Maternal and Child Health Services


Detailed Client Encounter Data Collection
Submit detailed client encounter data in either paper or electronic format in accordance with the guidance provided by the Children and Families Section, Bureau of Family Health. Data should be submitted on an ongoing, frequent basis throughout the year.  In order to meet federal reporting requirements, all final calendar year data must be submitted to KDHE by January 15.

Quarterly – due by October 15, January 15, April 15 and July 15

  1. Certified Affidavit of Revenues and Expenditures
  2. MCH Client Satisfaction Survey Cards
    The local health agency will distribute a client satisfaction survey card randomly to at least 20% of clients served. The survey cards will be supplied to the local health agency by the KDHE Children & Families Section. The client is asked to complete the card and then mail it to KDHE for review and feedback to the agency. Survey cards should be sent to KDHE prior to the end of each quarter. A survey card summary report will be e-mailed to the local health agency for program self-evaluation.

Mid-year and End-of-Year Narrative Progress Reports due by January 15 and July 15
Using the Progress Report form, submit a narrative description of program activities: Mid-year covering six (6) months of the contract period (July-December); and End-of-Year covering entire contract period (July-June). The following areas should be addressed in each report:
A 10% penalty of total grant award amount will be assessed for delinquent end-of-year reports beyond August 15th.

  1. Priority – Choose the priorities that were chosen on the MCH grant application
  2. Measurement Indicator – Choose all of the indicators that are associated with the priority chosen above.
  3. Outcome Objectives – Copy and paste the objectives identified in your annual MCH grant application.
  4. Progress – Describe program services, strategies, activities, collaborative partners, number served, outreach, care coordination, data to measure progress, how measurement was calculated, etc.
  5. Significant Accomplishments – Describe significant progress or impact, program highlights and/or success stories.
  6. Challenges – Describe any barriers or challenges in working toward your objectives.
  7. Training/Professional Development – List trainings and/or conferences staff attended.
  8. Technical assistance/Training Needs – List any needs or requests.
  9. Updates/Changes – Staff, administration, contact information, program, etc.

Reporting Schedule

Quarters

Grant Reporting Period

Due Date

Forms Due

1

7/1 to 9/30

October 15

  • Affidavit of Revenues and Expenditures
  • MCH Client Satisfaction Survey Cards

2

10/1 to 12/31

January 15

  • Affidavit of Revenues and Expenditures
  • MCH Client Satisfaction Survey Cards
  • Mid-Year Narrative Progress Report

3

1/1 to 3/31

April 15

  • Affidavit of Revenues and Expenditures
  • MCH Client Satisfaction Survey Cards

4

4/1 to 6/30

July 15

  • Affidavit of Revenues and Expenditures
  • MCH Client Satisfaction Survey Cards
  • End-of-Year Narrative Progress Report

 

 

Program Contact Persons

Carrie Akin, MCH Program Consultant 785-296-1234 cakin@kdheks.gov
Kay White, MCH Administrative Consultant 785-296-1305 kwhite@kdheks.gov

 

Forms Required:

Affidavit of Revenues and Expenditures

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Progress Report

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