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CCO Metric on Health Aspects of Kindergarten Readiness: Background and Supporting Work

CCO Metric on Health Aspects of Kindergarten Readiness: Background and Supporting Work. Sara Kleinschmit, MSc Policy Advisor Office of Health Analytics. Health Aspects of Kindergarten Readiness Metric Development: Background.

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CCO Metric on Health Aspects of Kindergarten Readiness: Background and Supporting Work

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  1. CCO Metric on Health Aspects of Kindergarten Readiness: Background and Supporting Work Sara Kleinschmit, MSc Policy Advisor Office of Health Analytics OFFICE OF HEALTH ANALYTICSHealth Policy & Analytics

  2. Health Aspects of Kindergarten Readiness Metric Development: Background • Oregon’s Medicaid Coordinated Care Organizations (CCOs) can earn bonus dollars for meeting targets on a set of health care quality measures each year. • These measures and targets are identified by the legislatively established Metrics & Scoring Committee. • The Metrics & Scoring Committee has interest in measures of the health aspects of kindergarten readiness. • As a step toward connecting with kindergarten readiness, the 2018 incentive program ‘challenge pool’ (extra $) is comprised of four measures related to early childhood health • Sponsoring development of a measure of the health system’s role in kindergarten readiness for (possible) use as CCO incentive measure in future (Elena will discuss more)

  3. Health Aspects of Kindergarten Readiness:Stakeholder Input on CAHPS Survey Pilot • To inform the work being undertaken by the Children’s Institute, OHA is piloting the addition of questions related to kindergarten readiness in the annual statewide CAHPS survey • The pilot questions will be drawn from a national survey called the National Survey of Children’s Health (NSCH) • OHA worked with the Early Learning Division to survey health and education professionals for input on which NSCH survey questions to include in the statewide CAHPS survey (full report in materials)

  4. Health Aspects of Kindergarten Readiness:Stakeholder Input on CAHPS Survey Pilot • The 74 respondents were asked to rate each of the 22 NSCH questions on a ten point scale in terms of importance to 1) kindergarten readiness and 2) include in the CAHPS survey (1 being less important, 10 of greatest importance). • OHA then evaluated the average ranking of each question in each of these domains. • OHA also stratified the responses to see if there was a difference in responses from those in the health versus education sectors. • There was a distinct break in the data in that five questions were consistently ranked highly across both domains, as well as across respondents from both the health and education sectors.

  5. Health Aspects of Kindergarten Readiness:Stakeholder Input on CAHPS Survey Pilot 1. How often does this child play well with others? 2. When he or she is paying attention, how often can this child follow instructions to complete a simple task? 3. How often does this child lose control of his or her temper when things do not go his or her way? 4. In the past 12 months, were you ever asked to keep your child home from any child care or preschool because of behavior? 5. How often can this child calm down when excited or all wound up?

  6. Health Aspects of Kindergarten Readiness:Stakeholder Input on CAHPS Survey Pilot • These questions will be included in the CAHPS survey being fielded in early 2018. • Results of the pilot will be available in summer 2018, and shared with the Metrics and Scoring Committee, Measuring Success Committee, and the workgroup being established by the Children’s Institute.

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