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Physicals -
Complete
physical and developmental assessments for children 2 months
to 21 years to determine if the child is growing and
developing at an average rate and to detect health
problems. The assessment includes screening and laboratory
tests performed at appropriate age intervals.
Patients will
be referred to a physician if necessary. Health Center
staff will make arrangements. Charge is based on income and
number in household. Adult physical assessments are also
provided by registered nurses and
ARNPs that have completed specialized training, as well
as physicians.
WIC -
Supplemental
food program which provides infant formula, milk products,
juices, cereals, dried beans, eggs, and peanut butter to infants
and children from birth to age 5. Along with vouchers for these
foods, education is provided by a nurse or nutritionist to help
improve diet and overall health. These services are provided
free to low income families whose infant or child has been
determined to be at nutritional risk due to improper growth,
anemia, poor diet, or other specific health risk. These
services are also available to pregnant and postpartum women.
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Immunization -
Initial immunizations and booster shots are
provided to protect infants and children against childhood
diseases. The health center will provide parents a copy of
children’s immunization record upon request. Certificates
verifying immunizations are provided to school or day care
requirements. Adult immunizations services are also provided.
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Fluoride
This
is a program for those preschool children who do not have
fluoridated drinking water (water not supplied by city or
county). The family may pick a water test kit to have
drinking water tested. Fluoride drops or tablets will be
provided to those children whose drinking water does not
contain recommended levels of fluoride. Fluoride helps
prevent tooth decay and disease. This is available to
children 6 months until 6 years of age.
Fluoride
Varnish
This is a
program for those preschool children who do not have
fluoridated drinking water (water not supplied by city or
county). The family may pick a water test kit to have
drinking water tested. Fluoride drops or tablets will be
provided to those children whose drinking water does not
contain recommended levels of fluoride. Fluoride helps
prevent tooth decay and disease. This is available to
children 6 months until 6 years of age.
Fluoride helps
prevent tooth decay and disease.
Lead Screening
Lead testing is provided for children 6
months until 6 years of age who are determined to be at risk for
lead poisoning.
Education relating to lead poisoning is provided by a nurse to
families whose child may be at risk for lead poisoning.
Environmental Programs
The
environmentalist oversees and/or does the following:
temporary food service establishments, seasonal restricted
food services establishments, food service establishments,
food and beverage vending machines, retail-food
establishments, bed and breakfast establishments, retain
food stores, food managers training program, hotel/motel
inspections, mobile home/RV inspections, public restroom
inspection, school inspections, septic tank cleaners
(trucks), septic tank disposal sites, confinement
facilities, youth camp facilities, private water supply
testing, nuisance control, onsite sewage disposal system,
installer training program, private
sewage-complaints/repairs, public swimming/bathing (pools &
beaches),
food borne disease investigation, rabies program
(quarantine/release), lead program, vectors (mosquitoes,
birds, rodents, bats, etc.), West Nile Virus (bird
submission), and ear piercing programs.
Telehealthcare Network
The Gateway District Health Department
works closely with the Telehealth Network that links health
care providers throughout our country and potentially other
countries. The goal of the Telehealth Network is to
increase education of patients and health professionals,
increase healthcare access to specialties in health care
e.g. (cardiology, neurology,
dermatology, psychiatry, TB clinic etc.) and emergency
preparedness and continuing education. This is a
cooperative effort of our staff and other agencies.
Epidemiology Program
The epidemiologist performs
complex epidemiological studies on the distribution and
determinates of bioterrorism events, infectious diseases,
and other public health emergencies (epidemic and endemic).
Work involves assisting in devising methods of surveillance,
implementation, and analysis of epidemiological
investigations or studies; participating in general data
management and report writing for epidemiological studies
and investigations within a specified geographic area of the
state.
When a person has been exposed to a contagious or
infectious disease, the health center staff will conduct an
investigation to determine the source of the exposure. The
health center may also provide medicine to prevent the disease.
Included are diseases such as
hepatitis,
meningitis,
tuberculosis,
rabies, and
sexually
transmitted infections. For persons who become ill with
tuberculosis or sexually transmitted diseases, the health center
will provide treatment under the guidance of a physician.
School Health Units -
Gateway District Health Department works in
a cooperative agreement with Bath, Menifee, Morgan, and Rowan
county school districts to ensure the health of school students
and their families. Health units are staffed by a registered
nurse and clerical staff. Services provided include: physical
exams, immunizations, laboratory tests, acute care (ex. sore
throats, headaches), chronic care (ex. diabetic needs, seizures,
catheterization), required school health screenings, infection
control, health education, emergency care, and nutritional
counseling.
