1. ACEs Work Group Meeting
Reproductive, Maternal and Child Health
April 25, 2018

2. Welcome and Introductions
Introduce yourself: Name, organization, and county

3. Review Proposed Agenda Items
Review Overall Timeline and RFP Release Date
CPAA Assessment
Review Draft Logic Model
Make a Strong Connection to Pathways
Review Technical Assistance Opportunities
Next steps and closing

4. CPAA Transformation Timeline 2018
March -April
Financial Executor Portal Partnering Provider Registration
Current State Assessment
Funds Flow Review (4/12)
Request for Proposal (RFP) Design
May
Funds Flow & RFP Approval (5/10)
First Partnering Provider Payments (Assessment – 5/18)
Request for Proposals Release (+6 weeks)
Letter of Intent Request (2 weeks)
June
Request for Proposal Responses
First Payment to Tribes (5/18 + 6/29)
July
Request for Proposal Assessment
Partnering Provider Selection
Partnering Provider Contracting (Agreement)
Semi-Annual Report (7/31)
August-September
Partnering Provider Payments (Agreement)
Implementation Plan (10/1)
October
Partnering Provider Payments (Engagement & Bonus Pools)
Legend
MTP Milestone
Finance Related
Internal
Payment
Partner Deliverable

5. CPAA Assessment Respondents
Capital Region ESD 113
Child & Adolescent Clinic
Child Care Action Council
Cowlitz Family Health Center
Grays Harbor County PHSS
Lacey Fire District 3
Lewis County PHSS
Nisqually Indian Tribe
Northwest Pediatric
Olympia Pediatrics, PLLC
Pacific County PHHS
Partnership Access Line at Seattle Children’s
Planned Parenthood
Providence Medical Group SWSA
Providence St. Peters & Centralia
Sea Mar CHC
South Sound Pediatrics
Summit Pacific Medical Center
Thurston County PHSS
YWCA Olympia
20 Respondents for Reproductive – Maternal Child Health
Additional Respondents want to participate in activities such as reproductive education in organizations.
Review of the Assessment will occur at the CPAA Council meeting in May

6. Project 3B: Reproductive, Maternal and Child Health – Logic Model 2018
Target Population: Men or women of reproductive age, pregnant women, mothers of children ages 0 – 3, and children ages 0 – 17.
Who:
Consumers
Tribes
Parents
Teachers
Public Health
Community Based Organizations
Primary Care
Behavioral Health
Hospitals
Managed Care Orgs
CPAA Inputs:
Training/Technical Assistance
Assistance with clinic workflows
LARC training for providers
Bright Future Training
EMHI Training
Trauma Informed Care Training
School Based Health Services technical assistance
Population Health Management
Connect with Pathways HUB systems to monitor the population.
Financial Sustainability
Activities are billable in a Value Based Contract
Activities are woven into everyday workflows
Activities:
One Key Question or Reproductive Screenings are happening in primary care, reproductive health, and
LARC Training and Counseling
Home Visiting
(NFP, PAT, & Healthy Families)
Bright Future or EMHI Screenings are provided
Train practices and community organization in Trauma Informed Practices
Pilot: School based health services are provided
Oral health education is included in home visiting.
Outcomes:
Short Term
Increase LARC utilization
Increase well child visit rates
Increase chlamydia screenings
Improve immunization rates
Reduce unnecessary ED visits
Long Term
Reduce teen pregnancy
Increase Birth Weights
Reduce Chronic School Absenteeism
Reduce reported neglect due to reported deaths
Improve high school graduation rates
Improve Kindergarten Readiness
Goals:
Reduce Adverse Childhood Experiences passed down to the next generation.
Care is provided at the right time at the right place.
Vision:
“Childhood abuse, neglect and family dysfunction in our communities is reduced; children are raised in a healthy, safe environment. Our communities’ resilience to social trauma is strengthened. There are early intervention and prevention services which provide our communities with strong social-emotional, behavioral, and physical health care allowing children and adults to better manage adverse childhood experiences.”
Cross Project Areas
Care Integration
Initial screenings for depression & anxiety for home visiting
Telehealth for behavior health
Developmental screenings at well child visits
Family planning for folks with SUD diagnosis
Maternal mental health pediatric visit
Developmental screenings at home visits will be shared w/ primary care
Integrate care at treatment centers that includes family planning
Transitional Care
Work with children with special care needs
Transition Coach does who home visit with adult could provide referrals for family for care
NFP RNs see postpartum moms for six weeks after they are released
Nurse for every mom who has delivered
Pathways HUB
Train care coordinators about existing resources
Flag children with special health care needs
NFP makes referrals for pregnant and or parenting moms
Include reproductive health and maternal child health in the Pathways assessment
Identify kids w/ special needs due to special funding set aside
Coordinate with NFP nurse to receive care and connection to services
Make referrals to NFP for pregnant/parenting moms
Opioid Response
Distribute naloxone during home child visit
Provide safe prescription disposal to increase child safety
While parents are served substance clinics, children could be treated for primary services
Chronic Disease
Ongoing case management in behavior health
Integrate routine follow up through home visiting
Make connections for mothers after birth

7. Domain 1 Strategies Assistance with clinic workflows
LARC training for providers
Bright Future Training
EMHI Training
Trauma Informed Care Training
School Based Health Services technical assistance
Training/Technical Assistance
Connect with Pathways HUB systems to monitor the population.
Population Health Management
Activities are billable in a Value Based Contract
Activities are woven into everyday workflows
Financial Sustainability

8. Connection to Pathways
Pathways Target Population
Pathways HUB as point of coordination for multiple services?
Data and planning

9. Technical Assistance Opportunities
Upstream USA
Opportunity from HCA about Primary Care Connection and Head Start
Pilot project to explore how the Health Care Coordinators can build on their current care coordination activities to support primary care providers to complete opportunistic well child visits by providing documentation of developmental screenings performed at Head Start/ECEAP settings.
Potential opportunities to build the Head Start/ECEAP and primary care provider partnership in care coordination and service delivery

10. Next Steps and Closing Next Meeting May 30th, 2018 from 3:15-4:45pm
Fairfield Inn and Suites th Way Southwest, Rochester, WA 98579

11. Thank You!