Maternal, Child and Adolescent Health Program October 23, 2013 Title V Local MCAH Health Jurisdiction Five Year Needs Assessment Process Maternal, Child and Adolescent Health Program October 23, 2013

Today’s Learning Objectives Gain knowledge of the Title V needs assessment framework and general timeline Understand the local needs assessment process Be familiar with technical assistance and useful resources available for local health jurisdictions Be acquainted with data products developed for the local needs assessment

Title V Maternal and Child Health Block Grant Primary source of federal support for improving the health and well-being of mothers and children. Title V MCH Block Grant reporting requirements mandate completion of an annual report/application that specifies: needs of the State MCH population; programs and policies implemented to meet those needs monitor progress toward achieving federal and state performance outcome measures Management/expenditure of funds Every five years a comprehensive statewide needs assessment must be conducted of the MCH population

Major Conceptual Frameworks and Strategies for 2015 Needs Assessment Maintain focus on key conceptual frameworks: Social Determinants of Health Life Course Approach Health Equity Population Health model Aligned with Major National and State Initiatives Assess impact of health care reform on MCAH populations Coordinated with Healthy People 2020, National Prevention Strategy and Let’s Get Healthy California CDPH strategic plan Improve Coordination and Collaboration with Department of Health Care Services, Systems of Care Division (Children with Special Health Care Needs)

Local Needs Assessment Conceptual Framework Decentralize statewide needs assessment process by having each local jurisdiction conduct a needs assessment Key Objectives Identify local needs and capacity Obtain extensive stakeholder input at the local level Focus local MCAH efforts by having each jurisdiction identify priority areas they will focus on during the next five years Develop local five-year action plan

Major State MCAH Needs Assessment Components Local health jurisdictions conduct a needs assessment (identify needs, set priorities, assess capacity, stakeholder input) Analyze and summarize local jurisdiction reports Analyze statewide quantitative epidemiologic data Assess State MCAH system capacity Obtain external stakeholder input Obtain public input on needs assessment report State MCAH Program will submit statewide report to the federal MCH Bureau on July 15, 2015

Title V - Five Year Needs Assessment Activities 2013 Timeline MCAH Develop guidelines Strategic Questions Survey Local MCAH Conduct assessments Submit Survey FHOP Release county-level data Webinar Trainings Bi-weekly TA JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 7

Title V - Five Year Needs Assessment Activities 2014 Timeline MCAH Survey Results Summarize assessments & evaluations Local MCAH Conduct assessments Evaluate process 5-Yr Action Plan FHOP Webinar Trainings Bi-weekly TA JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 8

Title V - Five Year Needs Assessment Activities 2015 Timeline MCAH Public Input Title V report submission Local MCAH Five year Action Plan FHOP Bi-weekly TA JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 9

Title V Local MCAH Needs Assessment Process

What is Different about this Needs Assessment? In the 2010 Needs Assessment, LHJs completed: A Comprehensive Capacity Assessment Data analysis to identify rates, determine and understand trend data, including race/ethnic disparities In the upcoming Needs Assessment, LHJs will: Not be required to do a separate capacity assessment Receive data in a simplified format Receive sample templates of Problem Analyses and Action Plans

MCAH Directors Needs Assessment Workgroup Workgroup meetings began in April Representatives from rural and urban communities Representatives from new and experienced MCAH Directors Reviewed Needs Assessment documents and provided feedback on content, process and clarity To anticipate and assist with developing FAQs

Goals of the 2015 Local Title V Needs Assessment Data-driven community planning to inform development of 5-year Action Plans that address a specific list of health problems using standardized objectives. MCAH will provide local data to decrease the data burden and allow more time for a collaborative community planning process Increase MCAH program impact by focusing on a strategic list of health problems Focus on meeting with stakeholders/community partners to discuss data, prioritize problems and identify best practice strategies to address problems

Improve ability to quantify and describe MCAH efforts and outcomes Why use a Strategic Priority Problem List and Develop 5-year Action Plans? Improve ability to quantify and describe MCAH efforts and outcomes Improve collective impact across the State Support common understanding of problems, partners, strategies and measures Encourage alignment and leveraging of human and other resources Improve continuity of local programming Recommendations from MCH Bureau

How did MCAH Select Priority Problems? Considerations: Health problems unique to MCAH Prior local Needs Assessment findings State and federal priority initiatives and problems MCAH topical experts Commonly used local MCAH SOW objectives Health topic gaps and emerging issues

Technical assistance and Training…… Resources/Tools Data resources Priority Problem List Sample Problem Analyses Sample 5-Year Action Plans Technical assistance and Training……

Technical Assistance Available Nurse/Program Consultants In collaboration with the Family Health Outcomes Project (FHOP), present a series of webinars on “How to complete a Needs Assessment” Assistance for program planning, including development of Action Plans FHOP Series of webinar trainings focusing on program planning Technical assistance for analyzing data, identifying priority problems, applying problem analysis, working with stakeholders and program planning and evaluation Twice monthly technical assistance calls

Strategic Question Surveys Fall 2013 – Respond to MCAH strategic question surveys (e.g., Survey Monkey) ACA implementation, Children with Special Health Care Needs, American Indian Populations These are topics of significance at the local, state and national levels.

