Sonja Armbruster
Public Health Initiatives Coordinator
Center for Community Support and Research
10/30/2013
Technical Assistance Project
Update
1
Overview
• Update At-A-Glance
• Preliminary Evaluations from Leadership
Training
• LHD Survey Data -- Preview
• Health Homes and Health Departments
2
Medicaid Contract for Technical Assistance,
Training, and Evaluation Services, KDHE-WSU
Funding for this project is provided to CCSR through a KDHE Title XIX Medicaid Contract.
Enhanced Coordination
• Public Health and Medicaid Coordination Workgroup convened system partners
• Seven Workgroup meetings with resources posted to KALHD website
Examine Expanded Evidence Based Practices
• Programs presented to the workgroup: Diabetes Prevention Program, Lactation Support and MCH EBP, and Asthma
Education
• Provided TA related to meetings with Health Care Finance and recommendations to state plan services
Chronic Disease Self-Management Program
• Conducted five key informant interviews with five states about their CDSMP, staffing, and funding of those efforts
through Medicaid
• Assessing needs and developing training/technical assistance to meet needs to expand capacity for CDSMPs
Leadership Development
• Process: An application process, communications process, logistics, and curriculum design completed
• Two, Four-Session Leadership Series Trainings have begun; West—3 of 4 completed; Central -- 2 of 4 completed; 18
directors, six faculty and coaches, and a third planned for spring
Self-Help Support Resources
• Provided materials about the Self-Help Network at five conferences
Other Activities
• Convened a Billing Workgroup to address concerns identified by LHDs
• Supported administration and analysis of statewide local public health department survey; assessing workforce,
programs and accreditation readiness
3
Update through September 2013, Sonja.Armbruster@Wichita.edu
Leadership Training
4
Leadership Training
• 18 Directors – West and Central
• 3 of 4 sessions complete in Scott City
• 2 of 4 sessions complete in Salina
• Six coaches and four faculty
• MBTI
• Leadership 360
• Peer Consultation
5
Leadership Training – East
• Location: Lawrence
• Dates:
– March 5 – 6
– April 10 – 11
– May 5 – 6
– June 5 – 6
• Applications due 12/31 to Michelle
6
Local Health Department
Preliminary Survey Results
7
Survey Overview
• August 2013
• Data for 95 of 105 Counties
• 115 Questions assessing Workforce & Systems
–
–
–
–
–
Educational Preparation and Staff Positions
Programs
Community Relationships
Medical Providers
Community Health Assessment, Quality Improvement and
Strategic Planning
– Miscellaneous
8
Staffing
Staff qualification,
degree, or preparation
Number of LHDs having Number of staff with
this type of staff person this qualification
Licensed Social Worker
19
36
Psychologist
1
1
Primary Care Physician
16
20.25
Dietician
48
>90*
Nurse
95
413.45
MPH
10
19
Staff Roles
9
Number of LHDs having this
type of staff person
Certified Professional Biller
12
Healthy Start Home Visitors
71
School Health
10
Home Health
11
Training & Technical Assistance Needs
“Considering training and technical assistance needs, which
four items among the following would be helpful?”
• Technical assistance to complete the Strategic
Plan (n=35)
• Additional training on Agency Quality Improvement
Plan Development (n=35)
• Technical assistance to complete the Agency QI
Plan (n=31)
• Technical assistance to complete the CHIP (n=31)
• Additional training on Strategic Planning (n=30)
12
Health Homes and
Health Departments
13
SERVICE STRUCTURE
Agenda
Individual and
Family
Supports
Comprehensive
care
management
Referral to
community and
social support
HH Partner
(HHP)
MCO
Health
Promotion
Member
with
designated
condition
Care
Coordination
Comprehensive
transitional
care
14 9/20/2013
Kansas Association of Local Health
Departments
14
Programs at LHDs
Chronic Disease Self-Management Classes (KOHP)
Provided
onsite,
organized/
managed
by LHD.
Trainer is
not LHD
staff.
Provided
onsite,
organized/
managed
by LHD.
Trainer is
LDH staff.
Provide
trainer but
classes held
at another
community
organization
Provided in
the county
but not LHD
responsibility
Not
provided
in the
county
3
10
4
21
22
Diabetes Group Classes – Provided at Five LHDs
18
Do not
know
17
Two-Column
Layout
MEET
EARLEEN
Earleen is
41 years
old
Earleen is unemployed
but interested in
employment
Earleen has
diabetes
Earleen has
COPD
Earleen has been admitted to the
hospital 4 times in the past year.
9/20/2013
Earleen
has
bipolar
disorder
Kansas Association of Local Health
Departments
KANCARE Health Home: Scenario –
How will KanCare help Earleen?
MCO
Communication between
Care Coordinator and Case
Management
CMHC
Case Coordinator
Care Management
Works with Earleen to help her ask her PCP and
specialists questions, and to understand
information provided
Assists in locating primary
care physician and schedules
initial appointment and
follow-up appointment
Assists in scheduling
appointments with
specialists and physical
therapist
Earleen
Refers Earleen to
CMHC Psychiatrist
and private therapist
Assist s Earleen to locate affordable physical exercise .
Connects Earleen to support
group for people with bipolar
and other conditions.
Communicates and
collaborates with PCP,
Specialists, and Care
Coordinator
Assist Earleen with
understanding local
public transportation.
Assists in setting up NEMT
Provides family member
with information
regarding support groups
Refers for diabetes education
HIT
20
9/20/2013
Helps Earleen understand
medications and diabetes
education information.
Kansas Association of Local Health
Departments
Helps connect to
COPD – Support
Inc. on-line
Assist Earleen to
complete a subsidized
housing application
Refers Earleen
to Vocational
Rehabilitation
Health Homes and Health Departments
1. What are potential roles for LHDs related to
Health Homes?
2. What concerns do you have about Health
Homes?
3. What hopes do you have about Health Homes?
4. What kinds of support or technical assistance
would be helpful as Health Homes begin?
21
Thank You
Questions?
22