Assessment. Parameters to identify patients who would benefit most from care Conditions Successful method(s) identified, researched and

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1 Seattle Children s Cmmunity Benefit Implementatin Plan Reprt Last updated: December, 2016 CB Pririty Anticipated Impact Prject/Tactic Status Advcacy fr Medicaid & Apple Health fr Kids Enrllment f yuth in Apple Health fr Kids Utilizing Emergency & Urgent Care: the right care at the right time Partnerships t imprve access including Health Calitin fr Children and Yuth, Pediatric Partners in Care and CIN Family educatin abut accessing health care Access t Access t high quality care fr every child. Financial assistance up t 400% Federal Pverty Line High Quality Exchange prmtin with King Cunty Hspitals fr a Healthier Healthcare Cmmunity (KCHHC) Mnitring and advcating fr changes in new health care envirnment fcusing n netwrk adequacy Legislative plicy pririties Increased access t Mental and Behaviral Health. Calitin participatin Expansin f Partnership Access Line Crdinated Assessment Care fr Greater understanding f needs/assets, new mdels, Educatin t plicymakers imprved gvernment plicies. Children with Cst effective sites f care partnerships including Pediatric Partners in Care CMS grant Chrnic Parameters t identify patients wh wuld benefit mst frm care Cnditins Successful methd(s) identified, researched and crdinatin analyzed. Review f ther registries Disseminatin f Pediatric Medical Cmplexity Algrithm Shared care plan assessment Shared care plan acrss prviders and caregivers Shared care plan prcess, system at Seattle Children s develped and pilted. Explratin f care management mdels Health transitin assessment Adlescent and Yung Adult health transitin system Health transitin tlkit develped. Measures t identify which patients are meeting transitin gals Health Equity Better understand interests, strengths and needs f SKC needs, strengths assessments review and Access in Suth King Cunty. Inclusin f assets n King Cunty Hspitals CHNA Suth King SKC asset mapping Cmmunity interests via cmm. cafés, fcus grups, pht vice Cunty (SKC) Partnerships with Suth King Cunty rganizatins t Partnerships with cmmunity, health care rganizatins & thers help link ecnmic. vibrancy & health Implementatin f new cllabratins & partnerships Supprt respectful, educatinal & psitive media. Media assessment Cmmunicatin plan t prmte psitive media agenda Obesity Caregivers, prviders & cmmunity leaders deliver Develpment f cmmn HEAL messaging cnsistent health eating active living (HEAL) messages, Implementatin actin fr each f the #s within understand impact f plicy change and are empwered Cmmn besity message educatin t prmte it. HEAL plicy prmtin Hspital fd and beverage imprvements Active in KCHHC besity initiative Children s & partners btain funding t develp campaign t prevent & eliminate childhd besity. Assessment f besity pririties by lcal funders Mental and Behaviral Health Experts agree n besity benefit fr staff & dependents, partner with Human Resurces. Children s creates besity benefit, discuss a pilt prgram with state. Cmmunity capacity HEAL plicy thrugh Cmmunity Transfrmatin Grant Obesity cverage assessment Staff & dependents besity cverage explratin Inpatient psychiatric beds are available when needed. Psychiatric inpatient bed increase Patients/families have access t emergent mental health evaluatins. Patients ging t ED are referred t apprpriate resurces fr treatment. Increased knwledge f evidence-based treatments amng mental health prviders. Care is crdinated and cnsistent. Imprved access t cnsultatin services. 24/7 mental and behaviral services in the Emergency Department Mental/behaviral health care plan in the Emergency Department Research n mental and behaviral health treatments, including imprved utcmes fr patients in treatment Clinical pathways acrss cntinuum f mental health services established Mental health cnsult expansin Prject Status On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed Legend:

