UnityPoint Health - Visiting Nurse Association

Offers recommended immunizations for infants and children up to 18 years of age for uninsured and under-insured families who cannot afford to obtain the immunizations from a physician office. These clinics are a component of the Federal and State of Iowa Vaccine for Children Program. Contact the VNA office for eligibility criteria.

Provides a variety of services to at risk, uninsured and Medicaid children including education and screenings at WIC and VNA clinics and at area schools. Also provides referrals to dentists' offices and limited funding for children with dental needs. Sealant clinics conducted in Dubuque Community schools provide exams and sealants for second and third grade school children each year.

Hawki offers free or low-cost health care coverage for children ages 0-19 and is provided through the state CHIP program and designed to ensure children access to medical and dental care. Many families may qualify for Hawki if they do not qualify for Medicaid due to income status. Presumptive eligibility is also offered for children needing health or dental coverage through either Medicaid or Hawki. For more information or assistance with an application, contact the VNA Hawki Outreach Coordinator at (563) 556-6200.

You may also visit the Hawki website at hhs.iowa.gov/hawki or call Hawki Services at 1-800-257-8563.

Home visits are made by Family Advocates and/or social workers to families at increased risk for child abuse and/or neglect. Referrals are received through the VNA's own Perinatal Mother/Baby Program, Department of Human Services, and other community agencies. Program assists families in obtaining needed health care and social services in the community. This program is voluntary and the goal is to promote appropriate parenting and child care skills.

VNA coordinator assists doctors' offices with resources to ensure children are on track with age-appropriate physical and mental development. Also promotes screening for maternal depression which can affect a child's ability to grow and develop.

The Community Partnerships for Tobacco and Control program offers education on health effects of tobacco, benefits of quitting and other resources for youth and adults. Technical assistance on policy review, employee resources and client resources are available. Goals are to reduce exposure to second-hand smoke, encourage tobacco free/nicotine worksites and living, and increase community partnerships.

Supportive services, including assistance with personal cares and homemaking for low income elderly and chronically ill clients in their homes. Services are available on a sliding fee scale for those earning above low income guidelines or through the Dubuque County Public Health Services grant for those who qualify.

The VNA received a grant from the Dubuque Racing Association for the purchase of Tyvek suits to protect clients and staff from the spread of bed bugs in their home care programs.

Respite service allows caregivers time outside the home for errands or personal time away from care-giving responsibilities.

Provides Dubuque County with investigation service for reportable infectious diseases, client education, assistance with access to medical treatment and monitoring of medication treatment regime. Service is critical to limit spread of infectious disease and limit outbreaks.

Programs provide free and confidential testing, screening, follow-up counseling and referral. Includes risk assessment for Hepatitis C Testing and provides Hepatitis A and B vaccination. Education for clients on healthy practices to reduce risk for HIV and Hepatitis.

A VNA case manager is assigned to provide assistance to HIV-positive Iowa residents to access primary medical care and medications as well as identify and remove barriers to medical care. The focus is on ensuring access to insurance coverage for care and medication. Case managers will work closely with HIV-positive individuals on an individualized plan of care to ensure maximum health by regularly seeing a physician and taking prescribed medications.

Provides referrals and assistance to low income women over 50 years of age who meet program criteria and have no insurance to obtain pap smears and mammograms through community health providers.

The Community Partnerships for Tobacco and Control program offers education on health effects of tobacco, benefits of quitting and other resources for youth and adults. Technical assistance on policy review, employee resources and client resources are available. Goals are to reduce exposure to second-hand smoke, encourage tobacco free/nicotine worksites and living, and increase community partnerships.

Home visits are made by Family Advocates and/or social workers to families at increased risk for child abuse and/or neglect. Referrals are received through the VNA's own Perinatal Mother/Baby Program, Department of Human Services, and other community agencies. Program assists families in obtaining needed healthcare and social services in the community. This program is voluntary and the goal is to promote appropriate parenting and child care skills.

Focuses on ensuring that a child and his/her family's long term needs are addressed helping families establish a medical and dental "home" with a local provider. Helps families get health insurance coverage or with application for Iowa Medicaid or Hawki programs.

The 1st Five Program works with medical providers to promote developmental screenings as recommended by the AAP and Medicaid EPSDT Program. For families, 1st Five staff at the VNA provide care coordination to children referred by their primary care provider and assist in connecting them to early intervention services and other community resources.

Service area includes the following counties:

• Allamakee
• Chickasaw
• Clayton
• Delaware
• Dubuque
• Fayette
• Howard
• Winneshiek

Learn more by contacting the 1st Five Coordinator at (563) 556-6200 or by visiting https://hhs.iowa.gov/programs/programs-and-services/family-health/1st-five.

Program providing lead screening, case management, and cleaning services if needed, for families at risk for lead poisoning. Lead screenings are done at immunization clinics and on scheduled days at the VNA office. Contact the VNA office to schedule an appointment.

Assists families who qualify for Medicaid in setting up well child physicals, immunizations, dental care and other preventive medical and dental services in the community.

Offers health education and food supplement program for prenatal, postpartum and children zero to five years income eligible.

Service provided in Allamakee, Chickasaw, Clayton, Delaware, Dubuque, Fayette, Howard and Winneshiek counties.

