1. ACEs Work Group Meeting
Reproductive, Maternal and Child Health
May 30, 2018

2. Welcome and Introductions
Introduce yourself: Name, organization, and county Why are you interested in participating in this workgroup?

3. Review Proposed Agenda Items
CPAA Updates
Upstream USA: Bre Laughery, Reproductive Health
HCA: Suzanne Swadener, Well Child Visits
Next steps and closing

4. CPAA Updates
Request for Proposals (RFP) will be released May 30th and close July16th,
CPAA is hosting a virtual town hall meeting on Friday, June 8 from pm to answer any RFP related questions.
Any additional RFP questions should be directed to
If you have an further information on any of the discussion questions please send me a follow-up as this is very helpful.
POC for social determinants of health housing transportation, what are some community based services that address this

5. 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 Futures 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 substance use, and behavioral health settings
LARC Training and Counseling
Bright Futures or EMHI Screenings are provided
Train practices, partners, and community organizations in Trauma Informed Practices
Pilot school based health services
Provide oral health education in home visiting
Outcomes:
Short Term
Increase LARC access
Increase well child visit rates
Increase chlamydia screenings
Improve immunization rates
Reduce unnecessary ED visits
Reduce pre-term births
Long Term
Reduce teen pregnancy
Increase Birth Weights
Reduce Chronic School Absenteeism
Reduce deaths due to reported neglect
Improve high school graduation rates
Improve Kindergarten Readiness (6/6 domains)
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 in home visiting
Telehealth for behavioral health
Developmental screenings at well child visits
Family planning for individuals with SUD diagnosis
Maternal mental health pediatric visit
Developmental screenings at home visits will be shared w/ primary care
Integrate family planning into multiple settings
Transitional Care
Identify children with special care needs
Transition Coach who does home visit with adult could provide referrals for family
NFP RNs see postpartum moms six weeks after they are released
Nurse is assigned to every woman during pregnancy and after delivery
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
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 at substance clinics, children could be treated for primary services
Chronic Disease
Ongoing case management provided in behavioral health
Integrate routine follow up through home visiting
Make connections for mothers after birth

6. 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

7. MTP: Timeline
Plan
2018
Implement
2019
Scale
2020

8. 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

9. Next Steps and Closing Next Meeting June 27th, 2018 from 3:15-4:45pm
Fairfield Inn and Suites th Way Southwest, Rochester, WA 98579
Submit any requested work group topics or collaboration meetings to

10. Thank You!