Effective referrals for child development needs… How one non-profit is partnering with the medical community to improve the health of Oklahoma children.

Slides:



Advertisements
Similar presentations
Opening Doors: Federal Strategic Plan to Prevent and End Homelessness
Advertisements

Birth to Five: Watch Me Thrive! Developmental and Behavioral Screening and Support Christy Kavulic, EdD Office of Special Education Programs.
Linking Actions for Unmet Needs in Children’s Health
Behavioral-Health Integration in Pediatric Primary Care and Race to the Top Project 7.
Private and Public Partnerships Developed to Improve Services for Children with Special Health Care Needs (CSHCN) Presentation to 3rd International Conference.
Beth Rous University of Kentucky Working With Multiple Agencies to Plan And Implement Effective Transitions For Head Start Children Beth Rous University.
Spreading and Scaling Prevention and Treatment Approaches: Centers of Excellence Model Janet E. Farmer, PhD School of Health Professions University of.
USDE and DHHS Listening and Learning Panel on Family Engagement
Early Care and Education Improve the quality of early care and education programs so that all families have access to high quality care and education for.
The introduction of social workers in the primary health care system and its impact on the reduction of baby abandonment in Kazakhstan 10 September 2014,
Illinois Children’s Healthcare Foundation CHILDREN’S MENTAL HEALTH INITIATIVE Building Systems of Care: Community by Community Fostering Creativity Through.
Collaborative Mental Health Care Pilot Program Bidder’s Conference October 27, 2014.
Communities Coordinating for Healthy Development General Introduction.
REAL-START : Risk Evaluation of Autism in Latinos (Screening Tools and Referral Training) Assuring No Child Enters Kindergarten With an Undetected Developmental.
Overview of Healthy Child Care America. Overview: HCCA Overview: HCCA Healthy Child Care America/Child Care Health Partnership.
Helping Families Receive the Best Start in Life.  Check In  AOK History  AOK Communities  Conceptual Framework  Advancing Collaborative Leadership.
Lynn H. Kosanovich, HFA Regional Director Introduction to the Model.
1 NATIONAL ADVISORY COUNCIL ON HEALTHCARE RESEARCH AND QUALITY Subcommittee on Quality Measures for Children's Healthcare in Medicaid and CHIP Overview.
Diane Paul, PhD, CCC-SLP Director, Clinical Issues In Speech-Language Pathology American Speech-Language-Hearing Association
CHIPRA Quality Demonstration Grant and Pennsylvania’s Early Intervention Strategies David Kelley MD, MPH Chief Medical Officer Office of Medical Assistance.
Affiliated with Children’s Medical Services Affiliated with Children’s Medical Services Introduction to the Medical Home Part 2 How does a Practice adopt.
Creating a New Vision for Kentucky’s Youth Kentucky Youth Policy Assessment How can we Improve Services for Kentucky’s Youth? September 2005.
Pacific TA Meeting: Quality Practices in Early Intervention and Preschool Programs Overview to Trends and Issues in Quality Services Jane Nell Luster,
Big Strides for Small Patients: Developmental Screening in Pediatric Primary Care Department of Pediatrics Jerold Stirling, MD Rebecca Turk, MD Melanie.
Collaboration and data in a County Initiative : Cuyahoga County – Invest in Children Claudia Coulton & Rob Fischer, Ph.D. Center on Urban Poverty & Community.
Concerned About Development : Ohio’s Initiative to Improve Care and Outcomes for Children with Delayed Development, Autism, and Social-Emotional Concerns.
Something for Everyone: CT’s Help Me Grow System Karen Foley-Schain Marcia Hughes Dierdre Hubbs Luz Rivera National Help Me Grow Forum May 4, 2011.
Chase Bolds, M.Ed, Part C Coordinator, Babies Can’t Wait program Georgia’s Family Outcomes Indicator # 4 A Systems Approach Presentation to OSEP ECO/NECTAC.
Ingham Healthy Families. History: Why Healthy Families America? Michigan Home Visiting Initiative Exploration & Planning Tool (Fall 2013)  Ingham County.
Quality Improvement in Care Coordination for Very Young Children June 19, 2012 Communities Coordinating for Healthy Development Minnesota’s ABCD III Initiative.
National MEDICAL HOME Autism Initiative Poster Presentation for DEC Conference 2005 Linda Tuchman Ginsberg, PhD
Creating an Effective State Early Childhood System Nina Sazer O’Donnell February 11, 2008.
