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Conversations with the Division of Healthy Start and Perinatal Services
Hani AtrashDirector
Division of Healthy Start and Perinatal Services Maternal and Child Health Bureau
Health Resources and Services Administration
August 21, 2015
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Context of this Webinar
• Responds to concerns raised by grantees• Concerns raised through:
• Customer satisfaction survey• Phone calls and emails• Discussions with NHSA leadership
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You Asked For
• A better understanding of DHSPS and MCHB• Updates on the evaluation and information system• Opportunities for input into Division plans• More information about:
• Communication venues with the Division• Feedback on progress reports• Orientation of new project directors and other personnel• Access to grants management staff• Technical assistance requests, and • Collaboration with the Infant Mortality COIIN and Title V Directors
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Today’s Presentation
• Overview of HRSA and MCHB• Overview of DHSPS• Grantee concerns and how the Division is addressing them
• Plans for the future • Updates:
• Healthy Start EPIC (John Snow, Inc.)• National Healthy Start Association• Healthy Start COIN• 2015 Convention
OrganizationalChart
Agency Goals
U.S. Dept. Health and Human Services Roles and Scope of Work
Provides essential access to care
Reimbursement& other financial
issues
HRSAAccess to
Care
NIHResearchClinical and
basic research Training
FDARegulatory
Assures product safety and
efficacyNew product
approval
AHRQQuality of Care
Supports health services research
initiatives that seek to improve
the quality of health care
CDCPrevention and
ControlMonitoring,
investigation, research, program
development, implementation and evaluation, health promotion, training
and capacity building
Source: http://www.hhs.gov/budget/fy2014/fy-2014-budget-in-brief.pdf
Total Budget Authority: $974,594,000,000
Total FTEs 77,520
Agency Budget Authority (in millions)
FDA: $2,560
HRSA $9,225
IHS $4,588
CDC $6,372
NIH $31,323
SAMHSA $3,406
AHRQ $(460)
CMMS $861,433
ACF $51,943
ACL $2,078
Etc
HHS Budget
HRSA Office of the Administrator Organizational Chart
FY 2015 HRSA Budget: $10 Billion
Program Dollars (in Millions)Health Center Program $5,000,633HIV/AIDS $2,318,781Maternal and Child Health $1,254,238Health Workforce $1,057,784Rural Health $147,471Healthcare Systems $110,693Program Management $154,000
Total $10,043,600
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Maternal and Child Health Bureau
Policy, Program Planning and
Coordination Branch(PPPCB)
ChiefJudith Labiner-Wolfe
7/17/15
Office of the Associate Administrator
Associate AdministratorMichael C. Lu, MPH, MD
Deputy Associate AdministratorLaura Kavanagh
Division of Services for Children with
Special Health Needs (DSCSHN)
DirectorVACANT
Acting DeputyMarie Mann
Division of Child,Adolescent and Family
Health (DCAFH)Director
Elizabeth Edgerton, MDDeputy
Pete Conway
Division of HealthyStart and PerinatalServices (DHSPS)
DirectorHani Atrash, MD
DeputyDavid de la Cruz
Division of State andCommunity Health
(DSCH)Acting DirectorMichele Lawler
Office of Epidemiologyand Research
(OER)Director
Michael Kogan, PhD
Integrated ServicesBranch (ISB)Acting Chief
Kathy Watters
Injury and EmergencyMedical Services for
Children Branch(IEMSCB)
ChiefVACANT
Genetic ServicesBranch (GSB)
ChiefJoan Scott
Adolescent HealthBranch (AHB)
ChiefTrina Anglin, MD
Health Start West Branch
(HSWB)Chief
Benita Baker
State and CommunityPartnership Branch
West (SCPBW)Chief
Chris Dykton
State and CommunityPartnership Branch
East (SCPBE)Chief
Ellen Volpe
Office of Operations andManagement (OOM)
Executive OfficerSharon Stevens
Division of Home Visiting and Early
Childhood Systems (DHVECS)
DirectorDavid Willis, MD
DeputyCynthia Phillips
Eastern Program Implementation Branch
(EPIB)Chief
VACANT
Western Program Implementation Branch
(WPIB)Chief
Kathleen Kilbane
Division of Research(DR)
Acting DirectorHae Young Park
Division of Epidemiology
(DE)Director
Reem Ghandour, DrPH
Office of Policy and Planning(OPP)
Acting DirectorNatasha Coulouris
Division of MCHWorkforce
Development(DMCHWD)
Acting DirectorLauren RamosActing Deputy
Madhavi Reddy
Healthy Start East Branch
(HSEB)Chief
Beverly Wright
Division of Healthy Start and Perinatal Services
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Office of the DirectorInfant
Mortality COIIN Team
Healthy Start East Branch
Healthy Start West Branch
Hani AtrashDirector
Michele Kim‐Kee LohStaff Assistant
Shirletia MeredithStaff Assistant
CAPT. David de la CruzDeputy [email protected]
Sharon AdamoHS PO for PA
Division of Healthy Start and Perinatal Services
