Florida Keys Healthy Start Coalition Inc.
Programs and results
What we aim to solve
The Florida Keys Healthy Start Coalition specifically helps families before, during, and after pregnancy to ensure babies are born healthy to prepared parents. Families in the Keys are frequently at significant risk for poor birth outcomes and developmental delays due to increased health and/or social risks and a lack of access to services and care. This reality is further exacerbated by a high cost of living, limited community resources, rural and unique island geography, and low wages requiring many to work multiple jobs in order to meet minimal financial needs. Through our six core programs we address poor maternal health, infant mortality and morbidity, prematurity and low birth weight, infant malnutrition, birth defects, developmental delays, social and behavioral difficulties in young children, parenting, and safety. Through our services we are able to address the challenges that prevent babies and families from a healthy start and can break cycles for the next generation.
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Healthy Start
Identifies potential social, medical, or behavioral risks to healthy birth outcomes and provides appropriate interventions to reduce those risks through intensive case management by multilingual care coordinators. Individual services are tailored to a family’s needs and include care coordination, assistance accessing prenatal care and transportation to service providers, nutritional and breastfeeding support, and parent education. These services are vital to ensuring babies are born into our community fully developed and to prepared families.
Healthy Babies
Provides subsidized prenatal medical care, transportation to appointments, mental health services addressing Perinatal Mood and Anxiety Disorders (PMAD), childbirth education, and breastfeeding/lactation support.
Keys to Kids Safety
Helps parents and caregivers to provide a safe environment to raise their children through the provision of education, support, and safety supplies. We address vehicle and bike safety, safe sleep practices, water and pool safety, home environment safety, and poison safety. The Coalition participates in community events targeting those least likely to receive other services throughout Monroe County and offers additional services by appointment. This holistic approach fosters a developing child’s sense of safety and security, improving their physical and mental health well-being.
Keys to Growing Kids
Facilitates family health and education for parents and the community and addresses early childhood development and education through Tot Time, Wiggles & Giggles, and Nurture Your Newborn groups. Our Keys to Growing Kids programs help make sure children are ready and thriving by the time they enter kindergarten. We also provide education, advocacy, and outreach to all people living in the Keys about maternal and child health.
Keys to Hope
Addresses the immediate and long-term support needs for Keys parents and families facing the loss of a child of any age. Immediate support is offered to families in crisis and includes mental health resources, assistance with arrangements, logistical support for families, and more. Long-term support includes support group meetings, wellness activities, and hosting a network of mothers and families facing this tragedy.
Keys to Supporting Families
Keys To Supporting Families is our newest program, addressing client assistance and nutrition support with baby supplies such as diapers, stroller, formula, and baby food. Through the provision of items/supplies, we are able to teach families about their proper use and allow their finite resources to be used to cover other costs and needs. We are working to add Adopt A Grandparent (intergenerational mentorship) and Parent Coaching programs.
Where we work
External reviews

Photos
Our results
How does this organization measure their results? It's a hard question but an important one.
Number of clients served
This metric is no longer tracked.Totals By Year
Population(s) Served
Infants and toddlers, Families, Parents
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Number of Healthy Start services provided
This metric is no longer tracked.Totals By Year
Population(s) Served
Infants and toddlers, Families, Parents
Related Program
Healthy Start
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Number of Keys to Growing Kids early childhood education groups held
This metric is no longer tracked.Totals By Year
Population(s) Served
Infants and toddlers, Families, Parents
Related Program
Keys to Growing Kids
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Context Notes
FY runs July 1 - June 30.
Goals & Strategy
Reports and documents
Download strategic planLearn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
The Florida Keys Healthy Start Coalition seeks to ensure that every child has a healthy start in life and continues to develop to their full potential. The Coalition has 4 primary goals:
- Assure that the existing barriers to maternal and infant health care in Monroe County are minimized
- Promote and protect the health and well-being of all pregnant women, children, and their families in the Florida Keys
- Establish partnerships to promote coordinated community-based care for pregnant women, children and their families
- Provide education, outreach, and advocacy on topics relating to maternal child health and parenting
Our 2020-2023 Strategic Plan outlines an additional 4 priority areas. These goals were established to guide the Coalition in optimally serving the needs of families and the community over the coming years.
- Maintain current programs and services
- Address the shortage of maternal and child health professionals
- Develop family well-being support opportunities
- Strengthen organizational structure through next-level business growth
What are the organization's key strategies for making this happen?
The Coalition will maintain current programs and services by:
- ensuring all current programming is available county-wide
- engaging in yearly evaluation of current programming
The Coalition will address the shortage of maternal and child health professionals by:
- addressing transportation challenges to minimize this barrier to care
- launching a pilot doula program to provide additional care ensuring support and education is available before, during, and after childbirth and allowing for an increase in time for our current medical providers
- engaging in intentional planning with Coalition members and key partners to vet and create longer-term solutions to obstetrician/pediatrician, midwife, and other maternal and child health provider shortage
- convening with community partners to strategize the development of a birth center with pediatric services
The Coalition will develop family well-being support opportunities by:
- conducting research on program design, initiating pilots, reassessing, adjusting, and implementing programming county-wide
- partnering with other non-profit agencies to address mental health provider crisis
The Coalition will strengthen organizational structure through next-level business growth by:
- expanding marketing and public relations to showcase the Coalition’s brand and tell its story
- assessing and managing risks
- engaging in diversified fundraising activities to improve sustainability and expand resource capacity
- engaging in the annual evaluation of all programs
What are the organization's capabilities for doing this?