1 The Federal Shared Youth Vision Partnership A Federal Partnership between the Corporation for National community Service;
Outreach to Physicians to Increase Early Identification and Referrals to Early Intervention Linda Tuchman-Ginsberg, PhD Director of the Early Childhood.
Applying Science to Transform Lives TREATMENT RESEARCH INSTITUTE TRI science addiction Mady Chalk, Ph.D Treatment Research Institute CADPAAC Conference.
President’s New Freedom Commission on Mental Health Executive Summary Recommendations.
The Earlier The Better: Developmental Screening for Connecticut’s Young Children Lisa Honigfeld, Ph.D. Judith Meyers, Ph.D. Child Health and Development.
Evaluation Highlights from Pilot Phase July 2005 – June 2007 Prepared for Leadership Team Meeting January 11, 2008.
Family, Friend and Neighbor Care: An Opportunity Ruth W. Mayden The Annie E. Casey Foundation December 2,
1 RESPONSE TO INSTRUCTION ________________________________ RESPONSE TO INTERVENTION New Opportunities for Students and Reading Professionals.
Boston | Geneva | Mumbai | San Francisco | Seattle | Washington FSG.ORG Building Backbone Organizations for Collective Impact October 24, 2012.
Learn the Signs. Act Early. "Learn the Signs. Act Early" Program Goal: To improve early identification of autism and other developmental.
Evaluation of the Indiana ECCS Initiative. State Context Previous Early Childhood System Initiatives –Step Ahead –Building Bright Beginnings SPRANS Grant.
Communities Coordinating for Healthy Development Training for Clinics.
1 SHARED LEADERSHIP: Parents as Partners Presented by the Partnership for Family Success Training & TA Center January 14, 2009.
National Strategy for Quality Improvement in Health Care June 15, 2011 Kana Enomoto Director Office of Policy, Planning, and Innovation.
Alberta Children and Youth Services A Report on Parent Link Centres Lethbridge Symposium April, 2009.
Great Start Collaborative-Wayne Collaborative Meeting November 16, 2015.
National Replication of an Innovative Program Help Me Grow Joanna Bogin and Rosemary Wilson EC 2010 August 5, 2010 * Supported by a generous grant from.
1 Strategic Plan Review. 2 Process Planning and Evaluation Committee will be discussing 2 directions per meeting. October meeting- Finance and Governance.
1 Executive Summary of the Strategic Plan and Proposed Action Steps January 2013 Healthy, Safe, Smart and Strong 1.
Striving Towards Excellence in Comprehensive Care: What do Children Need? July 10, 2007 Christopher A. Kus, M.D., M.P.H.
A True Partnership Patient –Primary Care Provider -CHNCT.
Prepared by: Forging a Comprehensive Initiative to Improve Birth Outcomes and Reduce Infant Mortality in [State] Adapted from AMCHP Birth Outcomes Compendium.
VERMONT: a State Example of Building Coordinated Services for Young Children Carlota Schechter Consultant, Help Me Grow National Center Connecticut Children’s.
Pamela High MD 1 Pei Chi Wu MD 1 Stacey Aguiar MPH 2 Blythe Berger PhD 2 Autism CARES Meeting Bethesda, MD July 16, 2015.
Children’s Policy Conference Austin, TX February 24, ECI as best practice model for children 0-3 years with developmental delays / chronic identified.
Community Connections Heather Altman, MPH Project Director, Community Connections Carol Woods Retirement Community /
1 CYSHCN Colorado: Where We’ve Been, Where We Are and Where We’re Going Presented by: Rachel Hutson, MSN, RN, CPNPJennie Munthali, MPH Children, Youth.
Pediatric Regional Integrated Services Model. Purpose The purpose of the Pediatric Regional Integrated Service Model (PRISM) is to provide streamlined.
Collaboration for Success Preschool Screening, Assessment and Intervention.
CHAPTER 7 DELIVERY OF YOUR COMPREHENSIVE SCHOOL COUNSELING PROGRAM
First Things First Grantee Overview.
RCHC Developmental Screening and Referral project for Children 0-5 served by Sonoma County Community Health Centers.
Policy & Advocacy Platform April 24, 2017
Beaver County Behavioral Health
Worldwide, one in 120 children are born with a congenital heart defect, and 90 percent of these children live where there is inadequate medical care. Children’s.
Shya Tran | Expanded Help Me Grow Coordinator
Worldwide, one in 120 children are born with a congenital heart defect, and 90 percent of these children live where there is inadequate medical care. Children’s.
The Norwalk Story: How one community is using the Ages and Stages Questionnaires (ASQ®) to build a system for developmental screening for young children.
Presentation transcript:

