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Title V Technical Assistance Meeting

 Resources

AMCHP 2014 Resources 
 
Adolescent Health in Title V: Findings from an Environmental Scan
AMCHP completed an Environmental Scan of Adolescent Health activities in Title V programs. The full report is now available for download. The scan included an overview of key findings in adolescent health programs as reflected in activities reported by states in Title V MCH Services Block Grant narratives.

  • Adolescent Health Activities in State Title V Programs Webinar
    AMCHP recently completed an Environmental Scan of Adolescent Health activities in Title V programs and presented the findings in a webinar on April 14, 2014. The scan included an overview of key findings in adolescent health programs as reflected in activities reported by states in Title V Block Grant narratives. In addition to the overview of findings, staff from the Iowa Department of Public Health and Ohio Department of Health shared presentations on how adolescent health programs are organized in their states. A recording of the webinar is available here.

Before and Beyond Pregnancy: The Preconception/Interconception Clinical Toolkit Webinar
The National Preconception/Interconception Clinical Toolkit, developed by the Preconception Health & Health Care Initiative, was designed to help primary care providers and their colleagues incorporate preconception/interconception health into the routine care of all women of childbearing age. The goal of this toolkit is to help clinicians reach every woman who might someday be pregnant every time she presents for routine primary care with efficient, evidence-based strategies and resources to help her achieve: healthier short and long term personal health outcomes; increased likelihood that any pregnancies in her future are by choice rather than chance; and decreased likelihood of complications if she does become pregnant in the future. This webinar included a presentation and step-by-step guidance of the use of the toolkit and information on who it can be used in every day practice. The creation of this toolkit was made possible by contributions from the W.K. Kellogg Foundation and the UNC Center for Maternal and Infant Health  

Building and Retaining a Resilient MCH Workforce for Tomorrow Webinar
Several forces, such as full implementation of the Affordable Care Act and enduring budget cuts, deficits and hiring freezes, are having a huge impact on the knowledge and skills needed for a competent public health workforce. To continue to effectively meet the needs of children, families and communities they serve, building and retaining a resilient MCH workforce has become especially critically important for state Title V programs. In order to support states' efforts to maintain a talented workforce, AMCHP hosted the Building and Retaining a Resilient MCH Workforce for Tomorrow webinar on May 15, 2014. This webinar featured stories from two states, Michael Warren, MD, MPH, FAAP, Director of Maternal and Child Health for the Tennessee Department of Health and Meredith Pyle, Systems Development Chief in Maryland's Office for Genetics and People with Special Health Care Needs, highlighting their successes in building a resilient workforce. The webinar also featured a brief overview from Mark Law, PhD, Director of Operations for CityMatCH, of two concepts, Positive Psychology and Emotional Intelligence, that have demonstrated effectiveness in building a resilient workforce.
After viewing this event, you will be able to: 

  • Identify the challenges and barriers states may face in building and retaining talented staff
  • Understand the importance of building and retaining a talented staff
  • Identify strategies to building a "resilient" workforce

Part 1 and Part 2 of the webinar are available here.

Building, Implementing, and Sustaining Teen Pregnancy Prevention Efforts Webinar
On Jun. 26, 2014 AMCHP hosted a webinar featuring state examples of teen pregnancy prevention programming through the lenses of positive youth development, the program implementation life cycle, and disparity reduction. In recent weeks and coinciding with Teen Pregnancy Prevention Month in May, numerous federal partners and their grantees participated in webinars on teen pregnancy prevention activities, including on the topics of engaging males and prevention of subsequent teen pregnancies. As MCH programs consider their own efforts designing, coordinating, and evaluating teen pregnancy prevention programs within their state, this AMCHP webinar highlighted three state teen pregnancy initiatives at different stages of implementation, and focused on their efforts to reduce disparities (by race/ethnicity and urban versus rural) in teen pregnancy and childbearing, leveraging novel partnerships and outreach methods. 

Children and Youth with Special Health Care Needs Fact Sheet
This fact sheet provides an overview of CYSHN programs, as well as AMCHP activities and publications related to CYSHCN.

Coordinating Efforts across the Title V MCH Services Block Grant and the Title X Family Planning Program
This case study describing how five state MCH programs - Alaska, Iowa, West Virginia, Wisconsin and Virginia - leverage Title X investments or collaborate with Title X grantees to maximize their impact on reproductive, maternal, and infant health; improve the health of women across the life span; and create a continuum of care and integrated system of community-based services in women's health. AMCHP compiled the publication in consultation with the National Family Planning and Reproductive Health Association and with the support from the CDC Division of Reproductive Health.

Economic Analysis of LARC Programs
Current research literature for the economic evaluation of Long-Acting Reversible Contraception (LARC) programs lacks specific examples of return on investment (ROI) analyses that calculate net financial gain from the provider perspective. In an effort to encourage the implementation of LARC program ROI analyses in state and local health departments, AMCHP created a resource sheet on the Economic Analysis of LARC Programs that can facilitate the process. The resource sheet summarizes previous LARC studies, describes the need for ROI analyses, differentiates ROI and cost-effective analyses, and identifies the steps to consider in implementing an ROI analysis for LARC programs. 
 
