How We Use Coalitions For Spread

1. How We Use Coalitions For Spread Washington State CKF Collaborative Learning Session 2 Chattanooga, TN March 30 – April 1

2. In this presentation… • Washington State’s context • WA CKF Coalition structure • System Change Workgroups – How we operate • How we are using this structure to initiate spread • Discussion – Could some of these ideas work in your state?

3. “Free service that familiesneed. What could be so complicated?” New Program Manager, 5 years ago

4. “For FO6 reviews I used a Barcode AD hoc report that is titled ‘128 Eligibility Reviews due, by worker, (F06 medical program only).’ This report counts AU's and includes duplicate household (cases) that have been Sneed-Kisered.” Collaborative Team Member, Recently

5. Trends in the Percent Uninsured, all, children, and working-age adults, Washington State, 1993-2002 Adults Total Children Data: 1993, 1997, Robert Wood Johnson Surveys; 1998-2002, Washington State Population Surveys.

6. Coalition – an alliance, especially a temporary one Organic – living, responsive to stimuli Webster’s, adapted

7. WA CKF Coalition –Then and Now • Five years of public and private partners • Shift from networking to advocacy • Changed co-chairs from lead organization to Children’s Alliance and Washington State Hospital Association • WA PTA – example of coalition collaboration • Strength of coalition workgroups

8. WA Covering Kids & Families Key: StatewideWork Local Site & Coalition WCOMO RWJF Covering Kids & Families National Program Office First Friday Forum HCCY WA Health Foundation Statewide Lead Organization Coalition Workgroups  Eligibility  Working with Schools  Integrated Application VISTAs Spokane Schools CHOICE Clark County Health District HIP Yakima Neighbrhd Health Services Childrens Alliance Healthy Kids Now! (HIP & HMHB) CKF Part 3 ACCESS CKF Part 2 ADULTS

9. System Change Workgroups • Eligibility (Focus from Renewals + Eligibility Changes → Eligibility) 2. Working with Schools (Focus from Linking Applications → Administrative Match) 3. Integrated Application

10. Eligibility Workgroup,How It Started • Middle management from 3 organizations (Children’s Alliance, DSHS MAA and WHF) had an idea for a workgroup. • Brought bosses (all CKF coalition members) to the table; shared idea/developed idea together • All impacted state divisions at the meeting • Agreed to charter, membership and leadership

11. Eligibility Workgroup • Eligibility Workgroup is MAA, reps from 6 CSO regions, and CBO stakeholders • Meets monthly; Renewal Workgroup folded in. • Forum for policy makers and implementers to share best practices and address challenges • Advises on spread of strategies statewide • Successes to date: • Helped coordinate training for CSOs and CBOs • Discussion led to rescinding renewal signature WAC • Discussion helped draw attention to problems which led to adding 68 FTEs at CSOs • Helped develop verification checklist

12. Eligibility Workgroup and Spread • “Yakima Collaborative” is one of several renewal strategies. Others are: • Keeping Kids Covered in King County • VISTAs doing PDSAs • MAA conducting MEQC study • HIP (CKF local site) cost analysis report • Workgroup team gives feedback on all ideas. • Workgroup team advises how to move toward statewide spread, if/when appropriate, including getting approval for spread.

13. What We’re Learning – Blessings and Curses • If it works, everyone wants credit. But if it doesn’t… • It’s hard to let go of a strategy that doesn’t work, especially if it’s clear and relatively cheap. This is good, and bad. • Everyone at the table has a somewhat different viewpoint.

14. More on Learnings • Building trust is Everything. • Having the right people and the right organizations at the table is Next. and

15. Keep your stick on the ice. We’re all in this together.

16. Discussion