1. Norman-Mahnomen Public Health

2. Family Health Programs  Universal Newborn Home Visiting  Breastfeeding Support  WIC  Follow Along Program  High Risk Family Home Visiting Program  Child and Teen Checkups Program Outreach  Communities Caring for Children  Family Planning Program  Prenatal Education  Teen Pregnancy Prevention Education  Puberty Education  Immunizations  Lead Testing  Dental Varnishing  Early Hearing Detection Intervention and Birth Defects Follow-up

3. Universal Newborn Home Visiting  All families are offered a home visit after hospital discharge.  The nurse will assess mom’s health, baby’s growth and development and provide education on a variety of health topics.  The nurse will also assess for high risk criteria and identify families who need follow up visits.  The family is also connected to community resources as needed.

4. Breastfeeding Support  NMPH provides breastfeeding support and education to prenatal and postpartum women through WIC, over the phone and at home visits.

5. WIC (Women, Infants & Children)  WIC is a supplemental food program for pregnant and postpartum women, infants and children under age 5.  It provides healthy food, nutrition education, health information and referrals.  NMPH currently offers appointments out of the Ada and Mahnomen office along with monthly clinics in Halstad and Twin Valley.

6. Follow Along Program  Age specific developmental and social emotional questionnaires are mailed to parents who wish to participate. The questionnaires are returned to NMPH to be scored.  When a delay is identified a home visit is offered for further evaluation. Referrals are made to the special education cooperatives when appropriate.  The goal of the program is early detection of delays in order to start early intervention services which lead to better outcomes.

7. High Risk Home Visiting  Weekly to monthly home visits are offered to families with children under 5 when there is an identified need.  Evidence shows public health home visiting programs are effective at the following: ○ Improving health status ○ Achieving economic self-sufficiency ○ Improving positive parenting ○ Reducing child maltreatment ○ Reducing juvenile delinquency ○ Achieving maternal goals such as child spacing, education and employment ○ Establishing links to community resources

8. Nurse-Family Partnership Home Visiting Program  Nurse-Family Partnership's maternal health program introduces vulnerable first-time parents to caring maternal and child health nurses. This program allows nurses to deliver the support first-time moms need to have a healthy pregnancy, become knowledgeable and responsible parents, and provide their babies with the best possible start in life. The relationship between mother and nurse provides the foundation for strong families, and lives are forever changed – for the better.

9. Child and Teen Checkups Outreach  Child and Teen Checkups (C&TC) are well child visits for children eligible for Medical Assistance and Minnesota Care.  Eligible children receive reminder notices from NMPH when they are due for their well child exams. Assistance is offered to reduce barriers in getting to these checkups.  NMPH also provides updates and is available to answer questions to clinic staff, social services, foster parents and community groups who work with this population.

10. Communities Caring for Children  Brightly colored “Health Tracks” newsletters are mailed to families eligible for Child and Teen Checkup Program and Follow Along Program.  The newsletters contain age appropriate developmental, health and safety information

11. Family Planning Program  Offers pregnancy and STI testing, exams, birth control methods, education, counseling and referrals. Clinics are held twice per month in the Mahnomen office and by appointment in both Ada and Mahnomen when needed.  Serves both males and females

12. Prenatal Education  Offered through home visits or at WIC clinics.  Follow up and education when a pregnant women or her baby is at risk for complications. Examples include; ○ History of previous complications ○ Lack of family resources ○ Alcohol, tobacco or drug use ○ Family violence ○ Lack of prenatal care ○ Age (either under 18 or over 35)

13. Teen Pregnancy Prevention Education  Classes are taught in the schools at various grade levels using a variety of evidence based curriculums and materials.  One on one education is done as requested

14. Puberty Education  Education for 4 th, 5 th and 6 th grade students on hygiene and sexual development.

15. Immunizations  Immunizations are offered for free through the Minnesota Vaccine for Children Program.  NMPH asks for a $5.00 administration fee per vaccination provided.  No one is denied for inability to pay.

16. Lead Testing and Follow up  Capillary blood lead tests are done in conjunction with WIC clinics to identified children ages 9-30 months.  NMPH partners with the health plans to offer gift card incentives to eligible members.  If a child is identified with a high lead level, NMPH will work with the family to identify and reduce the lead exposure.

17. Fluoride Varnishing  Fluoride varnish is applied to the teeth of children ages 6 months and older to prevent and stop dental caries by promoting tooth remineralization.  The varnish quickly adheres to the teeth making it less toxic then other methods of fluoride supplementation.