Office of the Director
Vanessa LeeCOIIN Lead
Maria BenkeCOIIN and
HS PO for AL and MS
Division of Healthy Start and Perinatal Services
Infant Mortality COIIN Team
Beverly Wright Branch Chief
[email protected] Windom
OH and MI
Makeva RhodenCO, MN, NV, OR, SD, WI, and IN
Kimberly ShermanLA and AR
Madelyn ReyesAZ, CA, NM, and TXActing Branch [email protected]
Johannie EscarneFL and GA
Division of Healthy Start and Perinatal Services
Healthy Start East Branch
Benita BakerBranch Chief
John McGovernNC, SC, TN, VA, WV, and KY
Juliann DeStefanoIL
Angela Hayes‐TolliverCT, MA, and NY
Christopher LimNJ, MD, and DC
Trista ChesterIA, KS, MO, NE, and OK
Division of Healthy Start and Perinatal Services
Healthy Start West Branch
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Healthy Start Evaluation
• The evaluation plan is almost complete• Developed in consultation with wide range of experts• Experts included Healthy Start grantees, academics, federal partners
• Evaluation will use data collected through:• The Healthy Start information system• Linking healthy start records to birth and death records • PRAMS for comparison purposes
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Healthy Start Information System• Timeline
• Solicitation published and closed on July 20, 2015 • Applications received and reviewed• Expect to start data collection in early October
• All grantees are required to collect and submit all the data elements included on the “3Ps” form for every client they case‐mange
• Grantee roles and participation• Grantees are encouraged to use the “3ps” data collection form, if feasible
• Contractor will abstract data from existing systems where grantees are unable to make a change
• Grantees are expected to collect additional data elements not currently being collected by existing systems
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Collaboration with the IM COIIN and Title V
• Title V directors are very interested in collaborating• Many participated in regional site visits• Healthy Start projects were very well represented in Boston
• If interested in working with COIIN:• Contact your Title V director• Contact Vanessa Lee ([email protected]) • Ask your project officer to connect you
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Other Concerns• Opportunities for input into Division plans:
• Input was solicited at all stages of transformation, and the development of the information system and evaluation plan
• Input is continuously being solicited through surveys and occasional emails
Response rates have been very disappointing!
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Other Concerns
• Communication venues with the Division:• Your first line of contact with the division is your project officer• You are welcome to contact me, Dr. David de la Cruz or the Branch Chiefs at any time
• We plan to host quarterly “Conversations with the Division” webinars for further dialogue
• Webinars will be held on the first Thursday of August, November, February and May at 2 pm EST
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Other Concerns
• Technical assistance requests• Feedback on progress reports• Orientation of new project directors and other personnel
• Access to grants management staff
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For More InformationHani Atrash, MD, MPH
Director, DHSPS
5600 Fishers Lane, Room 13‐91Rockville, MD 20857
Office: 301‐443‐0543Direct: 301‐443‐7678
Email: [email protected]
EPIC Center Update
August 21, 2015
Suz Friedrich, JSI/EPIC Center
HS EPIC Center provides assistance to help you achieve program goals to prevent infant mortality and improve maternal outcomes.
HS’s success depends on demonstrating impact
Impact is defined by benchmarks
Capacity building services support you in achieving benchmarks
Purpose of the HS EPIC Center
Benchmarks - Scale
Level 1: 500; 50% pregnant
Level 2: 800; 50% pregnant
Level 3: 1000; 50% pregnant
Benchmarks - Impact
• Health insurance coverage• Reproductive life plan• Postpartum visit• Medical home• Well women visits• Safe sleep• Ever breastfed• Breastfed 6 month
exclusively• No cigarette smoking• Birth spacing > 18 months
• Well child visits and immunizations
• No early elective delivery• Depression screening and
referral• FU services for perinatal
depression• Father and/or partner
involvement• Read daily to child• IPV screening
Available Assistance
How can we assist with your professional
and organizational development?
Who is eligible for EPIC Services? All HS program staff and partners
How do you access services? Through website and e-News training links.
Request from Project Officer.
When are they available? Now! Anytime upon request.
What does it cost? Services are free.
