351 Overview Presentation HANDOUT 3 slides/pagesurveygizmolibrary.s3.amazonaws.com/library/12181/351...351 Overview Presentation HANDOUT 3 slides/page Author jkvukoson Created Date

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Children and Youth Branch PresentationsFebruary 24, 2016

March 8, 2016

� The sound for this webinar is provided in VoIP--you will use your computer speakers; be sure to turn up the volume; you will use the CHAT function to communicate with the presenters

� Each webinar will be recorded and the best quality recording will be posted on the FY17 351 Training webpage for review in the future

� Due to the complexity of the information and our limited timeframe live questions will not be taken during the webinar

� Over view of the FY 351Child Health AA process◦ Karen Cooper, CYB Data Manager

� Review of the FY17 351 Agreement Addenda◦ Marshall Tyson, CYB Health & Wellness Unit Manager

� Review of data sources◦ Karen Cooper

� Review of the Direct Services Activity Worksheet and Resources◦ Jean Vukoson, State Child Health Nurse Consultant

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� As we go through the presentation, please type your questions in the CHAT Box

� The questions from each webinar will be answered and posted on the FY17 351 Agreement Addenda webpage:◦ http://childrenyouth.fy16-17-child-health-agreement-

addenda-training.sgizmo.com/s3/

� If you have questions after the webinars, please submit the questions to the following email: [email protected] the questions will be answered and posted on the same webpage

What’s Driving the Future

• Title V – Maternal and Child Health Block Grant

• Accountability, Evidence-based Interventions,

Measurable Outcomes, Data-driven, Collaboration

• NC Department of Health and Human Services

• Accountability, Collaboration, Evidence-based Interventions, Measurable Outcomes, Customer Service

• NC Division of Public Health

• Accountability, Standardization, Evidence-based Interventions, Measurable Outcomes, Collaboration

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� Improve child health outcomes

� Implement the use of evidence-based or evidence-informed strategies

� Implement data-driven and community decision making

� Increase accountability by reporting performance outcomes and utilization of funds

� Streamline and standardize practices and measures

� Internal Workgroup – Process to respond to new requirements from HRSA, the DHHS, and DPH

� Expanded to include local health directors.

� Presentation to local health directors at October 2015 meeting◦ Recommendation to exclude provision of direct

services from community review was implemented

� Pre-populated templates for some of the more prevalent activities

� Engagement of content experts to: ◦ Draft templates based on the most common

activities in past years

◦ Review activity proposals submitted by local health departments

◦ Monitor the status and completion of deliverables

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� Must be evidence-based or evidence-informed

� Must have measureable outcomes

� County-level and/or state-level data must indicate a need for the service

� What training will be needed?◦ Using data, writing SMART objectives, etc

� Who will need training?◦ Clinical staff, other health department staff

� Where will the training occur?◦ Regional face-to-face, webinar

� When will the training occur?◦ Prior to and/or after the AA release date of Feb 15

Overview

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� The AA requires additional information to be submitted by the health department, and review, approval and signature of the Program Manager

� Once approved, funds will be released to the health department through the WIRM to support this activity

� Once approved, any change in deliverables must be approved through a formal revision

Current Format Proposed Format

� Part A: Non-Medicaid direct services

◦ Well child=prevention

◦ Primary care=sick visits

◦ Reproductive health

� Part B: Evidence-based interventions

� LHD’s select their own interventions

� LHD’s complete their own Attachment B templates

� Part A & Part B combined into one set of activities

� LHD’s will be given a list of interventions to choose from

� LHD’s will select a standardized template and enter their county-level data

� LHD’s will report the number of services provided and performance outcomes

� LHD’s will complete a detailed budget worksheet for each activity

� LHD’s will be need to tie performance back to activities

Previously--the 351 Child Health agreement addendum was: • drafted by the

C&Y Child Health Program and

• completed locally by child health clinic staff.

Vision for the Future--the 351 Child Health agreement addendum will be: • drafted by WCH content experts

in conjunction with the C&YChild Health Program and

• completed locally by health department staff, includingchild health clinic staff.

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� Provide

� Assure

� Community input – waived

� Complete Direct Health Care Services attachment

� Check direct services that the health department is providing

� Community input must be documented

� What state or local data supports

� Providing evidence◦ A MOU with local health care provider(s)

◦ A contract with a local provider

◦ A community plan

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� Community input

� Review of data

� Establishing priorities for the community

� Propose EB interventions that correspond to priority needs, supported by data

� At least one CH staff to attend CYB regional meetings

� Written policies and procedures, including delivering services in a culturally/linguistically appropriate manner

� Use of customer service survey

� Copy of the written agreement with LEA(s)

� Convene community advisory group in prep for FY17-18

� A minimum of 90% of the deliverables must be completed by the end of the contract period

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1. Provide mid-year status report on all interventions in Attachment A worksheets, no later than December 31, 2016, through a report format to be distributed by the Child Health Program

2. Provide end-of-year outcome data and final report on interventions in Attachment A worksheets no later than June 30, 2017, in a report format to be distributed by the Child Health Program

� Clinical chart review every three years, unless “high risk”, then annually

� Routine monitoring by the Regional Child Health Nurse Consultant

� Annual internal chart review required, quarterly is strongly recommended

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� Demographics

� Economic well-being

� Education

� Family and community

� Health

� Safety & risky behaviors

http://www.ncchild.org/what-we-do/data/kids-count-data-center/

� NC Child Kids NC Child Kids NC Child Kids NC Child Kids Count Data CenterCount Data CenterCount Data CenterCount Data Center-http://datacenter.kidscount.org/

