School Success An Opportunity for Population Health: Proceedings of a Workshop (2020) / Chapter Skim
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4 Case Examples of HealthEducation Collaboration to Improve Specific Educational Outcomes
4 Case Examples of HealthEducation Collaboration to Improve Specific Educational Outcomes
Pages 37-50
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From page 37... ...
OREGON Healthy Kids Learn Better Oregon has organized its health care transformation around the triple aim of better health, better care, and lower cost, said Shirley. Oregon's health care transformation journey began with a focus on Medicaid and clinical services, Shirley said, because Medicaid transformation was an issue that brought many stakeholders to the table.
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From page 38... ...
• School wellness hubs can bring health care and prevention into schools. S haring resources and using existing services promotes sustainability and builds better health care and health equity for all county residents.
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From page 39... ...
There was acknowledgment that interventions needed to be applied upstream, and there was a suggestion that kindergarten readiness should be addressed, but Meyer felt at the time that education issues were not within the purview of the Medicaid plan. At the same time, however, many of the performance metrics that the Oregon Health Plan was trying to meet involved children, such as developmental screening, adolescent well visits, and screening for children in foster care.
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From page 40... ...
. The LCAC includes orrow M government, Morrow public health and department of human services, school districts, Umatilla-Morrow County Head Start, businesses, community partners, and other agencies and organizations.
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From page 41... ...
By building partnerships and sharing resources, school wellness hubs have been established that bring health care and prevention into Morrow County schools. Kilkenny added that using existing services promotes sustainability and builds better health care and health equity for all county residents.
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From page 42... ...
Theory Kahn shared the key driver diagram that was used by the assistant superintendent of Cincinnati public schools to outline current and future aims and drivers of success for the third-grade initiative. He noted that this diagram continues to be modified over time and that a third column was added that lists explicit interventions that will be tested against the drivers (see Figure 4-2)
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From page 43... ...
NOTE: CPS by NWEA. Public Schools; MAP® Measures of Academic Progress®, student developed Cincinnati CPS = Cincinnati Public Schools; MAP® = Measures of assessmentsProgress®; QI =NWEA.
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From page 44... ...
Implementation Approaches The Cincinnati Children's Hospital Medical Center also shared a practice called a "huddle," which has been implemented successfully at the hospital. Each day, in a highly structured, highly efficient manner, staff come together to share key information, learn from one another, and problem solve together.
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From page 45... ...
Moving Forward in Cincinnati's Hospital–School Collaboration As a result of this partnership, the school superintendent has begun to apply these same strategies at the system level, Kahn said. She has sent school leadership staff for QI training and developed a key driver diagram for the entire Cincinnati public school system.
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From page 46... ...
The school superintendent has asked for a prototype program to be deployed in six elementary schools to encompass math and reading outcomes and prosocial behavioral health. Political Will and Readiness for Change Meadows asked about the sources of the political will to take on these issues and the elements of readiness that need to be in place for change to happen.
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From page 47... ...
Metrics and Scoring Gourevitch observed that kindergarten readiness as a primary outcome is a complex metric and is measured differently in different places. Meyer responded that, in Oregon, the way that progress toward goals is measured is developed by a metrics and scoring committee and that kinder arten readiness is about to become a statewide incentive metric for g all CCOs.
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From page 48... ...
The education sector has said that it cannot deliver the education outcomes required if health care does not do its part to deliver healthy children to schools. The Cincinnati Children's Hospital Medical Center is involved in strategic discussions with decision makers and the Ohio Children's Hospital Association to develop a work plan for substantial primary care changes, especially in mental health, she said.
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From page 49... ...
It is like "separating grains of sand" to say one person in a small community can access care and another cannot because one is on Medicaid and the other is not. The Eastern Oregon CCO recognizes that expanding services beyond the Medicaid population lifts the whole community.
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