Connecting Policy at the Federal, State and Community Levels - - PowerPoint PPT Presentation

Question? Text us at 22333 or Pollev.com/ECCSCoIIN

Connecting Policy at the Federal, State and Community Levels

Moderator: Barbara Gebhard, MA Assistant Director of Public Policy ZERO TO THREE

Question? Text us at 22333 or Pollev.com/ECCSCoIIN

ECCS CoIIN Driver Diagram

Aim Statement

By July 31, 2021 ECCS Impact Grantees and Place-Based Communities will promote healthy development of children ages birth through age 3 to achieve:

• 25 percent relative increase in

children birth through age 3 that are achieving age appropriate developmental health in all five developmental domains

• 15 percent relative decrease in

disparity among children birth through age 3 that are achieving age appropriate developmental health in all five developmental domains (by age, gender, poverty

• r race)
• 15 percent relative increase in the

proportion of family members of children birth through age 3 that report they read, told stories and/or sang songs with their child daily

• 15 percent relative increase in the

proportion of primary caregivers reporting improved social support

• 10 percent relative increase in the

proportion of families successfully connected to one or more services to address social determinants of health (SDoH) Primary Driver P1: Family partnership grounded in supportive, trusting relationships and mutual respect P2: Universal Developmental Promotion P3: Social Determinants of Health P4: Coordinated systems for developmental promotion

P5: Policy

Secondary Driver

SD1: Understanding of policy SD2: Reciprocal relationship between policy and practice

SD3: Innovative payment models and financing SD4: Child health policy reform and service transformation SD5: Social and economic supports

Question? Text us at 22333 or Pollev.com/ECCSCoIIN

Shannon Garrity, MEd Children’s Program Director Indiana State Department of Health Amy Zapata, MPH Director, Bureau of Family Health Louisiana Department of Health – Office of Public Health Myra Jones-Taylor, PhD Chief Policy Officer ZERO TO THREE

Question? Text us at 22333 or Pollev.com/ECCSCoIIN

Myra Jones-Taylor, PhD

Chief Policy Officer, ZERO TO THREE

Title V and Early Childhood Policy Change Initiatives:

Lessons Learned

Amy Zapata, MPH Director, LDH OPH Bureau of Family Health July 2018

Title V and Early Childhood Policy Change Initiatives:

Lessons Learned (so far)

Amy Zapata, MPH Director, LDH OPH Bureau of Family Health July 2018

The Context for Early Childhood Policy

• New federal investments in state-level early childhood

system building

• Traction with science of early brain development and

early experiences

• Shift in national Title V Maternal and Child Health

(MCH) Block Grant

• Statutory requirement for interagency agreement Titles

V/XIX

The Context for Early Childhood Policy

• New federal investments in state-level early childhood

system building

• Traction with science of early brain development and

early experiences

• Shift in national Title V Maternal and Child Health

(MCH) Block Grant

• Statutory requirement for interagency agreement Titles

V/XIX (technical)

The Context for Early Childhood Policy

Title V Medicaid IAA to be revised!

17

It’s old dating back to 1990!

Opportunities Identified

• Analyze insurance coverage/benefits for MCH &

CYSHCN; focus on Medicaid & health plans on federal marketplace

• Assess adequacy of provider networks to identify gaps in

provider types & those who accept Medicaid

• Identify populations where continuity of care issues are

most critical & develop systems to improve linkage to next level of care

• Revise Title V Medicaid Intra-Agency Agreement (IAA)
• Policy change opportunities (e.g. developmental

screening, others)

18

Title V NPM 6: Developmental Screening

Identified Opportunities

• Title V Needs Assessment - identified gaps in practice, outdated

guidance, payment structures not aligning with recommendations

External Environment

• Scanned for alignment with others’ priorities

Internal Environment

• Assessed internal capacity to address (expertise, availability, other

work)

• Created capacity (new positions; consultants)

Researched

• Convened cross-agency team to identify key domains and tools
• Developed “best practice” Louisiana Developmental Screening

Guidelines

Title V NPM 6: Developmental Screening

Approach • Developed multi-level strategy (provider, policy, Policy) Engaged

• Medicaid leadership and committees
• LaAAP and other professional associations

Tools

• Developed guidelines, tools, briefs

Buy-in

• Circled back to stakeholders

DS Policy Brief

• Identified specific

changes and recommendations

• Provided

supporting rationale

• References

DS Policy Brief

• Identified specific changes

and recommendations

• Provided supporting

rationale

• References

√

First time with formal proposal to sister agency

√

Became useful “talking piece” for multiple audiences and stakeholders

√

Common document across agencies doing similar work

√

Concrete

Title V / Title XIX Interagency Agreement

Title V / Title XIX Interagency Agreement 1990

Title V / Title XIX Interagency Agreement 1990 1 + years to craft!

Why?

PH role (or value) unclear/ undefined Different languages Different timeframes for accountability Different stakeholder expectations External demands (Medicaid expansion, etc.)

“Power” difference

What matters to Medicaid??

• Key areas of decision-making
• Values and concepts informing decisions

and priorities

• Current pressures and opportunities for

that system

Lessons Learned

• Know values, language, priorities, and influencers of your audience
• Consider: Are you ready to work together? Who are you to them?
• Consider: Do you have organizational readiness (skills, process, relevant

information)

• Systematic policy development process might have identified some key

considerations earlier

• Do you know how many changes you are actually making?

○

The policy change itself? How many changes are in that change?

○

Your personal or agency positioning or relationship?

○

Your own capacity to “do” policy?

• What is your value?
• Relationships matter

Question? Text us at 22333 or Pollev.com/ECCSCoIIN

Shannon Garrity, MEd

Children’s Program Director, Indiana State Department of Health

• Created and developed in 2007 by Strengthening Families

Illinois

• Intended to educate parents on the five research based

Strengthening Families™ Protective Factors that keep children safe and families strong.

• Based on the principles of adult learning and family support

PURPOSE PARENT CAFÉ

• Build protective factors and teach parents about Social

Connections, Parental Resilience, Knowledge of Parenting and Child Development, Concrete Support in Times of Need, and Social and Emotional Competence of Children) through individual deep self-reflection and peer-to-peer learning.

The cafe provides a…..

• Gateway to providing parent leadership
• pportunities
• Safe space for parents and caregivers to explore

their strengths

• Network for parents and caregivers to examine

how they can strengthen their own families in relation to the protective factors as well as other themes—

• Opportunity for parents to look at their lives, and

evaluate for themselves, the areas that need to be strengthened

Parent Cafés are…

• highly sustainable with training

reinforcement,

• institutional support, and a
• commitment to an overall approach to

parent engagement that affirms parents’ leadership role in their families and their communities

Indiana Parent Café Collaboration

Indiana State Department of Health, Division of Mental Health Addiction, One Community One Family

Project LAUNCH

One Community One Family partner with Be Strong Families to bring the Café model to Indiana

2015

Trainings

OCOF engages multiple providers to educate about the Café model. OCOF begins to host Cafes

2016

DMHA

Leverages TANF dollars to expand Café trainings throughout the state.

2017

Expansion

In 8 counties, Parent, Dad, Grandparent Cafes led by parents. Additional 34 counties that provide Cafés.

2018

ECCS

Parent Café training in Marion County continues through our work in ECCS

3 7 July 10, 2018

2014

Parent Café and Family Supports

Ireland Home Based Services Hamilton Center TANF Block Grant Sites Adult & Child Collaborative Change MHA of Northeast IN Family Centered Services