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Children's Health Collaborative Project


Kelli Caseman

on 4 October 2018

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Transcript of Children's Health Collaborative Project

The Need:

West Virginia is an exemplary national leader of enrolling children in Medicaid and CHIP.
However, state and/or federal budget cuts threaten this continued success. Further,
a growing population of children in disrupted families and children in transition is creating new enrollment challenges
. These children – even with an insurance card - are not linked to a medical home and getting the preventative screenings and care they need
. In our state, nearly one in four children are poor and the majority live in rural areas.
Poor children in rural communities are at greater risk
for a myriad of physical, cognitive, social, emotional, and behavioral problems
that too often fester over time, leading to failure in school.
West Virginians for Affordable Health Care
's Mission

To bring a
consumer voice
to public policy so that
every West Virginian has quality, affordable health care

and the opportunity to lead an informed, healthy and productive life.

We achieve our mission by:

Working with partners to identify and advocate for positive public policy change.
Developing and coordinating innovative public education programs.
Protecting and preserving programs that serve our mission.
Assisting individual consumers in navigating the health care system.

What's Next

West Virginia Kids' Health Partnership
- a project of WVAHC- was created in 2017 with the mission to
build bridges between health care, social supports, and community services
, so
all of West Virginia’s kids have
the opportunity to develop to their healthiest potential
It is comprised of members across sectors and systems that provide kids’ health and support services in our state with a collective goal to
alleviate barriers
that exist between siloed systems, to make it easier to
address health disparities
improve health outcomes

Connecting Schools and Health Care
Schools as a Hub/Link for Health Care and Social Supports
Grant Goal One:

Engage parents, school and providers in strengthening and expanding schools’ capacity to identify student insurance status and establish efficient links between schools and local health care providers.

Grant Goal Two:

Bring a local consumer voice to the development of new alternative health service models for children in the school system by ensuring that each child has a medical home and timely delivery of a full array of social and health care services for all children.

Grant Goal Three:

Engage and empower the public and consumers in ensuring that all of the children and adolescents in their communities are insured and have access to appropriate health care when they need it.

Together, we can ensure that all students are insured. This is key to all health promotion and prevention efforts. Kids need connected to health care and support services.

School/health care linkages alleviate barriers to accessing care and services.

Connecting community, schools, and health care maks makes sense for families. Parents/guardians don't have to worry about where to go to enroll kids in health care, update insurance status, or receive help when needing referred into health care.

It's an important step in a cultural shift, from "sick care" to "health care," where families can learn together how to appropriately access health care, such as not waiting to go to the ER when there's a health problem, making healthy lifestyle changes, and utilizing well-child care-- such as annual exams now covered with no co-pay, regardless of insurance status.

Linking facilities with schools provides them access to patients whom often do not seek preventive health care.

It helps assist them with getting updated health insurance information and contact information for parental permission for services.

Kids are a captive audience at school, so appointments are rarely missed. As transportation issues are a primary reason for missed clinic appointments, a primary barrier to care is eliminated.

By bridging systems, health care becomes better linked to support services-- imagine providers who prescribe physical activity programs provided at school, or enrolling families in community weatherization programs, for patients with asthma.

When schools and health facilities open their doors for partnership opportunities, community members can play a more active role in addressing the health and well-being of kids. It empowers advocates with meaningful, actionable ways to get involved. School Wellness Councils, PTAs, PTOs, 4-H Clubs, Girl Scouts, school gardening clubs, etc. can all tie their efforts together, to collectively cultivate a healthy school/community environment.

More collaborative work with schools and health care presents funding opportunities to local advocacy, nonprofit and charitable organizations.

Imagine the collective opportunities for addressing issues such as bullying, bereavement, trauma, resilience, or any other health/well-being issue specific to a community when linkages between community/health care/schools are made.

We're initiating work on the grant project by collecting data, to get a comprehensive picture of the current connection between health care, schools and communities in our state.

Currently, there is no statewide, comprehensive listing of health care/school partnerships for services in the state-- such as which schools collect health insurance status, if any assist in enrolling students, or which schools have policies/protocols for linking these services.

We need to know who's doing what, where work is being done, where there is need, and most importantly,
where there is "the will"-- in each county's schools, health care organizations and communities-- to make these connections.