Effective referrals for child development needs… How one non-profit is partnering with the medical community to improve the health of Oklahoma children.

Objectives Describe the structure and function of a community clinic partnership Framework- Collective Impact Function- Who are we Really Reaching? Describe the benefits of coordinated primary care screening coupled with systematic referrals Examples of Structures OU-Tulsa Pediatric Department Next Steps Developmental Clinic Morton Comprehensive Health Services Private Pediatric Practices Closing the Referral Loop Partnership Opportunities

What is Sprouts? Hint… it’s not the Grocery Store Sprouts Child Development Initiative offers developmental resources and information to engage young children in experiences that help them grow! Do this through: Online Developmental Screening Early Literacy Developmental Resources Intervention Outreach

Sprouts… Creating a continuum of service for child development Unique service in the community Tremendous case management experience Response to changing child care and healthcare needs Remaining lack of developmental specialist in Tulsa and surrounding areas Needed to put a more formalized structure around child development activities

…Through Collective Impact

Commitment of a group of actors from different sectors to a common agenda for solving a specific social problem, using a structured form of collaboration

Common Agenda Shared Communication Shared Measurements Cascading Collaboration Backbone Organization

Common Agenda Increase developmental screening rates for children under 60 months Promote Family Resiliency and Engagement Promote Early Literacy Increase access to child development services

Common Measurements ASQ-3 Battell Denver Developmental And more…. All validated tools with measures which are easily built into electronic medical records Sprouts utilizes only best-practices in child development

Mutually Reinforcing Activities: We Can’t All Do Everything, But Everyone Can Do Something! Clinical PreventiveNavigational Promotion of Provider/Patient Relationship Empowered Consent and Shared Decision Making Promote Existing Resources to Support Change Behaviors Increase Awareness of Personal Susceptibility Develop. Delays Promotion of Existing Services to Eliminate Barriers into Care Empowered Consent and Shared Decision Making Increase Information Seeking Behaviors for Health Concerns Increased Comprehension and Confidence of Healthcare Delivery System Creation of an Integrated Medical Neighborhood to Improve Access into Care

Shared Communication We must address our weaknesses in the process We are trying to partner better here… s (secure), faxes, tele-health Early phases of working out a relationship with Doc2Doc services MyHealth has been engaged in developed HIE connectivity

Backbone Organization Who is going to manage all of this work??? There is sooo much to do!!! We need: A convener of activities Administrative oversight Creative Minds Passion for Improvement

Functions of a Backbone Organization FunctionDescription Strategic Coherence Guide vision and strategic direction Analyze landscape, build common understanding, identify gaps Data Management Collect, house, analyze, report, and provide TA on data Manage development of shared measurement systems Facilitation Manage meetings and logistics, acting as a neutral convener Community Outreach Support meaningful cross-sector community engagement Help develop policy agenda and coordinate advocacy Funding Coordinate grant writing among partners, seek grants Possible: Re-grant, serve as fiscal agent Programs Possible: Pilot innovative programs Possible: Assist is scaling proven programs

Collective Impact in Infant Mortality Backbone Organization Family Health Coalition new 5-year Strategic Plan focuses on new direction of collaboration and partnerships Activities are focused on: Healthcare transformation Public/Private partnerships Leveraging shared resources Social marketing Development of child development continuum Collective application for funding opportunities around preventative health

We Are Sprouting Across Tulsa

Why do Child Development Resources need to partner with the Medical Community? Where are children best observed? Natural environment or Physicians Office Do you know all of the child development resources in the community? Do you have time to case manage and coordinate the care of children with developmental needs? Can you help the parents? We need to work better to understand the natural alignment of our work efforts… This again is an example of why collective impact works for us!

Sprouts Child Development Initiative A New Online Developmental Screening Link and Child Development Resource Website (formerly the LINK Project)

Transition The LINK Project Sprouts Child Development Initiative

LINK Project numbers children participated in screenings  Suspect developmental 32%  Suspect social-emotional 12%  Minnesota Developmental Inventory NWNL8.5%  Overall monitor or delay identified30-35% Age Groups 0-12 months 9% months17% months 23% months25% months19% Over 60 months 7%

Challenges 9,500 babies born each year 1,400 spend time in the NICU 500 diagnosed with chronic medical conditions 900 discharged back into the community

AAP Statement Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home 1 and an appropriate responsibility of all pediatric health care professionals. 1

And please tell us if we can do it better!

National Call to Action Healthy child development is multidimensional. 2. Health practitioners are the “first contact” with young children. 3. Exemplary strategies exist that address the multidimensionality of child health, starting with developmental screening. 4. Federal health provisions offer the opportunity to address children’s healthy development. 5. States and communities must be intentional and creative to take advantage of these federal provisions.

Examples from the field…

OU-Pediatric Clinic Working towards implementation of specialized pilot project focusing on emerging language development; Children will be screening during month range for emerging language concerns; Social Work staff is already sending Sprouts team referrals for evaluation for suspected developmental delays; and Reporting channels are still underdevelopment.

Next Steps Child Development Business Associate Agreement in place; Next Steps provides triage form to Sprouts staff for review and initial contact with families for developmental services; Sprouts team works with families to conduct ASQ-3 or other required screenings; Reports/evaluations are provided back to Next Steps in secure fashion; and Sprouts provides information on referrals provided.

Morton Comprehensive Health Services Embedding services in clinics on specific days weekly/monthly to deliver developmental observations/assessments on patients; This model works for Morton due to FQHC billing and Medicaid billing requirements; Working with Social Work staff to have all families complete online developmental screening; and Going through credentialing process with Morton to assist in billing and increasing access to developmental services.

Private Pediatric Doctors Parent Guides Referral Cards Early Literacy Promotion Direct referrals Fax Online Expanding to Family Practice partnerships

Closing the Referral Loop When an ASQ-3 is completed… What happens next? Reports Evaluations Referrals Case Management Care Coordination Follow-up

Sprouts Child Development Initiative offers developmental resources and information to engage young children in experiences that help them grow!

ASQ LINKS Family Access URL Screening Management t

Facebook Facebook MH/OtherPCMHResources/FAQsforPediatricPractices.aspx