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Family Planning
These services are available to those
people who want to obtain a method of birth control or help in
planning a family. Methods available include birth control
pills, barrier methods (foam,
condoms,
diaphragm
and gel).
Depo Provera injections,
IUDs and
natural family planning methods. Women participating in
family planning services will be provided a physical exam each
year which includes a breast exam, pelvic exam and a pap test.
The charge for the physical exam and the birth control is based
upon family size and income.
First Steps:
First Steps, Kentucky’s Early
Intervention System (KEIS) serves children birth to 3 years
of age who have developmental delay or a particular medical
condition that is known to cause developmental delay.
Anyone in your community, including yourself, can call the
district Point of Entry Office (POE) to refer a child
suspected of having a delay. For the Gateway District
Office (Bath, Menifee, Morgan, Montgomery, and Rowan) call
800-942-4358 to make a
referral.
Healthy Start
The
Healthy Start Program has a
Credentialed Healthy Start Consultant, which is a registered
nurse. The consultant works with all the childcare sites and
childcare providers in the counties of Bath, Menifee, Morgan,
and Rowan. The consultant provides on-site consultations in the
area of health, safety, and nutrition. The childcare centers
are also provided with clock hours training, which is a
requirement for the childcare providers to keep their jobs.
This services is provided free of charge to any center that
request the services. Along with all the services provided, the
consultant also offers DECA program to evaluate children that
may be having difficulty within the childcare settings. The
healthy start program works closely with the state coordinator
of the Healthy Start Program.
Cancer Screening Services
These services are available to women who do not need birth
control due to menopause,
tubal ligation, or
hysterectomy. A physical exam including
pap test
and breast exam is provided by a nurse. Cholesterol screening
and random blood sugar may be provided if indicated.
Breast self-exam instruction and counseling on the risk of
smoking is provided.
Screening Mammogram
Referral
Screening mammograms based upon
American
Cancer Society recommendations are provided to low income women.
The fee for this service is based upon income and number in
household.
Breast Cancer Program
This is a
community education program, which provides information to
the communities on early detection and prevention of breast
cancer. This program targets women ages 40 to 69. This
program holds annual screening events in each county. The
breast cancer awareness program is constantly providing
education to the community and community groups. The goal
for this program is to provided education to all groups of
women, from all walks of life, to help in irradiation of
breast cancer in Kentucky’s women.
Colorectal Cancer
Screening
This program is grant funded and has a goal
of reaching a target group of men and women ages 50 and older.
The main goal is to educate the public and increase the number
of colorectal screenings that are done. This program also
educates the public on the effectiveness of the
Fecal Occult Blood Testing
(FOBT) versus the other colorectal screening available. The
FOBT has been proven to be just as effective in detecting
colorectal cancer as the other forms of screening. This service
is provided at all the local health departments in the Gateway
District. The colorectal cancer prevention program will also be
holding screening events in all four counties.
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Diabetes
Services
Services are provided by a Registered
Dietitian with her CDE (Certified
Diabetes Educator) and by a registered nurse with
specialized training. Services include one on one education in
the clinic, group classes in the community, and also
professional education to registered nurses and physicians. The
main focus is to reduce morbidity and mortality from diabetes in
our district. Services include screening, counseling, and
ongoing management for diabetes. The health center has trained
health professionals who can assist clients in reducing their
risk of developing this disease by modifying lifestyles. In
addition, prevention of diabetes is taught. This service is for
people of all ages.
Preparedness Planning and Readiness Assessment
This program establishes strategic
leadership, direction, assessment, and coordination of
activities (including Strategic National Stockpile Response)
to ensure statewide readiness, interagency collaboration,
local and regional preparedness (both intrastate and
interstate) for bioterrorism, other outbreaks of infectious
disease, and other public health threats and emergencies.
Regional
Bioterrorism Training Coordinator
This individual performs the following
services: serves as a regional point of contact for
bioterrorism training; act as a liaison between public health
and local community; facilitates the activities related to
identification of key community partners, capacity assessment,
and online inventory; coordinates activities related to ongoing
learned needs assessments; maintains an online inventory of
persons available for training in various areas related to
bioterrorism; collaborates with key partners for continuing
education opportunities; implements and evaluates the
bioterrorism curriculum in their designated areas; facilitates
and markets distance-learning activities; presents and/or
coordinates lectures and bioterrorism related trainings;
provides/facilitates the train-the-trainer programs in
designated areas; and provides written and oral reports on
activities or meetings attended, training coordinated, and other
information as required.
