Mch Service Program Standards

Maternal and Child Health ServiceMaternal and Child Health Service Program Standards Contents Terms and definitions 1 Introduction 1.1 Maternal and Child Health Service: Vision, mission, goals and principles 1.2 Overview of Maternal and Child Health Service 2 Background 2.1 An evidence-based framework 2.2 Structure of the Program Standards 2.3 Purpose and use of the Program Standards 2.4 Assessment against the Program Standards 3 The Maternal and Child Health Service Program Standards Standard 1: Universal access Standard 2: Optimal health and development Standard 3: Partnerships and collaboration Standard 4: Competent and professional workforce Standard 5: Responsive and accountable service delivery Standard 6: Quality and safety References Appendix A: Development of Maternal and Child Health Program Standards Appendix B: List of evidence 3 6 8 10 11 12 13 20 28 33 43 51 61 67 74 Published by the Programs and Partnerships Division Office for Children and Portfolio Coordination Department of Education and Early Childhood Development Melbourne Published October 2009 ISBN 978-0-7594-0582-0 © State of Victoria 2009 The copyright in this document is owned by the State of Victoria. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968, NEALS (see below) or with permission. An educational institution situated in Australia which is not conducted for profit, or a body responsible for administering such an institution, may copy and communicate the materials, other than third-party materials, for the educational purposes of the institution. Authorised by the Department of Education and Early Childhood Development, 2 Treasury Place, East Melbourne, Victoria 3002. Also published on http://www.education.vic.gov.au 2 Victorian Maternal and Child Health Service Terms and definitions Within the Maternal and Child Health Program Standards, the following terms and definitions are used: Clinical risk management – a method for identifying circumstances within the Maternal and Child Health Service that place, or potentially place, children and families at harm or at risk of harm, and addressing these circumstances to prevent or control the risk. Clinical supervision – a support mechanism for maternal and child health nurses within which service delivery, organisational, developmental and emotional experiences are shared in a secure and confidential environment in order to enhance skills and knowledge.1 Collaborate/collaboration – to work together, with other members of the Maternal and Child Health Service, and/or other services and organisations and/or with the mother and family to achieve unified goals so as to maximise the child’s health, wellbeing, learning, development and safety. Community capacity – the community’s ability to identify and mobilise resources to address the health and wellbeing issues of young children, and associated health and wellbeing issues of the mother and family.2 Corporate risk management – the system by which the Maternal and Child Health Service is directed, controlled and held to account, encompassing the processes, policies and responsibilities in relation to accountability, leadership, and direction of the Service. These activities support the delivery of the Maternal and Child Health Service.3 Cultural competence – a set of behaviours, attitudes and policies that come together to enable the Maternal and Child Health Service to work effectively in cross-cultural situations, across the spectrum of service delivery from an individual level, to integrating culture into the delivery of the Service.4 Determinants of health – factors that determine the health status of individuals and populations. The determinants of health include: • general background factors, including culture, social cohesion • environmental factors • socioeconomic factors • knowledge and attitudes • health behaviours • psychological effects • safety factors • biomedical factors • individual makeup • individual and population health.5, 6 Victorian Maternal and Child Health Service 3 Family – the family is identified by their emotional attachment with the child and their concern for the child’s health, growth and development. This may include the mother, father, adoptive mother, adoptive father, grandparent, step-parent, foster parent, siblings, partner or carer. Other family members who may also share a concern for the child are referred to as ‘the extended family’. Family-centred practice – the approach to identification and management of the child, mother and family that focuses on the strengths of each individual family.7 Father – within the Maternal and Child Health Program Standards, refers to the birth, adoptive father or step father. Governance – a system through which the Maternal and Child Health Service is responsible and accountable, and continually improves quality and safety for children and families accessing the Service. Governance comprises clinical governance; responsibility for the safe and quality service delivery and corporate governance; and responsibility for the corporate structures supporting service delivery.8, 9 Health – a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.10 Incident – an event, including an accident, that resulted in, or had the potential to result in, harm to the child, or family, or a member of the maternal and child health workforce, including physical or emotional injury, ill-health or other loss.11 Integration – an approach towards providing a service to the child and family that involves working with other members of the Maternal and Child Health Service, and/or other services and organisations. The approach is identified by an interdisciplinary team approach, with the team having a shared vision of service delivery, and each team member contributing their knowledge and skills towards a shared plan of service delivery in order to achieve the goals and outcomes for the childs family.12 Intervention – endeavours to promote good health activity and behaviour, and to prevent or limit poor health activity or behaviour. Management and leadership – indicates positions and/or roles that do not interface with the child and family including the team leader, coordinator, and other positions and structures that provide a line of accountability and reporting for the Maternal and Child Health Service. These positions have the responsibility to lead and organise the Service so as to provide a quality and safe service within the resources available to it. 4 Victorian Maternal and Child Health Service including management structures supporting the maternal and child health workforce (for example. Vulnerable child. parental or family circumstances. counselling and other relevant activities by the maternal and child health workforce to the family. Within the Program Standards. Mother – within the Maternal and Child Health Program Standards. Partnership – the relationship the Maternal and Child Health Service has with the child’s family or another service/organisation involved with the child.Maternal and child health workforce – the workforce that provides or assists and supports the provision of the Maternal and Child Health Service and includes maternal and child health nurses. local government or the governing authority). early detection of. within groups. over the telephone. mother and family – the child and/or mother and family may be at risk of adverse health and wellbeing outcomes due to individual. prevention. Universal access – the capacity of all children and families to have equal opportunity to access the Maternal and Child Health Service. as part of other health services or organisations. Maternal and Child Health Service – a universal health service for children from birth to school age and their families focusing on promotion of health and development. Human Resources). advice. safety and wellbeing. clerical and other maternal and child health workers of disciplines other than nursing involved in the delivery of the Service and/or management of it. Victorian Maternal and Child Health Service 5 . This may include. Setting – the surrounds in which the Maternal and Child Health Service is delivered. the centre. respect and responsibility in order to maximise the child’s development and the family’s health. Monitoring – the processes of screening and assessment undertaken by the Maternal and Child Health Service. Aspects of the Program Standards have particular relevance to physiological and psychological aspects of childbirth and therefore will be relevant only to birth mothers. Support – indicates the provision of information. team leaders. collaboration. The relationship is characterised by mutual cooperation. emotional and social factors affecting young children and their families. mother’s or other family member’s home. refers to the birth mother or adoptive mother. but not be limited to. within a child’s. and areas that may support the delivery of the Service (for example. the Service encompasses the maternal and child health workforce. education. and in local facilities and buildings. coordinators. and intervention for physical. 1 Introduction The Victorian Maternal and Child Health Service is an integral component of a comprehensive system of child and family services in Victoria. mission. The Service consists of the Universal Maternal and Child Health Service.1 Maternal and Child Health Service: Vision. focusing on promotion of health and development.7 1. The Service provides a universal health service for children from birth to school age. emotional and social factors affecting young children. Enhanced Maternal and Child Health Service and the Maternal and Child Health Line.2 Mission The mission of the Maternal and Child Health Service is to engage with all families in Victoria with children from birth to school age. and the family. mission. While the Service is primarily for the child. 1. The Maternal and Child Health Line is funded and provided by DEECD. it also focuses on the health and wellbeing of the mother. 1.1. 1. The Maternal and Child Health Service is provided in partnership between local government authorities and the Department of Education and Early Childhood Development (DEECD). development and wellbeing during the period of a child’s life from birth to school age. emotional or social factors affecting families in contemporary communities.1. to take into account their strengths and vulnerabilities.1 Vision All Victorian children and their families will have the opportunity to optimise their health. goals and principles of the Service as stated in the Maternal and Child Health Service Program Resource Guide. prevention. providing a comprehensive and focused approach to managing the physical. development and wellbeing. early detection and intervention for physical.1. in the context of the child’s health and wellbeing.3 Goals The framework for the provision of the Maternal and Child Health Service is guided by an overarching goal: To promote healthy outcomes for children and their families. 6 Victorian Maternal and Child Health Service . goals and principles The Maternal and Child Health Service Program Standards support the vision. and to provide timely contact and ongoing primary health care in order to improve their health. 4 Principles The guiding principles for the Maternal and Child Health Service. 9. where appropriate. 10. social and wellbeing issues affecting young children. Inclusion – Inclusive practices are essential for all children to get the best start. 7. Quality – All families with young children must be confident of the quality of information. and seek to meet. and participation by. Access and availability – All families with young children should be able to readily access the information. them. Partnership – Quality services are achieved through integrated service delivery and partnerships with other early childhood and specialist services. emotional. as stated in the Maternal and Child Health Service Program Resource Guide7 are: 1. 3. Equity – All children should be able to grow up actively learning. sociable and safe – irrespective of their family circumstances and background. emotional. services and resources provided to them. Consultation and participation – Consultation with.Two further objectives support this goal. and useful to.1. services and resources that are appropriate for. healthy. 4. and with families. Family-centred – The identification and management of child and family needs requires a family-centred approach that focuses on strengths. differing abilities and background. families is integral to the services. Victorian Maternal and Child Health Service 7 . Diversity – The diversity of Victorian families should be recognised and valued. These are to: • enhance family capacity to support young children and address physical. 8. 5. 2. the needs of young children and their families. Services will be informed by. Capacity building – Promotion of resilience and capacity is preferable to allowing problems to undermine health or autonomy. 1. Primacy of prevention – Prevention of harm or damage is preferable to repairing it later. irrespective of their family circumstances. Early detection of risk factors is required. social and wellbeing issues affecting young children • enhance community capacity to support young children and their families to address physical. 6. and intervention. The Key Ages and Stages consultations provide 10 consultations. Evolution of services – Programs and services will continue to evolve to meet needs in a changing environment.1 Universal Maternal and Child Health Service The Universal Maternal and Child Health Service supports families and their children in the areas of parenting. The flexible service component allows additional needs of the child and family to be met through a range of activities. 13. 12 months. wellbeing and safety. 1. additional consultations. including first-time parent groups. 18 months. development and assessment. 8 Victorian Maternal and Child Health Service . 4 months.2.5 years. promotion of health and development. 8 weeks. including an initial home visit and consultations at 2 weeks. 12. Continuously improving and adding value to services – Sustained and improved services for families and children promote better outcomes for children and their families.7 1. The Universal Maternal and Child Health Service consists of the Key Ages and Stages consultations and a flexible service component. programs and practice are based on the best evidence and knowledge available. 8 months. referrals and links with communities.11. telephone consultations and community strengthening activities. social supports. 2 years and 3. Evidence and knowledge – Policies. 4 weeks.2 Overview of Maternal and Child Health Service The Maternal and Child Health Service delivers a universal health service through three service components: • Universal Maternal and Child Health Service • Enhanced Maternal and Child Health • Maternal and Child Health Line. the maternal and child health centre. Victorian Maternal and Child Health Service 9 . including short-term case management in some circumstances. The Line also links families to the Universal Maternal and Child Health Service and other community. The Enhanced Maternal and Child Health Service provides a more intensive level of support. mothers and families at risk of poor health and wellbeing outcomes. 