Community Engagement and Partnership Development through ...
Transcript of Community Engagement and Partnership Development through ...
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Community Engagement and Partnership Development
through Designing a Care Coordination Program
Bahar Amanzadeh, DDS, MPHPublic Health and Innovation Consultant
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By the end of this presentation:
You will:• Learn about frameworks and approaches for
Community Engagement and Partnership Development
• Understand how different elements of a Care Coordination program can work together
• Learn about collaborative approaches that can be applied to your program
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Healthy Teeth Healthy Communities Program
• Funded by Dental Transformation Initiative (DTI) Grant to increase preventive services and continuity of care among 0-20 years old children on Medi-Cal in Alameda County
• Through Care Coordination and Provider Engagements
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Process
• Idea development through design thinking process • Grant writing team• Partnership development from the beginning • Leadership and Stakeholders buy-in (within the organization
and in the county)• Communications with the State
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Design Thinking Process
Initial idea: collaboratively design a program to sustainably improve dental health of children in Alameda County using community health workersthrough: • Open-Explore-Close• Diversity• Non-linear Development• Visual Thinking
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Design Thinking Process
•Align
• Inspire
•Create
•Do
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ACCESS to CARE
Provider Factors
Client/PatientFactors
System Factors
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Alameda County
• HCSA• ACPHD/ODH• Special Start
Service Providers
• Tri-City• Lifelong Medical• La Clinica
TiburcioVasquez
Outside
• Project Access
Evaluation
• UCSF
Asset Mapping, Shared Values and Vision
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CreateConnected Care
RethinkPlaces
TrainDental Care Coordinators
Credit to Gobee’s Group
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Program Framework
WORKFORCE INTEGRATIONDELIVERYTRAINING
Referral
Prevention
Care
Sequence of program rollout
Increasing scope
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Partnership Development: From the Beginning
• Some partners involved from the conception phase through the “design Sprint”
• Partnership discussions both at the development phase and after the main structure of the program was shaped
• Ongoing communication through in person meetings as well as phone calls and e-mails
• Multiple communications to keep the momentum • In person meetings right after the first State approval to
expedite the contracting
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Collaborative Plan and Community Outreach
• All FQHCs in Alameda County• Grass Root Organizations• All 5 supervisory districts• Collaborating with all school districts and Family
Resource Centers• First 5 centers throughout the county
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Budget, Governance Structure and the Culture of Collaboration
• Total budget: $17.2 M budget; 57% allocated to community and providers
• 15+ Partners and collaboration within agency• Percentage of the total allocated to the community
and providers: 57%• Governance structure at different levels including
leadership, staff and community
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Cultivating a Vision
• We Are in it for the Same Reason: to Reduce Disparities in Children’s Oral Health
• Aiming for System Change• Creating Collective Ownership• Evaluation Integrated into Activities
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Care Coordination• Create a cross-agency workforce of Community Dental
Health Care Coordinators (CDCC) who are linguistically and culturally responsive to community.– Training
• Leverage existing infrastructures for outreach and care coordination: First 5, School Districts, WIC sites, Federally Qualified Health Clinics (FQHC) and Community Clinics.
• Develop a web-based Care Coordination Management System (CCMS) to link families to dental appointments and support continuity of care.
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Care Coordinators Training Kick Off
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Dental Provider Engagement • Expand provider network through recruiting private dentists
into Medi-Cal and enhancing FQHC participation.
• Offer additional local incentives to participating dentists, in addition to State DTI incentives:– Family Oral Health Education incentive;– Data Reporting incentive; and– Continuing Education Units for dentists.
• Develop a Dental Community of Practice (COP) to connect dental providers to additional training and technical assistance.
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Community of Practice Convening
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Role of CDCCs in Community Engagement
!Interactive Comprehensive 6 Weeks Training !Outreach and Health Education !Care Coordination!Data Entry, Report Writing and Follow Up !Working Closely with Dental Providers
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CDCCs in Action
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Snap Shot of Accomplishments Jan 2018- Dec 2019
• 26 trained and diverse CDCCs, Reached out to 39,989 families
• # of Dental appointments 23,887 • Average Show rate: 76%• 145 Dental providers working with program (29 FQHC and 22
private service locations) • 47% of appointments Preventive Services and 42% Oral
Health Evaluation
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Acknowledgements
• Arash Aslami, HTHC Project Director, ACDPH Office of Oral Health
• Jared Fine, DDS, MPH, HTHC Dental Provider Consultant• Jaspal Sindhu, Phd, Gobees, Design Thinking