Seattle Children s Cmmunity Health Implementatin Plan 2016-2019 Prgress Reprt Last updated: April, 2018 CH Pririty Strategy Prject/Tactic Status Crdinated Develp a systematic apprach t care transitins Hspital t hme Care fr between Seattle Children s and utpatient prviders, Apply learnings frm the Pediatric Partners in Care (PPIC) grant that and between adlescent and adult care prviders. Children with sunset in 2017. Chrnic Cnditins Expand the Transitinal Lng Term Care (TLC) prgram, including implementing mdels f care based n learnings frm TLC, Pediatric Partners in Care, Health Services within the Office f the Superintendent f Public Instructin, Children s University Medical Grup, Odessa Brwn Children s Clinic, Seattle Children s Research Institute (SCRI) and Adlescent Health. Enhance partnerships that enable care crdinatin in the cmmunity setting including increasing the capacity f primary care prviders t care fr children in the cmmunity. Supprt and expand Medical Legal Partnership, Patient Navigatrs prgram, Healthy Hmes, the Center fr Children with Special Needs, and Guest Services. Alngside Seattle Children s Research Institute Cntinue develpment and implementatin f validated hspital-thme transitin prcess and utcme metrics. Explre digital health tls t identify effective cmmunicatin and care crdinatin tls between the inpatient and utpatient settings thrugh research. 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. Integrate Sub-specialty care 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. Advcate fr care crdinatin that supprts the needs f children and teens thrugh the Accuntable Cmmunities f Health (ACHs). 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. Legend: On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed
CH Pririty Strategy Prject/Tactic Status Crdinated Prmte equity thrugh care crdinatin by Develp a pipeline prgram fr yuth f diverse backgrunds Care fr addressing scial determinants f health, cmmunity applying a health equity lens n hiring practices. resurce expansin and increasing the number f Children with prviders and staff frm diverse sciecnmic and Cntinue develpment and implementatin f effective patient Chrnic ethnic backgrunds. navigatin prgrams t reduce health disparities. Cntinue use f Cnditins cmmunity care crdinatrs. Anchr hiring and purchasing lcally. Integrate advcacy as a cre cmpnent f care crdinatin fr children and teens with chrnic cnditins. Imprve Seattle Children s hiring data by disaggregating by ethnic grup, priritizing the Asian American & Native Hawaiian and ther Pacific Islander cmmunities. 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. Decrease inefficiencies and increase rle clarity by defining care teams and care mapping fr medically cmplex kids within ur regin. Advcate fr public transprtatin imprvements in Suth King Cunty with a fcus n ur wrk with Hpelink. Legend: On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed
CH Pririty Strategy Prject/Tactic Status Suicide & Increase access t and prper use f safe firearm Hld at least 4 safe firearm strage giveaway events and distribute at Vilence Preventin strage devices. 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: www.seattlechildrens.rg/gunsafety 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. 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 2016. 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. 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. Legend: On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed
CH Pririty Strategy Prject/Tactic Status Healthy Identify fd insecurity and imprve access t healthy, Assess the current status f fd insecurity screening at Seattle Eating, Active affrdable fds amng children in ur regin. Children s and increase the number f Seattle Children s clinics that screen fr fd insecurity in patients and families. Living, Fd Security Establish prcedures t refer families t resurces that wuld help increase fd security. Train Seattle Children s and cmmunity primary care prviders t enable mre effective screening fr fd insecurity. Cllabrate with cmmunity rganizatins and prviders t imprve fd access. 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. Invest in culturally and cmmunity tailred prgrams (e.g., healthy eating, cking, nutritin) t prmte fd affrdability as well as cking and eating at hme. Implement r sustain evidence-based initiatives t increase the number f safe places t play, engage in physical activity, and help prmte healthy grwth. Integrate advcacy as a cre cmpnent f healthy eating, safe and active living and fd security initiative. Cntinue research, assessment and evaluatin arund fd insecurity and health utcmes and widely disseminate any evidence-based practices arund fd secure families and imprved health. 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). Expand the rle f OBCC prgramming within the cmmunity (e.g. Spanish cking/nutritin classes, mindful eating, Cking Matters) by cllabrating with cmmunity rganizatins r increasing enrllment in these prgrams. Expand Seattle Children s Garden Prject t include mre patients, their families and children frm the surrunding cmmunity. Enrll participants in the Fd Insecurity Nutritin Incentives (FINI) 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 prmting healthy grwth as well as neighbrhd envirnments that impact physical activity and eating behavirs. Establish a backbne structure fr cmmunity-based research in partnership between the Research Institute and Seattle Children s Hspital and OBCC. Increase invlvement/partnerships with lcatins where children spend their time: childcare, schl, afterschl prgrams. Fcus n diverse and under-resurced cmmunities first. Invest in evidence-based practices like increasing lcal transprtatin ptins such as cycling and walking imprvements. 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, safe and 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. Legend: On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed
CH Pririty Strategy Prject/Tactic Status Mental and Behaviral Health Expand current prgrams such as the Partnership Access Line (PAL) and the Prgram t Enhance Attentin, Regulatin and Learning (PEARL) t include in-persn cnsultatin and mental health care crdinatin in primary care settings. Expand Partnership Access Line (PAL) prgram t include in-persn cnsultatin and mental health care crdinatin in primary care settings in the Tri-Cities regin f Washingtn state. Rll ut expansin f PAL htline r ther similar prgrams t cmmunity prviders in rder t cnnect these prviders with experts at Seattle Children s arund mental and behaviral health issues. This includes telephne, telemedicine, in-persn cnsultatin and mental health care crdinatin in primary care settings. Develp, mdel, implement, then share ur integrated mental health appraches t care with thers. Supprt the develpment f these innvative mdels with primary care and cmmunity prviders as well as ther medical specialty clinics. Evaluate, supprt and explre ptential strategies fr expansin (bth physical and virtual) t increase access t care and prvide apprpriate level f care. Utilize Seattle Children s unique expertise t prvide training fr health prfessinals and families arund identifying and treating mental and behaviral health issues. Includes integrating advcacy as a cre cmpnent f the mental and behaviral health initiative as well as increasing cmmunity partnerships and cllabratins. Participate in the develpment f physical/mental health integratin appraches in Washingtn state alngside reginal accuntable cmmunities f health (ACHs). Increase capacity f lcal and cmmunity prviders t utilize telemedicine and digital health fr prvisin f care. Expand the mental and behaviral health prgram at OBCC fcusing n universal screening, early interventin and resilience. Better integrate mental health care by embedding psych-scial and behaviral health teams in Seattle Children s medical specialty services. Partner with cmmunity rganizatins addressing scial determinants f health and prgrams aiming t prevent future mental illness. Evaluate and implement strategies fr mental and behaviral health practitiner deplyment within urgent and emergency care. Create dedicated Psychiatric Emergency Service and wrk with cmmunity partners t ensure access t apprpriate level f care. 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, bullying, child abuse and substance use. Advcate fr 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. Braden number f prviders and family members wh are trained in mdules r tl kits such as Mental Health First Aid, Zer Suicide Initiative, LEARN, Safer Hmes and thers. Apply a Scial Determinants f Health lens t ur wrk including adpting an anchr missin statement. Legend: On Target/Onging Sme Issues Critical Issues Prpsed/On Hld Clsed