2 Seattle Children s Cmmunity Benefit Implementatin Plan Reprt Last updated: Octber, 2017 CB Pririty Strategy Prject/Tactic Status Crdinated Develp a systematic apprach t care transitins Hspital t hme Care fr between Seattle Children s and primary care prviders Cntinue with Pediatric Partners in Care (PPIC) grant. including hspital t hme and adlescent t adult Children with care. Chrnic Supprt and expand Medical Legal Partnership, Patient Navigatrs Cnditins prgram, the Center fr Children with Special Needs, Guest Services. Cmmunity based care crdinatin Advcate fr care crdinatin that supprts the needs f children and teens thrugh the Accuntable Cmmunities f Health (ACHs). Enhance partnerships that enable care crdinatin in ur regin. Adlescent t adult care Develp and fund a health educatr rle at Garfield Schl-Based Health Clinic t ptimize clinic utilizatin amng high schl students. Integrate best practices fr the transitin f yuth t adult care using the Gt Transitin framewrk. Cnduct research related t care crdinatin Enhance partnerships with stakehlders and advcacy rganizatins such as Accuntable Cmmunities f Health, Health Calitin fr Children and Yuth, Federally Qualified Health Centers, ther health systems, schls, family advcacy grups, primary care prviders, Department f Health and lcal public health jurisdictins. Expand supprt fr Medicaid Transprtatin fr children and yuth. Implement mdels f care based n learnings frm Transitinal Lng Term Care (TLC) prgram, Pediatric Partners in Care, Health Services within the Office f the Superintendent f Public Instructin, Children s University Medical Grup, OBCC, SCRI and Adlescent Health. Enhance ur partnership with schls and early learning prgrams by: Increasing ur cllabrative wrk with the Washingtn state schl (OSPI) bard, Applying fr the RWJF s grant, Data Acrss Sectrs fr Health, t extend SCH data and infrmatin sharing initiatives with OSPI and ther cmmunity partners, Supprting them thrugh spnsrships and prgrammatic supprt. Priritizing schl nursing, and Speaking ut fr imprved implementatin f the McCleary Decisin f 2012 Partner with UW schl f nursing and Schl Nurse Crps arund care crdinatin. Prject Status Legend: On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed

3 Seattle Children s Cmmunity Benefit Implementatin Plan Reprt Last updated: December, 2016 Enhance equitable care crdinatin by increasing the number f prviders and staff frm diverse sciecnmic and ethnic backgrunds. Develp a pipeline prgram fr yuth f diverse backgrunds applying a health equity lens n hiring practices. Cnduct research. Anchr hiring and purchasing lcally. Imprve Seattle Children s hiring data by disaggregating by ethnic grup, priritizing the Asian American & Native Hawaiian and ther Pacific Islander cmmunities. Integrate advcacy as a cre cmpnent f care crdinatin fr children and teens with chrnic cnditins. Maintain a leadership rle n Health Calitin fr Children and Yuth. Advcate fr children and yuth needs as part f the Accuntable Cmmunities f Health. Increase patient centered medical hmes. Increase payment mdels fr care management. Advcate fr public transprtatin imprvements in Suth King Cunty with a fcus n ur wrk with Hpelink. Suicide & Vilence Preventin Increase access t and prper use f safe firearm strage devices. Hld at least 4 safe firearm strage giveaway events and distribute at least 1,200 lck bxes and 100 trigger lcks each year. Establish new and maintain existing relatinships and partnerships with lcal hspitals/healthcare systems, health departments, Safe Kids Calitins, retailers and thers fr each event and area served. Create and disseminate a Safe Firearm Strage Prgram Tlkit and share with ther children's hspitals in the U.S. Establish an internal distributin prcess fr lck bxes, trigger lcks and cable lcks fr patient-families wh wish t acquire safe strage device(s) fr their hme. Cnduct research int effective disseminatin f safe firearm strage devices in the cmmunity. Increase awareness and educate families, caregivers, cmmunity rganizatins, firearm retailers, healthcare prviders and thers n the imprtance and effectiveness f safe firearm strage. Distribute Seattle Children's cmmunity educatin and LkItUp firearm safety/safe firearm strage materials. Include "Firearms in the Hme" flyer authred by Seattle Children's in DOH Child Prfile Mailing. Maintain and grw nline webpage(s) resurces: t prmte safe firearm strage events and firearm safety/safe strage resurces t reduce and prevent firearm tragedies. Screening questins and anticipatry guidance by pediatricians. Prject Status On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed Legend:

