1. Lessons Learned For a Successful System February 26, 2018

2. Agenda Help Me Grow Ventura: Lessons Learned
Lessons from Taking a Regional Approach: Help Me Grow Inland Empire
Help Me Grow Yolo
Questions and Answers
Discussion

3. Help Me Grow Ventura County: Lessons Learned
Sharon Elmensdorp, Ph.D., BCBA-D Developmental Specialist Landon Pediatric Foundation
Help Me Grow Ventura County

4. Ventura County Population 849,738 Under age 5 6.1%
Median household income
$78,593
Over age 25 with a college degree
32.2%
Statistics from July 1, 2016.
From census.gov/quickfacts

5. Our Background Gained affiliate status in 2013 Prior to 2013:
4th county in California, 1st of the Learning Communities
Organizing entity/lead agency= Landon Pediatric Foundation
Prior to 2013:
Funding from First 5 Ventura County
focus= developmental screening
2011: Developmental Screening Collaborative formed
with Tri-Counties Regional Center & Ventura County Public Health

6. Understand Help Me Grow as a System Model

7. Help Me Grow is a systems change model to leverage existing resources within communities to identify vulnerable children (Early Identification), link families to community based services (Resource and Referrals) and empower families to support their child’s healthy development
(Intervention).

8. Plan for Core Components & Structural Requirements

9. Core Components 1 2 3 4 Child Health Care Provider Outreach
Family & Community Outreach 3
Centralized Access Point 4
Ongoing Data Collection & Analysis

11. Buy-In from Key Partners & Stakeholders

12. Partners 2-1-1 Ventura County Child Development Resources
Gold Coast Health Plan
First 5 Ventura County
Medical clinics/practices
Neighborhoods for Learning (NfLs)
Oxnard School District
Rainbow Connection Family Resource Center
Tri-Counties Regional Center
United Parents
VC Behavioral Health
VC Health Care Agency
VC Office of Education Early Childhood Programs
VC Public Health Children’s Health Promotion Public Health Nurses WIC
VC SELPA
Part of MOC

13. Partner Responsibilities
Promote activities in the Partner Pledge
Participate in Help Me Grow Meetings
Facilitate communication
Identify needs from organization and constituencies they serve
Take part in case reviews
Identify and share ground level experience data
Take part in work groups
Engage in problem solving
Part of MOC

15. Clarify Branding & Messaging

17. Messaging
Part of MOC

18. Leverage Partnerships
Collaborate &
Leverage Partnerships

19. Activities Quarterly Partner Meetings
Collaboration with other coalitions
Training activities and events
Development of materials
Centralized Access Point
Work groups
Statewide and national participation
Part of MOC

20. Sample Materials
Part of MOC

21. Leveraging Partnerships: Example- Joint PIP/MOC Project
Local Managed Care Plan
Gold Coast Health Plan Performance Improvement Project (PIP)
American Academy of Pediatrics - Chapter 2
Local health care systems
Ventura County Health Care Agency
Ventura County Public Health

22. Advantages of Partnering
At clinic level:
Provide layers of support
Efficient - completed 2 projects during 1 project timeline
Positive recognition from multiple agencies
At managed care level:
Helped focus in on PIP topic, filled a need
MOC helped provide framework for intervention
Faster approval by Health Services Advisory Group
At HMG level:
Helped open door to providers
Legitimized work with providers
Leveraged resources with a willing partner

23. Lessons Learned Understand the system model Plan for components
Get buy-in from partners & stakeholders
Be clear about branding & messaging
Collaborate and leverage

24. Contact Information
Sharon Elmensdorp, Ph.D., BCBA-D
helpmegrowvc.org

25. Taking a Regional Approach: Lessons Learned Ronnie Thomas, Help Me Grow Inland Empire

26. Jennifer Travis, Help Me Grow Yolo
28th most populated county in ca out of 28 counties
Funding Provided by First 5 Yolo and Yolo County Health and Human Service Agency

27. Population: 215,802– 5.8% are under 5 Mostly Rural
About Yolo County:
Affiliate Since: 2015
Population: 215,802– 5.8% are under 5
Mostly Rural
Funding Provided by First 5 Yolo and Yolo County Health and Human Service Agency's’ Mental Health Service Act Funding
28th most populated county in ca out of 28 counties
Funding Provided by First 5 Yolo and Yolo County Health and Human Service Agency

28. Structural Change with MHSA Funding
Prior to MHSA Funding:
Care Coordination and Developmental Screening Program duties split between 4 Agencies (Organizing Entity and Family Resource Centers)
Centralized Access Point staffed by 4 agencies (Organizing Entity and Family Resource Centers)
Changes as a Result of MHSA funding:
Care Coordination and Centralized Access Point housed at 1 agency (Organizing Entity)
Family Resource Center partner agencies receiving funding from First 5 Yolo to integrate HMG into their system
Prior: While the FRC staff are well versed in the resources available to families in Yolo County and have wonderful experience working with families and conducting case management for families, they did not necessarily have child development knowledge and experience with the referral systems for children.
This manifested itself in sense of uncertainty when the FRC staff were expected to discuss child development and conduct referrals
Result: We were able to hire 2 additional full time staff at the organizing entity with significant experience with child development and the referral systems for children (Infant Development Specialist and a prior Regional Center Social Worker)
Funding Provided by First 5 Yolo and Yolo County Health and Human Service Agency

29. System Structure and Development
For those implementing HMG with the call center and the case coordination being housed at two different agencies, what are some effective strategies for smooth implementation?
The creation of your Centralized Access Point. How was the host site selected? Did you create a RFP? What did the terms of that contract look like?
What organizations have been your biggest champion partners in the HMG initiative?

30. Funding and Sustainability
Funding: How did you work on the mixing of funding sources for HMG?
How are other counties keeping HMG sustainable?

31. Partnering With Families
What are the most effective strategies to inform parents about HMG?
How have counties reached out to families to encourage participation in HMG?

32. Partnering With Medical Providers
How have other counties reached out to medical providers to encourage participation in HMG?
What are best practices when working with medical providers on implementation of developmental screenings?

33. Data Collection
In addition to the state-required demographic data, what information are counties gathering? How?

34. Additional Questions and Discussion