Board Recap

AMCHP Board of Directors Meet to Plan for Potential Futures

The AMCHP Board of Directors and organizational committee chairs met in Denver, Colorado from Jun. 19-21 to conduct the annual AMCHP strategic planning retreat. A main activity of the meeting was to begin the strategic planning process for the next three-years (2013-2015). A key word that characterized the meeting was "uncertainty" – uncertainty about many things including the Affordable Care Act (ACA) and the role of Title V in the future, uncertainty about the federal budget, and uncertainty about the upcoming November elections. Given the amount of uncertainty in the current environment, the board used scenario planning techniques to imagine potential futures and plan AMCHP responses to those futures moving forward. Instead of developing a fixed strategic plan for the upcoming years, the board decided to use the results of the future scenarios to set short-term strategy and develop a more robust strategic plan following the Supreme Court decision on ACA and the elections in November.

Scenarios that the board considered included: ACA being upheld, partially upheld or deemed unconstitutional and cuts to the Title V MCH Services Block Grant and other federal programs at 10 percent, 30 percent or total elimination. The board was then asked: "Given each future what would AMCHP do? How can AMCHP best support the states?" It was clear that different scenarios would each require an active response from AMCHP and its members. It was also clear that uncertainty truly does characterize the next few months and that AMCHP was being proactive in imagining potential strategic responses to some very serious challenges facing state MCH programs. If you would like more information on the future scenarios the board used or the AMCHP planning process, please contact Mike Fraser at AMCHP.

In addition to its "futuring" work, the board also reviewed AMCHP progress in meeting its 2009-2012 goals. Items shared with the board included a staff report on accomplishments (of which there are many!) and areas for future consideration and improvement. Key data from environmental scans and assessments were also shared, including recent AMCHP member assessment data that indicate a high degree of satisfaction with AMCHP among its members and several key suggestions for increasing member satisfaction in the future.

AMCHP board meetings are open and public meetings and AMCHP is always happy to welcome observers at board meetings. If you would like more information on the AMCHP board or would like to consider running for an open board position, please contact AMCHP President Stephanie Wrightsman-Birch via AMCHP Executive Assistant Nora Lam.

State Title V Programs Environmental Scan
In April 2012, staff queried AMCHP state and territorial members as part of our environmental scanning activities in preparation for the June board meeting. While not all states participated, at least one state in each HHS region completed our scan survey. Here are state responses to the question: “What current and future trends are impacting state MCH practice?” 
  • Life course perspective
  • Medicaid redesign and changes
  • Decreased federal and state funding
  • Health reform implementation
  • Evidence-based practice
  • Increase in children and youth with special health care needs (CYSHCN) population
  • Preconception health
  • Weakening public health infrastructure
  • MCH and chronic disease integration/collaboration
  • Early childhood partnerships
  • Reproductive health under attack
  • Use of social media
  • Workforce
  • Partnerships
  • Family involvement
  • Home visitation
  • Advances in health information technology

AMCHP Staff Share Factors Impacting the Future Environment of AMCHP
AMCHP staff conducted a staff-wide scan of issues shaping AMCHP internal and external environment. Priority items developed by staff are listed below (staff retreat pic):

1. Affordable Care Act: its implementation impact on state MCH programs
2. Affordable Care Act: what if not deemed constitutional?
3. What is the Future of Title V? Title V of the Future?
4. Change in provision of direct services in states
5. Social media – it is not going away; part of communication
6. Change in population demographics in states
7. State MCH hard to message
8. Health equity – persistent gaps

1. Potential federal cuts may impact AMCHP funding
2. Knowledge management (how we learn from each other)
3. Impact of state health agency reorganizations and what this means for AMCHP
4. Some AMCHP members not at the ACA table in their states
5. How to best learn what states do so all staff are familiar with Title V in the states
6. Increased accountability; need to show results and outcomes to funders, members and the board
7. Increased competition from other groups that are working in MCH “space”
8. Need time to plan and process