Community Health Action Plan CREATING A COMMUNITY BASED PARTNER - - PowerPoint PPT Presentation

Child Health Advocacy Institute

Community Health Action Plan

CREATING A COMMUNITY BASED PARTNER DRIVEN NETWORK OF CARE

Top Issues Impacting the Health of Colorado Springs’ Children

Community Driven Priorities Data Driven Priorities

COMMUNITY HEALTH ACTION PLAN: Our Community

Geographic Locations Ward 1 of Aurora (Main Campus) Douglas County (South Campus)

PATIENT POPULATION

8 county region

Top Issues Impacting the Health of Children in the Denver Metro Region

Community Driven Priorities Data Driven Priorities

1. Educate about and reduce stigma associated with mental health 2. Promote healthy social-emotional development for children ages 3-18 3. Increase access to mental health services We Have Identified Our Goals: Mental Health

Goal 1: Educate and empower families across the lifecycle with the skills and information they need to make behavior changes that support a healthy lifestyle Goal 2: Improve access to healthy foods and physical activity for children and their families, particularly in underserved communities Goal 3: Advance the field of childhood obesity research through collaboration and dissemination We Have Identified Our Goals: Obesity

Goal 1: Increase Access to Oral Health Care Goal 2: Educate and empower families to about oral health in provider, community and home settings We Have Identified Our Goals: Oral Health

Goal 1: Strengthen and expand the hospital-based and community-based education and outreach components of the Child Passenger Safety (CPS) Program at Children’s Hospital Colorado Goal 2: Expand programmatic efforts, and facilitate

• pportunities for collaborative injury prevention initiatives

focusing on teen driver safety Goal 3: Focus programming efforts on the four leading causes

• f unintentional injury among children residing in targeted

neighborhoods. We Have Identified Our Goals: Injury

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Goal 1: Increase public awareness about the importance of prenatal care and early childhood development Goal 2: Advocate for policy changes that would positively influence conditions in pregnancy and early childhood Goal 3: Increase healthcare provider awareness and understanding of the importance of gestation through age 2 Goal 4: Identify families with psychosocial concerns and provide supports and services to address needs Goal 5: Expand partnerships with pre-natal providers in order to reduce premature births

We Have Identified Our Goals: Prematurity

Goal 1: Increase access to routine care for respiratory illnesses Goal 2: Strengthen network in clinical and community settings Goal 3: Decrease impact of environmental exposure to air particulate matter We Have Identified Our Goals: Respiratory Illness

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How did we develop our plan? How will it work?

 SET THE SCOPE  UNDERSTAND COMMUNITY CAPACITY  PICK THE SETTING/DELIVERY MECHANISM  PICK THE PARTNERS  DESIGN THE METRICS  DELIVER THE SERVICES  INCORPORATE INTO VALUE BASED PAYMENTS  EVALUATE THE OUTCOMES  WHERE DO WE START?

With Millions Living In Our Communities We Chose to Limit Our Scope

We worked with the Colorado Health Institute to create the Child Health Severity Index

Targeted Zip Codes The Child Severity Index Helped Us Identify Target Zip Codes

Aurora 80010, 80011 Adams 80221, 80260 Douglas 80104 Jefferson 80235 Broomfield 80501 Denver 80216, 80219

We Have Identified Provider Resources in Our Surrounding Target Zip Codes

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We Have Identified Community Resources in Our Target Zip Codes

Community Map

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We Have Picked the Settings We Will Provide Services, Programs and Resources

Our Plan Is Comprehensive

Our Plan Has Critical Core Components

Parent and Caregiver Training and Education Provider Training and Education Increasing Access to Services Linking families in need to services, programs and resources Bi-directional community partner training, education and support Policy and Advocacy

We Have Selected our Delivery Mechanisms: Community Based Provider Network

• Target providers serving a high percentage of

Medicaid

• Build Community based provider network
• Create Shared pools of community based

resources

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We Created a “Pay For” Strategy: Volume to Value Payment Model Evolution

Fee-for- Service Bonus/ Incentive/ P4P Bundled Payments Shared Savings Upside Only and/or Downside Partial Capitation Full Capitation

We have a Plan to Evaluate Outcomes Tied Directly to Community Identified Needs

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METRICS

Community Need + Capacity CHCO Programs & Services Payer Interest & Need

Zip Codes 80010-11

• Identify Community Partners working in and/or supporting

targeted school and neighborhood

– Churches – Schools – Child Care Providers – Health Alliance – Family Resource Center(s) – Boys and Girls Club – Rec Center(s) – Community Mental Health Center

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Zip Codes 80010-11

• Convene community partners to share project idea

and data, learn about community dynamics and solicit partnership

– I.D. other data points that could be informative and collected – Have partners assist in the development of the network

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Zip Codes 80010-11

• Team up with Major Medicaid Providers in

RCCO 3

– MCPN – Aurora Mental Health – Rocky Mountain Youth – DAWN Clinic

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Zip Codes 80010-11

• Develop Plans For Creating Shared Pools of

Resources

– Community Health Workers – Call Center – Care Coordinator/Family Navigator – IT Infrastructure

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Zip Codes 80010-11

Community Based Medicaid Provider Network

• Maximize payments under current incentive

structures

• Evolve toward Value Based Payment Models

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OUTCOME CHILD HEALTH REIMAGINED. REALIZED.

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