1. FFY 2013 C HILD C ARE H EALTH C ONSULTATION (CCHC) C ONTRACT C HANGES Becky Hutchings, MSN, RN, CCHC Program Manager Department of Health and Senior Services (DHSS) Center for Local Public Health Services (CLPHS) becky.hutchings@health.mo.gov (417) 895-6919

2. S COPE OF W ORK (SOW): P URPOSE Enhance child care health, safety, and nutrition practices Increasing the percentage of child care providers receiving health, safety, and nutrition consultation Address priority health issues of immunization compliance and obesity prevention in child care Provide outreach to child care providers who serve child care subsidy children

3. SOW: B ASIC CCHC S ERVICES Consultation Training Health Promotion

4. SOW D ELIVERABLES : DHSS D ETERMINED P RIORITY H EALTH I SSUES Varies by Contractors Must Use Standardized Curricula Obesity Prevention Reimbursable Services Consultation Training Health Promotion Immunization Compliance Reimbursable Services Consultation Training

5. SOW D ELIVERABLES : C ONSULTATION Consultation Assessment of child care facility and/or staff Assist to develop policy/best practice Assist to develop Individualized Health Plans (IHPs) Make referrals as needed, such as MO HealthNet for Kids, developmental screenings, and WIC Document on CCHC Service Log ( new: DVN, Goal/Outcome) Maintain file on each child care facility served

6. SOW D ELIVERABLES : 2 T YPES OF C ONSULTATION Specialized Consultation Face-to-face no less than ½ hour Conducted at mutually agreed upon location Must identify goal that achieves outcome Technical Consultation Non face-to-face series of communications that do not exceed 20 minutes Must be provider-initiated Collective communication pertains to single topic Must identify goal that achieves outcome

7. SOW D ELIVERABLES : T RAINING Training DHSS determined priority health issue training Must use standardized curricula posted at: http://clphs.health.mo.gov/LPHS/lpha_info.htm Contractor determined health issue training Use Department standardized health issue curricula May supplement materials; do not delete key points Locally developed health issue training Develop lesson plan on approved template Submit minimum 2 weeks prior to conducting training Lesson plans approved for 3 years May be presented by guest speaker (if not paid by DHSS to conduct training) Give paper certificates for clock hour training Document using Training Sign-in Sheet that includes established criteria ( new: DVN )

8. SOW D ELIVERABLES : H EALTH P ROMOTION Health Promotion Submit on approved lesson plan template Shall not conduct back-to-back or same-day health promotions with same children Appropriate staff/child ratio must be maintained (MO Statute) Do not count toward clock hour requirements Document on CCHC Service Log ( new: DVN ) Maintain file on each child care facility served

9. SOW D ELIVERABLES : N EW R EQUIREMENTS Obtain Trainer Approval Notice prior to conducting training Approved Trainers must obtain MOPD ID number at: www.openinitiative.org www.openinitiative.org Attend training on posting to the Missouri Workshop Calendar (when available) Training may be conducted with 1 provider

10. SOW D ELIVERABLES : N EW R EQUIREMENTS C ONTINUED Standardized Health Promotions will count toward obesity prevention 2 types of Consultation Specialized (face-to-face) Technical (non face-to-face) Documentation will include DVN on CCHC Service Log, Training Sign-in Sheet, and Final Report Goal/outcome for all consultations Use approved CCHC Lesson Plan template

11. SOW: A DDITIONAL R EQUIREMENTS AND C LARIFICATIONS Primary Consultant shall be a RN Primary Consultant shall complete orientation (submit evaluation) Primary Consultant, or designee, shall complete annual contract opening (submit evaluation) The CCHC contract does not allow for the provision of direct clinical services CCHC services shall not be conducted in conjunction with LPHA inspection activities Additional tools/references for the CCHC contract can be found at: http://clphs.health.mo.gov/LPHS/lpha_info.htm http://clphs.health.mo.gov/LPHS/lpha_info.htm DHSS will notify CCHCs of updates

12. SOW: F INAL R EPORT CCHC Final Report must be submitted by October 31, 2013 May be submitted via postal mail, or electronically

13. SOW : B UDGET & A LLOWABLE C OSTS Consultation Services Type IncrementsRate Specialized ½ hour $90.00 per hour Specialized in ½ hour$100.00 per hour Contracted Neighboring Area Technical1 unit$30.00 per unit

14. SOW : B UDGET & A LLOWABLE C OSTS C ONTINUED Health Issues Trainings for Child Care Providers TrainerIncrementsRate CCHC program½ hour$80.00 per hour Guest trainer(s) CCHC program/½ hour$90.00 per hour Guest trainer(s) in Contracted Neighboring Area

15. SOW : B UDGET & A LLOWABLE C OSTS C ONTINUED Health Promotion TrainerIncrementsRate CCHC program/1 unit$50.00 per unit Guest trainer(s) CCHC program/1 unit$60.00 per Guest trainer(s) in Contracted Neighboring Area

16. SOW : B UDGET & A LLOWABLE C OSTS C ONTINUED Services provided free of charge Prep time/travel built into payment schedule Written approval needed from DHSS to provide services in neighboring area DHSS may reallocate/reduce contract funds Administrative costs not to exceed 5% Follow competitive procurement practices assuring all purchases are at reasonable prices

17. SOW: I NVOICING AND P AYMENT No more than 4 invoices/year will be accepted Invoices must include: Vendor Request for Payment Form CCHC quarterly Invoice Documentation packet including the Topic List Data Description (separated into 3 pages for each service) and Invoice Worksheet Vendor Request for Payment forms and required invoice documentation can be sent via postal mail, fax, or electronically

18. SOW: I NVOICING AND P AYMENT C ONTINUED Use format of CCHC followed by beginning 2- digit month followed by ending 2-digit month, then 2-digit year “CCHCmmmmyy” and submit according to the following quarterly schedule: Billing Period forInvoice NumberDue dates Services Provided October-December 2012CCHC101212January 15, 2013 January-March 2013CCHC010313April 15, 2013 April-June 2013CCHC040613July 15, 2013 July-September 2013CCHC070913 October 10, 2013

19. SOW: M ONITORING AND E VALUATION DNCs conduct on-site CCHC contract site visits that include: Monitoring compliance with terms of contract Verifying progress toward meeting DHSS priority health issues Contractor shall provide: CCHC Service Log(s) Copies of Training Sign-in Sheet(s) Contractor shall maintain administrative file with copies of invoices and required supporting documentation DHSS has the right to request an audit

20. P ROFESSIONAL D EVELOPMENT AND CCHC Moving toward online system Collaborating closely with SCCR Trainers (CCHCs) and providers will need MOPD IDs Transition during FFY 2013 You will be notified of developments