Life Course Metrics Project Orientation and Q&A

1. Broadcast audio will begin when presentation starts For connecting via telephone: 1-800-920-5541 You will be muted for the presentation, but be able to ask a question during the Q&A. Life Course Metrics ProjectOrientation and Q&A

2. Brief notes about technology To ask a question during the presentation: • Call into 1-800-920-5541 • Submit a question through the chat box All telephone lines will be muted until question and answer period begins. To submit written questions throughout the call, type your question in the chat box at the lower left-hand side of your screen. Questions will be answered during the Q&A session. • Make sure to chat the chairperson your questions 2

3. State Team Staff Support Tegan Callahan, Association of Maternal and Child Health Programs tcallahan@amchp.org • Program Support, coordinating the Request for Applications for State Teams and providing ongoing support to the overall project. Caroline Stampfel, Association of Maternal and Child Health Programs cstampfel@amchp.org • Project Lead, managing the overall Life Course Metrics Project, including overseeing the National Expert Panel and the State Teams Dr. Bill Sappenfield, University of South Florida • State Team Facilitator, providing guidance to state teams as indicators are drafted and screened.

4. What will happen today? Reviewthe background of the Life Course Metrics Project Explaincore components of the State Team Application Answerquestions regarding the State Team Application and Expectations for State Teams throughout the duration of the Life Course Metrics Project

5. How is Life Course defined for this project? Core principles of a life course approach to Maternal and Child Health A life course approach is based on a theoretical model that takes into consideration the full spectrum of factors that impact an individual’s health, not just at one stage of life (e.g. adolescence), but through all stages of life (e.g. infancy, childhood, adolescence, childbearing age, elderly age). Life course theory shines light on health and disease patterns – particularly health disparities – across populations and over time. Life course theory also points to broad family, social, economic and environmental factors as underlying causes of persistent inequalities in health for a wide range of diseases and conditions across population groups

6. How is Life Course defined for this project? (continued) • A life course approach encourages a focus on health across the lifetime and includes the following components: A stages of life theory that takes into consideration factors that impact an individual’s health and development through all stages of life from preconception health into infancy, and through childhood, adolescence, and childbearing years into older age. The influence of family, environmental, biological, economic, behavioral, social and psychological impacts on health outcomes across the lifespan. There are critical or sensitive periods of risk that can particularly impact exposures and experiences during particular sensitive developmental periods in early life that may influence health and disease patterns and outcomes later in life. The potential cumulative effects of these influences on health outcomes, i.e. that health at any given state of life is a function of experiences at prior stages of life, and you cannot understand adult health without addressing child health. Health promotion and prevention interventions can be targeted at different stages in life. Connections exist between life stages, i.e., the relationship between adolescence and the two life stages that border it: childhood and adulthood. Efforts should be coordinated both across life stages and across the life span.

7. Why is AMCHP leading this effort? 2010 Life Course Concept Paper for MCHB 2011 SSDI applications as state/territorial programs to suggest life course metrics Kellogg Foundation funding

8. How will the indicators be developed? National Expert Panel to establish framework and guiding principles for the indicators. State Teams will propose and draft preliminary indicators, incorporate public and stakeholder comment, screen proposed indicators and propose final indicators for stakeholder feedback.

9. How is this project similar to the development of the Core State Preconception Health Indicators? State teams will propose indicators based off guidance from a group of subject matter experts State teams will screen indicators based on established criteria Final indicators will be made available for state level measurement

10. How is this project different from the development of the Core State Preconception Health Indicators? Life course is broader, more conceptual, may require a different type of framework. Funding is available to support in person meetings for the National Expert Panel and the State Teams. An application to participate as a State Team is required due to high levels of interest.

11. Who is on the National Expert Panel? Life Course thought leaders from academia and public health practice. 27 members

12. Does participation on the National Expert Panel preclude an application to become a state team? No. A member of the National Expert Panel can participate as a State Team member as well. State Teams must meet the requirements and overall constraints set forth in the RFA. Note: When National Expert Panel reviews and provides feedback to State Teams on the proposed indicators, any member of the National Expert Panel that is also on a State Team will be asked to refrain from comment on the indicators their team proposed.