1. mother and family.2.1.2 Enhanced Maternal and Child Health Service The Enhanced Maternal and Child Health Service focuses on children. The Line does not provide an emergency service. health and support services required for optimal health and wellbeing of the child. or other locations within the community. counselling and referral to families with children from birth to school age. The Enhanced Maternal and Child Health Service is provided in addition to the suite of services offered through the Universal Maternal and Child Health Service. Support may be provided in a variety of settings.3 Maternal and Child Health Line The Maternal and Child Health Line is a 24-hour telephone line providing appropriate information. including the family home. advice.2. support. in particular where multiple risk factors for poor outcomes are present. The Program Standards support the provision of clinical and corporate governance within the Service. The key elements supported by the Program Standards being: • accountability • continuous improvement • workforce competence • performance development • clinical effectiveness • evidence-based practice • risk management • child and family safety • service delivery • performance review • dealing with complaints • safety of the workforce • data and information management • leadership and governance • community engagement. and provide a systematic approach to improving service delivery and safety.1 An evidence-based framework The Maternal and Child Health Program Standards provide an evidence-based framework for the consistent.3 10 Victorian Maternal and Child Health Service .2 Background 2. safe and quality delivery of the Maternal and Child Health Service. 2. Each Standard has four components: 1. 2. 4. Examples of evidence – examples of how the criteria may be met. as demonstrated in Figure 1. Victorian Maternal and Child Health Service 11 . and performance relevant to. Elements of each standard and the underlying criteria within the standards are closely linked. procedures and processes that need to be in place to meet the criteria. Criteria – each criterion contains a number of elements outlining how the Service demonstrates compliance with. the standard.2 Structure of the Program Standards There are six Maternal and Child Health Program Standards. Statement of rationale – outlines why the Standard has been included. 3. The six standards are not mutually exclusive. Standard One Standard Two Standard Three Standard Four Standard Five Standard Six Figure 1: Relationship between the Maternal and Child Health Program Standards. Performance criteria – strategies. 2. The evidence for the criteria are examples only. including local government or the governing authority and the Department of Education and Early Childhood Development (DEECD). The Program Standards are applicable to. and to incorporate review of the Program Standards as part of routine service review. The list of evidence is not exhaustive. 12 Victorian Maternal and Child Health Service . Note: Due to the operational environment and scope of services provided by the Maternal and Child Health Line. Where this is the case. and resources and tools to assist with implementation of the Program Standards are located in Appendix B. standardise service delivery and support measurement to provide feedback on service delivery and service improvement activities. The Service is encouraged to use the Program Standards to self-assess in order to improve service quality. and not mandatory. an asterisk (*) has been placed next to the relevant performance criteria or achievement of performance criteria. and recommended for use by the maternal and child health workforce and support structures for service provision. all listed performance criteria are deemed not applicable to the Maternal and Child Health Line. The Program Standards have been developed to encourage and support the Service to maintain and improve service quality. certain performance criteria or achievement of performance criteria are not applicable. 2. and users of the Program Standards are encouraged to explore other ways of providing evidence to demonstrate compliance with the Program Standards (in addition to the listed evidence provided). When the asterisk (*) appears under a criterion element. the Program Standards are designed to support and promote evidence-based practice or best practice within the Maternal and Child Health Service. The examples provide guidance on appropriate evidence to support attainment of the criteria. Examples of good practice.3 Purpose and use of the Program Standards The purpose of the Program Standards is to guide and support the Maternal and Child Health Service in service delivery.4 Assessment against the Program Standards As described . 14 Through the delivery of a universal Maternal and Child Health Service for children in Victoria. provides a responsive and accountable service for the child. The Service actively seeks to identify and respond to children at risk of poor outcomes.15 Victorian Maternal and Child Health Service 13 . there are a large number of protective factors in early childhood that are associated with prevention of adverse events for the child’s health. The Maternal and Child Health Service provides universal access to its services for Victorian children from birth to school age and their families. provides the foundation for cognitive. There are a large number of risk factors associated with these years that have negative impacts on the child’s health. 3. The Maternal and Child Health Service. the Service must provide a flexible service that responds to the needs of all young children and their families. their mothers and families. In order to do this. 6. The Maternal and Child Health Service is delivered by a competent and professional workforce. the Service focuses on approaches to include families not engaged by the Service and those with the greatest burden of morbidity and risk.13 Evidence suggests that action taken to reduce risk. Conversely. and engage all families regardless of their cultural and linguistic background. learning and social outcomes. Rationale The early years of a child’s life provide a critical opportunity to give a child the best start in life. The Maternal and Child Health Service promotes optimal health and development outcomes for children from birth to school age through a focus on the child. In addition to providing a universal service. Standard 1: Universal access The Maternal and Child Health Service provides universal access to its services for Victorian children from birth to school age. supported by local government or the governing authority. developmental. and to develop protective factors. mother and family through effective governance and management. developmental. The Maternal and Child Health Service builds partnerships with families and communities and collaborates and integrates with other services and organisations. development and wellbeing. learning and social wellbeing.3 The Maternal and Child Health Service Program Standards 1. 2. in order to achieve optimal health. mother and family. 4. 5. the Service plays a unique and integral part in reducing the risk factors and increasing the protective factors for adverse outcomes for children. The Maternal and Child Health Service delivers a quality and safe service. behaviour and health throughout life. coping and emotional skills that positively affect learning. or experiencing. Culturally competent service delivery The Maternal and Child Health Service provides a culturally competent service to the child and family. including the Enhanced Maternal and Child Health Service.Criteria for Standard 1 1. Responsive service delivery a) The Maternal and Child Health Service is relevant and responsive to the needs of the child and family in service delivery and setting. 14 Victorian Maternal and Child Health Service . the Maternal and Child Health Service from the birth of the child until the child commences school. neglect or abuse. Culturally competent service delivery 1. b) The vulnerable child. including a service appropriate for Aboriginal and Torres Strait Islander communities. c) The Maternal and Child Health Service identifies and responds to the child at risk of. b) Service information supports families accessing the Maternal and Child Health Service. Universal access and participation a) All Victorian children and families have access to. and are encouraged to engage with. 3. 2. Universal access and participation 2. mother and family are identified and supported to engage with appropriate services. Responsive service delivery 3. engage with. • The Maternal and Child Health Service provides a welcoming environment to families to encourage engagement with the Service. • Victorian children and families have access to: – the Universal Maternal and Child Health Service. • Maternal and Child Health Service participation rates • survey of families attending • processes for contacting families who do not engage with the Service Victorian Maternal and Child Health Service 15 . their mothers and families Criteria element Performance criteria Examples of evidence 1. • The Maternal and Child Health Service promotes regular contact between the Service and the child and family through the recommended schedule of contact in the Key Ages and Stages Framework.Standard 1 – The Maternal and Child Health Service provides universal access to its services for Victorian children from birth to school age. including the Key Ages and Stages consultations and the flexible component of the Universal Maternal and Child Health Service – Maternal and Child Health Line if required – Enhanced Maternal and Child Health Service. Universal access and participation a) All Victorian children and families have access to. • The Maternal and Child Health Service acknowledges the right of the family to choose not to access the Service. • All Birth Notifications to the Maternal and Child Health Service are responded to and families are provided with the opportunity to engage with the Service. the Maternal and Child Health Service from the birth of the child until the child commences school. The recommended schedule of contact is at*: – following receipt of the Birth Notification (home visit) – two weeks – four weeks – eight weeks – four months – eight months – twelve months – eighteen months – two years – three-and-a-half years. and are encouraged to. Standard 1 – The Maternal and Child Health Service provides universal access to its services for Victorian children from birth to school age. Examples of evidence • information on website • website information available in multiple languages • number of website hits • posters containing Maternal and Child Health Service information • out-of-hours telephone message contains hours of operation. • Written information on the Maternal and Child Health Service is available. • Information on the Maternal and Child Health Service is available on the local government website /or the governing authority website. their mothers and families Criteria element b) Service information supports families accessing the Maternal and Child Health Service. which includes*: – identification of Maternal and Child Health Service – hours of operation – where to access emergency care for the unwell child – telephone number to access the Maternal and Child Health Line. The Maternal and Child Health Service has information available when the Service is telephoned out of hours. access for emergency care. Performance criteria • Information on the Maternal and Child Health Service is available on the DEECD website. and the MCH Line number • annual report of the Maternal and Child Health Line 16 Victorian Maternal and Child Health Service . where appropriate.gov. the mother or family – early childhood services – family support organisations – play groups – telephone.pdf • survey of families utilising service to provide service feedback • number of enrolments from birth notifications • number of families utilising the service outside of traditional working hours • policies and procedures that promote services outside of traditional working hours Victorian Maternal and Child Health Service 17 . • The Maternal and Child Health Service has a flexible approach to meet individual needs of the child and family. • A range of settings and models for service delivery are offered to meet the needs of the child and family. their mothers and families Criteria element Performance criteria Examples of evidence 2.eduweb.* • Service delivery is outlined in relevant policies and procedures and in the Program Resource Guide. This approach may be through: – the Universal Maternal and Child Health Service – Maternal and Child Health Line. http://www. • The hours of operation for each service reflects the needs of its community and. • The Maternal and Child Health Service schedules.* Examples include.Standard 1 – The Maternal and Child Health Service provides universal access to its services for Victorian children from birth to school age. Responsive service delivery a) The Maternal and Child Health Service is relevant and responsive to the needs of the child and family in service delivery and setting. but are not limited to: – clinic setting via appointment – ‘drop in’ services – within the home of the child. vic. supports and promotes availability of services outside traditional working hours. includes service delivery outside of traditional working hours or on weekends.au/edulibrary/public/earlychildhood/mch/ guideproviderresource. or – Enhanced Maternal and Child Health Service. neglect and abuse. abuse and makes notification in accordance with the Children.Standard 1 – The Maternal and Child Health Service provides universal access to its services for Victorian children from birth to school age. appropriate services to meet the needs of the vulnerable child. • The Maternal and Child Health Service has processes to identify the vulnerable child. mothers and families • record of identifying barriers to access and service response • number of referrals to Enhanced Maternal and Child Health Service and other services • number of notifications made to Child Protection • evidence of knowledge of staff • evidence of training c) The Maternal and Child Health Service identifies and responds to the child at risk of. neglect and abuse and acts on professional observation and judgement. mother and family through the Enhanced Maternal and Child Health Service (see Standard 1 Criterion 2b). their mothers and families Criteria element b) The vulnerable child. • Service delivery provides opportunities for engagement with the vulnerable child. Youth and Families Act 2005. 18 Victorian Maternal and Child Health Service . child neglect and abuse by policies. associated service delivery/referral. or experiencing.16 • The maternal and child health workforce is supported in forming the belief about. mother and family. or experiencing. or can refer to. mother and family. and engagement of vulnerable children. including the Enhanced Maternal and Child Health Service. • The Maternal and Child Health Service identifies the child at risk of. or experiencing. and responding to. Performance criteria • The Maternal and Child Health Service schedules and promotes additional support for the vulnerable child. • The Maternal and Child Health Service provides. procedures and training (see Standard 4 Criterion 1c). mother and family. mother and family. • The Maternal and Child Health Service responds to the child at risk of. mother and family are identified and supported to engage with appropriate services. • The Maternal and Child Health Service identifies and removes barriers for access to services by the vulnerable child. Examples of evidence • number of families receiving the Enhanced Maternal and Child Health Service • policy/process of identification. • The Maternal and Child Health Service ensures access to interpreters for mothers and families from non-English speaking backgrounds. their mothers and families Criteria element Performance criteria Examples of evidence 3. • The Maternal and Child Health Service recognises Aboriginals and Torres Strait Islanders as the traditional owners of the land and provides a service respecting their culture. • The Maternal and Child Health Service considers the needs of individual families and recognises cultural diversity within its service delivery.Standard 1 – The Maternal and Child Health Service provides universal access to its services for Victorian children from birth to school age. • models of culturally competent services provided • survey/feedback from families • literature and other information in appropriate languages • training undertaken by maternal and child health workforce Victorian Maternal and Child Health Service 19 . • The maternal and child health workforce utilises its knowledge and skills to ensure the child. mother and family accessing the Service. mother and family from other cultures. • The workforce employed at the Maternal and Child Health Service reflects. • The maternal and child health workforce is provided with training in cultural competency. Culturally competent service delivery The Maternal and Child Health Service provides a culturally competent service to the child and family including a service appropriate to Aboriginal and Torres Strait Islander communities. • The maternal and child health workforce feels confident in its knowledge and skills to provide the Service to the child. where practicable. • Materials are developed to provide information in appropriate languages and for mothers and families who have low literacy in English and languages other than English. the cultural diversity of the local community. mother and family feel welcome to access the Service. with a focus on training in the cultural needs of the local community. • The maternal and child health workforce understands the individual interpretation of their own culture for each child. 