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December PE 46 Webinar REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health Agenda Welcome/Introductions General Updates Everything PE 46 Everything Data Panel Discussion General Discussion


  1. December PE 46 Webinar REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  2. Agenda • Welcome/Introductions • General Updates • Everything PE 46 • Everything Data • Panel Discussion • General Discussion REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  3. General Updates • 2019 Triennial Reviews • PE 46 Webinar January 25 th 9am-10am: Transportation • 2019 Webinar Topics • PE 46 Web Page Dolly England Dolly.A.England@dhsoha.state.or.us REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health 10

  4. Everything PE 46 REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health 11

  5. Triennial Review Here’s what I will be looking for: • Evidence of Community Partnerships – Events – Flyers/other materials – Formalized agreements/MOUs for partner referrals to other services providers or community-based organizations. • Documentation demonstrates plan has been implemented – Meeting Sign in sheets – Meeting Agendas – Meeting attendee lists • Documentation demonstrates activities have been evaluated. – Assessments related to access to reproductive health – Outcomes of Focus Groups – Survey Results – Evaluation from advisory groups REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  6. Triennial Review Here’s what I will be looking for: • Documentation demonstrates modifications made in response to evaluation – Changes to clinic hours – New Referral process to improve access to RH Services – Data represents increase in client numbers – Data represents increase in client satisfaction • Documentation demonstrates LPHA is either providing clinical RH services as an RH-certified provider and/or is actively engaging other providers – Follow up to assure execution of submitted local program plan – Did you execute your plan? REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  7. 2019 PE 46 Webinar Schedule Webinar Topics for 2019 2019 Topic Guest January 1.25 Transportation Kian 9AM-10AM Messkoub • Data February 2.22 TBD • Working with Youth 9AM-10AM March 3.22 TBD • How to integrate Diversity, 9AM-10AM Equity and Inclusion into April 4.19 TBD 9AM-10AM your work (NOTE- 3 rd Friday) May 5.24 Working with SBHC • Trauma Informed and 9AM-10AM Youth responsive services June 6.28 TBD 9AM-10AM • Family Involvement July 7.26 TBD • What is Reproductive 9AM-10AM August 8.23 TBD Justice 9AM-10AM • Communities September 9.27 TBD 9AM-10AM • Working with Faith Based October 10.25 TBD Communities 9AM-10AM November 11.29 TBD • Working with Latin X 9AM-10AM Communities (NOTE- 5 th Friday) REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  8. REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  9. Everything Data pt. 1 REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  10. • Addresses Public Health Modernization – Access to Care • Assess and increase access to RH services within your community • Health Equity and Cultural Responsiveness • Quality Improvement – Leadership and Organizational Competencies REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health 17

  11. What data are you starting with? REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  12. What data does your county already have? Process Mapping REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  13. Adding dots (key PHD stakeholders) and timelines (green post-its) REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  14. Final arrangements of process map post-its REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  15. Notified of rulemaking with fee change needed Work with program Fee methodology Test final fee methodology for managers to identify (WHO IS RESPONSIBLE FOR sustainability costs THIS?) FORM Provide Projection Analysis program and (Budget) center staff with timeline FORM FORM 107BF21 FORM FORM 107BF22 and forms Draft SB 333 Draft Statement Fee Change Supplemental Letter to DAS Detail forms Need Fiscal Impact Questions Request Draft Rules Send final draft Receive final draft rule File notice of Convene (incl. fee Review text and forms; Check-in with RAC (1-3 rules to PHD text and rulemaking proposed placeholde seek approval for filing program/PSM/FAs Rules forms post RAC rulemaking mtgs) r) and rulemaking notice on process; Coordinator meeting(s) with SOS provide rulemaking notice for fee packet Final rulemaking forms and Rulemaking notice to be filed proposed text due to RC by 15 th of by end of month prior to month prior to when hearing is when hearing is scheduled scheduled Review final OHA Budget SB333 paperwork Director reviews and submit to SB333 paperwork OHA Budget and submits to Director DAS REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  16. Subject Matter Experts (SMEs) • Interview Subject Matter Experts (SMEs) and people they recommend to get a baseline of what type of assessment might provide the most information in the most efficient way • Really aim to get input from all possible stakeholders and partners, including those that are impacted by any changes as a result of the needs analysis • Example: Multnomah County Equity Review Tool REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  17. Stakeholder Images from Process Mapping Session REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  18. Don’t forget to document!!! REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  19. Cultural Humility while collecting data • Tim Holbert, Senior Researcher & Evaluator Program Design & Evaluation Services Multnomah County Health Department | Oregon Health Authority • Ronnie Meyers Healthy Birth Initiatives (HBI) REPRODUCTIVE HEALTH PROGRAM Adolescent, Genetics, and Reproductive Health

  20. REPRODUCTIVE HEALTH ASSESSMENT PLANNING & IMPLEMENTATION PE 46 WEBINAR: DECEMBER 21 ST , 2018

  21. PE 46 PROGRAM COMPONENTS o Program Component A: Develop strategic partnerships with shared accountability driving collective impact to support public health goals related to RH o Program Component B : Identify barriers to access and gaps in RH services o Program Component C: Develop and implement strategic plans to address gaps and barriers to accessing RH services o Program Component D: Ensure that access to high quality, comprehensive RH services is available within the region.

  22. RH ACTION PLAN (2018-19) Q3 (Sept 2018) Q4 (Oct -Dec 2018) Q1 (Jan-March 2019) Q2 (April-June 2019) Secondary (quantitative) data analysis of Target: Identified most relevant Target: Finalize draft of RH Target: Share draft RH county Final: Finalize RH data for county & accessible data sources & county profile for sharing profile with advisory group & health profile in as part of RH by HEZ to determine priority queries for creating RH county externally with advisory group identify priority populations recommendations report populations profile Inventory of all RH service providers by Target: Complete inventory for Target: Complete inventory w/ Target: Share draft provider Final: Finalize provider inventory 3 key clinical providers (CCHC, additional/new clinical & inventory w/ advisory group as part of recommendations report HEZ PPCW, NH) & identify additional pharmacy providers providers Target: Compile inventory of Target: Conduct key informant Target: Collect (in partnership Final: Finalize community Qualitative data collection & analysis to existing qualitative assessments interviews (w/ RH providers & w/ RH stakeholders) target voice/input synopsis as part of determine access challenges for priority focused on RH (CC, Tri-county, stakeholders) to determine need population input/data recommendations report populations Oregon) & identify gaps for community input/data collection RH policy scan to identify local/county Target: Target: Target: Final: Policy recommendations as part of formal report to inform impacts and potential policy levers strategic priorities Interpretation & integration of findings Target: Conduct initial outreach Target : Convene RH advisory Target : Re-convene RH Final : Formal recommendations to key RH stakeholders to form group to interpret initial data & advisory group to further report for RH strategic with community partners advisory group/task force guide further interpretation of interpret data and guide toward priorities/plan - findings recommendations public/publicize/disseminate

  23. Components Qualitative data Policy Provider scan inventory Quantitative data Interpretation & integration of findings with community partners Increased understanding of RH need & capacity to respond Assessment findings to inform 2019-20 RH strategic plan Results Community partner engagement & collaboration

  24. Potential data sources Quantitative Qualitative (tbd) AHLERS PACE – parenting program Medicaid data WIC families FQHC clinical data Clackamas Community College Family Net SBHC – students or providers Planned Parenthood – teen council Vital stats PRAMS SBHC data/school district data OHA RH community profile Guttmacker Institute

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