The Survey Project- What We’ll Learn
Results from this unprecedented collection of comprehensive health care/school/community data in our state can serve as a
baseline for grant projects, policy initiatives, and collaborative sharing opportunities
, i.e. what’s working in some counties and schools? How can it be replicated? Can resources be shared?

We plan to hold a press conference in August to announce the results of the project. We plan to be transparent and open in sharing results.

For this information to be useful, we need significant participation from schools, health care and the community across the state.
What's Next
What's Next


Creating database of contacts and email addresses, delineated by county, school, organization, and title

Identifying groups to survey

Drafting surveys, specific to title/position

Between January and June
, WVAHC will promote and educate about the grant and surveys, to increase response numbers.

Before school begins
, August 2018- We will share what we’ve learned and create a strategic plan to achieve the goals of the grant.

What's Next
WVAHC will create and implement a strategic plan, using the data we collected from the survey project, to carry out the three goals of our grant project.

We will connect and cultivate relationships with those who identified as champions during the surveying process.

How can you help?

Join our email list
Help us recruit
Sign up for a phone interview
Help coordinate a focus group
Let us know how you'd like to help.

All children have the potential to learn, achieve and succeed as students
, and their academic success is strongly
linked to their physical and emotional well-being

A child's physical well-being is strongly linked to access to insurance coverage and comprehensive health care services.

The school setting is a unique position to address health disparities, as well as link education, health care, and community supports.

West Virginia is a leader in connecting schools to health care.
We have more school-based health centers (SBHCs) per capita than any other state. Many of our 55 counties have implemented health and wellness programs, behavioral and oral health programs and after school and support programs in their counties or specific schools.

We believe there are many kids, families, schools, health care facilities and communities that could benefit by advancing these important connections, and
if they're interested, we want to help them.

Health care and health services available in schools gives all kids access to affordable, comprehensive and quality health care.
It assures equal opportunity for all children to access needed health services, regardless of their family's socioeconomic status.

For example, in WV, NO child is denied access to health care due to a family's inability to pay. This is largely due to outside organization's ability to bill insurance. This is a main reason why connecting health care status and enrollment with schools is so criticial.

This potential was the impetus for WVAHC to seek grant funding to create the
Children's Health Collaborative Projec

It can help reduce absenteeism.

Offers valuable support to schools without costing the schools more money, or requiring new staff or new responsibilities, other than collaboration and sharing space/resources.

The same social determinants that hinder academic success are the same as the determinants that hinder healthy development. By working together, schools/health care and communities can address these issues. School food/hygiene pantries are a good example of this.

School nurses, psychologists, counselors, social workers, therapists and other staff play a more fundamental role in referring kids to care. It cultivates the ability to follow through on referrals, and share appropriate health information between systems.

Schools can go back to their primary function-- educating students.

Who We Are
Children's Health Collaborative Project
Are We Healthy, West Virginia?

According to
2017 America's Health Rankings

(infographic to the right), WV ranks 46th (out of 50) for our health and well-being.

According to the
2016 Kids Count Data Book
, WV kids ranked 39th (out of 50) in overall child well-
Children's Health Collaborative Project
Children's Health Collaborative Project
Children's Health Collaborative Project
How Can the Children's Health Collaborative Project
Kids and Families
How Can the Children's Health Collaborative Project
Health Facilities
How Can the Children's Health Collaborative Project
How Can the Children's Health Collaborative Project
The Survey Project- What We’ll Learn
The Survey Project- What We’ll Learn
Five Priorities
Priority One:
Is the county school system or school collecting health insurance enrollment information? If so, how and how often? Is there a policy in place for how this information is acquired?

Priority Two
: Are there health services provided on site? If so, what services? Are there policies in place between the school and provider for services?

Priority Three
: Is the county school system or school linked to health services? If so, how? Are there policies or protocols in place for linked services?

Five Priorities
Priority Four
: Do you refer students for health services? If so, how? Are there policies and protocols in place for referring students to health care services, or to enroll in insurance?

Priority Five
: Do you think health services should be provided in schools? Do you think this service is needed in your community? Would you be a champion to promote health care in your school?
Five Priorities
Surveys will be no more than
5 to 10


in length, will be disseminated to key stakeholders within
, and
health care
, with priorities depending on title or occupation of the survey recipient (i.e. in a health care, school or community service role) and the setting in which they work. For example, school nurses are health care professionals in the school setting.
The Survey Project- How We’ll Share
The Survey Project:
Full transcript