14. 17. 19 The health and wellbeing of the mother is a key element in influencing the health. and the use of validated tools and evidencebased interventions. intervention and promotion of health and development to optimise the child’s health. development and safety of the child. support and intervention provided by the Maternal and Child Health Service acknowledges and recognises the determinants of health4.Standard 2: Optimal health and development The Maternal and Child Health Service promotes optimal health and development outcomes for children from birth to school age through a focus on the child. wellbeing. b) The Maternal and Child Health Service optimises the child’s health. development and safety by recognising and acknowledging the determinants of health.20 and is a core component of the Maternal and Child Health Service. wellbeing. The Service uses promotion of health and development to reduce health risks. Rationale The early years of life are critical.18 a flexible approach to meet the needs of the child. Service delivery based on evidence 1. Health and wellbeing of the child 2. 22 and the Service supports the father in his role. empowering them to make decisions in order to improve the health. health and behaviour throughout life. Role of the father 4. health and behaviour throughout life. learning. In order to optimise outcomes. Health and wellbeing of the child a) The Maternal and Child Health Service utilises monitoring. development and safety of the child. learning. 5 for each child. mother and family. the Maternal and Child Health Service has the opportunity to influence the health. and to increase the capacity of the mother and family. mother and family. Criteria for Standard 2 1. Through the use of targeted interventions in the early years. Role of the family 5. development and safety. that in turn will influence their learning. wellbeing. and influence learning. professional judgement. learning. learning. development and safety of the child. mother and family. wellbeing. 20 Victorian Maternal and Child Health Service . wellbeing.17 The Service promotes optimal health and development outcomes for children through targeted service delivery. The unique role of the father is also recognised in the health and development of the child21. Health and wellbeing of the mother 3. 5. wellbeing. b) The Maternal and Child Health Service promotes evidence-based service delivery through the participation in and support of research. 4. intervention and promotion of health and development. learning. Health and wellbeing of the mother The Maternal and Child Health Service utilises monitoring. 2. Role of the father The Maternal and Child Health Service recognises the unique role of the father in the health and development of the child and supports him in this role. 3. development and safety.c) The Maternal and Child Health Service utilises validated tools and assessments to optimise the child’s health. support and intervention to improve the health and wellbeing of the mother. d) The Maternal and Child Health Service provides the family with information for the promotion of health and development of the child. Victorian Maternal and Child Health Service 21 . Role of the family The Maternal and Child Health Service recognises and promotes the role of the family in the health and development of the child. Service delivery based on evidence a) The Maternal and Child Health Service delivers evidence-based and/or best practice monitoring. • The Key Ages and Stages Framework consists of three components. mother and family. head circumference. • Promotion of health and development is targeted at priorities identified by the Maternal and Child Health Service promotion of health and development. • The Maternal and Child Health Service monitors the immunisation status of the child. regarding the child’s global/cognitive. evidence-based interventions and promotion of health and development. • Evidence-based interventions to improve outcomes for children: – smoking cessation – optimal parental mental health – free from child exposure to conflict or family violence – teeth cleaning – promotion of a healthy weight – promotion of a healthy BMI.Standard 2 – The Maternal and Child Health Service promotes optimal health and development outcomes for children from birth to school age through a focus on the child. • Monitoring of the child is inclusive of: • Family health and wellbeing – physical assessments. height.24 22 Victorian Maternal and Child Health Service • evidence of Key Ages and Stages activities undertaken • Key Ages and Stages consultations targets are met • headline indicators23. behavioural. wellbeing. Criteria element Performance criteria Examples of evidence 1. intervention and promotion of health and development to optimise the child’s health. monitoring. wellbeing. Health and wellbeing of the child a) The Maternal and Child Health Service utilises monitoring. including the proportion of infants exclusively breast fed at four months of age • adherence to Maternal and Child Health Practice Guidelines • referrals to other agencies and services . and promotes adherence to the recommended immunisation schedule. that may include: – safe sleeping arrangements – immunisation – oral health – vision – nutrition – literacy – kindergarten enrolment – child safety and injury prevention – other health promotion relevant to the community (see Standard 1 Criterion 2). socialemotional. development and safety. learning. • Professional observation and judgment are utilised and the mother’s and family’s concerns acted upon. learning. including weight. hips and gait – developmental assessment. • The Maternal and Child Health Service utilises the Key Ages and Stages Framework to optimise the child’s health. including eliciting of parental concerns . development and safety. motor and language skills – hearing risk factors – vision – oral health. Criteria element b) The Maternal and Child Health Service optimises the child’s health. Examples of evidence • key performance indicators – count of reasons for counselling • The Maternal and Child Health Service utilises validated tools and assessments to monitor the child’s health and wellbeing. including but not limited to: – Parents’ Evaluation of Development Status (PEDS) – Brigance (secondary screening) – physical assessment – hearing risk factor assessment – Melbourne Initial Screening Test – oral health assessment.Standard 2 – The Maternal and Child Health Service promotes optimal health and development outcomes for children from birth to school age through a focus on the child. wellbeing. • key performance indicators – number of PEDS/ Brigance undertaken • key performance indicators – count of number of Melbourne Initial Screening Tests completed • maternal and child health workforce competence in undertaken assessments • number of referrals made Victorian Maternal and Child Health Service 23 . Performance criteria • The Maternal and Child Health Service recognises and acknowledges the determinants of health to: – identify factors that may affect the health and wellbeing of the child – target service delivery – provide social support and appropriate referrals in consultation with the mother and family (see Standard 3 Criterion 2 and Standard 1 Criterion 2). development and safety by recognising and acknowledging the determinants of health. • Appropriate referrals to support the child’s growth and development are made in consultation with the mother and family (see Standard 3 Criterion 2). learning. development and safety. learning. mother and family. c) The Maternal and Child Health Service utilises validated tools and assessments to optimise the child’s health. wellbeing. Examples of evidence • information available on relevant topics • information available is culturally appropriate • number of referrals for the mother and family • review of information annually • evidence of information provision within health records 24 Victorian Maternal and Child Health Service . the child. their mother or family. • Written information and resources prepared by the Maternal and Child Health Service are: – clearly identified as a resource of the Maternal and Child Health Service – contains links to websites – reviewed annually by the Maternal and Child Health Service. • Information and support provided to families are: – based on evidence and/or best practice (see Standard 2 Criterion 3) – appropriate and tailored to each mother and family to maximise their understanding – provided in a culturally appropriate manner (see Standard 1 Criterion 3) – see Standard 1 Criterion 2). Performance criteria • The Maternal and Child Health Service provides information in accordance with the Key Ages and Stages Framework. • Written information not prepared by the Maternal and Child Health Service is provided from recognised organisations or associations that are clearly identified. • Anticipatory guidance may be provided based on the needs of the child and family and may include information on: – attachment and parenting – recognising serious illness in the child – play activities – child development and/or behaviour – toilet training – sibling rivalry – nutrition – literacy. Criteria element d) The Maternal and Child Health Service provides the family with information for the promotion of health and development of the child. the Maternal and Child Health Service refers the mother and family to appropriate services if additional support is required (see Standard 3 Criterion 2).Standard 2 – The Maternal and Child Health Service promotes optimal health and development outcomes for children from birth to school age through a focus on the child. • Professional observation and judgment are utilised when providing the mother and family with information for the promotion of health and development of the child. and are appropriate for. mother and family. • In consultation with the mother and family. • key performance indicators – breastfeeding rates • key performance indicators – count of reasons for referrals • audit of referrals • adherence to Maternal and Child Health Program Resource Guide • four week maternal wellbeing check • knowledge of groups within local community • provision and support of groups within local community Victorian Maternal and Child Health Service 25 .Standard 2 – The Maternal and Child Health Service promotes optimal health and development outcomes for children from birth to school age through a focus on the child. • Maternal health and wellbeing are monitored at each contact with the Maternal and Child Health Service. Health and wellbeing of the mother The Maternal and Child Health Service utilises monitoring. • Appropriate referrals to support the mother’s health and wellbeing are made in consultation with the mother (see Standard 3 Criterion 2). Criteria element Performance criteria Examples of evidence 2. • The Maternal and Child Health Service promotes and supports groups to bring mothers together for support and to promote social networks (see Standard 3 Criterion 3). This may include: – breastfeeding – incontinence – post-natal depression – recovery following childbirth – adjustment to becoming a mother – family planning – partnership relationship – management of tiredness and fatigue – other women’s health issues. support and information to improve the health and wellbeing of the mother. and physical and emotional health issues for the mother are addressed. • The health and wellbeing of the mother are reviewed in relation to the child’s health and wellbeing • Professional observation and judgment are utilised when monitoring and assessing maternal health and wellbeing. mother and family. • The Maternal and Child Health Service promotes and supports groups to bring families together for support and to foster social networks (see Standard 3 Criterion 3). • The father is provided with appropriate support in his parenting role by the Maternal and Child Health Service. Role of the father The Maternal and Child Health Service recognises the unique role of the father in the health and development of the child and supports him in this role. • The Maternal and Child Health Service promotes the role of the family in the health and development of the child. Performance criteria Examples of evidence • The Maternal and Child Health Service recognises the unique role the father plays in the child’s life and health and development. • The Maternal and Child Health Service promotes and supports groups to bring fathers together for support and to foster social networks (see Standard 3 Criterion 3). Role of the family The Maternal and Child Health Service recognises and promotes the role of the family in the health and development of the child. • health record audit • audit of referrals for the family • knowledge of groups within local community • provision and support of groups within local community 26 Victorian Maternal and Child Health Service . Criteria element 3. • Appropriate referrals to support the health and wellbeing of the family are made in consultation with the family (see Standard 3 Criterion 2). • Professional observation and judgment are utilised when supporting the father in their parenting role and in the provision of support. is monitored at each contact made with the Maternal and Child Health Service. • survey to determine satisfaction of fathers with the Service 4.Standard 2 – The Maternal and Child Health Service promotes optimal health and development outcomes for children from birth to school age through a focus on the child. mother and family. in the context of its relationship with the child’s health and wellbeing. • The health and wellbeing of the family. • evidence of participation and contribution to research • evidence of approval for research from the Early Childhood Research Committee Victorian Maternal and Child Health Service 27 . mother and family. • The Maternal and Child Health Service encourages and supports participation in research to facilitate the development of evidence for maternal and child health. • The Maternal and Child Health Service implements service delivery in accordance with evidence and recommendations from relevant research. including approval by the DEECD Early Childhood Research Committee. • In the absence of evidence and/or recommendations from research. through the participation in and support of research. Criteria element Performance criteria Examples of evidence 5. • The maternal and child health workforce supports the implementation of best practice service delivery. service delivery is in line with the acknowledged best practice within Maternal and Child Health. within the Maternal and Child Health Service has received relevant research approvals. Service delivery based on evidence a) The Maternal and Child Health Service delivers evidencebased and/or best practice monitoring. intervention and promotion of health and development.Standard 2 – The Maternal and Child Health Service promotes optimal health and development outcomes for children from birth to school age through a focus on the child. • evidence of service delivery updated in line with new evidence • adherence to Key Ages and Stages Framework • evidence of use of practice guidelines b) The Maternal and Child Health Service promotes evidencebased service delivery. or in full. • Research undertaken in part. 28 Victorian Maternal and Child Health Service . development and safety. family-centred practice. The Service also works with families to strengthen their capacity. 