� NC NC NC NC State Center for Health StatisticsState Center for Health StatisticsState Center for Health StatisticsState Center for Health Statistics----http://www.schs.state.nc.us/

� Data Data Data Data Resource Center for Child and Adolescent HealthResource Center for Child and Adolescent HealthResource Center for Child and Adolescent HealthResource Center for Child and Adolescent Health-http://www.childhealthdata.org/

� NC DPH Nutrition ServicesNC DPH Nutrition ServicesNC DPH Nutrition ServicesNC DPH Nutrition Services----http://www.nutritionnc.com/

� Child Trends Child Trends Child Trends Child Trends ---- http://www.childtrends.org/

� HIS

� Online data reporting tool

� MS Excel data reporting template

� Vendor Reports

� Or combination of the above to capture clinical and non-clinical outcomes

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� Reporting via HIS is a legal mandate

� Mid-year and final report

� Continued funding is tied to success

� Accountability between activities performed and reimbursement is critical

� Activity worksheets have been developed for your use and will be posted on the training website

� The Scope of Work (SMART objectives) and Measures have been developed for each activity and will be consistent across the state

� Agencies who wish to develop an Activity other than the ones posted will need to work with their RCHNC to make sure that the proposed Activity, Scope of Work and Measures are consistent with required evidence-basedpractices

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� The Scope of Work defined in each Activity is a high level description of the work to be completed

� The agency is responsible for development of an internal detailed action plan and accountabilities to achieve the negotiated deliverables◦ The plan will include how the deliverable and

measures will be achieved and how the agency will assure documentation of the measures and track expenditures as defined in the Budget Worksheet

Page 1

ATTACHMENT A: Activity 351 Child Health – Title: DIRECT SERVICESPages 1 and 2

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ATTACHMENT A: Activity 351 Child Health – Title: DIRECT SERVICESPage 7

Add 15% to totalClinical Amount to cover labs and other procedures



Add 15% to totalClinical Amount to cover labs &other procedures

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� Child Health Training Program for Enhanced Role Nurses

� Continuing education to support ERRN ongoing rostering

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ATTACHMENT A: Activity 351 Child Health – Title: DIRECT SERVICESPages 5-6

Reminder: The agency will be required to report on Measures mid-year and end of year

� Complete a budget worksheet for each activity; for example with DIRECT SERVICES, if you were using funds to support the following:◦ Interpreter services for CH, Immunizations, RH

services for teens, HVNCA

◦ Child Health Training Program

◦ Workforce development

you will need to complete a worksheet for each of these deliverables

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� For Interpreter Services you may count the following:◦ Interpreter services provided in CH clinic,

immunization clinic, Home Visits for Newborn Assessment and Care, and if you are using Reproductive Health services for teens as a deliverable in your 351 AA

� You must be able to demonstrate how this data is collected, i.e., time studies by program type.� If using in RH for teens, you may need an additional

category on your time study to capture adolescents in FP Program

� In order to increase flexibility in budgetary adjustments during the fiscal year, the budget worksheets will not be submitted to Contracts with the AA◦ The budget worksheets MUST be emailed to

the following address: [email protected]

◦ Budgetary worksheets should not be included Budgetary worksheets should not be included Budgetary worksheets should not be included Budgetary worksheets should not be included in the AA submitted to Contractsin the AA submitted to Contractsin the AA submitted to Contractsin the AA submitted to Contracts

� Anytime changes are needed to realign deliverables and/or budget, contact your regional child health nurse consultant for assistance

� Changes in deliverables and/or budget could result in a formal agreement addenda revision through DPH Contracts Office.

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� A team who is responsible for tracking expenditures in relationship to deliverables

� Designation of a person responsible for each activity whom will be responsible for coordination and accountability for all deliverables in an activity

� Designation of a person to serve as the lead for the CH 351 AA who will be listed as the LHD program contact for children’s clinical services. This lead is usually the CH Program Supervisor or DON


This person is responsible for assuring all of the deliverables in the DIRECT SERVICES Activity

� Reach Out and Read

Available by March 14Available by March 14Available by March 14Available by March 14� Asthma Prevention and Reduction� Obesity Prevention and Reduction� Child Safety: Care Seats and Bike Helmets� School Nurse funding� Innovative Approaches� Triple P

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� The following resources will be posted to the FY17 351 Training webpage:http://childrenyouth.fy16-17-child-health-agreement-addenda-training.sgizmo.com/s3/

◦ the Activity and Budget worksheets ◦ Regional Child Health Nurse Consultant map◦ Regional School Health Nurse Consultant map◦ Excel versions of the CH, RH, and Budget

worksheets ◦ State travel rates

� New items will be added as quickly as possible but all items will be posted by March 14

� The questions from each webinar will be answered and posted on the FY17 351 Agreement Addenda webpage:◦ http://childrenyouth.fy16-17-child-health-agreement-

addenda-training.sgizmo.com/s3/

� If you have questions after the webinars, please submit the questions to the following email: [email protected] questions will be answered and posted on the same webpage

Documents

351 Overview Presentation HANDOUT 3 slides/pagesurveygizmolibrary.s3.amazonaws.com/library/12181/351...351 Overview Presentation HANDOUT 3 slides/page Author jkvukoson Created Date