Early Learning & ASQ Training QRIS/CCR&R Directors Meeting April 15, 2015 Liz Stuart, MPH

Oregon’s Child Well-being Team Dana Hargunani, MD, MPH Child Health Director Sherri Alderman, MD, MPH, IMH-E Child Development Coordinator Liz Stuart, MPH Child Systems Collaboration Coordinator Rita Moore, PhD Child Well-being Policy Analyst ECCS Project Coordinator: Position Vacant

Developmental Screening Across Systems Early Learning System National priority Program-level requirements ELC screening tool Hub metric QRIS standard (3 star) Various providers Various resources Health System National standard/clinical guidelines Affordable Care Act CCO metric PCPCH standard Various providers Various resources Coordination

Oregon ECCS Grant Goals Coordination of statewide developmental screening activities for children 0-3 with a focus on early care and education settings Expansion of screening for those children at highest risk for negative child outcomes based on socio-cultural determinants of health Oregon RTT-ELC Grant Goal Improve rates of developmental screening

Driver Diagram: Developmental Screening Change Concepts Standardized provider education Coaching/TA Incentives (tools, professional credit, accountability) Drivers Reliable screening Family centered care Coordination across sectors Aim Universal screening Vision: All children and families have the resources and opportunity to reach their full potential.

Comprehensive Screening System Partners Oregon Health Authority- Child Well-being Team Early Learning Division University of Oregon EI program, Jane Squires, PhD, and team Portland State University, Oregon Center for Career Development

Training of Providers (TOPs) Six-hour, free, interactive training co-presented by OHA and University of Oregon Six hour training, Set Two credit toward professional development through Portland State University’s Oregon Center for Career Development –2 hours Family & Community Systems, 4 hours Assessment & Observation –8 hours in Spanish (2.5 hours Family & Community Systems, 5.5 Assessment & Observation) Curriculum covers: –Administering the ASQ-3 –Engaging parents in their child’s development –Responding to screening results and parental concerns Four regional trainings and over 120 providers to date

Training of Trainers (TOTs) Ten-hour, free, Set Two credit, interactive training over 1.5 days co- presented by OHA and University of Oregon staff For trainers who have received “Master Trainer” certification with the Oregon Center for Career Development Registry Upon completion, trainers receive all training materials and may provide Training of Providers (TOPS) sessions across the state; trainers are encouraged to partner with the local ELH and CCRR when planning/scheduling ASQ TOPs Access to additional coaching and technical assistance from the state team Two regional trainings and over 60 participants to date!

Training of Providers Planned Training of Trainers Planned ASQ-3 Trainings as of 4/15/2015

Tentative Training Schedule Training of Providers –Ontario (July 2015) –Medford (July/August 2015) –Hood River – Spanish (TBD) –Seaside (TBD) Training of Trainers –Pendleton (July 2015) –Roseburg (September 2015) –Portland Metro (TBD)

Developmental Screening Training September 22, 2014 Lane Community College 46 providers completed training and are ready to implement the ASQ-3

Developmental screenings in Oregon

Continuous Quality Improvement TOPs: Training evaluations Provider post-training survey (~6 months later) Available TA/feedback upon request TOTs: Training evaluations for TOTs Training evaluations - first two TOPs Self-assessment Coaching and observation feedback Additional TA/feedback

ASQ Trainings & QRIS FAQ developed jointly by TRI, CEL, QRIS & OHA Key points: –QRIS standards (3 star level) require developmental screening be conducted Within 45 days of a child entering services Copy of one completed ASQ in portfolio Program policy –ASQ-3 is a parent-completed questionnaire Technical assistance available –CCR&R, TRI, UO, OHA –Available to Trainers and Providers

Future Focus Translation of training materials Explore training needs regarding early childhood development Enhance online ASQ capabilities Continue coaching and technical assistance

Resources OHA Child Well-being Team –Sherri Alderman, Liz Stuart, Dana Hargunani University of Oregon ASQ-3 Team –Liz Twombly (Training & –Kimberly Murphy (ASQOregon Local Master Trainers –Identify through Oregon Registry or Child Well-being Team

Questions? Liz Stuart, MPH Child Systems Collaboration Coordinator (503) Dana Hargunani, MD, MPH Child Health Director (503)