26 Criteria for Standard 3 1.Standard 3: Partnerships and collaboration The Maternal and Child Health Service builds partnerships with families and communities and collaborates and integrates with other services and organisations. This approach involves the Service working in partnership with the child and family and identifying the strengths of the family.25 In order to meet the needs of the child the Service collaborates and works in partnership with early years services. A successful Maternal and Child Health Service optimises the child’s health. These partnerships support effective linkages and referrals between the Maternal and Child Health Service and other services. Working in partnership with other organisations and services is particularly important when providing a service for the vulnerable child. Working with mothers and families a) The Maternal and Child Health Service provides child-focused. in order to provide the child with a safe and supportive environment. Rationale To maximise the child’s health. working in partnership with the child and family. Working with other services and organisations 3. mother and family. Working with the community 1. family-centred practice to strengthen the capacity of families to make informed decisions about the child’s development and the family’s health. programs. safety and wellbeing. wellbeing. and organisations. and the wellbeing of the mother and family by adopting a family-centred approach. and enable the provision of cohesive service delivery when more than one service is involved with the child. development and safety. wellbeing. learning. Working with the mother and family 2. learning. b) The Maternal and Child Health Service provides child-focused.17. family services. high levels of family involvement are required. health services. b) The Maternal and Child Health Service collaborates with relevant services to promote and support integrated service delivery when the child and family are accessing other services. Working with the community The Maternal and Child Health Service works with its local community to strengthen community capacity.2.* Victorian Maternal and Child Health Service 29 .* 3. Working with other services and organisations a) The Maternal and Child Health Service facilitates linkages and referrals to relevant community and professional services in order to meet the identified needs of the child and family. b) The Maternal and Child Health Service provides childfocused. • The Maternal and Child Health Service has policies and procedures outlining the child-focused. • The maternal and child health workforce works with the mother and family to increase their confidence and capacity to make decisions about the child’s growth and development and the family’s health. family-centred approach to service delivery. working in partnership with the child and family. safety and wellbeing. mother and family. Working with the mother and family a) The Maternal and Child Health Service provides child-focused. • The maternal and child health workforce considers the capacity of families to make decisions about the child’s development and the family’s health. safety and wellbeing. • evidence of use of health promotion skills and review of change in behaviour • survey of families • policies and procedures • evidence of training for maternal and child health workforce • survey of families 30 Victorian Maternal and Child Health Service . in a strength based approach. mother and family are included in identifying the approach to service delivery for their child. familycentred practice to strengthen the capacity of families to make decisions about the child’s development and the family’s health. family-centred practice.Standard 3 – The Maternal and Child Health Service builds partnerships with families and communities and collaborates and integrates with other services and organisations Criteria element Performance criteria Examples of evidence 1. • Support and training for the maternal and child health workforce facilitates working in partnership with the child. safety and wellbeing. safety and wellbeing. • The Maternal and Child Health Service uses a range of strategies to support mothers and families to develop skills and abilities to make decisions about the child’s growth and development and the family’s health. • The child. and information on these resources is available for mothers and families. • The Maternal and Child Health Service identifies relevant professional resources and services for the child and family to support their health. flyers in waiting area • documentation availability of community resources for maternal and child health workforce • range of referral to professional resources and services • survey of services to whom Maternal and Child Health Service refers Victorian Maternal and Child Health Service 31 . – reason for referral – relevant health information – any other information relevant for service delivery by the referred service be typed or written legibly on official paper. date of birth and contact details – mother’s and other relevant family names. • Referrals include at a minimum: – child’s name. • The Maternal and Child Health Service has documented policies and procedures for referral processes. safety and wellbeing. activities and services in their local community.Standard 3 – The Maternal and Child Health Service builds partnerships with families and communities and collaborates and integrates with other services and organisations Criteria element Performance criteria Examples of evidence 2. local government or the governing authority website and other locations • handouts. • The Maternal and Child Health Service identifies relevant community resources. * • community resources on noticeboards. Working with other services and organisations a) The Maternal and Child Health Service facilitates linkages. 28 Examples of evidence • Maternal and Child Health Service information on DEECD website and local government or governing authority website • audit of referrals from other services 3. is provided to local community and professional services.* 27. • The Maternal and Child Health Service uses a multidisciplinary approach to support collaboration and service coordination. • The Maternal and Child Health Service is promoted by DEECD. • Referrals from/to maternity services conform with the Continuity of Care Protocol. including how to access the service. and other relevant departments/groups 32 Victorian Maternal and Child Health Service . • Information about the Maternal and Child Health Service. health services and local organisations/ programs to provide integrated service delivery for the child and family. • The Maternal and Child Health Service works in collaboration with other services to coordinate services for children with health and/or psycho-social vulnerabilities or risk factors. the local government or the governing authority and other relevant bodies. • evidence of activities to strengthen community capacity • establishment of liaison meetings and/or networks with community planning staff. • The Maternal and Child Health Service strengthens community capacity and assists with the development of community networks through contributing to established community and volunteer programs.* • The Maternal and Child Health Service strengthens community capacity through assisting the establishment of community programs specific to the health and wellbeing needs of the local community.Standard 3 – The Maternal and Child Health Service builds partnerships with families and communities and collaborates and integrates with other services and organisations Criteria element b) The Maternal and Child Health Service collaborates with relevant services to promote and support integrated service delivery when the child and family are accessing other services.* Performance criteria • The Maternal and Child Health Service collaborates with early years services. • The Maternal and Child Health Service acts as an advocate for the child and family when collaborating and integrating with other services. Municipal Association of Victoria (MAV). Working with the community The Maternal and Child Health Service works with its local community to strengthen community capacity. New and existing members of the maternal and child health workforce are supported to learn. In order to provide a safe and quality service. and complies with.30 Criteria for Standard 4 1. Victorian Maternal and Child Health Service 33 . implementation of effective strategies to recruit and retain the workforce and an understanding of the capacity within and requirements of the Maternal and Child Health Service. through the local government or governing authority and DEECD. is supported by effective human resource management and planning. The local government or governing authority complements and supplements work undertaken by DEECD and other relevant authorities. knowledge and understanding required to deliver the Maternal and Child Health Service. Performance development and continuing education 1. their legislative requirements. The Maternal and Child Health Service. and complies with.Standard 4: Competent and professional workforce The Maternal and Child Health Service is delivered by a competent and professional workforce.29 This process is supported by performance review. these Standards and the Maternal and Child Health Program Resource Guide for their relevant Service. Workforce 2. develop and strengthen the skills. Human resource management and planning 3. This includes the identification of the current and future needs of the workforce and the Service. with the identification of training and professional development needs. b) The maternal and child health nurses maintain the requirements of their registration. Rationale A competent and professional maternal and child health workforce is essential for the optimal delivery of the Maternal and Child Health Service. Workforce a) The Maternal and Child Health Service employs a workforce qualified to meet the objectives of the Maternal and Child Health Service. with relevant knowledge and skills to undertake the position. c) The maternal and child health workforce has knowledge of. d) The maternal and child health workforce has knowledge of. the maternal and child health workforce is required to be suitably qualified. Human resource management planning a) Human resource management supports the delivery of the Maternal and Child Health Service.2. 3. c) Human resource planning identifies and responds to the current and future Maternal and Child Health Service workforce’s needs for the Maternal and Child Health Service. b) The recruitment processes for the Maternal and Child Health Service support a competent and professional maternal and child health workforce. b) The Maternal and Child Health Service has a learning and development system to support a competent maternal and child health workforce. Performance development and continuing education a) The Maternal and Child Health Service supports performance development of the maternal and child health workforce. 34 Victorian Maternal and Child Health Service . • evidence of current registration • evidence of qualifications • position descriptions with selection criteria and key performance indicators for nursing and nonnursing positions Victorian Maternal and Child Health Service 35 . Performance criteria Examples of evidence • The Maternal and Child Health Service employs nurses who are registered with the Nurses Board of Victoria as Registered Nurses Division 1. where relevant. registered midwives holding an accredited post-graduate qualification in maternal and child health nursing.Standard 4 – The Maternal and Child Health Service is delivered by a competent and professional workforce Criteria element 1. • The support workforce have relevant qualifications and or experience to work in the Maternal and Child Health Service and. • Where a workforce (support workforce) is employed to support and complement the skills of maternal and child health nurses. they are suitably qualified and experienced to meet the objectives of the Service.* The support workforce may include: – administration workers – family support workers – Aboriginal Health workers – cultural workers appropriate to local community (see Standard 1 Criterion 3) – mental health workers – psychologists – drug and alcohol workers – other workers or health professionals as required. have professional registration and maintain the requirements of professional registration. Workforce a) The Maternal and Child Health Service employs a workforce qualified to meet the objectives of the Maternal and Child Health Service. codes or other relevant documents that may be updated or implemented as a result of national registration relating to registered nurses and/or midwives.Standard 4 – The Maternal and Child Health Service is delivered by a competent and professional workforce Criteria element b) The maternal and child health nurses maintain the requirements of their registration. Youth and Families Act 2005 – Child Wellbeing and Safety Act 2005 – Health Records Act 2001 – Family Violence Protection Act 2008. Performance criteria • The maternal and child health nurses working within the Maternal and Child Health Service comply with and/or practise within the requirements of their registration. • The maternal and child health workforce meets the legislative requirements of the following Acts and Regulations: – Children. including professional development activities • policies and procedures • evidence of facilitation of professional development. including within the following codes. mentoring. their legislative requirements. support. Youth and Families Act 2005 16 – Child Wellbeing and Safety Act 2005 41 – Health Records Act 2001 42 – Family Violence Protection Act 2008 43. Examples of evidence • evidence of maintenance of registration. clinical supervision. peer support and feedback • health record audit c) The maternal and child health workforce has knowledge of. • record of training undertaken • record of mandatory education provided • policies and procedures 36 Victorian Maternal and Child Health Service . • The maternal and child health workforce is trained in their requirements under the: – Children. standards and guidelines: – National competency standards for registered nurses 31 – National competency standards for midwives 32 – Scope of nursing and midwifery practice 33 – Code of ethics for nurses in Australia 34 – Code of ethics for midwives in Australia 35 – Code of professional conduct for nurses in Australia 36 – Code of professional conduct for midwives in Australia 37 – Delegation and supervision for registered nurses 38 – Guidelines for continuing professional development 39 – Professional boundaries 40 – any guidelines. and complies with. the Maternal and Child Health Program Resource Guide. these Standards.Standard 4 – The Maternal and Child Health Service is delivered by a competent and professional workforce Criteria element d) The maternal and child health workforce has knowledge of. Performance criteria • maternal and child health workforce is aware of. • The maternal and child health workforce is aware of. and complies with. and has the skills and knowledge to comply with. these Standards and the Maternal and Child Health Program Resource Guide. and complies with.7 Examples of evidence • evidence of compliance with standards • evidence of training in revised Key Ages and Stages framework • evidence of compliance with the Maternal and Child Health Program Resource Guide Victorian Maternal and Child Health Service 37 . as a minimum. • The Maternal and Child Health Service. • The Service has policies and procedures for relievers within the Service. police check. • The maternal and child health workforce is aware of. including work experience of university and other students. through the local government or governing authority. information on: – recruitment. Human resource management and planning a) Human resource management supports the delivery of the Maternal and Child Health Service. driver’s licence and evidence of registration with the Nurses Board of Victoria).Standard 4 – The Maternal and Child Health Service is delivered by a competent and professional workforce Criteria element Performance criteria Examples of evidence 2. and has access to. • The human resource management policies and procedures are regularly updated. the Maternal and Child Health Service human resource management policies and procedures and the position description for their position. 