Exploring Early Childhood Care and Education Levers to Improve Population Health Proceedings of a Workshop (2019) / Chapter Skim
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Appendix C: Gallery Walk Questions and Input
Appendix C: Gallery Walk Questions and Input
Pages 83-96
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C Gallery Walk Questions and Input ACRONYMS AND ABBREVIATIONS IN THE GALLERY WALK COMMENTS ACO accountable care organization CHNA Community Health Needs Assessments CMMI Center for Medicare & Medicaid Innovation ECE early childhood education EMR electronic medical record FOA Funding Opportunity Announcement IRS Internal Revenue Service MACRA Medicare Access and CHIP [Children's Health Insurance P rogram] Reauthorization Act of 2015 MCH maternal and child health MIPS merit-based incentive payments system National Academies National Academies of Sciences, Engineering, and Medicine NYC New York City 83
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• Discharge moms/babies from hospitals with materials that pro mote talking/singing to infants. • Create health teams that include personnel trained in develop mental screening and deploy community health workers to do home visits regarding books/songs at home.
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• De-jargoning terms, creating better engagement for providers in professional development, language access, cultural norms, opportunities/time for professional development. • Invest in consultant models in child care (mental health, child care, health consultants)
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How do non-regular work schedules for parent's impact ability to connect with/communicate with providers? • What is the relative balance of inputs to child development outcomes: word gap, nutrition, parent education, etc., and the relative investment benchmark of each (i.e., per capita $)
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• How to get pediatric providers and ECE providers to share and work together, not just side by side. • Hospitals engagement in primary preventions supporting all parents in healthy child development.
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• What interventions are successful at closing or minimizing ineq uities between populations regarding childhood achievement (beyond overall improvements)
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• Beyond outcomes regarding child achievement and wellness, what metrics matter to parents and caregivers regarding their own goals -- use these when developing and evaluating pro grams, too. • Are there ways we can encourage environmental supports to help families so they aren't making behavioral change (i.e., talk ing to baby)
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• Nonprofit hospital community benefit is a $26 billion federal tax exemption. • How far would this go to close ECE equity gaps?
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• Lack of skills on how to build strong partnerships. • Common language: agreed upon goals, metrics.
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• Be the Change San Diego, ReThink Health Ventures; Atlanta Regional Collaboration for Health Improvement. • Relationships are key; start with small goals and wins; it takes time.
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• Strengthen focus on well-being and social emotional learning for workforce. • Specific for Paula -- require 25 percent of nonprofit hospital tax advantage provided in each local area (but what about for profits?
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• Braided funding to support effective inclusion practices. • Federal government provides technical assistance and support focused on prevention.
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d. What policy actions can be taken to increase collaboration and synergies between those working in the health sector and the early childhood care and education sector?
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