Prenatal
Services
This service is for pregnant low income women and
for pregnant teens who have no other source of payment. Women
enrolled in
Prenatal
Care receive regular ongoing prenatal care from a physician
or certified nurse midwife. This service also includes delivery
and 6 weeks postpartum checkups. This service is provided free
to eligible women.
Preconceptional Risk Assessment, Folic Acid, and Counseling
This service is available to any female of
childbearing age who is not currently pregnant. The purpose of
this service is to determine risks that may be associated with
future pregnancies and to provide information on ways in which
those risks can be decreased prior to conception.
Folic acid counseling and
provision of multivitamins with folic acid is available for
women of childbearing age. Since the folic acid program has
began providing a free years supply of multivitamins to women of
childbearing age in Kentucky, the incidence of
Neural Tube Defects have
decreased by 70%. Education is also provided to health
professionals and the general public in our communities to
promote this awareness.
Physical Activity Program
This program works in conjunction with the
state and Center for Disease Control, to increase
physical activity and thus
decreasing complications such as chronic disease and obesity.
The focus of this program is to work with communities, to assess
areas where an increase in activity is needed, sit on physical
activity boards, schools, business, and promote physical
activity to the general population. Education is provided on a
one to one basis or group education. This program is a
relativity new program and will become more visible as we
continue to build the infrastructure of this new program.
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TB
(tuberculosis) Program
Services are provided by a Registered Nurse
with specialized training. Services include: maintaining
records and reporting according to state, local, and federal
guidelines; provide TB screening for high risk groups; provide
TB case investigations; contact investigations; directly observe
therapy and follow up for TB patients; provided training and
updates including one on one education with patients;
professional education to registered nurses and physicians; and
to provide a TB clinic through telehealthcare network with St.
Claire Regional Medical Center and UKMC. Education is also
provided in each community for healthcare facilities (nursing
homes, clinics, correctional facilities) as need arises.
Tobacco Education Program
This program strives to meet
the recommendations set up by the Centers for Disease Control
which are to develop an increased public awareness about the
effects of tobacco, prevent initiation of
use among young people, facilitate tobacco cessation programs
and educate about the harmful effects of secondhand smoke.
HANDS
Program
HANDS is a
collaborative effort of the Cabinet for Health
Services, the Governor's KIDS NOW Initiative and other local
community agencies. The purpose is to provide information,
referral and support for Moms and Dads expecting their first
child. The focus is on recognizing your baby's needs, what to
expect as your baby grows, making your home safe and other
important topics that could help your baby have a healthy, safe
beginning. HANDS is a voluntary, free service to first time
parents. Hispanic services are also available.
WIC Services
This service is provided free to low income pregnant,
breast-feeding (up to 1 year) and postpartum women or women who
are at nutritional risk. This services provides food vouchers
and nutritional education.
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Sexually
Transmitted Infections
These services include testing and
treatment of various sexually transmitted infectious including
syphilis,
gonorrhea and
Chlamydia
and HIV.
The testing can be done confidentially (using
a patient’s name) or anonymously (using a randomly assigned
number).
This service is available regardless of income.
HIV/AIDS
HIV testing and
counseling are available. The testing can be done confidentially
(using a patient name) or anonymously (using randomly assigned
numbers). There is a small fee for services but if the patient
cannot pay the service will still be provided.
Immunization
Adults can receive booster immunizations
for tetanus (lockjaw) and MMR (measles, mumps, rubella). Skin
testing for tuberculosis and immunizations to protect against
flu and pneumonia are also provided.
Health
Education
Health education is available for adults who
wish to receive information regarding aspects of adult
lifestyles that can be changed to promote health and well-being.
Many health education services are offered in the community as
well as the local health center.
Nutrition
Services
This program is for all, regardless of income,
who need intensive medical nutrition
counseling. Group sessions
and individual one on one visits are available with a
registered dietician or nutritionist who can recommend the
diet best for you. Health professionals from the
community may use this as a referral service. S
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Lead
Screening
Family
Planning
Diabetes
Services
Prenatal
Services
Preconceptional
Risk Assessment, Folic Acid, and Counseling
Tobacco
Education Program
WIC
Services
HIV/AIDS
Health
Education
Nutrition
Services
