1. WWW.KDHEKS.GOV Healthy Kansans living in safe and sustainable environments

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

6.  5-year MCH state needs assessment  Federal grant requirement  Covers the years 2010-2015  Identify 7-10 priorities for the state  Strategies to address the priorities  Involve stakeholders Healthy Kansans living in safe and sustainable environments

7.  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

8.  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

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

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

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

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

16.  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

17.  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

18.  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

19.  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.

22.  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

23.  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

24. 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

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

28.  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

29.  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

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

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

33.  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

34.  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

35.  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

36.  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

39. 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

42. WWW.KDHEKS.GOV Healthy Kansans living in safe and sustainable environments