Nurse Family Partnership
The Nurse Family Partnership (NFP) is an evidence-based, nurse home-visitation program that provides education and support to first time, low income parents. Texas Children’s Health Plan (TCHP) is currently operating under a contract with the Health and Human Services Commission to provide the Nurse Family Partnership Program to 100 TCHP members.
A registered nurse begins seeing the mother as early in pregnancy as possible and can follow the mother and child up to the child’s 2nd birthday. The ideal entry into the program is by the 16th week gestation, and clients may not be enrolled after 28 weeks. The program is client-focused and developmentally appropriate. The nurses must complete extensive training the first year of program implementation. Data collection occurs during each home visit and at routine periods throughout the program using a national web based data collection system.
Community Impact 2014
- In fiscal year 2014, the NFP served 128 mothers and 99 babies and conducted 1,466 patient visits and graduated 25 clients. These moms were also given the opportunity to attend Childbirth Education classes and Safe Rider car seat classes through Texas Children's Health Plan (TCHP) free of charge.
- From inception to date (2008-2014), Nurse Family Partnership has served 332 families, 250 children, completed a total of 7,546 home visits, and graduated 86 participants.
- Began quality improvement initiatives related to Client and Nurse Retention focusing on the nurse/client relationship as the key measure of success. NFP 2014 Overall Client retention rates were 84%, when considering unavoidable attrition, the retention rate was 91%.
- Maintained improved breastfeeding rates at 29 % at 6 months at; 15% at 1 year.
- 100% of all mothers in the NFP program received at least one post-partum visit and 100% of all mothers received education on birth control choices and the importance of interconception health and adequate spacing between births.
- NFP nurses were preceptors for 3 community health students at the University of Houston Nursing School.
- Successfully implemented an electronic documentation system at Texas Children’s Health Plan and the Baylor Teen Clinic hosted a joint Client Christmas Event for Clients and families with over 100 in attendance.
- Convened quarterly robust Community Advisory Board meetings filling Chair and Co-Chair leadership positions with community leaders in roles as the Director of Nursing from MHMRA, and Clinical Nursing instructor from the University of Houston Nursing School.
2015-2016 goals include:
- Completing the RFP for continued funding, expand by one RN position, and provide services to families at or above the state contracted capacity.
- Maintaining client attrition rate at 20% or less
- Implement a statewide documentation initiative for NFP that will create a Texas Database of information on client outcomes.
- Transitioning to electronic documentation