Section 630.40  Health Services For Children In The First Year Of Life

 

The Division of Family Health, State of Illinois Department of Public Health, through its Maternal and Child Health Program may allocate funds for programs providing health services for infants in the first year of life in accord with the standards of the American Academy of Pediatrics set forth in Section 630.80(a)(5), and Regionalized Perinatal Health Care Code (77 Ill. Adm. Code 640).  One or more of the following MCH services may be included in application proposals for Title V and State MCH Project grant funds.

 

a)         Services in the neonatal period.

 

1)         Evaluation of the newborn infant immediately after delivery and institution of appropriate support procedures.

 

2)         Complete physical examination, including length, weight, and head circumference, skin, head, eyes, ears, nose, mouth, thorax, lungs, cardiovascular system, abdomen, genitalia, musculoskeletal system, neuromuscular system and reflexes.

 

3)         Laboratory tests to screen for lead poisoning and genetically-determined diseases as defined in the Newborn Metabolic Screening and Treatment Code (77 Ill. Adm. Code 661).

 

4)         Diagnosis and treatment or referral and follow-up of general health problems.

 

5)         Preventive procedures to include:

 

A)        Gonoccal eye infection prophylaxis.

 

B)        Administration of vitamin K.

 

6)         Assessment for high risk conditions and appropriate consultation and/or referral within the Perinatal System including genetic evaluation and counseling services where appropriate.

 

7)         Nutritional assessment and services and supplementation as needed.

 

8)         Bonding and attachment support activities including provision for extended contact between parents and their infant immediately after delivery and, where desired by the parents, rooming-in arrangements or the equivalent.

 

9)         Arrangements for continuous, comprehensive pediatric care for the newborn following discharge from the hospital.

 

10)         Home health services.

 

11)         Referral for Public Health nursing follow-up including those identified through the Adverse Pregnancy Outcome Reporting System.

 

b)         Services during balance of first year of life.

 

1)         Periodic health assessment to include:

 

A)        History and systems review (general medical and social, family and genetic background, with items of inquiry determined by age, developmental stage, and likelihood of potential problems).

 

B)        Complete physical examination to include:

 

i)          Height and weight.

 

ii)         Head circumference.

 

iii)         Vision and hearing evaluation.

 

C)        Assessment of Development and Behavior using age appropriate tools.

 

D)        Screening and laboratory tests as indicated, including hemoglobin/hematocrit and tuberculin skin test; and, for infants at risk, such procedures as lead poisoning, parasite, and sickle cell screening for those children not screened in the newborn period.

 

E)         Nutritional assessment, services and supplementation as needed (including provision of such supplements as iron and vitamin D, and adequacy of fluoride intake). For those clients on nonpublic supplies, water should be tested for nitrates by the Illinois Department of Public Health Laboratories.

 

2)         Immunizations according to state and nationally recognized standards.

 

3)         Diagnosis and treatment or referral and follow-up of general health problems, both acute and chronic.

 

4)         Home health services.

 

5)         Counseling and anticipatory guidance with referrals and follow-up as needed regarding:

 

A)        Infant development and behavior.

 

B)        Maternal nutritional needs, especially if breast feeding, and infant nutritional needs and feeding practices.

 

C)        Automobile restraints for infants, and general injury prevention concepts (especially home injuries and unintentional poisoning).

 

D)        Infant stimulation and parenting skills, with appraisal to identify parents at risk of child abuse or neglect.

 

E)         Need for and importance of immunizations.

 

F)         Effect on children of parental smoking, use of alcohol and other drugs, and other health-damaging behaviors.

 

G)        The importance of a source of continuous and comprehensive care for mother and child, including identification of available resources to help with such problems, as sudden illness or breast feeding difficulties.

 

H)        Recognition and management of illness.

 

I)          Infant care skills.

 

J)         Child care arrangements.

 

K)        Using community health resources such as WIC, food stamps, welfare and social services that significantly affect health status.

 

L)         Other relevant topics in response to parental concern.

 

6)         Counseling and provision of appropriate treatment and/or referral to appropriate services (including Early Intervention Programs for Infants and Toddlers with Handicaps, programs for children with special health care needs, home health and homemaker services) as needed for parents:

 

A)        who have health problems that seriously affect their capacity to care for the infant.

 

B)        whose infant is seriously ill.

 

C)        whose infant has a chronic illness or handicapping condition.

 

D)        whose infant is or is about to be hospitalized.

 

c)         Education, information and counseling services for all families whose infants die as a result of Sudden Infant Death Syndrome (SIDS), as well as training for those professionals who would be involved in a SIDS incident.

 

1)         Coroners report suspected SIDS cases to Statewide SIDS Program within 72 hours.

 

2)         Condolence letter and SIDS information sent to family.

 

3)         Referral to local agency for family follow-up.

 

A)        Family is contacted to schedule a home visit and the completed initial home visit report is returned to SIDS Program within two weeks.

 

B)        Follow-up visit report form returned after subsequent visits or telephone contacts.

 

4)         Counseling and/or referral to appropriate services or support groups as needed. (Parent support groups, mental health).

 

5)         Workshops and/or in-services related to SIDS for professionals. Directed at, but not limited to, coroners, Emergency Medical Technicians, first responders, emergency room personnel, funeral home directors, clergy, social workers, and public health nurses.

 

d)         Access-related services:

 

1)         Outreach services.

 

2)         Translator and 24-hour emergency telephone services.

 

3)         Child care services to facilitate obtaining needed health services.

 

4)         Availability of services directly or through referral for handicapping conditions.

 

5)         Transportation.

 

(Source:  Amended at 14 Ill. Reg. 11219, effective July 1, 1990)