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maternal child adolescent health
Child Care Health Consultation
Health and safety are leading indicators of child care quality. Strategies to improve quality in child care include meeting health and safety standards and providing additional child care staff training through the use of child care health consultants (American Academy of Pediatrics [AAP], 2002). 
REPORT - June 2010

A child care health consultant (CCHC) is a health professional who has an interest in and experience with children, has knowledge of resources and regulations, and is comfortable linking health resources with facilities that provide education and social services.
The role/activities of CCHC’s may include:
  • Teaching providers and parents about health & safety
  • Assessing providers and parents’ needs for health & safety training
  • Meeting on-site and providing telephone assistance
  • Health assessment and referral activities
  • Developing or updating policies & procedures
  • Reviewing providers and children’s health records
  • Managing care and providing resources for children with special health care needs
  • Consulting with children’s health professionals
  • Interpreting standards or regulations and providing technical advice, separate and apart from enforcement.

       Source:  Caring for Our Children, 3rd Edition
The Nebraska Early Childhood Comprehensive System (ECCS) effort, Together for Kids and Families, incorporates strategies to support the development of sustainable infrastructure for child care health consultation to improve the health and safety of child care environments for all children.
The Child Care Health Consultation workgroup within Together for Kids and Families has studied the evidence for child care consultation making effective impacts on child well-being, and the policy and systems development needed to make health consultation services available to child care providers statewide. 
Work products of the group include:
  • Child Care Prepared Fact Sheets prepared to educate professionals in child caring programs regarding certain health and safety topics
  • pdficon.gif (914 bytes) Comparative matrix of models  for Child Care Health Consultation which have been used in Nebraska in various settings;
  • pdficon.gif (914 bytes) State by state comparison of CCHC for Nebraska and neighboring states;
  • pdficon.gif (914 bytes) CCHC Supportive Evidence summary document describing available evidence from several models which supports either (a) the significance of safety and health issues in child care settings, or (b) the effectiveness of CCHC intervention in improving health and safety issues in child care settings;
  • Report entitled “the Cost of Doing of Nothing”;
 Additional CCHC Resources:

Please direct questions and/or comments to Tiffany Mullison at 402-471-1384 or


maternal child adolescent health
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