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Technical Assistance Project Update

Sonja Armbruster

Public Health Initiatives Coordinator

Center for Community Support and Research

10/30/2013

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Overview

• Update At-A-Glance• Preliminary Evaluations from Leadership

Training• LHD Survey Data -- Preview• Health Homes and Health Departments

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Medicaid Contract for Technical Assistance, Training, and Evaluation Services, KDHE-WSU

• Public Health and Medicaid Coordination Workgroup convened system partners• Seven Workgroup meetings with resources posted to KALHD website

Enhanced Coordination

• 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

Examine Expanded Evidence Based Practices

• 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

Chronic Disease Self-Management Program

• 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

Leadership Development

• Provided materials about the Self-Help Network at five conferencesSelf-Help Support Resources

• 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

Other Activities

Update through September 2013, Sonja.Armbruster@Wichita.edu

Funding for this project is provided to CCSR through a KDHE Title XIX Medicaid Contract.

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Leadership Training

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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

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Leadership Training – East

• Location: Lawrence• Dates:

– March 5 – 6 – April 10 – 11– May 5 – 6– June 5 – 6

• Applications due 12/31 to Michelle

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Local Health Department Preliminary Survey Results

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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

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Staffing

Staff qualification, degree, or preparation

Number of LHDs having this type of staff person

Number of staff with 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 Number of LHDs having this type of staff person

Certified Professional Biller 12

Healthy Start Home Visitors 71

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School Health

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Home Health

Kansas Health Departments with Home Health

ALLEN

ANDERSON

ATCHISON

BARBER

BARTON

BOURBON

BROWN

BUTLER

CHASE

CHAUTAUQUACHEROKEE

CHEYENNE

CLARK

CLAY

CLOUD

COFFEY

COMANCHE

COWLEY

CRAWFORD

DECATUR

DICKINSON

DONIPHAN

DOUGLAS

EDWARDS

ELK

ELLIS

ELLSWORTH

FINNEY

FORD

FRANKLIN

GEARYGOVE

GRAHAM

GRANT

GRAY

GREELEY

GREENWOODHAMILTON

HARPER

HARVEY

HASKELL

HODGEMAN

JACKSON

JEFFERSON

JEWELL

JOHNSON

KEARNY

KINGMANKIOWA

LABETTE

LANE

LEAVENWORTH

LINCOLN

LINN

LOGAN

LYON

MARION

MARSHALL

MCPHERSON

MEADE

MIAMI

MITCHELL

MONTGOMERY

MORRIS

MORTON

NEMAHA

NEOSHO

NESS

NORTON

OSAGE

OSBORNE

OTTAWA

PAWNEE

PHILLIPS

POTTAWATOMIE

PRATT

RAWLINS

RENO

REPUBLIC

RICE

RILEYROOKS

RUSH

RUSSELL

SALINE

SCOTT

SEDGWICK

SEWARD

SHAWNEE

SHERIDANSHERMAN

SMITH

STAFFORD

STANTON

STEVENSSUMNER

THOMAS

TREGO WABAUNSEEWALLACE

WASHINGTON

WICHITA

WILSON

WOODSON

WYANDOTTE

LEGEND

Full Service Home Health

Home Care Services Only

No Home Health

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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)

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Health Homes and Health Departments

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Agenda

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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

Do not know

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Diabetes Group Classes – Provided at Five LHDs

Two-Column Layout

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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?

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Thank You

Questions?