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Title V Local MCAH Health Jurisdiction Five Year Needs Assessment Process

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

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Title V Local MCAH Health Jurisdiction Five Year Needs Assessment Process

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

  2. 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

  3. 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

  4. 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)

  5. Local NeedsAssessment 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

  6. 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

  7. Title V - Five Year Needs Assessment Activities2013 Timeline MCAH Develop guidelines Strategic Questions Survey Local MCAH Conduct assessments Submit Survey FHOP Release county-level data Webinar Trainings Bi-weekly TA APR OCT NOV JAN FEB MAY JUN JUL AUG SEP DEC MAR 7

  8. Title V - Five Year Needs Assessment Activities2014 Timeline MCAH Survey Results Summarize assessments & evaluations Local MCAH Conduct assessments Evaluate process 5-Yr Action Plan FHOP Webinar Trainings Bi-weekly TA Evaluate process JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 8

  9. Title V - Five Year Needs Assessment Activities2015 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

  10. Title V Local MCAH Needs Assessment Process

  11. 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

  12. 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

  13. Goals of the 2015 Local Title VNeeds 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 datato 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 partnersto discuss data, prioritize problems and identify best practice strategies to address problems

  14. 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

  15. 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

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

  17. 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

  18. 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.

  19. 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)

  20. Submit 5-year Needs Assessment Deliverables byJune 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

  21. Submit 5-year Action Plans by May 15, 2015 • 5-year Action Plans • 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

  22. 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

  23. 2016-2020 Local Title V Needs Assessment Web Page • Links to Deliverables: Strategic Survey QuestionsDUE 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!

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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)

  32. 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?

  33. Questions? Comments?

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