Leading in Changing Times Series
AMCHP efforts to strengthen the capacity of the MCH community to engage in the leadership process recognize that leadership development is a process, not an event.  The Leading in Changing Times Series is an initiative launched by AMCHP as part of our larger efforts to support a diverse, effective and competent workforce in state and territorial MCH programs. The Leading in Changing Times Series is a year-long, three-part series of webinars blending principles of key leadership theory with real-world stories from senior-level MCH leaders. These 45 minutes leadership "conversations" are designed to share leadership ideas and inspiration. 

Part 2 of this series was held on Wednesday, Jan. 15, 2014 at 1:30 p.m. EST titled, Leading Change: The Challenge of Change.  Valerie Ricker, Assistant Director for the Population Health Division at the Maine Center for Disease Control and Prevention has over 30 years of MCH experience and currently serves on AMCHP's board as the Secretary.  Ms. Ricker provided an overview of the key concept, leadership and change, followed by her personal experience in combining MCH with other programs into one department, as Maine has undergone a lot of change in recent years. 

Part 3 of this series titled, Leaders With a Vision: The Ability to See Beyond the Present, Stephanie Wrightsman-Birch, Section Chief of Women's, Children's and Family Health as well as the Title V  for Alaska's Department of Health and Social Services has over 30 years of MCH experience and currently serves on AMCHP's board as the Past President.  Ms. Wrightsman-Birch provided an overview of the key concept, leadership and vision, followed by her personal experience in re-building the MCH program after it was disbanded in a reorganization of her Department.

MCH Epidemiology Methods and Practice Assessment
This MCH Epidemiology Methods and Practice Assessment Issue Brief describes findings from a survey of MCH epidemiology professionals to gain insight on the experiences, methods, approaches, and resources that strengthen and support their work in the field of maternal and child health.

The MCH Navigator Webinar
The MCH Navigator, funded by MCHB at Georgetown University, is a learning portal that provides access to state and local MCH professionals for free, providing competency-based online trainings to meet professional development needs and ensure that the Title V workforce has the knowledge and skills to address the needs of the MCH Community. On May 21, John Richards, Research Director and Keisha Watson Bah, Training Director for the McCourt School of Public Policy at Georgetown University provided an overview of new and familiar features of the new Navigator website, and explained how professionals can access learning opportunities directly through the site and how departments and organizations can use the Navigator to encourage and track staff development. After viewing this event, you will be able to:

  • Understand the history of the MCH Navigator, how it assists in learning the skills needed for being a member of the Title V workforce, and learn about new key features of the website
  • Learn how to identify specific MCH Navigator trainings and resources base on individual needs
  • Learn about the MCH Navigator's Self-Assessment tool and how to develop a customized learning plan for success
  • Understand how the MCH leadership Competencies and the Public Health Core Competencies assist in structuring your learning needs both in the MCH Navigator and through HRSA TRAIN

 The slides for the webinar are also available here.

National Standards for Improving Quality Systems of Care for Children and Youth with Special Health Care Needs
The Association of Maternal & Child Health Programs (AMCHP), with support from the Lucile Packard Foundation for Children's Health released a groundbreaking set of standards designed to help communities, states and the nation build and improve systems of care for CYSHCN. The standards are designed for use by a range of stakeholders including state Medicaid agencies and CHIP programs, state Title V programs, health plans, children's hospitals, families/consumers and provider groups. The standards address the core components of the structure and process of an effective system of care for CYSHCN. They were derived from a comprehensive review of the literature, early project guidance from more than 30 key informants, case studies of standards currently in use within selected sites, and input and guidance from a national work group comprised of national and state leaders representing state Title V CYSHCN programs, state Medicaid agencies, pediatric providers, health plans, children's hospitals, families/consumers, health services researchers and others. This set of standards represents one of the first efforts of its kind to comprehensively and systematically collect and categorize structure and process standards that affect CYSHCN and their families.

  • Presentation Tool: National Standards for CYSHCN
    This tool is designed to be used as an orientation and discussion tool for agencies, organizations and stakeholders serving CYSHCN stakeholders seeking to understand and apply the standards within states. Organizations who should consider using this tool include Title V CYSCHN programs, state Medicaid and CHIP, health plans, provider groups, families and family partner organizations. The tool was developed to be used in conjunction with the national standards, and can also be used with other standards-based tools including organizational and systems assessment tools. Directions for using the tool are available here.

Preconception/Interconception Clinical Toolkit Webinar
National efforts to improve infant mortality and preterm birth are aimed at improving the health of all women of reproductive age, including the women who have a reproductive life plan. The National Preconception/Interconception Clinical Toolkit was designed to help primary care providers and their colleagues incorporate preconception/interconception health into the routine care of all women of childbearing age. The goal of the toolkit is to help clinicians reach every woman who might someday become pregnant every time she presents for routine primary care with efficient, evidence-based strategies and resources to help her achieve: healthier short and long term personal health outcomes; increased likelihood that any pregnancies in her future are by choice rather than chance; and decreased likelihood of complications if she does become pregnant in the future. This webinar, Before and Beyond Pregnancy: the Preconception/Interconception Clinical Toolkit, includes a presentation and step-by-step guidance of the use of the toolkit and how it can be used in day to day practice. The creation of this toolkit was made possible by contributions from the W.K. Kellogg Foundation and the UNC Center for Maternal and Infant Health. 