4 Seattle Children s Cmmunity Benefit Implementatin Plan Reprt Last updated: December, 2016 Evidence based strategies like thse discvered thrugh research with the Scial Media and Adlescent Health Research Team (SMAHRT) including the gal f understanding displayed health behavirs n scial media sites, and cnsidering new ways t prvide preventin and interventin prgrams using scial media. Serve as cmmunity advcate and resurce fr yuth, families, schls, cmmunity rganizatins, pediatric healthcare prviders and thers that may be at risk in the future r already have been affected by a firearm tragedy. Maintain leadership psitin fr WA State Firearm Tragedy Preventin Netwrk and crdinate 2 meetings per year. Recruit at least 30 peple representing diverse grups and perspectives t attend WA Firearm Tragedy Preventin Netwrk Meetings and maintained membership numbers fr netwrk frm baseline Establish new r maintained partnerships with at least 2 rganizatins/grups per year. Identified 3 pprtunities t engage cmmunities via task frces, calitins, wrk grups, events, etc. per year. Cnduct research n yuth assciated suicide, vilence and firearm tragedies t infrm preventin and interventin initiatives. Identify fd insecurity and imprve access t healthy, affrdable fds amng children in ur regin. Pursue and supprt research prjects aligned with yuth suicide, vilence and firearm tragedy preventin, including cllabrating with Seattle Children s Research Institute s CHBD (Center fr Child Health, Behavir and Develpment) prgram designed t study the curse and management f depressin in yung peple, including an nging study f suicidal/self-harming adlescents. Prmte psitive parenting and Perid f Purple Crying. Healthy Eating, Active Living, Fd Security Identify fd insecurity and imprve access t healthy, affrdable fds amng children in ur regin. Assess the current status f fd insecurity screening at Seattle Children s and duble the number f Seattle Children s clinics that screen fr fd insecurity in patients and families. Establish prcedures t refer families t resurces that wuld help them achieve fd security. Train Seattle Children s and cmmunity primary care prviders t enable mre effective screening fr fd insecurity. Assess the current status f fd insecurity screening at Seattle Children s and duble the number f Seattle Children s clinics that screen fr fd insecurity in patients and families. Partner with cmmunity rganizatins t imprve fd access and supprt them thrugh spnsrships. Launch a fd pantry n site at main campus r partner with mbile fd pantries in the regin t increase healthy fd access fr families. Cntinue research arund fd insecurity and health utcmes (e.g. diabetes) and widely disseminate any evidence-based practices arund fd secure families and imprved health. In particular, lk at the integratin f fd assistance resurces int rutine care fr persns with diabetes and reprt n utcmes. Invest in culturally and cmmunity tailred prgrams (e.g., healthy eating, cking, nutritin) t cmbat the perceived difficulty f cking frm scratch, fd affrdability and ther intimidating factrs. Prmte prgrams and services that result in a healthier lifestyle (includes scial media and nline classes as tls since it can be difficult t attend in persn). Prject Status On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed Legend:

5 Seattle Children s Cmmunity Benefit Implementatin Plan Reprt Last updated: December, 2016 Expand the rle f OBCC prgramming within the cmmunity (e.g. Spanish cking/nutritin classes, mindful eating) such as Cking Matters and/r Fit 4 Yu, by partnering with cmmunity rganizatins r increasing enrllment at OBCC. Expand Seattle Children s Garden Prject t include mre patients, their families and children frm the surrunding cmmunity. Implement r sustain evidence based initiatives t address the challenges f accessing safe places t play, engage in physical activity, and help with weight management. Increase the number f participants in ur Fd Insecurity Nutritin Incentives (FINI) grant prject, which aims t imprve the nutritin status f lw-incme husehlds participating in SNAP (Supplemental Nutritin Assistance Prgram e.g. fd stamps) by increasing their