Needs Assessment Process and Sample Timeline for LHJs Receive data from MCAH (By Oct. 30, 2013) Review and analyze your data Arrange meetings with stakeholders (Oct. 2013-March 2014). Use stakeholder input to: Identify and prioritize problems Analyze problems and develop problem statements Identify strategies, partners and activities to address selected priority problems Complete Needs Assessment Packet (March-June 16, 2014)

Submit 5-year Needs Assessment Deliverables by June 16, 2014 Summary – provided in the format of the LHJ Community Profile Stakeholder/Community Partners List Priority Problem Statements, Strategies and Partners Capacity Needs List

Submit 5-year Action Plans by May 15, 2015 Indicate at least one problem, partners, strategies and performance measures in each of Goals 1, 2 and 3 and additional problems as resources allow 5-year Action Plans will inform the development of your MCAH SOW over the next 5 years

2016-2020 Local Title V Needs Assessment Web Pages Links from the MCAH Division, Local MCAH, and Title V Web Pages News, Hot Topics, & Updates 2016-2020 Local Title V Needs Assessment

2016-2020 Local Title V Needs Assessment Web Page Links to Deliverables: Strategic Survey Questions DUE to MCAH: October 16, 2013 Needs Assessment Packet (PDF) (Deliverable Forms A-D and Instructions) DUE to MCAH: June 16, 2014 Five-Year Action Plan (Word) (Deliverable Form E) DUE to MCAH: May 15, 2015 Five-Year Action Plan Instructions - Coming Soon!

2016-2020 Local Title V Needs Assessment Web Page Links to Resources: 2016-2020 Title V Needs Assessment Strategy and Process for MCAH Directors (PDF) #1 and #2: Community Health Status Reports and FHOP Indicator Data Books #3: Priority Problems List (Word) #4: MCAH Health Problem Prioritization Worksheet (Word) #5 and #6: Sample Problem Analyses and Five-Year Action Plans

Sample Problem Analyses and Five-Year Action Plans This page is organized by Scope of Work Goals and contains links to: Blank Problem Analysis Template Deliverable Form E: Five Year Action Plan Template Sample Problem Analyses Sample Five-Year Action Plans

2016-2020 Local Title V Needs Assessment Web Page Technical Assistance Family Health Outcomes Project (FHOP) Or contact your Nurse Consultant (PDF) Related Link Title V Maternal and Child Health Block Grant

Trainings and Data Products for the 2016-2020 Title V Needs Assessment Jennifer Rienks, PhD Family Health Outcomes Project MCAH Action Meeting, October 23, 2013

Trainings to assist you in conducting your local needs assessment Overview Trainings to assist you in conducting your local needs assessment Data for your Needs Assessment Community Health Status Report Overview Community Health Status – Details California County MCAH Data Spreadsheets Rates over time, overall and by race/ethnicity if there are sufficient numbers Trends by race/ethnicity

Training related to Needs Assessment Past Training (archived and available at http://fhop.ucsf.edu/fhop/htm/trainings/training_schedules.htm) Program Planning Overview (58 registrants, 18 evaluations) Introduction to Needs Assessment (91 registrants for 1st, 65 for 2nd, 7 evaluations) Upcoming Trainings Understanding and Interpreting your Needs Assessment Data Oct. 28, 10:00 – 12:00 Conducting a Problem Analysis Nov. 6, 10:00 – 12:00

What is the Community Health Status Report Overview? Summary report of all the indicators for the 2016-2020 Title V Needs Assessment Provides local and state data for the latest available time period, including confidence intervals For some indicators, comparison of the latest local rates vs. state rate, with symbol telling you how they compare

What is the Community Health Status Report - Details Provides additional data on a select group of indicators Includes rates from 2000-2002 to 2009-2011 for both the LHJ and the State Compares LHJ rates in 2000-2002 to those in 2009-2011 to see if they are statistically different Compares LHJ rates in 2009-2011 to State rates to see of they are statistically different Compares LHJ rates in 2009-2011 to Healthy People 2020 Objectives (where applicable)

What are your MCAH Data Spreadsheets (a.k.a. FHOP’s Databooks)? Rates over time, overall and by race/ethnicity if there are sufficient numbers Identification of disparities - Allows you to determine if a race/ethnic group in your county is doing worse than another group, or than the same race ethnic group statewide Trends by race/ethnicity – is the problem increasing or decreasing over time?

Questions? Comments?