CoIIN Corner

Check out these exciting updates from three of the AYAH CoIIN state teams!

Maryland

The Maryland Clinical Demonstration Site Partner began its first SBIRT Training for AYA clinical providers last week at Dundalk Pediatrics. The training was conducted by Johns Hopkins Adolescent AYA medicine experts from the Leadership Education in Adolescent Health (LEAH) program. Dundalk Pediatrics is a busy pediatric clinical practice which serves many AYAs in Baltimore County, Maryland. The QI training will focus on recognition of substance use disorders among AYAs served by the practice and on increasing the practice's capacity to provide intervention and treatment referrals for impacted patients. The Patient Satisfaction Survey will be implemented shortly (still pending IRB approval).

Minnesota

Minnesota completed a successful four-month emoji-based marketing campaign and web landing page promoting Child and Teen Checkups (C&TC, i.e., well visits for Medicaid-eligible youth) to 16-20 year-olds. The campaign materials will now be available as a toolkit for statewide and local use for C&TC outreach. They continue to work with partner clinics on QI efforts with a focus on confidential care. Young Adult Council leaders continued to conduct clinic evaluations and feedback to clinic staff while preparing to train clinic and frontline staff in addition to a cohort of family medicine residents using the University of Michigan Sparks training. In addition, the MN CoIIN continues to collaborate with MN State High School League on aligning well visits and sports physicals. All of this work is guided by their CoIIN partnership with state health and human services agencies, county and tribal public health, metro and rural representatives, medical academies (pediatrics, family medicine), clinical practitioners, health insurance representatives, and young adult partners.

New Hampshire

The NH team met with the clinic demonstration sites to discuss their results from the patient satisfaction survey and youth-led environmental survey. From these meetings, the sites decided to focus on confidentiality for their quality improvement work. A board-certified adolescent medicine pediatrician from the NH CoIIN team will provide training to the demonstration sites on confidentiality in May, giving the sites three months to implement PDSA cycles and look for an impact on their patient satisfaction survey results. The NH team is working concurrently with the school administrative units (SAUs), where the demonstration clinic sites are located, to promote annual adolescent well visits. From their review of current policies, they are drafting guidelines for policy language around adolescent well care that the school administrative units could adopt.

New Jersey

The New Jersey DOH facilitated the implementation of the Adolescent Well Visit Improvement Pilot at Barringer High School in Newark, administered by the Jewish Renaissance Medical Center's (JRMC) FQHC. To date, providers and youth have completed pre- self-assessments of the clinic's adolescent friendliness. Over the next few months, JRMC will be entering adolescent well visit data into the AYAH-NRC online dashboard. NJ DOH will assist in connecting JRMC with a mentor for instituting the use of a staff Navigator to schedule initial and follow-up AWV appointments. NJ DOH will also provide technical assistance/training in areas identified as needing improvement.

Washington

The Washington State CoIIN team has been working on implementing the AYAH patient satisfaction survey with two of their sites. The Jefferson County Kent-Phoenix sites have been administering the survey to students via tablets. The Walla Walla site has been working with Medicaid to become contracted with the MCOs. They are currently in the final stages of contracting with the state's largest MCO. For additional information please contact Allison Templeton at Allison.Templeton@doh.wa.gov

Wyoming

The Wyoming CoIIN team is excited to welcome its new Youth and Young Adult Health program manager, Rachel Macklin. Rachel joins us with many years of experience in global public health work in the MCH realm. Rachel will be working hard in the coming weeks to orient herself to this project. Although Wyoming has been transitioning in team leadership over the last couple of months, we have been able to successfully launch our pilot clinic project with four clinics across Wyoming. These clinics are using the AYAH CoIIN Youth Survey and will be working to improve the clinic environment to make it more adolescent friendly. They will also be working with the University of Michigan's ACE-AP team to complete this project.

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