How We Use Coalitions For Spread Washington State CKF Collaborative Learning Session 2 Chattanooga, TN March 30 – April 1

In this presentation… Washington State’s context WA CKF Coalition structure System Change Workgroups – How we operate How we are using this structure to initiate spread Discussion – Could some of these ideas work in your state?

“Free service that families need. What could be so complicated?” New Program Manager, 5 years ago

“For FO6 reviews I used a Barcode AD hoc report that is titled ‘128 Eligibility Reviews due, by worker, (F06 medical program only).’ This report counts AU's and includes duplicate household (cases) that have been Sneed-Kisered.” Collaborative Team Member, Recently

Trends in the Percent Uninsured, all, children, and working-age adults, Washington State, Adults Total Children Data: 1993, 1997, Robert Wood Johnson Surveys; , Washington State Population Surveys.

Coalition – an alliance, especially a temporary one Organic – living, responsive to stimuli Webster’s, adapted

WA CKF Coalition – Then and Now Five years of public and private partners Shift from networking to advocacy Changed co-chairs from lead organization to Children’s Alliance and Washington State Hospital Association WA PTA – example of coalition collaboration Strength of coalition workgroups

First Friday Forum HCCY Spokane Schools CHOICE Clark County Health District HIP Yakima Neighbrhd Health Services Childrens Alliance Healthy Kids Now! (HIP & HMHB) RWJF Covering Kids & Families National Program Office WCOMO CKF Part 2 ADULTS CKF Part 3 ACCESS Coalition Workgroups  Eligibility  Working with Schools  Integrated Application Statewide Work Local Site & Coalition WA Health Foundation Statewide Lead Organization WA Covering Kids & Families Key: VISTAs

System Change Workgroups 1.Eligibility (Focus from Renewals + Eligibility Changes → Eligibility) 2. Working with Schools (Focus from Linking Applications → Administrative Match) 3. Integrated Application

Eligibility Workgroup, How It Started Middle management from 3 organizations (Children’s Alliance, DSHS MAA and WHF) had an idea for a workgroup. Brought bosses (all CKF coalition members) to the table; shared idea/developed idea together All impacted state divisions at the meeting Agreed to charter, membership and leadership

Eligibility Workgroup Eligibility Workgroup is MAA, reps from 6 CSO regions, and CBO stakeholders Meets monthly; Renewal Workgroup folded in. Forum for policy makers and implementers to share best practices and address challenges Advises on spread of strategies statewide Successes to date:  Helped coordinate training for CSOs and CBOs  Discussion led to rescinding renewal signature WAC  Discussion helped draw attention to problems which led to adding 68 FTEs at CSOs  Helped develop verification checklist

Eligibility Workgroup and Spread “Yakima Collaborative” is one of several renewal strategies. Others are:  Keeping Kids Covered in King County  VISTAs doing PDSAs  MAA conducting MEQC study  HIP (CKF local site) cost analysis report Workgroup team gives feedback on all ideas. Workgroup team advises how to move toward statewide spread, if/when appropriate, including getting approval for spread.

What We’re Learning – Blessings and Curses If it works, everyone wants credit. But if it doesn’t… It’s hard to let go of a strategy that doesn’t work, especially if it’s clear and relatively cheap. This is good, and bad. Everyone at the table has a somewhat different viewpoint.

More on Learnings Building trust is Everything. Having the right people and the right organizations at the table is Next. and

Keep your stick on the ice. We’re all in this together.

Discussion