The Coalition has a 30-year track record of demonstrated success in meeting the unique needs of families in our community. Stable Coalition leadership, ongoing community needs assessment leading to programmatic innovation, and diversification of funding for sustainability provide the framework to support effective maternal and child health policy and practices in Monroe County. Through the diversity of funding, we have been able to keep all of our programming free, donation-based, or sliding-scale payment plans in order to ensure families of all income levels have access to support.
It is the Coalition’s responsibility to bring partners to the table on maternal and child health issues. The staff, board, and members of the Coalition know the people in our community and it is through partnerships and lasting relationships with families, medical professionals, government agencies, and other non-profit organizations that we have built trust over the years and continue our reputation of putting the mothers, babies, and families first in the Keys.
Every year we provide assistance to over 75% of the 650-700 babies born in Monroe County. When women discover they are pregnant, they reach out to the Coalition for guidance and invite us into their homes. We have a nine-month window of opportunity to discover what challenges they are experiencing and work to connect them with support and resources before the baby is born. We then stay connected with families for up to five years (and beyond), building trusting relationships and supporting them through their children's early years. Working with families from the very beginning allows us to help them make tremendous changes in their lives and prevent more serious interventions down the road.
What have they accomplished so far and what's next?
The Coalition’s 30 years of serving families in the Keys has contributed to healthy infants, prepared parents, and the overall well-being of families in our community. The Coalition was founded in 1992 as an outgrowth/extension of the previously named Monroe County Perinatal Network, whose main goal was to provide needed prenatal and infant care services to the community. MCPN received very little funding and operated primarily on volunteer efforts to provide services. Over the years we have grown from a small non-profit with a limited scope to being the organization community members trust and rely upon to solve problems.
Strategic planning and long-range goal setting allow us to deal with the challenges of right now while looking ahead at how we can change the landscape of healthcare. We continue to grow and expand each of our core programs to meet the needs of families in our community. Our metrics show an increase in reach to families, providing high-quality care and support to parents and children in the Keys.
We will continue to launch new needed pilots and initiatives, expand into different locations, gather partners to discuss collaborative responses to community challenges, and monitor the health and well-being of pregnant women, infants, and their families in the Florida Keys.
How we listen
Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.
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How is your organization using feedback from the people you serve?
To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals
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Which of the following feedback practices does your organization routinely carry out?
We collect feedback from the people we serve at least annually, We take steps to get feedback from marginalized or under-represented people, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on demographics (e.g., race, age, gender, etc.), We look for patterns in feedback based on people’s interactions with us (e.g., site, frequency of service, etc.), We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive, We tell the people who gave us feedback how we acted on their feedback, We ask the people who gave us feedback how well they think we responded
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What challenges does the organization face when collecting feedback?
It is difficult to get the people we serve to respond to requests for feedback, It is difficult to find the ongoing funding to support feedback collection
Financials
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
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Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
Florida Keys Healthy Start Coalition Inc.
Board of directorsas of 08/10/2023
Erin Muir
FL Keys History and Discovery Foundation
Term: 2019 - 2021
Sharon Ward
Island Women's Health
Nicole Manning, BSN, RN, CRN
Lower Keys Medical Center
Christine Helms
Mariner's Hospital, Tavernier, FL
Cheryl Cottrell
Mariner's Hospital, Tavernier, FL
Melanie Youschak
Keys Pediatrics
Ryan Barnett
Key West Chiropractic
Stanley Sack
CHI
Laurie Dunn
Early Learning Coalition
Holly Merrill Raschein
Monroe County Board of Commissioners
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as:
Race & ethnicity
Gender identity
Sexual orientation
Disability
We do not display disability information for organizations with fewer than 15 staff.
Equity strategies
Last updated: 04/28/2021GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more
- We review compensation data across the organization (and by staff levels) to identify disparities by race.
- We ask team members to identify racial disparities in their programs and / or portfolios.
- We analyze disaggregated data and root causes of race disparities that impact the organization's programs, portfolios, and the populations served.
- We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support.
- We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
- We disaggregate data by demographics, including race, in every policy and program measured.
- We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization.
- We use a vetting process to identify vendors and partners that share our commitment to race equity.
- We have a promotion process that anticipates and mitigates implicit and explicit biases about people of color serving in leadership positions.
- We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
- We have community representation at the board level, either on the board itself or through a community advisory board.
- We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
- We measure and then disaggregate job satisfaction and retention data by race, function, level, and/or team.
- We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.