13. What is the timeline of the project? *final work plan and time line will be determined by the selected teams Friday, June 1, 2012 applications for State Teams due, by 11:59pm EST Friday, June 22, 2012 State Teams announced Friday June 29, 2012 State Team orientation call, 2-4pm EST July 2012 State Teams will receive framework and guidance from the National Expert Panel (tentative*) August-September 2012 State Teams will work on initial indicator proposals(tentative*) November/December 2012 Proposed indicators will be made available for initial public comment and stakeholder feedback (tentative*)

14. What is the timeline of the project? January 2013 State Teams will conduct first round of screening (tentative*) February-March 2013 First round of indicators will be made available for public comment and stakeholder feedback (tentative*) May 2013 In person meeting (location TBD) to finalize indicators (tentative*) June/July 2013 Final set of indicators compiled and shared (tentative*)

15. What are the expectations of the State Teams? • State teams involved in this project will be working teams. • Final work plan and timeline will be determined by the selected State Teams. • State Teams will be expected to: • Use the framework provided by the National Expert Panel to search the literature and propose initial indicators • Research, develop and write proposed indicators • Screen proposed indicators • Incorporate public comment and stakeholder feedback • Select final indicators • Finalize indicators

16. What sort of financial support will teams receive? Travel costs for three members of the team will be covered by AMCHP for the in-person meeting (May 2013). Additional financial support is not available.

17. Is there funding or support for personnel/staff time associated with participating? No.

18. Is there an estimate of how much time this work will require? • It will depend. • Size of team—larger teams will ease the burden on individual members, but will also require more coordination. • How many indicators they are planning on proposing. • Which domain (are of life course) they end up working on.

19. What are the components of the applications? • Narrative(limit 5 single-spaced pages) • Current capacity—current activities and collaborations • Benefits—overall added value of participation • Obstacles—expected challenges • Operations plan—roles and responsibilities • Letters of support • Convening health department leadership (required) • Partner organizations (encouraged) • Team Roster (example and template provided)

20. What are the participant requirements for the State Teams? • Overall State Team • At least 1 MCH program or policy staff affiliated with convening HD • At least 1 MCH epidemiologist affiliated with convening HD • Representation from community partners • Only one team member allowed who holds an academic appointment AND has no affiliationwith the convening HD. • Overall, multidisciplinary representation consistent life course influences on health • 10 members max • Travel team • 1 MCH program or policy staff affiliated with convening HD • 1 MCH epidemiologist affiliated with convening HD • Third traveler to be selected by convening organization

21. Explain a bit more about the limitations on university partners. Only one team member allowed who holds an academic appointment AND has no affiliation with the convening HD. • Goal is to have indicators that are usable for states. • People on the team should have a good working knowledge of what data are available and can be used for this effort. • Academic partners can still be involved even if they are not on the team: • Advisory groups to contribute conceptual ideas. • Internal review of indicators proposals before shared with other state teams. • Feedback can be solicited during public comment periods.

22. Can state teams be larger than 10? No.

23. Can multiple states apply as one team? Yes. A single application from multiple states should reflect thoughtful consideration of how the overall team will be convened to work on the proposals (web/conference technology) Each team will still only receive one vote (everyone will have to agree).

24. Can states pay to bring more than 3 team members to in-person meeting? No.

25. Where will in-person meeting be held? TBD. Location will be determined with input from the selected State Teams.

26. When are applications due? June 1st, 2012 Application components (Narrative, Letters of Commitment and Team Roster) must be submitted to Tegan Callahan, tcallahan@amchp.org by 11:59 pm EST on due date.

27. How will applications be evaluated? • Reviewers will score applications in four areas: • Capacity (40 total) • has applicant established current activities and partnerships that demonstrate applicant is a capable convening organizations? • Readiness (40 total) • has applicant described potential benefits and how to overcome expected barriers to full participation to and commitment to the project? • Team Operations (15 total) • does the information provided about the proposed team (roster and operations plan) meet all the requirements and reflect necessary capacity to meet the expectations of state teams? • Commitment (5 total) • are Letters of Support included, signifying leadership at the convening organizations and in partner programs and agencies understand and support the opportunity to participate in the project?

28. Who will evaluate applications? • State partners • to be determined based off applicant pool (i.e. no reviewers will be sought from states who have responded to the RFA for State Teams). • National partners • CDC, MCHB, CityMatCH, MCH Epi Group, NACCHO, ASTHO • AMCHP staff • program and policy teams

29. How can I submit a question? If you are on the phone (1-800-920-5541): an operator will un-mute your line, take your name and you can ask your question. If you are listening through web: submit your question in the lower left chat box. Make sure to chat the chairperson your questions