking Glass: Reflections on a Quality Improvement Study of a Year of Child Care Health Consultation

Wednesday, November 11, 2009: 11:15 AM

Maryellen Madden, BSN, RN , School of Nursing and Health Sciences, La Salle University, Philadelphia, PA
Sharon Starr, MSN, RN , School of Nursing, La Salle University, Philadelphia, PA
Donabedian's framework of structure, process, and outcomes has guided more than three decades of health care quality improvement. A child care health consultant is a public health nurse working in collaboration between nursing center and childcare quality improvement system in early care and education. The child care health consultant completed a year of pilot programming of no-cost consultation services with twenty early learning sites. The structure involved on-site, telephone, and email visits with urban, suburban and rural early learning centers targeting infant and toddler care. Interventions outlined by the Minnesota Department of Health, Office of Public Health Practice, described the processes used by the child care health consultant. The consultant reported the initial outcomes previously, however, outcomes were incomplete at that time. In this study, the child care health consultant will report on quality of services during the pilot year accomplished by a qualitative review of satisfaction surveys, and will reflect on additional outcomes from the year of intervention.

Learning Objectives:
1. Describe the child care health consultant practice in a pilot intervention program. 2. Summarize the framework of study as it applies to child care health consultation in this program. 3. Identify outcomes from the child care health consultant interventions.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Public Health Nurse, Child Care Health Consultant I have no personal financial relationship with a commercial entity that benefits the individual and may ultimately bias the presentation of that content to colleagues and participants.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.