EPIC Center Facts
Annual Convention: November 16-17Webinars: 2 per month Recorded and available for rebroadcast from
website Open to all staff – please sign up for notices
through e-News or Training Notice (Emailed 1st Tuesday and 3rd Wednesday)
Professional Development
Professional Development
Individual consultation with experts request through website: http://healthystartepic.org/grantee-corner/request-technical-assistance/
Group learning networks (Collective Impact, QI coming soon)
Website: http://www.healthystartepic.org
Searchable map of grantees, FQHCs, FIMRs, data
Searchable database of Evidence – Based Practices (EBP)
Online recorded webinars and trainings
Links to organizations and resources
Resources
About Healthy Start/Find a Grantee
Website Features
Resources/Evidence-based Practices
Website Features
Training and Events/Upcoming Events
Website Features
Support for the HS CoIIN
Overview of the HS CoIIN provided by Co-Chair, Rick Green
Update on activities provided by Co-Chair, Deborah Allen
Mentoring Program
Subcontracted to the NHSA
Presented by Deborah Frazier
Fatherhood Initiative
Additional Services
For assistance:
Contact Us:
http://www.healthystartepic.org
1-844-225-3713, toll-free.
Question?
Update from National Healthy Start Association
(NHSA)Ms. Deborah Frazier
Chief Executive Officer, NHSA
Healthy Start CoIIN Overview and Update
Healthy Start CoIIN Co-Chairs: Rick Green and Deborah Allen
Healthy Start CoIIN Overview
Rick Green
Role of HS CoIIN
WHO: Composed of representatives of all 18 Level 3, 1 Level 1 and 1 Level 2 grantees
Meetings are planned and facilitated by Co-Chairs who serve six month terms
WHEN: Meets monthly by phone or in person
WHAT: HS CoIIN has prioritized standardization of elements of the Healthy Start model
All recommendations will be shared with HS community for consideration, input and approval
HS CoIIN FAQs
Baltimore City Healthy Start, Inc.
Birmingham Healthy Start Plus, Inc.
Boston HealthyStart Initiative
Moms First Healthy Start
Healthy Start of New Orleans
PDPH Healthy Start
San Antonio Healthy Start
Alameda County Healthy Start Initiative
DC Healthy Start
Healthy Start Brooklyn
Healthy Start, Inc. Pittsburgh
Detroit Healthy Start Project
South Phoenix Healthy StartNC Baby Love PlusNorthwest Indiana Healthy StartGreater Harlem Healthy StartCalifornia Border Healthy StartCentral Hillsborough Healthy StartMidwest Healthy Start InitiativeCamden Healthy Start
HS CoIIN Members
Healthy Start CoIIN Update: Risk Screening Standardization
Deborah Allen
Portfolio of screenings and assessments
Data collection and consistent tracking of data
Case management and care coordination
Initial Priorities for Standardization
Rationale:
A standardized screening tool to be used by all HS programs with all HS participants to ensure comprehensive and consistent identification of participants’ needs.
Initiative #1: Standardize Risk Screening
The risk screening tool will be designed to serve as the foundation case management approach with participants.
The screening tool should address risks for each perinatal period.
The set of risks covered in the screening tool should align with HS benchmarks.
The screening tool will be comprehensive.
Local HS programs may opt to include additional risks .
Screening questions will be taken or adapted from existing evidence-based screening tools.
Guiding Principles for the Development of the Standard Risk Screening Tool
April: Reviewed sample screening tools from HS community to assess consistency in content and format
April-May: Reviewed best practice literature to identify risks associated with poor maternal and infant health outcomes
June: HS CoIIN used consensus process to identify risks to include in standardized screening tool
Risks aligned with all HS benchmarks were included
July-August: Screening questions aligned with priority risks were taken from or adapted from existing evidence-based screening tools
Approach Used to Identify Risks to Screen
October: Share draft screening tool with all grantees for comment period via website
November: Present list of standardized risks and screening tool (s) at HS Convention
November – December: Determine process (timing) of screening tool implementation and approach
December-March: Integrate feedback and finalize tool
Proposed Implementation: Fall 2016
Next Steps
• November 16-17, 2015
• November 18: CoIIN and Program Management Workshop (by invitation)
• Washington, DC - Marriott Wardman Park
• Who Should Attend:
• Project Leadership
(Project Director/Program Manager)
• Healthy Start CoIIN Representative
• Community Action Network/Collective Impact Representative
• Project Evaluator/Data Specialist
Grantee Convention Update
Submit an Abstract online for a Poster for the Convention: Due August 24
Upcoming Webinar:
September 15, 3-4 PM ET: Needs Assessment Data Sources
EPIC Center website: Includes all recorded webinars, transcripts, and slide presentations
http://www.healthystartepic.org
Wrap Up and Reminders
