Nurse
Case Management
The nurse case management department
provides case management services to prenatal clients, high risk infants,
children with asthma, children with lead poisoning, children with
immunization delay, families who over use the emergency room as well as
other families referred to the department by the medical staff. In the year 2001 nurse/nurse assistant teams case managed 692
prenatal clients. These
clients received 1,792 home visits during their pregnancies.
These teams also provided case management services to 517 high-risk
infants, 425 children with asthma, 276
children with lead poisoning, and 222 families with
inappropriate use of the emergency room as well as approximately 250
other children with various health problems or risk factors.
These children received a total of 2680 home visits in 2001.
A state of the art computer tracking system supports all case
management activities. This
system assists the case managers in monitoring the clients’ care plan
and in making sure that the clients receive the necessary services.
Grace Hill Neighborhood Health Center’s receives reimbursement
for case management services from Care Partners, Health Care USA and
Missouri Medicaid.
The nurse case managers and nurse assistants also
conducted 396 prenatal classes in the health centers with
732 participants. They
participated in five health fairs providing health information and linkage
to 440 participants. They
also conducted 17 blood pressure screening sessions in the
community screening 283 clients.
In-Home
Services
The In-Home Services Department provides
homemaker/chore and personal care services to eligible elderly and
handicapped residents of St. Louis City. These services assist clients
with personal care and help to improve and maintain a safe sanitary
environment so that clients can remain in their homes rather than having
to be moved to a nursing home. The
program also provides nurse set-up of medications as well as needed nurse
assessment of client progress and status.
This program is funded through reimbursement from the Missouri
Department of Health and Senior Services. In 2001 the department provided 27,604
units of homemaker/chore/personal care services to 45 clients. The department also made 402-nurse home visits
to 12 clients.
WIC
(Women, Infants, and Children)
Grace
Hill Neighborhood Health Centers
offers WIC services at five of the six health centers and
also at Barnes Jewish Hospital. This
program provides supplemental infant formula and other nutritional food
supplements to pregnant women and children less than six years of age.
The program also offers nutritional counseling, education and
assessments to the target population.
The WIC Program also provides support and education to clients who
choose to breastfeed their infants. In
2001 the WIC Program provided services to approximately 2,400
clients per month. The
total WIC encounters for the year equaled 28,910.
Head
Start
Grace
Hill Neighborhood Health Centers began providing health services to Head
Start children in August of 2001. A
Health Services Manager, a Disabilities Coordinator, a Registered
Dietician, two Community Health Nurses, and four Health Care Coaches are
responsible for the health care needs of the Head Start children.
They coordinate medical and dental care and screening of the
children as well as the health and nutrition education of teachers,
parents and children. The nurses and Health Care Coaches provided height
and weight and hearing and vision screening on all of the children. During
the past six months the health center played a major role in meeting the
Head Start health performance standards by providing physical exams and
dental screenings on children who were delinquent in these areas.
The staff assumed responsibility for safety and safety equipment
for the teachers and the 700+ children currently enrolled in Head
Start. All of the relevant
Head Start staff has been taught CPR and First Aid.
They also made sure that First Aid kits and safety posters are
posted in all classrooms.
