1. WELCOMEWELCOME

2. How to Utilize Care Coordination Collaboratives in Your Region Kimberly Sherman - Social Service Coordinator Community Health Network of CT, Inc. Wallingford, CT Bryan Flint, Sr. - Shelter Director Cornerstone Foundation, Inc. Vernon, CT

3. Join us for a members’ perspective on the value of the collaborative approach. The collaborative model works to bring together care coordinators and mid-level professionals from a variety of child support sectors with the goal of: learning through presentations from area/state resource providers about services and access for children and families, reviewing challenging cases to develop cross sector solutions that meet family’s needs, developing and advocating for policy level solutions to families’ service access concerns, and supporting pediatric primary care in meeting the care coordination needs of families. “Coordinating the Coordinators”

4. History In 2010, the Hartford Care Coordination Collaborative (HCCC) was established. Goals included: maximize resources by improving communication among diverse programs providing care coordination to children and families increase the efficiency and effectiveness of care coordination within a comprehensive child health system Identify challenges that families encounter in obtaining services and work to streamline referral processes thus ensuring timely access to services serve as a resource for medical homes seeking community-based services for their families Since then, the Connecticut Department of Public Health has provided funding, through its Maternal and Child Health block grant, to expand the Model statewide through five regions.

5. CARE COORDINATION COLLABORATIVE MODEL Connecticut Children’s Medical Center As part of its commitment to identifying gaps in services and developing innovative programs to address them, the Connecticut Children’s Center for Care Coordination launched the Care Coordination Collaborative Model (the Model) in response to a need to coordinate care coordinators. Prior to the Model, families were working with multiple care coordinators who operated in isolation of each other, which would leave families overwhelmed and lead to costlier services through duplication. Now, the Model brings together those care coordinators from various child-serving sectors for periodic meetings to increase the efficiency and effectiveness of care coordination within a comprehensive child health system, decrease duplication of services and unnecessary visits which reduces healthcare costs, and to advocate for policy level solutions to ensure families have access to beneficial services. “Coordinating the Coordinators”

6. CARE COORDINATION COLLABORATIVE MODEL Connecticut Children’s Medical Center Due to its success, the Model is serving as a role model for other hospitals to follow. The collaborative approach of the Model prompted the Connecticut Department of Public Health to fund its statewide replication. The Model is also being replicated across the country through Help Me Grow ®, which is a network of affiliates in 25 states and territories that helps identify children who are at-risk for poor developmental or behavioral outcomes and links them to services. “Coordinating the Coordinators”

7. Past and present organizations represented in the North Central Community Care Collaborative: ACCESS-Mental Health CT Carey Consulting Child Health and Development Institute (CHDI) Children and Youth with Special Healthcare Needs (CYSHCN) Program, Department of Public Health (DPH) CHN - Community Support Services CHN - Intensive Care Management Community Health Network (CHN) – the ASO CT Behavioral Health Partnership CT Dental Health Partnership CT Family Support Network Connecticut Children’s Medical Center - Education and Rehabilitation Services Connecticut Children’s Medical Center - Special Kids Support Center CT United Way/2-1-1 – Child Development Infoline (CDI) CT United Way/2-1-1 – Health and Human Services CT United Way/2-1-1 – HUSKY Infoline (The) Cornerstone Foundation, Inc. Department of Children and Families (DCF) Department of Developmental Services – Division of Autism Department of Social Services Hartford Public Schools- Health Services Husky Health - (DSS) Person Centered Medical Home InterCommunity, Inc - Child First Northeast Neighborhood Partnership (NNP) The Medical/Legal Partnership Project, Center for Children's Advocacy The Village for Children and Families Urban League of Greater Hartford Vernon Public Schools Wheeler Clinic

8. Existing Collaboratives: System of Care (DCF) Let’s Not Re-invent the Wheel! Regional Community Collaboratives developed to address child and community mental health “Grassroots Level” Family Involvement Building the bridge

9. Community Collaboratives vs. Regional Care Coordination Collaboratives Community Collaboratives are supported Department of Children and Families. These are grass roots community groups bringing together families and local community and municipal workers to address live time problems and discuss community trends and needs. Regional Care Coordination Collaboratives are supported through DPH Statewide funding to bring together care coordinators from state and local agencies to address regional system issues and coordinate the coordinators.

10. Now for the Members Perspective

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12. The Collaborative functions to offer support, ideas, collaboration and information for those of us who provide coordination of care for families and individuals with health care needs and community resource needs. Participants gather to review new options made available for one time events and for ongoing additions to the system. “Coordinating the Coordinators”

13. Some examples of information exchanges include: The collaborative offered an in depth training on how to use the new 211 website and how to help families use the site to fully obtain the benefits provided. One times events are brought to the group via flyers and contact information that can be dispersed to families and other care providers. “Coordinating the Coordinators”

14. Example of updates provided to participants to help families include the following examples offered in just one meeting: InterCommunity’s Child First Program announced they could now offer limited slots for children outside the Manchester region. Cornerstone noted that there will be a Vernon Community Network (VCN) Provider Fair on March 18 th from 9-12pm. Contact information offered. Provided information on new changes for families experiencing homelessness in the “East of the River” area of Greater Hartford- “Winter Warming Initiative”. Medical Legal Partnership Project noted there are two upcoming Utility Clinics “Keep the Lights On”. April 29 th at CT Children’s Medical Center and 5/13 at New Britain General. Dental Health Partnership provided some promotional items to Care Coordinators and information on supporting clients in their access to dental care. www.ctdhp.com “Coordinating the Coordinators”

15. Each care provider is connected to several other care providers and partners. So each participant has the ability to disperse the information to individuals, agencies, ASOs and individual community support providers. Partnering with each other offers the ability to partner more knowledgably with families. “Coordinating the Coordinators”

16. Case presentations are conducted without any identifying information: partners who are presenting and are facing barriers to help families can benefit from the input of participants who have had similar experiences. At times the agency or people who can offer the resolution are in the room and the family can be given the contact information for a person rather than an agency. “Coordinating the Coordinators”

17. The collaborative assures that isolation in efforts is not in itself adding to the barriers. Broader understanding of the functions of other care providers’ agencies and access to their systems has increased productive outcomes as evidenced by tracking connections produced through the collaborative and by follow up presentations and has educated participants in what is available in the Greater Hartford area regarding known entities and grassroots services and kept participants updated on changes. grass roots services and kept participants updated on “Coordinating the Coordinators”

18. Awareness Only (13%)Cooperative Only (27%) Coordinated Only (32%)Integrated Only (27%) Network Maps – Relationship Activities 18

19. In 2013, the Collaborative was most successful in achieving increased number and use of strategic partnerships In 2015, the Collaborative was most successful in achieving increased number and use of strategic partnerships AND improved processes to coordinate services for children and families Collaborative Data- 2013 vs. 2015 PARTNERS TOOL

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