38 Victorian Maternal and Child Health Service • policies and procedures • staff survey • review of staff turnover • exit interviews • local government or governing authority strategic plan • evidence of confidential file . with input from the maternal and child health workforce. training and education – workplace relations. • The human resource management policies and procedures includes. has documented human resource management policies and procedures. • The Service has a confidential and secure personal file for each maternal and child health worker containing: – position description – performance reviews – performance development and professional education undertaken – evidence of qualifications and registration – other requirements of employment (for example. selection and appointment processes – working hours/days – pay and performance – leave and illness – induction. including grievance processes – performance development – dress code – management of students. • The Maternal and Child Health Service has an induction program to support the maternal and child health workforce covering the minimum elements of: – information about the Service – information on the duties of the position – human resource management practices – education and training relevant to the commencement of the position – legislative requirements of workforce – procedures and processes of the Service (see Standard 5 Criterion 2c). registration – police check – evidence of skills. for maternal and child health nurses and other health professionals. • Recruitment processes ensure checks are made of the applicant for: – qualifications and. • The Maternal and Child Health Service induction program is updated regularly to ensure the content is relevant and current.Standard 4 – The Maternal and Child Health Service is delivered by a competent and professional workforce Criteria element b) The recruitment processes for the Maternal and Child Health Service support a competent and professional maternal and child health workforce. Performance criteria • The Maternal and Child Health Service recruitment processes are equitable. • Each position undergoing recruitment has identified selection criteria. transparent and in accordance to the legislative requirements of the following Acts: – Equal Opportunity Act 1995 44 – Racial and Religious Tolerance Act 2001 45 – Information Privacy Act 2000 46 – Public Administration Act 2004. Examples of evidence • policies and procedures record of recruitment processes • evidence of recruitment processes • policies and procedures • selection criteria for advertised positions and within position descriptions • documentation of attendance/completion of induction program • evidence of regular review of program • evidence of orientation policies and procedures • evaluation of induction program Victorian Maternal and Child Health Service 39 . knowledge and abilities.48 • Recruitment is aligned with Maternal and Child Health Service strategic plan and human resource plan (see Standard 5 Criterion 1 and Standard 4 Criterion 2c). including productivity and quality of service delivery – staff satisfaction.Standard 4 – The Maternal and Child Health Service is delivered by a competent and professional workforce Criteria element c) Human resource planning identifies and responds to the current and future maternal and child health service workforce’s needs for the Maternal and Child Health Service. Performance criteria • The local government or governing authority complements and supplements workforce planning undertaken by DEECD and other authorities. • To assist with human resource planning. including the skills and capabilities currently within the Service and the skills and capabilities required by the Service – recruitment and retention strategies for the maternal and child health workforce – career opportunities and pathways – human resource management procedures – contingency plans for workforce shortages. scholarships and mentoring programs) 40 Victorian Maternal and Child Health Service . the local government or governing authority regularly reviews: – retention of workforce – workforce leave accruals – work–life balance strategies – organisation performance. mothers and families – current and future workforce requirements. Examples of evidence • evidence of human resource plan • evidence of linkages between the human resource plan and the strategic plan • workforce analysis • workforce survey • exit interviews • evidence of staff health– wellness program • evidence of strategies to support retention (for example. • In conjunction with work undertaken by DEECD and other relevant authorities. human resource planning considers: – current and future needs of children. • Each position within the Maternal and Child Health Service has a position description outlining: – mandatory/recommended qualifications or professional registration (see Standard 4 Criterion 1) – key performance indicators – skills and knowledge – values and personal skills – lines of accountability – roles and responsibilities. their individual position description. in conjunction with that staff member. Performance development and continuing education a) The Maternal and Child Health Service supports performance development of the maternal and child health workforce. • The maternal and child health workforce is aware of. • The performance review: – is based on the staff members job description – includes the active participation of the staff member. • position descriptions • evidence of access to position description • models for clinical supervision and evidence of provision of clinical supervision • documentation of performance development review Victorian Maternal and Child Health Service 41 . • The maternal and child health workforce has access to career opportunities. with formal reviews occurring at least yearly. • Performance review commences within three months of employment with the Maternal and Child Health Service. and has access to. including opportunities for leadership and management positions (see Standard 5 Criterion 2a). • The maternal and child health workforce (with the exception of administration workers) is provided with appropriate clinical supervision. if appropriate. their manager and. and supported by experienced and relevant workers and/or mentors. • The Maternal and Child Health Service has a performance review system that supports each individual staff member to remain competent and accountable and identifies areas for improvement and training needs.Standard 4 – The Maternal and Child Health Service is delivered by a competent and professional workforce Criteria element Performance criteria Examples of evidence 3. clinical supervisor – identifies strengths in performance – involves setting goals – is an ongoing process and provides opportunities for regular feedback throughout the year – is documented – provides opportunities to provide feedback on the Service and the coordinator – is assessed and documented. • The Maternal and Child Health Service has documented policies and procedures on learning and professional development. • The maternal and child health workforce contributes to the supervision and teaching of nursing and other relevant students. including: – development of a professional development program – provision of training and development – mentoring – peer review/shadowing and/or – support to attend external training and development (see Standard 4 Criterion 2b and Standard 4 Criterion 3a). • The policies and procedures include: – process for applying for attend learning and development courses outside of Maternal and Child Health Service – support provided by the Service.Standard 4 – The Maternal and Child Health Service is delivered by a competent and professional workforce Criteria element b) The Maternal and Child Health Service supports a learning and development system to support a competent maternal and child health workforce (see Standard 2 Criterion 1 and Standard 2 Criterion 1). Examples of evidence • provision of professional development • evidence of mandatory training inclusive of maternal and child health training • evidence of professional development of staff • policies and procedures • survey of workforce on training needs • annual planning day 42 Victorian Maternal and Child Health Service . Performance criteria • The Maternal and Child Health Service supports training and development of its workforce through a range of strategies. • The maternal and child health workforce is consulted by the Service regarding its training development requirements. rather than stand alone documents solely for the Maternal and Child Health Service. underpinned by effective communication and change management strategies. and supported through policies and procedures.50 Criteria for Standard 5 1. relevant. and supports responsive and accountable service provision. has a shared understanding of the Maternal and Child Health Service vision and the future service direction and work together to implement the strategic and operational plans. Accountability a) The Maternal and Child Health Service (and the local government or governing authority) has a management structure to support the delivery of a safe and quality service. mothers and families through effective governance and management. Governance is assisted by well constructed and effective policies and procedures. including management and the workforce. 49 Effective management ensures the Maternal and Child Service and its workforce meet legislative requirements. The foundation of corporate governance is supported through development of. 2. Victorian Maternal and Child Health Service 43 . Rationale Governance incorporates the systems by which the Maternal and Child Health Service is managed. and accessible to the maternal and child health workforce. strategies and policies should be integrated within the plans. strategic and operational plans. which are current. Leadership and direction a) The Maternal and Child Health Service has a planned approach to service delivery and development. strategies and policies of the local government or governing authority. through clear understanding of these requirements being communicated to the workforce. b) The Maternal and Child Health Service. Effective leadership and management are required so as to provide a framework for governance within the Maternal and Child Health Service and the local government or governing authority.Standard 5: Responsive and accountable service delivery The Maternal and Child Health Service.3. appropriate. Accountability 3. supported by local government or the governing authority. provides a responsive and accountable service for children. and adherence to. Leadership and direction 2. These plans. fostering the delivery of a safe and quality service. Lines of accountability and management structures support an accountable and responsive service. Information systems 1. and is not subject to the Memorandum of Understanding. c) The Maternal and Child Health Service maintains appropriate information systems to support data use and accessibility. quality service and to comply with these Standards. (The Maternal and Child Health Line is funded by DEECD. Information systems a) The Maternal and Child Health Service maintains accurate and appropriate health information for the child and family. d) The Maternal and Child Health Service provides clinical and corporate accountability. the relevant legislative requirements and by-laws. 3. b) The Maternal and Child Health Service ensures child. and operates under.) c) The Maternal and Child Health Service maintains effective policies and procedures and other required documents and processes to provide a safe. and in accordance with the Municipal Association of Victoria/DEECD Memorandum of Understanding. mother and family information is secure and safe. 44 Victorian Maternal and Child Health Service .b) The Maternal and Child Health Service complies with. b) The Maternal and Child Health Service. • The maternal and child health workforce is involved in the development of the Maternal and Child Health Service strategic and operational plan. Municipal Public Health Plan and DEECD Plan. including management and the workforce.Standard 5 – The Maternal and Child Health Service. • The maternal and child health workforce is aware of. • The Maternal and Child Health Service. as applicable • operational plan aligned with the strategic plan • annual planning day • evaluation of key performance indicators on operational and strategic plans • operational plan available to maternal and child health workforce • annual planning day • evaluation feedback • attainment of key performance indicators within organisational and strategic plans Victorian Maternal and Child Health Service 45 . Municipal Early Years Plan. • strategic plan is aligned with the council plan. is updated yearly and accessible by the maternal and child health workforce. aligns these plans to the Council Plan. Criteria element Performance criteria Examples of evidence 1. • The implementation of the strategic and operational plans is supported by change management processes. • The maternal and child health workforce together implements the operational plan and achieve the objectives within the plan. provides a responsive and accountable service for children. has a strategic and operational plan to deliver and develop service delivery and. Leadership and direction a) The Maternal and Child Health Service has a planned approach to service delivery and development. Municipal Public Health Plan and DEECD Plan. • The strategic and operational plans contain a minimum of: – key service objectives – strategies for achievement of objectives – performance indicators. have a shared understanding of the Maternal and Child Health Service vision and the future service direction and work together to implement the strategic and operational plans. • The operational plan supports the implementation of the strategic plan. Municipal Early Years Plan. mothers and families through effective governance and management. the Maternal and Child Health Service vision. • The strategic plan is reviewed and updated at a minimum every three years. mission and goals and its strategic and operational plan. where applicable. supported by local government or the governing authority. fostering the delivery of a safe and quality service. and supports. supported by the local government or governing authority. • The management structure and processes associated with this structure are reviewed regularly. • Meetings of the Maternal and Child Health Service management. • The management structure supports and advocates for the Maternal and Child Health Service within the local government or governing authority. and meetings involving the maternal and child health workforce. Performance criteria Examples of evidence • The Maternal and Child Health Service management structure has identified roles within the structure and clear lines of responsibility associated with the roles. supported by local government or the governing authority. mothers and families through effective governance and management. • Communication strategies are defined. are goal-orientated and has documented outcomes. Criteria element 2. and demonstrate regular communication and consultation between management and the maternal and child health workforce. • The Maternal and Child Health Service supports performance development within its management structure (see Standard 4 Criterion 3). • The management structure of the Maternal and Child Health Service supports career opportunities for maternal and child health nurses (see Standard 4 Criterion 3). provides a responsive and accountable service for children. • organisational structure • outline of role definitions within the structure • performance development needs identified and met for leadership and management within Maternal and Child Health Service • leadership and mentoring programs • evidence of regular team meetings and other forms of communication • communication policy 46 Victorian Maternal and Child Health Service .Standard 5 – The Maternal and Child Health Service. Accountability a) The Maternal and Child Health Service (and the local government or governing authority) has a management structure to support the delivery of a safe and quality service. and in accordance with the MAV/DEECD Memorandum of Understanding. mothers and families through effective governance and management. supported by local government or the governing authority. (The Maternal and Child Health Line is funded by DEECD and not subject to the Memorandum of Understanding.Standard 5 – The Maternal and Child Health Service. • The Maternal and Child Health Service operates in accordance with the MAV/DEECD Memorandum of Understanding and the relevant Maternal and Child Health Program Resource Guide.