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 and accountability • Focus on equity • Cross-sector workforce development • Intentional positions

Achieving Shared Goals Health System Early Learning System Healthy Children = Ready Children Kindergar Kinder garten ten readiness eadiness Better Bet ter health health 1 1 Better Bet ter car care 2 2 Sta Stable/a ble/att ttac ached f hed families amilies 3 Coordina Coor dinated ted sy syst stems ems 3 Lower cos Lo er costs ts

Coordinated Care Organizations (CCOs): local networks of all types of health care providers working together to deliver care for Oregon Health Plan (Medicaid) clients

(Enter) DEPARTMENT (ALL CAPS) (Enter) Division or Office (Mixed Case)

Oregon ’ s Early Learning Hubs

Early Learning Hub Service Areas

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

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

Developmental Screening Across Systems Early Learning System Health System • • National priority National standard/clinical guidelines • Program-level requirements • Affordable Care Act • ELC screening tool • CCO metric • Hub metric • Patient-centered Primary Care • QRIS standard (3 star) Home (PCPCH) standard • Various providers and • Various providers and resources resources Coordination

Developmental screenings in Oregon

Developmental Screenings by CCO

Developmental Screening by Race/Ethnicity

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

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

Questions? Dana Hargunani, MD, MPH, FAAP Child Health Director Oregon Health Authority dana.hargunani@state.or.us 503-569-3959