Code of Colorado Regulations
1400 - Department of Early Childhood
1401 - General Early Childhood Administration and Programs
8 CCR 1401-1 - General Early Childhood Rules and Regulations
Section 8 CCR 1401-1.406 - PROGRAM REQUIREMENTS

Universal Citation: 8 CO Code Regs 1401-1 ยง 406

Current through Register Vol. 47, No. 17, September 10, 2024

A. Training Requirements

Each nurse employed by an entity to provide nurse home visiting services through the Nurse Home Visitor Program shall be required, at a minimum, to attend and complete the following training:

1. Preparatory study educating nurse home visitors on their nurse home visitor role and competencies, including:
a. Applying theories and principles integral to implementation of the Nurse-Family Partnership Model. (2019), herein incorporated by reference. No later editions or amendments are incorporated. A copy of the principles are available from the U.S. Department of Health and Human Services, Administration of Children & Families, at https://homvee.acf.hhs.gov/implementation/Nurse-Family%20Partnership%20(NFP)%C2%AE/Model%20Overview. A copy is also available from the State Department for inspection and copying at 710 S. Ash St., Bldg. C., Denver, CO 80246 during normal business hours.

b. Using evidence from randomized trials and data collection software to guide and improve practice.

c. Delivering individualized client care across the six (6) domains of Personal Health, Environmental Health, Life Course, Maternal Role, Friends and Family, and Health and Human Services.

d. Establishing therapeutic relationships with clients.

e. Utilizing reflective process to improve practice.

2. Interactive training where nurse home visitors receive instruction and assistance to begin applying information. This training prepares new nurses to implement the intervention with fidelity to the Nurse-Family Partnership Model.

3. Training to give nurses an opportunity to deepen their understanding of the Nurse-Family Partnership Model, specifically regarding:
a. Infant temperament;

b. Motivational interviewing; and

c. Fidelity to the model elements.

B. Visit Protocols

The visit protocols followed by the entity in administering the program shall cover information specific to prenatal, infant, and toddler phases. The visit protocols shall, at a minimum, address:

1. The physical and emotional health of the mother and the baby, including information for the mother on the importance of nutrition and avoiding alcohol and drugs, including nicotine;

2. The environmental health issues such as ensuring a safe environment for the child;

3. The life course development for the mother, including employment, educational achievement, budgeting and financial planning, transportation and housing;

4. The parental role and responsibilities; and

5. The role of family and friends in supporting goal attainment.

C. Program Management Information Systems

The management information system used by the entity in administering and implementing the program shall, at a minimum, include the following:

1. Documentation of the services received by clients enrolled in the program;

2. Information to assist the program staff in tracking the progress of families in attaining program goals;

3. Information to assist nurse supervisors in providing feedback to individual nurse home visitors on strengths and areas for improvement in implementing the program; and

4. Information to assist program staff in planning quality improvements to enhance program implementation and outcomes.

D. Reporting and Evaluation System

1. At least once (1 time) every month, each implementing entity shall submit the data generated by the management information system required by rule section 1.406(C), to the health sciences facility.

2. The data will be analyzed and the health sciences facility shall make available, on no less than a quarterly basis, a report to the entity evaluating the program's implementation, and on a semi-annual basis shall also make available reports on benchmarks of program outcomes.

3. The implementing entity shall submit an annual report that complies with the requirements in rule section 1.411 to both the health sciences facility and the community in which the entity implements the program that reports on the effectiveness of the program within the community.

4. The annual report shall be submitted on or before March 1, or not later than sixty (60) days after the end of the fiscal year for which funding was provided if the program has not submitted a request for continuation of funding. The annual report shall be written in a manner that is understandable for both the health sciences facility and members of the community that the program serves.

Disclaimer: These regulations may not be the most recent version. Colorado may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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