* • For the Maternal and Child Health Line only. including the Health (Infectious Diseases) Regulations – Freedom of Information Act 1982 47 – Occupational Health and Safety Act 2004 49 – Occupational Health and Safety Regulations 2007 52 – Local Government Act 1989 54. Examples of evidence • evidence of legislative requirements within operational and strategic plans • staff training on legislation Victorian Maternal and Child Health Service 47 . Youth and Families Act 2005 16 – Child Wellbeing and Safety Act 2005 41 – Family Violence Protection Act 2008 43 – Health Records Act 2001 42 – Racial and Religious Tolerance Act 2001 45 – Equal Opportunity Act 1995 44 – Health Act 1958 51 and various Regulations made under that Act. the relevant legislative requirements and by-laws. and operates under. Criteria element b) The Maternal and Child Health Service complies with.) Performance criteria • The Maternal and Child Health Service meets the legislative requirements of the following Acts and Regulations: – Children. the Line complies with the Program Resource Guide and other requirements determined by DEECD. provides a responsive and accountable service for children. • The Maternal and Child Health Service is compliant with the by-laws of its local government or governing authority. Standard 5 – The Maternal and Child Health Service. Criteria element c) The Maternal and Child Health Service maintains effective policies and procedures and other required documents and processes to provide a safe. supported by local government or the governing authority. • The Maternal and Child Health Service has a system for monitoring compliance with its policies and procedures. • evidence of communication of lines of responsibility 48 Victorian Maternal and Child Health Service . has policies and procedures to support safe and quality service delivery. including delivery of service and a process for regular review of the policies and procedures (see Standard 6 Criterion 3). • Lines of responsibility for clinical aspects of the Maternal and Child Health Service are communicated to the maternal and child health workforce and support the partnership between management and the maternal and child health workforce in the delivery of the Maternal and Child Health Service (see Standard 4 Criterion 3). which are regularly reviewed d) The Maternal and Child Health Service supports clinical and corporate accountability. has systems and processes to support implementation and ongoing review of Maternal and Child Health Program Standards. Examples of evidence • organisational plans • performance development reviews • policies and procedures in place. supported by the local government or governing authority. mothers and families through effective governance and management. service and evidence are reflected in the policies and procedures. Performance criteria • The Maternal and Child Health Service. • The Maternal and Child Health Service. • Changes to practice. supported by the local government or governing authority. quality service and to comply with these Standards. • The management structure of the Maternal and Child Health Service work in partnership with the maternal and child health workforce to ensure the delivery of a safe and quality service. provides a responsive and accountable service for children. provides a responsive and accountable service for children. mothers and families through effective governance and management. • The Maternal and Child Health Service encourages mothers and families to bring the Child Health Record when accessing the Maternal and Child Health Service. mother and family.Standard 5 – The Maternal and Child Health Service. Health Records Act 2001 and Information Privacy Act (2000) – management of health information – information privacy – security of health information – how the child and family can access their health information – documentation requirements – confidentiality and privacy – transfer of information when the child moves between Maternal and Child Health Services – destruction of health records. • On becoming aware of a child moving into its service catchment. Performance criteria Examples of evidence • The Maternal and Child Health Service maintains accurate health information for the child and family information in accordance with the Health Records Act 2001. referrals and recommendations made and other aspects of the consultation – be legible and dated. • The Maternal and Child Health Service has policies and procedures regarding health information in accordance with the Local Government Records Act 1998. the Maternal and Child Health Service with the mother’s or family’s consent makes contact with the previous Service for transfer of health record in a timely manner. information provided.42 • The minimum information to be included within the health record is: – the identity of the maternal and child health worker who made the record and had contact with the child and family – information on assessment. Information systems a) The Maternal and Child Health Service maintains accurate and appropriate health information for the child. • In the event of an emergency. supported by local government or the governing authority. Criteria element 3.* • record maintained for each child in accordance with policies and procedures • health record audit Victorian Maternal and Child Health Service 49 . and when accessing other health services. management of health information is outlined in the emergency management plan (see Standard 6 Criterion 3). supported by local government or the governing authority. and health information. the Maternal and Child Health Service must ensure: – secure access – there is backup of the information – internet connected computers have a hardware/software firewalls – data integrity – antivirus software is installed. 50 Victorian Maternal and Child Health Service . which is timely and appropriate.Standard 5 – The Maternal and Child Health Service. • The Maternal and Child Health Service provides access to information systems. mothers and families through effective governance and management. • For information technology systems. • Health information is maintained safely and securely: – until the child is 25 years of age – for seven years following the last contact with the Maternal and Child Health Service. • Information technology systems are appropriate for the collation of data. and ongoing support is provided. Criteria element b) The Maternal and Child Health Service ensures child and family information is secure and safe. Examples of evidence • electronic records are password controlled • paper records are locked and in a fireretardant storage facility c) The Maternal and Child Health Service maintains appropriate information systems to support data use and accessibility. provides a responsive and accountable service for children. • Training and development in the use of information technology is available to the maternal and child workforce. Please see Standard 4 Criterion 2 for details on maintaining workforce information in a secure and safe manner. • accessibility of computers and printers • evidence of training • evidence of information technology support system • compliant with: – backup of information – hardware/software firewalls – data integrity – antivirus software. Performance criteria • Health information is secure and accessible only by relevant and authorised workers. Criteria for Standard 6 1. infection control. understanding of the issues behind the process or activity to be improved.25 The framework supports the delivery of a quality and safe service. mother and family accessing it. implementation of strategies to support improvement and review of these strategies is supported through a quality improvement framework. Victorian Maternal and Child Health Service 51 . and changes identified in order to improve service delivery. c) The child and family accessing the Maternal and Child Health Service have opportunities to express their views on the service. The process for identification of areas for improvement. Provision of support for service delivery 1. safety and wellbeing of the workforce providing the Service and for each child. This is provided through occupational health and safety compliance.Standard 6: Quality and safety The Maternal and Child Health Service delivers a quality and safe service. Safe practice and environment for the maternal and child health workforce 4. mother and family wishing to engage with the Service. The framework assists in identification of the process or activity to be improved. The Maternal and Child Health Service delivers a safe service for the child and family by ensuring the environment in which services are provided supports the health. Safe and accessible environment for the child and family 3. Improving performance a) Quality processes within the Maternal and Child Health Service support improvement in health and wellbeing outcomes for the child and family and in delivery of the service. Improving performance 2. The environment is also accessible by each child. Rationale Quality improvement is the method through which the effectiveness of activities within the Maternal and Child Health Service are reviewed. and the provision of suitable equipment and environments for the Service. evaluation of the strategy and sustaining the strategy. emergency management. implementation of an improvement strategy. b) The Maternal and Child Health Service has a clinical risk management system to maintain and enhance the safety and quality of the service provided to the child and family. 2. Safe and accessible environment for the child, mother and family a) The environment of the Maternal and Child Health Service is safe and accessible for the child and family. b) The Maternal and Child Health Service supports safe practice and a safe environment for the child and family accessing the service, and its workforce, through effective infection control guidelines.* 3. Safe practice and environment for the maternal and child health workforce a) The Maternal and Child Health Service provides a safe environment for its workforce through management of, compliance with, and occupational health and safety legislative requirements. b) The Maternal and Child Health Service provides a safe environment for its workforce through emergency management. c) The maternal and child health workforce upholds its duty of care to ensure its work is delivered in a manner that is not harmful to the health and safety of themselves or others. 4. Provision of support for service delivery The Maternal and Child Health Service supports quality service delivery through appropriate and maintained equipment and environments. 52 Victorian Maternal and Child Health Service Standard 6 – The Maternal and Child Health Service delivers a safe and quality service Criteria element Performance criteria Examples of evidence 1. Improving performance a) Quality processes within the Maternal and Child Health Service support improvement in outcomes for the child and family. • The Maternal and Child Health Service is supported by a quality improvement framework, which is continuous and supports improvement in the service delivery to, and outcomes for, the child and family. • The quality improvement framework aligns with local government ‘best value’ processes. • The quality improvement framework supports the DEECD Service Improvement Plan. • The quality improvement framework monitors, manages and improves safety, effectiveness, appropriateness, acceptability, access and efficiency of the Maternal and Child Health Service. • Activities conducted within the quality improvement framework are documented and have an appropriate documented review process. • The quality improvement framework is applied across the six Maternal and Child Health Standards. • Maternal and child health workforce contributes to, and participates in, the quality improvement framework. • quality improvement framework • quality improvement activities, including outcomes • incident reports • data monitoring Victorian Maternal and Child Health Service 53 Standard 6 – The Maternal and Child Health Service delivers a safe and quality service Criteria element b) The Maternal and Child Health Service has a clinical risk management system to maintain and enhance the quality and safety of service provided to the child and family. Performance criteria • The Maternal and Child Health Service operates through a clinical risk management system that identifies, monitors and reviews clinical risks. • The clinical risk management system covers potential or actual incidents that may occur within the Maternal and Child Health Service, or which place the child or family at risk in their own environment. • The elements of the clinical risk management system covers: – identification of risk – processes for notification of a ‘near miss’ or incident internally and, where appropriate, externally – assessment and review of the risk and contributing factors to the risk – processes for improvement in service delivery as a result of the identification of the risk. • The clinical risk management system is incorporated into the Maternal and Child Health Service quality improvement framework. • The clinical risk management system is incorporated into the local government or governing authority’s risk management system. Examples of evidence • clinical risk management system • review process for clinical risk management system • child protection protocol 54 Victorian Maternal and Child Health Service Standard 6 – The Maternal and Child Health Service delivers a safe and quality service Criteria element c) The child, mother and family accessing the Maternal and Child Health Service have opportunities to express their views on the service. Performance criteria • The Maternal and Child Health Service has policies and procedures to allow the child, mother and family to provide feedback regarding the service, which are aligned with Australian Council for Safety and Quality in Healthcare Better Practice Guidelines on complaints management for health services.55, 56 • Policies and procedures include a minimum of: – processes for the child and family to provide feedback – processes for Maternal and Child Health Service to assess and respond to feedback, and resolve issues – escalation process, should the issue not be able to be resolved at a local level. • The procedure is written in a style and language that is appropriate for the mother and family accessing the Service. • The feedback process is communicated and accessible to the mother and family utilising the Service. • The feedback provided by the child and family is incorporated into the Maternal and Child Health Service quality improvement framework. Examples of evidence • policies and procedures for complaints management • information on feedback process clearly identified to families • information available on the local government or governing authority website • survey of families • feedback from children Victorian Maternal and Child Health Service 55 and codes of practice. • The Maternal and Child Health Service provides an environment which is: – compliant with the Occupational Health and Safety Act 2004 52. mother and family a) The environment of the Maternal and Child Health Service is safe and accessible for the child and family. Safe and accessible environment for the child.Standard 6 – The Maternal and Child Health Service delivers a safe and quality service Criteria element Performance criteria Examples of evidence 2. • The physical environment of the Maternal and Child Health Service is easily located by the family and has: – external signage to allow for easy identification – disability access and facilities in accordance with Commonwealth and Victorian legislation and Australian Standards – an appropriate waiting area – appropriate area(s) for consultation. Please see Standard 4 Criterion 1c for requirements of maternal and child health workforce to ensure safety for the child and family accessing the Maternal and Child Health Service. • The physical environment of the Maternal and Child Health Service for group and other activities within the community are:* – easily located by the family – clearly identifiable by the family – appropriate for the activities to be undertaken by the Service. 