1. 1 Technical Assistance Project Update Sonja Armbruster Public Health Initiatives Coordinator Center for Community Support and Research 10/30/2013

2. 2 Overview Update At-A-Glance Preliminary Evaluations from Leadership Training LHD Survey Data -- Preview Health Homes and Health Departments

3. 3 Medicaid Contract for Technical Assistance, Training, and Evaluation Services, KDHE-WSU Public Health and Medicaid Coordination Workgroup convened system partners Seven Workgroup meetings with resources posted to KALHD website Enhanced Coordination Programs presented to the workgroup: Diabetes Prevention Program, Lactation Support and MCH EBP, and Asthma Education Provided TA related to meetings with Health Care Finance and recommendations to state plan services Examine Expanded Evidence Based Practices Conducted five key informant interviews with five states about their CDSMP, staffing, and funding of those efforts through Medicaid Assessing needs and developing training/technical assistance to meet needs to expand capacity for CDSMPs Chronic Disease Self-Management Program Process: An application process, communications process, logistics, and curriculum design completed Two, Four-Session Leadership Series Trainings have begun; West—3 of 4 completed; Central -- 2 of 4 completed; 18 directors, six faculty and coaches, and a third planned for spring Leadership Development Provided materials about the Self-Help Network at five conferences Self-Help Support Resources Convened a Billing Workgroup to address concerns identified by LHDs Supported administration and analysis of statewide local public health department survey; assessing workforce, programs and accreditation readiness Other Activities Update through September 2013, Sonja.Armbruster@Wichita.edu Funding for this project is provided to CCSR through a KDHE Title XIX Medicaid Contract.

4. 4 4 Leadership Training

5. 5 18 Directors – West and Central 3 of 4 sessions complete in Scott City 2 of 4 sessions complete in Salina Six coaches and four faculty MBTI Leadership 360 Peer Consultation

6. 6 Leadership Training – East Location: Lawrence Dates: – March 5 – 6 – April 10 – 11 – May 5 – 6 – June 5 – 6 Applications due 12/31 to Michelle

7. 7 7 Local Health Department Preliminary Survey Results

8. 8 Survey Overview August 2013 Data for 95 of 105 Counties 115 Questions assessing Workforce & Systems – Educational Preparation and Staff Positions – Programs – Community Relationships – Medical Providers – Community Health Assessment, Quality Improvement and Strategic Planning – Miscellaneous

9. 9 Staffing Staff qualification, degree, or preparation Number of LHDs having this type of staff person Number of staff with this qualification Licensed Social Worker1936 Psychologist11 Primary Care Physician1620.25 Dietician48>90* Nurse95413.45 MPH1019 Staff RolesNumber of LHDs having this type of staff person Certified Professional Biller 12 Healthy Start Home Visitors71

10. 10 School Health

11. 11 Home Health

12. 12 Training & Technical Assistance Needs “Considering training and technical assistance needs, which four items among the following would be helpful? ” Technical assistance to complete the Strategic Plan (n=35) Additional training on Agency Quality Improvement Plan Development (n=35) Technical assistance to complete the Agency QI Plan (n=31) Technical assistance to complete the CHIP (n=31) Additional training on Strategic Planning (n=30)

13. 13 Health Homes and Health Departments

14. 14 Agenda 14

18. 18 Programs at LHDs Chronic Disease Self-Management Classes (KOHP) Provided onsite, organized/ managed by LHD. Trainer is not LHD staff. Provided onsite, organized/ managed by LHD. Trainer is LDH staff. Provide trainer but classes held at another community organization Provided in the county but not LHD responsibility Not provided in the county Do not know 3104212217 Diabetes Group Classes – Provided at Five LHDs

19. Two-Column Layout

20. 20

21. 21 Health Homes and Health Departments 1.What are potential roles for LHDs related to Health Homes? 2.What concerns do you have about Health Homes? 3.What hopes do you have about Health Homes? 4.What kinds of support or technical assistance would be helpful as Health Homes begin?

22. 22 Thank You Questions?