Offers Iowa residents ages 12 through 54 family planning services so they can start a family when they are ready, protect themselves from sexually transmitted diseases, and make healthy choices for a better life.

Counties served by VNA include:

• Allamakee
• Chickasaw
• Clayton
• Delaware
• Dubuque
• Fayette
• Howard
• Winneshiek

To learn more, contact VNA’s Family Planning Coordinator at (563) 245-1145.

Iowa’s Healthy Pregnancy Program is a FREE service available statewide and provides education and support to pregnant and postpartum women. Healthy Pregnancy Program services are extra services clients receive beyond what is include in prenatal care.

Services include but are not limited to:

• Pregnancy testing
• Identification of pregnancy risk factors
• Promotion of healthy lifestyles
• Community resources
• Home visits
• Insurance applications
• Tobacco cessation referral

Counties included in service area:

• Allamakee
• Chickasaw
• Clayton
• Delaware
• Dubuque
• Fayette
• Howard
• Winneshiek

Focuses on ensuring that a child and his/her family's long term needs are addressed by getting them into a medical and dental provider.

Offers periodic immunizations for infants and children for uninsured and underinsured families who cannot afford to obtain the immunizations from a physician office. These clinics are a component of the Federal and State of Iowa Vaccine for Children Program.

Provides a variety of services to both uninsured and Title XIX children for screenings through WIC and VNA Child Health clinics. Also provides referral and funding for children with emergent dental conditions. Provides screening and referrals at area preschools.

Program providing lead screening and case management for families at risk for lead poisoning. Lead screenings are done at all WIC clinics. A certified lead inspector is on staff to assist with detection of lead sources and education.

Early Periodic Screening Diagnosis and Treatment. Assist families who quality for Title XIX in setting up well child physicals, immunizations, dental care, and other needed medical services in the community.

Hawki offers free or low-cost health care coverage for children ages 0-19 and is provided through the state CHIP program and designed to ensure children access to medical and dental care. Many families may qualify for Hawki if they do not qualify for Medicaid due to income status. Presumptive eligibility is also offered for children needing health or dental coverage through either Medicaid or Hawki. For more information or assistance with an application, contact the VNA Hawki Outreach Coordinator at (563) 556-6200.

You may also visit the Hawki website at hhs.iowa.gov/hawki or call Hawki Services at 1-800-257-8563.

Iowa's system for providing early intervention services. It is available to infants and toddlers from birth to age three who have a condition known to cause developmental delays if early intervention services are not provided or who are showing a developmental delay in one or more areas of development.

Offers health education and food supplement program for prenatal, postpartum and children zero to five years income eligible.

Service provided in Clayton, Allamakee, Fayette, Howard and Winneshiek counties.

Offers nurse to assist with education of child care staff in daycare centers and implement QRS (Quality Rating System).

• Home Care Aide and Homemaker Service - Supportive Services, including assistance with personal cares and homemaking to low income elderly and dependent clients in their homes.
• Adult Health Maintenance - Nursing care for medically needy individuals with stable chronic conditions who are no longer eligible for Medicare home care coverage but can be maintained at home with intermittent nursing visits.
• Foot Care Clinics - Nurses provide basic nail care, health assessments, teaching and referrals for seniors who need assistance with foot care.

Adult immunization programs including vaccination for influenza, tetanus and Hepatitis B and tuberculosis skin testing.

Home and phone visits, epidemiology client education, assistance with access to medical treatment and monitoring of medication treatment regime.

The 1st Five Program works with medical providers to promote developmental screenings as recommended by the AAP and Medicaid EPSDT Program. For families, 1st Five staff at the VNA provide care coordination to children referred by their primary care provider and assist in connecting them to early intervention services and other community resources.

Service area includes the following counties:

• Dubuque
• Clayton
• Fayette
• Delaware
• Howard
• Chickasaw
• Winneshiek
• Allamakee

Learn more by contacting the 1st Five Coordinator at (563) 556-6200 or by visiting https://hhs.iowa.gov/programs/programs-and-services/family-health/1st-five.

Offers Iowa residents ages 12 through 54 family planning services so they can start a family when they are ready, protect themselves from sexually transmitted diseases, and make healthy choices for a better life.

Counties served by VNA include:

• Allamakee
• Chickasaw
• Clayton
• Delaware
• Dubuque
• Fayette
• Howard
• Winneshiek

To learn more, contact VNA’s Family Planning Coordinator at (563) 245-1145.

Iowa’s Healthy Pregnancy Program is a FREE service available statewide and provides education and support to pregnant and postpartum women. Healthy Pregnancy Program services are extra services clients receive beyond what is include in prenatal care.

Services include but are not limited to:

• Pregnancy testing
• Identification of pregnancy risk factors
• Promotion of healthy lifestyles
• Community resources
• Home visits
• Insurance applications
• Tobacco cessation referral

Counties included in service area:

• Allamakee
• Chickasaw
• Clayton
• Delaware
• Dubuque
• Fayette
• Howard
• Winneshiek

Offers health education and food supplement program for prenatal, postpartum and children zero to five years income eligible.

Service provided in Allamakee, Chickasaw, Clayton, Delaware, Dubuque, Fayette, Howard and Winneshiek counties.