53 and Regulations 2007 – managed in accordance to relevant Australian Standards. • environment survey • evidence of updated signage and easily identifiable maternal and child health centre • maternal and child health centre identified in Melways and on google maps • access for children and families with a disability 56 Victorian Maternal and Child Health Service . Victorian legislation. 57 • Within the infection control procedures.Standard 6 – The Maternal and Child Health Service delivers a safe and quality service Criteria element b) The Maternal and Child Health Service supports safe practice and a safe environment for the child and family accessing the service. Rubella and Varicella (Chickenpox) if seronegative.* • The infection control procedures are relevant for each Maternal and Child Health Service setting. Influenza. and its workforce. • The maternal and child health workforce has its recommended immunisation for Hepatitis B. through an effective infection control system.24 Examples of evidence • policies and procedures • number of staff immunised • Department of Health and Department of Human Services alerts distributed to health and family support workforce Victorian Maternal and Child Health Service 57 .* Performance criteria • The Service has documented infection control procedures. • The infection control procedures are accessible by the maternal and child health workforce in each Maternal and Child Health Service setting. • The Service provides: – personal protective equipment for its workforce – resources for hand hygiene – other resources as required that are compliant with Commonwealth Government Department of Health and Ageing Infection control guidelines for the prevention of transmission of infectious diseases in the health setting. Pertussis. the minimum content is: – hand hygiene – changeover procedures between visits * – management of blood or body fluid spills – management of blood or body fluid exposure – personal protective equipment * – management of wastes. Measles. aligned with the Commonwealth Government Department of Health and Ageing Infection control guidelines for the prevention of transmission of infectious diseases in the health setting. Mumps. • The Maternal and Child Health Service provides an environment that is: – compliant with the Occupational Health and Safety Act 2004 52. • Within the policies and procedures. including potential incidents. compliant with the Occupational Health and Safety Act 2004 and Regulations 2007.Standard 6 – The Maternal and Child Health Service delivers a safe and quality service Criteria element Performance criteria Examples of evidence 3. in relation to occupational health and safety – risk assessment of the environment – working environments. the minimum level of content is: – management and reporting of incidents. and codes of practice. Please note: Environment includes vehicles used within the Maternal and Child Health Service. and compliance with. • The Service has policies and procedures governing occupational health and safety. 53 and Regulations 2007 – managed in line with relevant Australian Standards. 58 Victorian Maternal and Child Health Service • policies and procedures evident • environment survey • Occupational Health and Safety incident reporting system • training of maternal and child health workforce in Occupational Health and Safety requirements of the Service • occupational health and safety representative • other evidence of providing safe environment. • The Maternal and Child Health Service provides regular training for its workforce in all aspects of occupational health and safety. • The occupational health and safety procedures are accessible by the maternal and child health workforce. and/or occupational health and safety as standing agenda item for staff meetings . including centre areas. • The Service has policies and procedures governing occupational health and safety. occupational health and safety legislative requirements. • The Maternal and Child Health Service provides equipment required by the maternal and child health workforce to comply with the policies and procedures governing occupational health and safety. waiting areas and office areas – violence and aggression towards the maternal and child health workforce – manual handling – service delivery for the family who may provide a safety risk for the maternal and child health workforce – home visiting – working alone in the maternal and child health centre. compliant with the Occupational Health and Safety Act 2004 and Regulations 2007. Victorian legislation. Safe practice and environment for the maternal and child health workforce a) The Maternal and Child Health Service provides a safe environment for its workforce through management of. • The policies and procedures are relevant for each setting within the Maternal and Child Health Service (see Standard 1 Criterion 2a). for example advanced driver training • occupational health and safety meetings. • evidence of knowledge of safe practice and environment policies and procedures • policies and procedures accessible by staff Victorian Maternal and Child Health Service 59 . within the child’s home – pandemics within the general community – bushfire (for Maternal and Child Health Services in settings at risk of bushfire)* – escalation plan for staff safety issues for sole practitioners. if applicable. • The Maternal and Child Health Service provides regular training for its workforce in the emergency management plan. • The emergency management plan is accessible by the maternal and child health workforce. fire drill) • availability/location of Emergency Management plan • review of issues reported c) The maternal and child health workforce upholds its duty of care to ensure its work is delivered in a manner that is not harmful to the health and safety of themselves or others. • The Maternal and Child Health Service provides equipment to the maternal and child health workforce to enable the execution of the emergency management plan.52. Performance criteria • The Maternal and Child Health Service has a documented emergency management plan covering a minimum of: – general emergency within a maternal and child health centre – fire within the maternal and child health centre – medical emergency within the facility and. • Maternal and child health workforce understand their rights and responsibilities under the Occupational Health and Safety Act 2004 and Regulations 2007.Standard 6 – The Maternal and Child Health Service delivers a safe and quality service Criteria element b) The Maternal and Child Health Service provides a safe environment for its workforce through emergency management. • Maternal and child health workforce reads and understands the policies and procedures relating to safe practice and environment. Examples of evidence • emergency management plan • evacuation plan • training of maternal and child health workforce in Emergency Management (for example. 53 • Maternal and child health workforce implements a range of practices that ensure safe practice within the Maternal and Child Health Service environment. 1–1990: Interior lighting – General principles and recommendations.2–1990 Screen-based workstations – Workstation furniture – Australian Standard 1668.2–2002: The use of ventilation and air-conditioning in buildings – Ventilation design for indoor air contaminant control – Australian Standard 1680. • The Maternal and Child Health Service maintains equipment in accordance with manufacturer and other relevant guidelines. including electrical equipment • weights and measures standard within local government policy • evidence of compliance with Standards 60 Victorian Maternal and Child Health Service . • The maternal and child health centres and venues used for group consultations meet local building standards and recommendations in relation to space and accessibility. • The maternal and child health centres meet local building standards and recommendations.Standard 6 – The Maternal and Child Health Service delivers a safe and quality service Criteria element Performance criteria Examples of evidence 4. 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These Standards consisted of twelve standards and were developed to provide a Maternal and Child Health Service with a customer focus. and extensive consultation throughout the Maternal and Child Health Service and other key stakeholders. review of relevant policy documents.Appendix A: Development of Maternal and Child Health Program Standards Introduction Program Standards for the Maternal and Child Health Service were initially developed in 1995. consistent service delivery. Activities undertaken to review and contemporise the Program Standards included a review of the previous Program Standard. The process for development of the Maternal and Child Health Program Standards is outlined in Figure 2. The activities were overseen by a Project Reference Group appointed by DEECD. quality service provision. literature on Maternal and Child Health and Program Standards. and to support evaluation of the Service. KPMG were engaged by DEECD in March 2009 to review and contemporise the Maternal and Child Health Service Program Standards. Stage 1 Project initiation Project plan Stage 2 Desktop review and preliminary consultation Draft standards Stage 3 Statewide consultation Stage 4 Refine draft of Standards Final Program Standards Figure 2: Development of the Maternal and Child Health Program Standards (March–October 2009) Victorian Maternal and Child Health Service 67 . Name Anne Colahan Kerry Connolly Title Manager Maternal and Child Health Service Maternal and child health nurse Maternal and child health nurse Senior Manager Lecture Child Family and Community Nursing Professional Officer Senior Medical Advisor Associate Director Director of Nursing Research Officer Manager.Project Reference Group A Project Reference Group was established to support the development of the Standards. Family Services Acting Manager Senior Program Policy Advisor Enhanced Maternal and Child Health Nurse Senior Medical Advisor Assistant General Manager Lecture Child Family and Community Nursing Advisor Regional Lecturer Program and Service Advisor Senior Manager President Organisation DEECD Victorian Association of maternal and child health nurses City of Frankston KPMG RMIT University Australian Nursing Federation (ANF) DEECD KPMG Tweddle Child + Family Health Service DEECD Monash City Council MCH Line DEECD Port Phillip City Council DEECD DEECD La Trobe University Municipal Association of Victoria (MAV) La Trobe University Northern Region KPMG MCH Coordinators’ Group Cheryl Cripps Nicki Doyle Irene Ellis Marcia Gleeson Sharon Goldfeld Fred Halliday Ann Hindell Megan Leuenberger Geoff Loftus Karen Mainwaring Alison Nuske Sarah Pitney Jenny Proimos Anthony Raitman Lael Ridgway Helen Rowe Frances Sheean Anita Siassos Edward Swan Helen Watson 68 Victorian Maternal and Child Health Service . Members of the reference group are presented in the following table. Australian Nursing Federation • Lael Ridgway (Lecturer). and consultations with mothers who have accessed the Maternal and Child Health Service were undertaken in July 2009. and managers of the Maternal and Child Health Service were undertaken in June and August 2009. DEECD • Marcia Gleeson (Professional Officer).Consultations to inform development of Program Standards During the development of the Maternal and Child Health Program Standards. The following consultations occurred: • Northern Metropolitan Region • Southern Metropolitan Region • Eastern Metropolitan Region • Western Metropolitan Region • Gippsland Region • Grampians Region • Loddon Mallee Region • Barwon South West Region • Hume Region Victorian Maternal and Child Health Service 69 . Statewide Outcomes). DEECD • Maternal and Child Health Team. and consultations with key stakeholders. La Trobe University • Clare Hargreaves (Senior Policy Manager) and Helen Rowe (Maternal and Child Health Policy Advisor) Municipal Association of Victoria • Ann Hindell (Director of Nursing). The stakeholders consulted were: • Dr Sharon Goldfeld (Senior Medical Advisor Child and Adolescent Health) and Joyce Cleary (Manager. including mothers who have accessed the Service. and involved in the development of previous Program Standards). Consultations with the maternal and child health workforce. KPMG undertook three phases of consultation. The three phases were preliminary consultations with identified stakeholders. statewide consultations. Tweddle. Preliminary consultations with stakeholders identified by the DEECD occurred in April 2009. Documents of relevance to the Program Standards The following documents are of relevance to. Integrate services for children and families 4. A series of actions have been designed in response to each of these four policy directions to develop an integrated. It identified four priorities: 1. Victoria’s plan to improve outcomes in early childhood is an integrated reform package that will drive sustained improvements in early childhood outcomes. high-quality and accessible early childhood service system. the Department of Education and Early Childhood Development released the Blueprint for Education and Early Childhood Development. 70 Victorian Maternal and Child Health Service . Wyndham. Wodonga and Bayside • consultations with mothers who have accessed the Maternal and Child Health Service. The Blueprint outlines a comprehensive approach to outcomes for children and young people from birth to adulthood. which sets out the Government’s five year agenda for learning and development from birth to adulthood. Improve outcomes for disadvantaged young Victorians. education and care services 2. Victoria’s Plan to Improve Outcomes in Early Childhood15 The DEECD released Victoria’s plan to improve outcomes in early childhood.