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Key Levers:
Connecting early learning and health
- Key leadership
- Concurrent state reforms and key policies
- Quality measurement and accountability
- Focus on equity
- Cross-sector workforce development
- Intentional positions
Early Learning and Child Health: State Trends and Opportunities - - PowerPoint PPT Presentation
Early Learning and Child Health: State Trends and Opportunities - - PowerPoint PPT Presentation
Early Learning and Child Health: State Trends and Opportunities Oregon Dana Hargunani, MD, MPH, FAAP Key Levers: Connecting early learning and health Key leadership Concurrent state reforms and key policies Quality measurement
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Achieving Shared Goals
Health System
Kinder Kindergar garten ten readiness eadiness Sta Stable/a ble/att ttac ached f hed families amilies
Early Learning System
Coor Coordina dinated ted sy syst stems ems Healthy Children = Ready Children 1 3 2 Bet Better ter health health Lo Lower cos er costs ts 1 3 2 Bet Better ter car care
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Coordinated Care Organizations (CCOs): local networks of all types of health care providers working together to deliver care for Oregon Health Plan (Medicaid) clients
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(Enter) DEPARTMENT (ALL CAPS) (Enter) Division or Office (Mixed Case)
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Oregon’s Early Learning Hubs
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Early Learning Hub Service Areas
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Joint ELC/OHPB Committee
Chartered by the Early Learning Council and the Oregon Health Policy Board in 2012
- Assess areas for potential alignment and/or
integration across health and early learning
- Build collective impact across Oregon’s
transformation efforts
- Provide opportunities to spread innovations and best
practices across CCOs and Hubs
- Address barriers to community level coordination and
capacity building
- Develop measures for shared success
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Quality and accountability:
Oregon’s statewide measurement strategy
CCO incentive measures – Patient-centered primary care home enrollment – Developmental screening in the first 36 months of life – Mental, physical, and dental health assessments within 60 days for children in DHS custody – Depression screening and follow-up plan – Effective contraceptive use among women at risk of unintended pregnancy – Timeliness of prenatal care State performance measures – Child and adolescent access to primary care practitioners – Childhood immunization status
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Developmental Screening Across Systems
Early Learning System
- National priority
- Program-level requirements
- ELC screening tool
- Hub metric
- QRIS standard (3 star)
- Various providers and
resources
Health System
- National standard/clinical
guidelines
- Affordable Care Act
- CCO metric
- Patient-centered Primary Care
Home (PCPCH) standard
- Various providers and resources
Coordination
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Developmental screenings in Oregon
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Developmental Screenings by CCO
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Developmental Screening by Race/Ethnicity
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Continued Systems-building:
- Early identification of risks to development and well-being
- Parent/caregiver engagement in child development
- Connect family/child to needed resources
- Evaluation by primary care provider when risk identified
- Coordination of care
- Referral tracking and follow-up
- Improve child/family outcomes
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Oregon’s Child Well-being Team
Dana Hargunani, MD, MPH, FAAP
Child Health Director
Sherri Alderman, MD, MPH, IMH-E, FAAP
Child Development Coordinator
Liz Stuart, MPH
Child Systems Collaboration Coordinator
Rita Moore, PhD
Child Well-being Policy Analyst
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