Quality Improvement Resources for Epidemiologists
At the 2014 Council of State and Territorial Epidemiologists (CSTE) conference, AMCHP and CSTE convened a round table discussion to hear about epidemiologists' experiences with QI and the challenges and barriers they face to successful QI.  In December 2014, based on the needs identified through the roundtable discussion, AMCHP created a resource sheet titled Quality Improvement Resources for Epidemiologists. The resource sheet provides links to materials on QI in public health, QI measurement, MCH-specific QI training, and examples of QI initiatives at state and local health departments.

Return on Investment Web Page
AMCHP developed a new Return on Investment (ROI) Web page to showcase involvement in enhancing the knowledge and practice of economic analyses that demonstrate investments in MCH programs. The AMCHP Community of Practice for Return on Investment is continually accepting new participants to join the conversation and discuss the interests, experiences, progress and challenges faced in developing an ROI analysis.

Roadmap of MCH Economic Analysis Resources
AMCHP's Community of Practice for Return on Investment (ROI) is a peer-sharing group that discusses mutual interests and experiences in developing economic analyses for MCH programs. Based on the needs identified from the Community of Practice for Return on Investment, AMCHP created the Roadmap of Resources that gathers a wide-range a materials to be used throughout the analysis process. The Roadmap of Resources provides links to materials on introductory definitions, guidelines and toolkits, case studies, webinars, journal articles, and examples of ROI projects for state MCH programs.

State Developmental Screening & Early Identification Performance Measures Fact Sheet
This fact sheet highlights current Title V State Performance Measures related to developmental screening and early identification and accompanies the environmental scan. 

State Strategies and Initiatives to Improve Developmental and Autism Screening, and Early Identification Systems
This report includes initial findings from an environmental scan AMCHP conducted in summer 2014 of 185 source documents in an effort to capture the wide range of developmental screening activities occurring within all U.S. states and territories. Over the coming year, this data will be further analyzed to develop resources to assist states, particularly Title V programs, in building and improving developmental screening and early identification systems. These tools and resources will be housed on the AMCHP State Public Health Autism Resource Center (SPHARC) website. A fact sheet on Title V State Performance Measures related to developmental screening and early identification accompanies the release of the scan. For more information, and to access these publications, visit the SPHARC website.

State Title V Program Approaches to Improving Birth Outcomes
In recent years, increased attention and energy has focused on reducing infant mortality and improving birth outcomes in the United States. Both public and private organizations are investing time and funds on many fronts and in various methods and on many jurisdictional levels. This issue brief focuses on the recent efforts to reduce non-medically indicated deliveries before 39 weeks gestation and various methods that state Title V maternal and child health (MCH) programs are utilizing to improve birth outcomes. There is differing terminology in reference to these deliveries, with early elective and non-medically indicated deliveries before 39 weeks sometimes used interchangeably. This brief features the work of California, Texas and North Carolina. This project is part of a national project, Optimizing Health Reform to Improve Birth Outcomes, funded by the W.K. Kellogg Foundation to strengthen the capacity of state Title V MCH programs and their partners to improve birth outcomes and infant health through health reform and is part of the National Center for Health Reform Implementation work.

Title V Five Year Needs Assessment Trainings
Title V legislation requires each state and jurisdiction to conduct a state-wide, comprehensive needs assessment every five years. The needs assessment process can be a useful tool for strategic planning, strategic decision-making and resource allocation.  It also provides a way for Title V programs to benchmark where they are and assess progress over a five-year period. To assist states or jurisdictions in preparing their assessments AMCHP hosted a series of virtual trainings to provide guidance on the needs assessment process.  The first webinar was held on Wednesday, Mar. 5.  This webinar provided an overview of the needs assessment process with a presentation from Donna Petersen, ScD, MHS, CPH, Dean for the College of Public Health at the University of South Florida.  Dr. Petersen presented on the "Nuts and Bolts of the Five Year Needs Assessment", followed by a state-in-action example from Massachusetts.  The Massachusetts MCH team shared their strategies, resources and lessons learned from conducting the five-year needs assessment process.

The second webinar, The Nuts and Bolts on Using Data was held on May 1. This presentation featured Caroline Stampfel, MPH, currently the Senior Epidemiologist at AMCHP and formerly an MCH Lead Analyst with the Virginia Title V program, on using data in the needs assessment process. Ms. Stampfel's presentation was followed by two states-in-action profiles, Rhode Island and Alaska, who shared their data strategies, resources and lessons learned from conducting the five-year needs assessment process. Following these webinars, AMCHP intends to provide additional trainings on other topics related to the needs assessment, i.e., stakeholder engagement, selecting state priorities, based on input provided by webinar participants.