purchases f fruits and vegetables via a prgram called FreshBucks Rx. Cnduct research related t: (a) weight management, (b) neighbrhd envirnments that impact physical activity and eating behavirs, (c) help parents better manage their child s weight and integrate besity treatment prgrams as a result. Establish a backbne structure fr cmmunity-based research in partnership between the Research Institute and Seattle Children s Hspital and OBCC. Increase invlvement in partnerships such as YMCA ACT and prgram, utilize lcatins where children spend their time- child care, schl, afterschl prgrams. Sustain r expand the reach f healthy active living educatin and curriculum interactins in the cmmunity. Invest in evidence-based practices like increasing lcal transprtatin ptins such as cycling and walking imprvements. Integrate advcacy as a cre cmpnent f healthy eating, safe and active living and fd security initiative. Wrk in partnership with rganizatins and effrts such as the Childhd Obesity Preventin Calitin (COPC) and the Anti-Hunger and Nutritin Calitin (AHNC), Healthy King Cunty Calitin (HKCC), the Children s Alliance, Slid Grund and the Gvernr s Task Frce t mve frward plicies that prmte healthy eating, active living and fd security. Advance plicy, systems and envirnmental initiatives thrugh Partnerships t Imprve Cmmunity Health (PICH) grant. Maintain a leadership rle with Healthy King Cunty Calitin. Mental and Behaviral Health Expand f the current Partnership Access Line (PAL) prgram t include in-persn cnsultatin and Mental Health Care Crdinatin in primary care settings Expand n the current Partnership Access Line (PAL) prgram t include in-persn cnsultatin and Mental Health care crdinatin in primary care settings in the Tri-Cities regin. Rll ut expansin f PAL htline fr cmmunity prviders t cnnect with experts at Seattle Children s arund mental and behaviral health issues. Includes telephne, telemedicine, in-persn cnsultatin and mental health care crdinatin in primary care settings. Prject Status On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed Legend:

6 Seattle Children s Cmmunity Benefit Implementatin Plan Reprt Last updated: December, 2016 Offer integrative mental health care by embedding psych-scial and behaviral health teams in SCH medical specialty services. Develp Physical/Mental Health integratin as part f Accuntable Cmmunities f Health. Embed psych-scial and behaviral health teams in SCH medical specialty services. Create dedicated Psychiatric Emergency Service and wrk with cmmunity partners t ensure access t apprpriate level f care. Establish a Center f Excellence fr Cnsultative and Integrative Care, supprting the develpment f innvative mdels in primary care, cmmunity settings and SC specialty medical clinics. Expand the mental and behaviral health prgram at OBCC fcusing n universal screening, early interventin and resilience. Leverage telemedicine and digital health t ptimize care. Prvide training fr health prfessinals including pediatric and mental health residents, ther disciplines within Seattle Children s and in the cmmunity. Listen t parents and cmmunity prviders abut mental health needs via cmmunity listening sessins. Evaluate ptential strategies fr expansin (physical, virtual, bth) t increase access t care. Leverage telemedicine and virtual health t ptimize care. Establish a dedicated Psychiatric Emergency Service with cmmunity partners t ensure access t apprpriate level f care. Stay actively invlved in cmmunity initiatives and cmmunity wellness prmtin. Offer autism educatin fr families wh have limited English prficiency. Partner with cmmunity rganizatins addressing scial determinants f health and prgrams aiming t prevent future mental illness. Establish and maintain fcused partnerships with schls and cmmunity rganizatins t imprve parenting practices, reduce mental health stigma and address and educate the cmmunity abut wellness and preventin f suicide, vilence, child abuse and substance use. Advcate fr statewide plicy related t mental and behaviral health, including suicide and vilence preventin, substance abuse initiatives, yuth marijuana initiative, psitive parenting prgrams, reducing adverse childhd experiences. Prject Status On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed Legend: