Fla. Admin. Code R. 64F-3.001

Current through Reg. 50, No. 235-239, December 10, 2024

Section 64F-3.001 - Definitions

For the purposes of this rule chapter, the following definitions will apply:

(1) "Enhanced services" means those services provided to participants that maximize access to and participation in comprehensive prenatal and infant health care such as client and participant identification (case finding), childbirth education, parenting education and support, nutritional counseling, psychosocial counseling, smoking cessation counseling, breastfeeding education and support, home visiting as a potential place of providing care coordination and other enhanced services, and other services which optimize health and developmental outcomes and improve access to care. In addition to the home, enhanced services can also be provided in the neighborhood, school, workplace, or clinic, wherever the concerns, priorities, and resources of the participant or family can best be met. Healthy Start Coalitions have the authority to determine which specific enhanced services will have the greatest impact on pregnancy, health and developmental outcomes in their geographic regions.

(2) "Family" means the participant and others who have an integral role in the care and support of the participant such as parents, spouses, non-custodial parents, legal guardians, significant others, siblings, grandparents, and foster parents.

(3) "Family support plan" means the written guide resulting from a family-centered planning process jointly prepared by the participant or family and the care coordinator. The plan is the basis for care coordination and identifies the specific concerns, needs, and priorities of the client or family, the resources available, and specifies service objectives that should lead to improved health outcomes.

(4) "Health care provider" means physicians, physician's assistants, certified nurse midwives, licensed midwives, advanced registered nurse practitioners, and registered nurses who are licensed in the state of Florida pursuant to Chapter 458 or 459, F.S., or Chapter 464 or 467, F.S., and are qualified to provide prenatal, intrapartum, postpartum, family planning, or pediatric health care.

(5) "Health paraprofessionals" means non-professional personnel who function under the supervision of a care coordinator, health care provider, or other health-related professional and are trained to assist in providing direct services to Healthy Start participants within the parameters of specific locally approved written protocols. Health paraprofessionals include resource mothers, sisters, and fathers; health aides; parent educators; outreach childbirth educators; breastfeeding peer counselors; and other appropriately trained and professionally supervised individuals.

(6) "Health-related professionals" means registered nurses, registered or licensed dietitians, public health nutritionists, social workers, nutrition and health educators, and other health or human services professionals who function independently or with the care coordinator as part of the interdisciplinary team, and are qualified to provide or supervise the provision of care coordination and enhanced services to Healthy Start participants.

(7) "Healthy Start child" means a child, less than three years of age (0-36 months), at increased risk for impairment in health, intellect, or functional ability due to environmental, medical, nutritional, behavioral, or developmental risk factors as determined by the department's risk screening instrument as defined in Chapter 64C-7, F.A.C., or by risk assessments conducted subsequent to the initial screen and whose parent or family agrees to participate in Healthy Start care coordination or enhanced services.

(8) "Healthy Start participant" and "participant" means a Healthy Start pregnant (antepartum) or postpartum woman or a Healthy Start child as defined in this section.

(9) "Healthy Start woman" and "Healthy Start mother" means a woman in the antepartum or postpartum period who has increased risk of poor birth outcome due to environmental, medical, nutritional, behavioral or developmental risk factors or a woman in the postpartum period who has delivered an infant and agreed to participate in Healthy Start care coordination or enhanced services.

(10) "Healthy Start pregnant woman" means a pregnant woman who has an increased risk of pregnancy complications or poor birth outcome due to environmental, medical, nutritional, behavioral, or developmental risk factors as determined by the department's prenatal risk screening instrument as defined in Chapter 64C-7, F.A.C., or prenatal risk assessments conducted subsequent to the initial screen and who has agreed to participate in Healthy Start care coordination or enhanced services.

(11) "Postnatal risk screening" and "infant risk screening" means the use of selected risk factors to identify infants at increased risk for mortality and morbidity, as designated in accordance with Rule 64C-7.011, F.A.C.

(12) "Prenatal and Infant Health Care Coalition" and "Coalition" means an alliance of private and public individuals or groups organized to assess needs, prepare plans, build community support, and ensure that services are sufficient, within available resources, to promote and support the health and well-being of pregnant women and their infants.

(13) "Prenatal and Infant Health Care Service Delivery Plan" means the written document adopted by the Coalition which establishes outcome and process objectives, priority service needs and priority target groups, and programmatic strategies for the coalitions service area, and which describes the provider network which will ensure early and continuous prenatal and infant care for all persons in need in the service area.

(14) "Prenatal risk screening" is the use of selected risk factors to identify pregnant women at increased risk for pregnancy complications or adverse outcomes, as designated in accordance with Rule 64C-7.011, F.A.C.

(15) "Tracking" means activities related to following up on referrals or the receipt of other services provided to Healthy Start participants and includes the following: establishing a way for service providers to notify the care coordinator of missed appointments and incomplete referrals; communicating with providers, participants or families according to a locally agreed upon periodicity schedule regarding receipt of services; and considering change in the intensity of care coordination or care coordination closure if the participants' care coordination needs change.

Fla. Admin. Code Ann. R. 64F-3.001

Rulemaking Authority 383.011(2) FS. Law Implemented 383.011(1)(e) FS.

New 3-29-92, Amended 3-30-94, 5-8-96, Formerly 10D-114.002, Amended 9-4-05.