CoIIN Corner

On August 8, 2018 many of the CoIIN state teams attended a wrap-up summit and continuation planning meeting to share overall lessons learned and to plan for the continuation of activities implemented during the AYAH CoIIN project period.  Below is a quick snapshot of some of the lessons learned, as reported by the state teams during the meeting:

Theme(A few of the) Lessons Learned





Partnerships
  • Don't reinvent the wheel.  Engage with partners that have expertise in what your program is trying to accomplish
  • A focused project like the AYAH CoIIN was helpful in bringing stakeholders to the table and cultivating relationships that are important to sustain and build upon the work.
  • Including the Medicaid Agency representative on the AYAH project team was invaluable for achieving outcomes.
  • Make time to celebrate successes with partners.




Promoting the Adolescent Well Visit
  • Take the time to learn about the perspectives of youth and their caregivers when designing campaigns; what they want to know about the adolescent well visit will likely be different than what you think they want to know
  • The Minnesota and Iowa state teams both designed communications campaigned that aimed to market the adolescent well visit.  Minnesota went with an emoji-based campaign while Iowa went with a campaign centered around, "every age, even teenage"




Clinical Quality Improvement
  • Encouraging clinical QI among pilot sites that provide services to AYAHs shouldn't really live with the state health departments.  A suggested strategy is for state health departments to partner with organizations that have expertise in clinical QI, and have them provide assistance directly to clinic sites.
  • When working with clinics to complete QI projects, be sure to set data collection expectations up front

Training 
(providers, young people, parents, decision makers)
  • Be sure to train the youth your program is working with in the following topics: health literacy and health equity
  • Resources to provide trainings are limited; share seamlessly and steal shamelessly!




Changing and/or Refining Policy
  • Policy change can happen when you explain the why, the how, and the best practice behind it
  • Allow time for preparing the resources needed to make big policy changes
  • Clarify consent and confidentiality laws and best practices as a training for provider
  • Consider collecting longitudinal data to demonstrate the impact of the well visit on community connectedness as way to "make the case"



Partnering with Young People
  • Fully involve youth and young adults in the process: trust them, listen to them, and ask them…they will tell you!
  • Partner with organizations that have strong youth engagement components if your project is missing that element
  • Several CoIIN teams expressed the value of creating paid positions for youth and young adults to serve as advisors to the project