DAVID HEPPEL, MD DIRECTOR, DCAFH OSEP National Early Childhood Conference STATE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS GRANTS AND PARTNERSHIPS WITH PART C AND SECTION 619 Maternal and Child Health Bureau (MCHB) Strategic Plan for Early Childhood Health R. Lorraine Brown RN, BS Public Health Analyst February 7, 2005 MCHB PRESENTATION FEBRUARY 2001

Early Childhood Development/ Healthy Child Care America HCCA objectives: 1. Quality Assurance 2. Infrastructure Building 3. Outreach Ensuring the on-going promotion of health and safety in out-of-home childcare February 7, 2005

Early Childhood Development/ Healthy Child Care America QUALITY ASSURANCE: Implementation of standards in each State to assure children in child care settings are protected from harm February 7, 2005

DAVID HEPPEL, MD DIRECTOR, DCAFH Quality Assurance 27 Transitioning Healthy Child Care America Projects recommended regulatory language. 26 THCCA Projects drafted new state regulations. 27 THCCA Projects participated in hearings. Outcomes: 15 THCCA Projects reported new regulations have been adopted. 12) Steve Shuman, MA, stated there was no measure of policy work being done in this form. It would also be important to include training of licensers in the next form. 13) Pat Cole, IN, encouraged the group to contact the National Association for Regulatory Administration to get publicity of efforts made in legislation and policy within your state. February 7, 2005 MCHB PRESENTATION FEBRUARY 2001

Early Childhood Development/ Healthy Child Care America INFRASTRUCTURE BUILDING Develop statewide systems of Child Care Health Consultants (CCHC) February 7, 2005

DAVID HEPPEL, MD DIRECTOR, DCAFH CCHC ACTIVITIES 33 29 29 15 13 10) Lorraine encouraged participants to track onsite screenings for the next reporting form. 3 Recommendations of corrective actions Access to CCHC services Training sessions Phone calls and mailings On-site screening Site visits February 7, 2005 MCHB PRESENTATION FEBRUARY 2001

Early Childhood Development/ Healthy Child Care America OUTREACH Plan, develop and implement outreach initiatives using the child care environment as an access point to health insurance and medical homes. February 7, 2005

DAVID HEPPEL, MD DIRECTOR, DCAFH SUSTAINABILITY Of 48 THCCA projects: all reported continuing at least one of three HCCA activities beyond 2005 Sources of funding for those planning to continue: Federal- 23 (Child Care Development Block Grant) State- 13 (Title V) Other- 18 WRAP UP 15) Clarify section C3. How can it be fixed? 16) Lorraine pointed out that the next reporting form will look at onsite screenings. She also described an upcoming initiative through MCHB/CCB/ and Head Start next fiscal year that looks at full EPSDT screenings. Steve suggested that states work with Medicaid Health Service Managers to get data on onsite screenings. He added that state performance measures should be included in the next round of reporting. CHIP was also suggested as an appropriate source of information for onsite screenings. 17) Lorraine stated that the “SAMPLE” question included on the reporting form will be included in the actual form next time. February 7, 2005 MCHB PRESENTATION FEBRUARY 2001

TRANSITIONING HEALTHY CHILD CARE AMERICA (THCCA) HCCA grantee funding ended 1/31/2005 HCCA activities have begun to transition into State Early Childhood Comprehensive Systems (SECCS) plans States to sustain some aspects of HCCA three objectives February 7, 2005

TRANSITIONING into SECCS DAVID HEPPEL, MD DIRECTOR, DCAFH TRANSITIONING into SECCS + SECCS + HCCA + I’ve put the purpose of ECCS up on the slide. MCBH sees the early childhood area as ripe for systems building and while they recognize Federal partners can do more at the Federal level to create a climate that fosters a comprehensive early childhood system they also recognize that it is at the State and local level where service delivery is planned and executed. So this grant is seen as supporting your efforts. There are parameters that have been set for what needs to get done, but there is also tremendous flexibility so that State’s can benefit regardless of where they are starting from. February 7, 2005 MCHB PRESENTATION FEBRUARY 2001

MCHB STRATEGIC PLAN FOR EARLY CHILDHOOD GOAL 1. To provide leadership to the development of cross service systems integration partnerships in support of children in early childhood and enhance their ability to enter school healthy and ready to learn. February 7, 2005

MCHB STRATEGIC PLAN FOR EARLY CHILDHOOD GOAL 2. To support States and communities in their efforts to build early childhood service systems that address the following five critical components: access to medical homes social-emotional development of young children early care and education parenting education family support February 7, 2005

MCHB EARLY CHILDHOOD COMPREHENSIVE SYSTEMS GRANTS Purpose: To support States to plan, develop and ultimately implement collaborations and partnerships that support families and communities in their development of children that are healthy and ready to learn at school entry. February 7, 2005

MCHB STATE EARLY CHILDHOOD COMPREHENSVE SYSTEMS (SECCS) Characteristics of the SECCS grants: $100,000/year grants 2+ years for planning limited to the 59 State, jurisdiction , or Territory Title V agencies Currently 51 grantees. In process of conducting another round to include South Carolina, Virgin Island and Territories Grantees currently completing applications for implementation or more planning February 7, 2005

MUTUAL MISSIONS & ACTIVITIES Promote participation in accessing medical homes for all children Together address the social/emotional needs of all children Integrate Child Care Health Consultants into other system partners programs Weave accepted childcare standards into other early care and education system partners programs Partner with family support & parent education efforts February 7, 2005

CONTACT INFORMATION R. Lorraine Brown Public Health Analyst Maternal and Child Health Bureau Infant and Child Health Branch 5600 Fishers Lane Parklawn Building, Room 18A-39 Rockville, MD 20857 Phone: 301-443-3513 Fax: 301-443-1296 Email: lbrown@hrsa.gov Website: http://mchb.hrsa.gov/ February 7, 2005