258307 Child care health consultation: A statewide approach to improve child care quality utilizing a health promotion program for young children

Wednesday, October 31, 2012 : 12:30 PM - 12:50 PM

Kelley Murphy, RN, MSN , Arizona Early Childhood Development and Health Board, First Things First, Phoenix, AZ
In 2009, Arizona established Quality First, a child care quality improvement and ratings system. A key component of the program has been the availability of Child Care Health Consultants (CCHC's). CCHC's are trained public health nurses who assist child care providers in addressing health and safety needs. Child care providers have children in their care for many hours each day and are expected to effectively prevent injury and illness while promoting healthy behaviors. Often they do this without the benfit of medical training. Improving quality in child care programs cannot be achieved without addressing health and safety issues, thus Arizona decided to make the CCHC available to all participating programs. As implementation of the program has gone forward, the program model has evolved based upon the data that has been collected. In the fall of 2011, the model changed to a tiered service delivery model where child care providers receive services based upon individual need as opposed to a one size fits all program.

This presentation will describe the model both before and after the change, the challenges in making such a significant change, and the resulting impact on Quality Improvement ratings. How much of an impact did client desire and readiness to participate make in the ultimate rating of the program?

Lessons learned from the process can be utilized by anyone developing a similar program or considering a change to a program model after implementation.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
1. Describe the status of the statewide Child Care Health Consultation Program in Arizona 2. Discuss the impact that this health promotion program has on improving quality in child care programs 3. Evaluate whether changes to the model over time have impacted quality improvement outcomes

Keywords: Child Care, Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principle person charged with developing and implementing the Child Care Health Consultation Program as a key component of the Quality First, Quality Improvement and Ratings System, in the state of Arizona.
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.

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