18. Car Seat Education and Distribution  NMPH employs a Child Passenger Safety Technician to provide education and car seat distribution to eligible member of the health plans.

19. Early Hearing Detection Intervention and Birth Defects Follow up  Public Health is notified from the Minnesota Department of Health about children in our counties who have been diagnosed with a congenital birth defect or have been identified as needing follow up hearing testing.  The purpose is to ensure families are connected with necessary resources for early intervention.

20. Adult Health Programs  Foot Care  Long Term Care Consultation/ Mnchoices Assessment  Case Management  Personal Care Attendant Assessment  Immunizations  Health Screenings

21. Foot Care  Foot Care is provided to members of the community in either of our offices for a $25 fee.

22. Long Term Care Consultation  Long Term Care Consultation (LTCC) is when a nurse and social worker team assesses and helps to determine services available for members of the community which prevent the client from moving into a long term care facility. This is changing to a one person computerized assessment called Mnchoices.

23. Case Management  The nurse provides assistance to individuals receiving waivered services in their home.  The case manager authorizes and coordinates services and monitors the delivery of services, adjusting them to meet the ever changing needs of the client.  Includes being an advocate for the client to assure their safety.

24. Personal Care Attendant Assessment  The public health nurse assesses the personal care needs and develops a plan of care for those in need of extensive personal care services such as bathing, feeding, dressing and grooming.

25. Immunizations  Vaccines are available free of charge to uninsured and underinsured adults through a program from the Minnesota Department of Health.  Clients are asked to pay a $5.00 administration fee per immunization.  No one is denied because of inability to pay.

26. Health Screenings  Blood pressure checks are provided free of charge in both offices.  Cholesterol and blood sugar checks are provided by request for a small fee when available.

27. Community Health Programs  Disease Prevention and Control  Environmental Health Protection  Health Disaster Preparedness  School Health Services  Community Education  Statewide Health Improvement Program  IPI Clinic Assessment

28. Infectious Disease Surveillance  Detect acute disease spread from person to person  Assure reporting to the Minnesota Department of Health  Prevent spread of the disease (including immunizations)  Control the spread of the disease  Examples include, Tuberculosis, STI’s, Vaccine preventable diseases, bio- terrorism.

29. Environmental Health Surveillance  Detect things in the environment that pose a risk to human health  Investigation and follow up regarding reports of public health nuisance in which the health of the public is at risk or in danger  Questions answered and referrals made using existing resources  Examples include food, water, lead, radon, mold, rabies, vector borne diseases

30. Public Health Emergency Preparedness  Staff are trained to be ready to respond and assist communities with a disaster.  Works with providers and county emergency managers to plan and prepare for potential disasters.  NMPH distributes health information to identified community partners about disease outbreaks, environmental threats, natural disasters and acts of terrorism.

31. School Health Services  NMPH contracts with the school districts to provide school nursing services.  The licensed school nurse is in the school building between 4-6 hours/week but is always available by cell phone to provide the necessary oversight and direction for the trained health assistants.  Health screenings, referral and follow up are also provided.

32. Community Education  Community groups  Monthly Kalidescope radio program  Weekly newspaper articles  Health Fairs  One on one education either by phone or face to face  Norman County Resource Group- compilation of resources available in Norman County on one website http://normancountyresources.org/

33. Statewide Health Improvement Program o Statewide Health Improvement Program strives to help Minnesotans lead longer, healthier lives by preventing the chronic disease risk factors of tobacco use and exposure, poor nutrition and physical inactivity. o SHIP seeks to create sustainable, systemic changes in schools, worksites, communities and health care organizations that make it easier for Minnesotans to incorporate healthy behaviors into their daily lives.

34. Immunization Practices Improvement Program  Public Health monitors the Immunization practice of local medical clinics to identify areas of vaccine handling and storage improvement for the Minnesota Vaccine for Children Program.  The program also identifies “missed opportunities” for vaccination.

35. Influenza Vaccinations  NMPH’s role in community influenza clinics has decreased over the years as flu shots are more readily available at pharmacies.  We do provide influenza vaccinations to the County and School staff and their families and have vaccine available for children eligible for MnVFC program and un/underinsured adults.

36. Norman-Mahnomen Public Health 15 2 nd Ave E 115 E Madison RM 107 PO Box 266 Ada, MN 56510 Mahnomen, MN 56557 218-784-5425 218-935-2527 www.co.norman.mn.us