• Enhanced Maternal and Child Health Service • Maternal and Child Health Line • Key Ages and Stages Pilot Sites at Yarra Ranges. The plan identified four key policy directions: • improving antenatal care • strengthening the health. and used as a resource for the development of the Maternal and Child Health Program Standards: Blueprint for Education and Early Childhood Development 25 In 2008. Increase access to high-quality early childhood health. Strengthen public confidence in the education system 3. as one of Victoria’s proposals to the Council of Australian Governments (COAG) under the National Reform Agenda. development and learning of 0–5 year-olds • enhancing provision of early childhood education and care services • improving the early years workforce. and safety that are essential to all children. It also ensures a continuing emphasis on public health priorities and the promotion of public health agendas. the outcomes framework relates to both the individual child and their social and family context. capable parents. The National Public Health Strategic Framework for Children is based on health promotion and early intervention approaches. National Public Health Strategic Framework for Children 2005–200814 The National Public Health Partnership (NPHP) is a subcommittee of the Australian Health Ministers’ Advisory Council that provides an opportunity to coordinate public health activity around Australia. including maternal health and wellbeing during the antenatal period.Key Ages and Stages Framework18 The Key Ages and Stages Framework sets out evidence-based activities for the 10 Key Ages and Stages consultations provided by the Universal Maternal and Child Health Service. The Framework provides a framework for emerging health issues and focuses on Victorian Maternal and Child Health Service 71 . This framework also recognises that children do not achieve positive outcomes in these areas without the support of confident. The framework includes: • an emphasis promotion of health and development across a range of domains • Parents’ Evaluation of Developmental Status (PEDS) as a primary tool to engage parents in discussion about the development of their child • Brigance screen as a secondary screen where concerns are identified through the PEDS • relevant health information handouts for each Key Ages and Stages consultations • interventions that include a safe sleeping checklist. For this reason. which is being addressed through the National Public Health Strategic Framework for Children. It aims to strengthen the capacity of the health sector and the wider community to respond to a range of public health issues identified in national strategies for children aged 0 –12 years. For this reason. learning and development. One of the public health priorities of the NPHP is child health. a strong community and a society which provides the services they need. the outcomes framework relates to both the individual child and their social and family context. The outcomes framework sets out 35 aspects of child health and wellbeing. screening for maternal health and well-being and the presence of family violence. Victorian Children’s Outcomes Framework58 Has been developed to provide a common basis for setting objectives and planning across the whole of government. Quit smoking intervention. stimulating. the Ottawa Charter for Health Promotion identifies the prerequisites for health. jurisdictionally agreed Headline Indicators. families. control and action over their own endeavours and destinies • developing personal skills through the provision of information and education related to health and life skills • reorientating health services to focus on prevention instead of solely treatment and cure. satisfying. taxation and organisational change • creating supportive environments through the provision of living and working conditions that are safe. enjoyable and that provide a positive benefit to health • strengthening community action by empowering communities to exert ownership. Ottawa Charter for Health Promotion59 Developed at the first International Conference on Health Promotion held in Ottawa. Headline Indicators are a mechanism to assist policy and planning by measuring progress on a set of indicators that are potentially amenable to change over time by prevention or early intervention. methods to achieve health promotion through advocacy. These areas are: • building healthy public policy by placing health on the agenda of policy makers at all levels.strengthening the capacity of systems to support communities. 72 Victorian Maternal and Child Health Service . and five key action areas for health promotion. parents and professionals to support the health of children. National Headline Indicators for Children’s Health. Development and Wellbeing Report23 In 2005. Canada in 1986. They are designed to allow comparison of state and territory data. Australian Health Ministers’ Conference and the Community and Disability Services Ministers’ Conference approved the development of a set of national. including: • children with a disability • children from culturally and linguistically diverse backgrounds • children living in disadvantage • Aboriginal and Torres Strait Islander children. including legislative. and data from subpopulations of children. economic. The role of health services in the care of children is also a key focus of the framework. enabling and mediation. These standards are covering: • professional role • child health • maternal health • family health • communication • primary health care • health promotion and health education • nursing research. the 4th International Conference on Health Promotion was held in Jakarta. Eight standards of professional practice have been identified for maternal and child health nurses. The direction encompasses: • promotion of social responsibility for health • increasing investments for health development • consolidation and expansion of partnerships for health • increasing community capacity and empowering the individual • securing an infrastructure for health promotion. This conference identified new directions for health promotion in the 21st century. Standards of Professional Practice for maternal and child health nurses29 The Standards of Professional Practice for maternal and child health nurses were developed by the Maternal and Child Health nurses Special Interest Group. Victorian Maternal and Child Health Service 73 .Jakarta Declaration on Leading Health Promotion into the 21st Century60 In 1997. – violence and aggression towards the maternal and child health workforce – manual handling – service delivery for mothers and families who may place the safety of the maternal and child health workforce at risk – home visiting – working alone in the clinic setting. including: – service delivery for children and families – family partnership approach to service delivery. and not mandatory. The examples of evidence for each criteria are examples only. The policies may be standalone policies designed specifically for the Maternal and Child Health Service. or the local government or governing authority as an organisation-wide policy.Appendix B: List of evidence A summary of the key performance criteria and examples of evidence within the Program Standards is listed below. provide guidance on appropriate evidence to support attainment of the criteria. • Occupational Health and Safety. waiting areas and office areas – vehicle safety. including: – risk assessment of the environment – working environments. • Feedback on service delivery. • Service delivery. or may be part of policies developed and applicable to services other than the Maternal and Child Health Service within the local government or governing authority. Summary of required policies The following policies and details within the policies are identified within the Program Standards as required in order to meet the criteria within the Program Standards. including: – processes for families to provide feedback – responsiveness of the Maternal and Child Health Service to feedback – process for Maternal and Child Health Service to assess and respond to feedback and resolve issues – escalation process should the issue not be able to be resolved at a local level. however. including centre areas. 74 Victorian Maternal and Child Health Service . They do. including: – process for applying to attend learning and development courses – support provided by the Maternal and Child Health Service to attend courses. if applicable. within a child’s home – pandemics within the general community – bushfire (for Maternal and Child Health Service in settings at risk of bushfire)* – escalation plan for staff safety issues for sole practitioners.• Emergency Management Plan. • Infection control. • Performance development. • Human resource management policies: – information about the Maternal and Child Health Service – information on the duties of the position – human resource management practices – education and training relevant to the commencement of the position – legislative requirements of workforce – procedures and processes of the Maternal and Child Health Service. including: – general emergency within the maternal and child health centre – fire within the maternal and child health centre – medical emergency within the centre and. including: – hand hygiene – personal protective equipment – handling and disposal of ‘sharps’ – management of wastes – changeover procedures between visits – management of blood or body fluid spills – management of blood or body fluid exposure. Victorian Maternal and Child Health Service 75 . or the local council or governing authority as organisational processes. systems and plans are identified within the Program Standards as required in order to meet the Program Standards criteria: • identification. systems and plans developed and applicable to services other than the Maternal and Child Health Service within the local government or governing authority. containing: – information about the Maternal and Child Health Service – information on the duties of the position – human resource management practices – education and training relevant to the commencement of the position – legislative requirements of workforce – procedures and processes of the Maternal and Child Health Service. externally – assessment and review of the risk and contributing factors to the risk – processes for improvement in service delivery as a result of the identification of the risk. systems and plans The processes. engagement and referrals to associated services for vulnerable children and families • strategic plan • operational plan • organisational structure • communication strategy between the maternal and child health management and the health and family support workforce • process for regular review of all policies.Summary of processes. including: – current and future workforce requirements. • human resource plan. internally and. where appropriate. processes and procedures • clinical risk management system covering: – identification of risk – processes for notification of a ‘near miss’ or incident. The following processes. including the skills and capabilities currently within the Service and the skills and capabilities required by the Service – recruitment and retention strategies for maternal and child health workforce – career pathways 76 Victorian Maternal and Child Health Service . • occupational health and safety incident reporting system • personal file for each maternal and child health worker. systems and plans may be designed specifically for the Maternal and Child Health Service or may be part of processes. systems and plans. their manager and. • review of human resources management and planning. Examples of data collection The following data list is an example of data that may be collected and reviewed to inform the Maternal and Child Health Service on achievement of the criteria of the Program Standards: • Maternal and child health attendance rate • number of outreach services provided for non-attendees of the Maternal and Child Health Service • number of referrals to the Enhanced Maternal and Child Health Service and other services Victorian Maternal and Child Health Service 77 . if appropriate. including productivity and quality of service delivery – staff satisfaction. • position descriptions for each maternal and child health position. • performance development review system.– human resource management procedures – contingency plans for workforce shortages. including: – retention of workforce – workforce leave accruals – work–life balance strategies – organisation performance. which: – is based on the staff member’s job description – includes the active participation of the staff member. clinical supervisor – identifies strengths in performance – involves setting goals – is an ongoing process and provides opportunities for regular feedback throughout the year – is documented – provides opportunities to provide feedback on the Service and the coordinator – is assessed and documented. including: – mandatory/recommended qualifications or professional registration – key performance indicators – skills and knowledge – values and personal skills – lines of accountability – roles and responsibilities. are examples that may be used in order to inform the Maternal and Child Health Service on the achievement of the criteria within the Program Standards. including: – mortality rate for infants less than one year of age – proportion of children on the Australian Childhood Immunisation Registrar who are fully immunised at two years of age – proportion of infants exclusively breastfed at four months of age. mother and/or family are referred – detail contained within the referral. • number of opportunistic immunisations • referrals to other agencies. and content within the audits. 78 Victorian Maternal and Child Health Service . including reviews of: – maintenance of record for each child accessing the Maternal and Child Health Service – outcomes of monitoring.• utilisation of service. • Audit of referrals made by the Maternal and Child Health Service. • Health record audit. number of referrals • activities undertaken and total services hours provided through flexible service component of the Universal Maternal and Child Health Service • breastfeeding rates (fully and partial) • incident reporting • number of staff immunised. mothers and families • Key Ages and Stages targets versus actual visits • Headline Indicators. when services are provided outside of traditional working hours or on weekends • participation rates for children. intervention and health promotion – service delivery based on determinants of health – health and wellbeing of mother and family monitored with each contact – information provided to mother and family – compliance with the Health Records Act 2002. including reason for referral. including: – reason for referral – services to which the child. Examples of audits The following audits. Example surveys The following are a list of example surveys. including: – reason for referral – information on organisation/provider making the referral – quality of information provided within the referral. Other suggested evaluations and activities The following additional evaluations and activities are suggested in order to inform the Maternal and Child Health Service on the achievement of the criteria within the Program Standards: • Evaluation of health promotion activities undertaken by the Maternal and Child Health Service • Evaluation of key performance indicators associated with the strategic and operational plans • Review of activities to strengthen community capacity. • Survey of families. Victorian Maternal and Child Health Service 79 . • Survey of services which Maternal and Child Health Service offers referrals to. that may be utilised in order to inform the Maternal and Child Health Service on the achievement of the criteria within the Program Standards. • Environmental survey. including views and feedback on: – appropriateness of referral – quality of information within the referral – other relevant information to improve referrals from the Maternal and Child Health Service. including views and feedback on: – Maternal and Child Health Service in general – access to the Maternal and Child Health Service – information available on the Maternal and Child Health Service – culturally competent service delivery for families – partnership approach to service delivery.• Audit of referrals made to Maternal and Child Health Service. including: – review of accessibility of the Maternal and Child Health Service by children and families – risk assessment of environment in relation to children and families and the maternal and child health workforce. and content within the surveys. www.education.htm .vic.au/ ecsmanagement/mch/policy/default.gov.