Healthy Kansans living in safe and sustainable environments

Linda Kenney January 29, 2010 Healthy Kansans living in safe and sustainable environments

 5-year MCH state needs assessment  Federal grant requirement  Covers the years  Identify 7-10 priorities for the state  Strategies to address the priorities  Involve stakeholders Healthy Kansans living in safe and sustainable environments

 1 st meeting Nov 6 – launch project & determine info needed to select priorities  2 nd meeting Jan 29– select priorities and strategies to address them  Logic models developed to formalize the five-year plan Healthy Kansans living in safe and sustainable environments

 Introduction to Needs Assessment in MCH  Involving Stakeholders  Sources of Needs Assessment Data  Needs as Values: Need Discrepancies  Setting Priorities  Selecting Solutions  Summary: Critical Phases in Needs Assessment Healthy Kansans living in safe and sustainable environments

 Orientation to project  Identified data needed to select priorities Healthy Kansans living in safe and sustainable environments

 Selecting Priorities  Possible Solutions  MOST DIFFICULT MEETING? Healthy Kansans living in safe and sustainable environments

 Pregnant women and infants  Children and adolescents  Children with special health care needs Healthy Kansans living in safe and sustainable environments

 Identify Experts for each population group  Include Families as experts  Criteria  Knowledge  Commitment  Respect Healthy Kansans living in safe and sustainable environments

 Again, the required 5-year needs assessment, by definition, should be as broad and comprehensive as possible  Focused assessments can be undertaken in intervening years – ongoing broad-based monitoring continues. Examples: maternal deaths, infant mortality, adolescent suicide, deaths in child care, service needs of recent immigrants, rural counties, specific urban neighborhoods, etc Healthy Kansans living in safe and sustainable environments

 Needs are value judgments that suggest that problems exist for specific population groups or in specific communities  Needs, as reflections of our values, are subject to disagreement and debate  For needs to be useful in policy and program planning there has to be agreement that they reflect real and important problems Healthy Kansans living in safe and sustainable environments

 No preconceptions  May include current priorities and/or what we are already doing in KS  May exclude the same Healthy Kansans living in safe and sustainable environments

 Early/comp health care before, during & after PG  Reduce preterm & LBW births  Increase initiation & duration of breastfeeding  Address behavioral/mental health  Decrease overweight  Reduce injury and death.  Increase care within a medical home  Improve transitional service systems  Decrease financial impact on families.

 Expert panels can use any number of group process techniques to identify needs  It often requires several iterations to get down to a manageable list  You can always use a “parking lot” for those issues that people are passionate about but that don’t seem to fit anywhere Healthy Kansans living in safe and sustainable environments

 Size of the problem  Seriousness of the problem  Availability/effectiveness of interventions  Economic feasibility  Community perception of the problem  Intervention acceptable to the public  Legality of the intervention  Political issues related to the problem  Propriety/scope of responsibilities  Adequacy of funding/existing resources Healthy Kansans living in safe and sustainable environments

Allow you to:  Develop initial list  Winnow initial list down to a set of needs that are both linked to your population of interest and are of sufficient impact in terms of size and severity  Get list in some kind of order Healthy Kansans living in safe and sustainable environments

 TASK-ORIENTED  USING TOOLS  DATA-BASED Healthy Kansans living in safe and sustainable environments

 Essentially four sources of data for needs assessments:  Population-based data (vital records, census)  Surveillance systems and survey data  Program or service data  Public input - forums or focus groups Healthy Kansans living in safe and sustainable environments

 Cost Data – the great “equalizer” – but very unequal data  Capacity Data – provider distribution & shortages, data capacity, systems issues, etc Healthy Kansans living in safe and sustainable environments

 Mother/Child-focused  Outcomes-focused  Performance-based  Morbidity-mortality Healthy Kansans living in safe and sustainable environments

 Experts use knowledge of needs  Can identify multiple strategies  You say what needs to be done! Healthy Kansans living in safe and sustainable environments

 Assess/monitor health status of women and children to ID/address problems  Diagnose/investigate problems/hazards affecting women, children, youth  Inform/educate the public/families about MCH issues Healthy Kansans living in safe and sustainable environments

 Mobilize community partnerships to solve MCH issues  Leadership in setting priorities, planning and policy development  Promote legal requirements to protect the health and safety of MCH pop. Healthy Kansans living in safe and sustainable environments

 Link women & children with services and assure quality systems of care  Assure workforce capacity and competency  Evaluate effectiveness, accessibility, quality  Support research and demonstration projects Healthy Kansans living in safe and sustainable environments

 Work of MCH in KDHE  Work of Others in KDHE  Good work of experts & families & others outside state government that we support Healthy Kansans living in safe and sustainable environments

Critical element of what WE do in MCH! Good needs assessments:  inform our decision-making processes  engage our partners and constituents  help foster accountability  support and confirm our systems development and leadership roles Healthy Kansans living in safe and sustainable environments

Healthy Kansans living in safe and sustainable environments