Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64F - Division of Family Health Services › Chapter 64F-3 - HEALTHY START CARE COORDINATION › Section 64F-3.001 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
For the purposes of this rule chapter, the following
				  definitions will apply:
(1) "Enhanced
				services" means those services provided to participants that maximize access to
				and participation in comprehensive prenatal and infant health care such as
				client and participant identification (case finding), childbirth education,
				parenting education and support, nutritional counseling, psychosocial
				counseling, smoking cessation counseling, breastfeeding education and support,
				home visiting as a potential place of providing care coordination and other
				enhanced services, and other services which optimize health and developmental
				outcomes and improve access to care. In addition to the home, enhanced services
				can also be provided in the neighborhood, school, workplace, or clinic,
				wherever the concerns, priorities, and resources of the participant or family
				can best be met. Healthy Start Coalitions have the authority to determine which
				specific enhanced services will have the greatest impact on pregnancy, health
				and developmental outcomes in their geographic regions.
(2) "Family" means the participant and others
				who have an integral role in the care and support of the participant such as
				parents, spouses, non-custodial parents, legal guardians, significant others,
				siblings, grandparents, and foster parents.
(3) "Family support plan" means the written
				guide resulting from a family-centered planning process jointly prepared by the
				participant or family and the care coordinator. The plan is the basis for care
				coordination and identifies the specific concerns, needs, and priorities of the
				client or family, the resources available, and specifies service objectives
				that should lead to improved health outcomes.
(4) "Health care provider" means physicians,
				physician's assistants, certified nurse midwives, licensed midwives, advanced
				registered nurse practitioners, and registered nurses who are licensed in the
				state of Florida pursuant to Chapter 458 or 459, F.S., or Chapter 464 or 467,
				F.S., and are qualified to provide prenatal, intrapartum, postpartum, family
				planning, or pediatric health care.
(5) "Health paraprofessionals" means
				non-professional personnel who function under the supervision of a care
				coordinator, health care provider, or other health-related professional and are
				trained to assist in providing direct services to Healthy Start participants
				within the parameters of specific locally approved written protocols. Health
				paraprofessionals include resource mothers, sisters, and fathers; health aides;
				parent educators; outreach childbirth educators; breastfeeding peer counselors;
				and other appropriately trained and professionally supervised
				individuals.
(6) "Health-related
				professionals" means registered nurses, registered or licensed dietitians,
				public health nutritionists, social workers, nutrition and health educators,
				and other health or human services professionals who function independently or
				with the care coordinator as part of the interdisciplinary team, and are
				qualified to provide or supervise the provision of care coordination and
				enhanced services to Healthy Start participants.
(7) "Healthy Start child" means a child, less
				than three years of age (0-36 months), at increased risk for impairment in
				health, intellect, or functional ability due to environmental, medical,
				nutritional, behavioral, or developmental risk factors as determined by the
				department's risk screening instrument as defined in Chapter 64C-7, F.A.C., or
				by risk assessments conducted subsequent to the initial screen and whose parent
				or family agrees to participate in Healthy Start care coordination or enhanced
				services.
(8) "Healthy Start
				participant" and "participant" means a Healthy Start pregnant (antepartum) or
				postpartum woman or a Healthy Start child as defined in this section.
(9) "Healthy Start woman" and "Healthy Start
				mother" means a woman in the antepartum or postpartum period who has increased
				risk of poor birth outcome due to environmental, medical, nutritional,
				behavioral or developmental risk factors or a woman in the postpartum period
				who has delivered an infant and agreed to participate in Healthy Start care
				coordination or enhanced services.
(10) "Healthy Start pregnant woman" means a
				pregnant woman who has an increased risk of pregnancy complications or poor
				birth outcome due to environmental, medical, nutritional, behavioral, or
				developmental risk factors as determined by the department's prenatal risk
				screening instrument as defined in Chapter 64C-7, F.A.C., or prenatal risk
				assessments conducted subsequent to the initial screen and who has agreed to
				participate in Healthy Start care coordination or enhanced services.
(11) "Postnatal risk screening" and "infant
				risk screening" means the use of selected risk factors to identify infants at
				increased risk for mortality and morbidity, as designated in accordance with
				Rule  64C-7.011, F.A.C.
(12) "Prenatal and Infant Health Care
				Coalition" and "Coalition" means an alliance of private and public individuals
				or groups organized to assess needs, prepare plans, build community support,
				and ensure that services are sufficient, within available resources, to promote
				and support the health and well-being of pregnant women and their
				infants.
(13) "Prenatal and Infant
				Health Care Service Delivery Plan" means the written document adopted by the
				Coalition which establishes outcome and process objectives, priority service
				needs and priority target groups, and programmatic strategies for the
				coalitions service area, and which describes the provider network which will
				ensure early and continuous prenatal and infant care for all persons in need in
				the service area.
(14) "Prenatal
				risk screening" is the use of selected risk factors to identify pregnant women
				at increased risk for pregnancy complications or adverse outcomes, as
				designated in accordance with Rule
				 64C-7.011, F.A.C.
(15) "Tracking" means activities related to
				following up on referrals or the receipt of other services provided to Healthy
				Start participants and includes the following: establishing a way for service
				providers to notify the care coordinator of missed appointments and incomplete
				referrals; communicating with providers, participants or families according to
				a locally agreed upon periodicity schedule regarding receipt of services; and
				considering change in the intensity of care coordination or care coordination
				closure if the participants' care coordination needs
				change.
Rulemaking Authority
					 383.011(2) FS.
					 Law Implemented 383.011(1)(e)
					 FS.
New 3-29-92, Amended 3-30-94, 5-8-96, Formerly 10D-114.002,
					 Amended 9-4-05.