Healthy Tomorrows Partnership for Children Program

1. Healthy Tomorrows Partnership for Children Program Mary Lou Kinney, HT Project Director (ID) Sara Herring, HT Youth Outreach (ID)

2. Project Title • Mary Lou Kinney, MA • Mountain States Group, Inc. • 1607 W. Jefferson Street • Boise, Idaho 83702 • (208) 336-5533 mkinney@mtnstatesgroup.org • Home page: www.mtnstatesgroup.org Project Period Amount of Grant Award Project Number 03/01/2006 - 02/28/2011 $ 50,000.00 H17MC06710

3. Purpose of ProjectAnd Relationship to SSA Title V Maternal and Child Health (MCH) Programs Purpose of the Project-”Starting Points for Idaho Youth” Over the 5 years, this project will work to reach and enroll low-income, uninsured youth (13 to 19 years) into Idaho’s state children’s health insurance programs (CHIP/Medicaid). We will target outreach in five rural and frontier counties with a high rate of uninsured youth and Hispanic populations. Our HT Project seeks advice and direction from our CIK Coalition; our state MCH is a member of the Coalition.

4. Goals and Objectives • Goal 1: Through Community youth organizations in five rural and frontier Idaho counties, create new and innovative strategies to reach uninsured youth with information about state health coverage programs. • Goal 2: Through the youth organization effort, enroll 1,500 eligible youth in state health coverage programs.

5. Goal 1: Innovative Strategies

6. Goal 2: Outcome Data *Data provided is from May of each calendar year. Data Source: Idaho Medicaid, Office of Program Analysis, 11/16/2010

7. Goal 2: Outcome Data (cont.) *Data provided is from May of each calendar year. Data Source: Idaho Medicaid, Office of Program Analysis, 11/16/2010

8. Blaine *Data provided is from May of each calendar year. Data Source: Idaho Medicaid, Office of Program Analysis, 11/16/2010

9. Boise *Data provided is from May of each calendar year. Data Source: Idaho Medicaid, Office of Program Analysis, 11/16/2010

10. Cassia *Data provided is from May of each calendar year. Data Source: Idaho Medicaid, Office of Program Analysis, 11/16/2010

11. Minidoka *Data provided is from May of each calendar year. Data Source: Idaho Medicaid, Office of Program Analysis, 11/16/2010

12. TwinFalls *Data provided is from May of each calendar year. Data Source: Idaho Medicaid, Office of Program Analysis, 11/16/2010

13. Methodology • Goal 1-Objective 1: Involve existing youth organizations in designing and implementing outreach strategies. Activities: 4-H, YAK, junior high & high school groups were involved over the 5 years • Goal 1-Objective 2: Sustain lasting outreach partnerships with community. Activities: lasting outreach commitments from community health clinics, school nurses, schools and youth groups. • Goal 2-Objective 1: Offer hands-on CHIP enrollment assistance at community events. Activities: Assistance mainly at school health fairs, one-on-one. • Goal 2-Objective 2: Promote use of 2-1-1 Careline for CHIP assistance. Activities: Promotion @ all of our HT outreach events through 2-1-1 materials. 2-1-1 partnered with us on all Back to School Campaigns over the 5 years.

15. Mountain States Group Organizational Chart Highlighting Healthy Tomorrows’ Project: “Starting Points for Idaho Youth Mountain States Group Board of Directors Mountain States Group Executive Director MSG Fiscal Office CPAs, 3 FT Assistant, 1 FT Healthy Tomorrows Project Director (Mary Lou) .30 FTE MSG FT Office Manager IT Specialist, FT Receptionist, FT HT Adm. Asst (Patty M) .10FTE Other Mountain States Group Programs * HT Assistant Project Director (Sara) .20 FTE HRSA HT Grant State Collaborators ID MCH ID AAP Collaboration with: Cover Idaho Kids Coalition Healthy Schools’ Rural School Nurses ID. AHEC HOSA Medicaid * Other Mountain States Group programs include: Agency for New Americans Delta Rural Hospital Performance Improvement Early Head Start English Language Center Foster Grandparents Global Gardens HIV/AIDS Prevention Idaho Area Health Education Center Idaho Kids Count Idaho Office for Refugee Resettlement Idaho Partnership for Hispanic Health Microenterprise Training and Assistance Mental Health Case Management and Clinic Mental Health Home Recovery Team Mental Health Peer Specialist Training Nutrition Works Refugee ASSETS Program Retired Senior Volunteer Program

16. Evaluation • Method used: Data collection review quarterly, AAP site visit(2007), mid-Project (2008) Assessment Report (written). • Effectiveness: Coupled with the advice from our Coalition, the (above) three evaluation tools gave us adequate to good evaluation guidance for our project over the 5 years. • National AAP site visit (2007) –documented in our 9/07 response to TA visit, recommendations were used to enhance our HT Project over the next 3.4 years.

17. Advisory Board • Activities: The Cover Idaho Kids (CIK) Coalition offered advice for process improvement aspects of our project ( e.g., having more ads on Spanish radio) and support during our campaigns (e.g., Back to School Campaign). In the last 2 years of our project, Idaho AHEC also has been “advisory” on access to youth (health) care in the 5 counties. • Changes made to the Board: The CIK Coalition’s purpose stayed the same “to reach and enroll uninsured, income-eligible Idaho children/teens into CHIP/Medicaid.” Our quarterly Coalition meetings draw an average of 23-35 participants. Our change occurred at the October meeting when, after input from the Coalition members, a decision was made that the Coalition will merge with Idaho Voices for Children starting in December 2010 to sustain our CHIP efforts.

18. Collaborative Partnerships • List of most effective collaborative partnerships:  • Key Community Contacts-These diverse contacts were essential to the success of the project. The bi-lingual contacts helped us more than triple the enrollment of previously uninsured Hispanic youth in our 5 counties. • School Nurses- In three of our 5 counties, we had rural school nurses to help with outreach efforts. They increased the distribution of outreach materials in their school districts. • Idaho Steelheads & BSU Bronco Football – During our August/September 2007 & 2010 Back to School Campaign outreach efforts, these two partnerships generated the most 2-1-1 caller responses.

19. Lessons Learned Track Data – We established baseline data and tracked 2-1-1 and CHIP/Medicaid data quarterly to make sure our outreach efforts were having a positive effect. Stay Flexible – From the project’s outset, we had to make adjustments at both the state and community levels on strategies to meet our goals. Focus on your Purpose and Continue to Move Forward - Our Coalition and our Community Partners helped us to keep focused—in spite of the myriad of changes to CHIP/Medicaid in Idaho.

20. Lessons Learned Advice to current grantees Advice to applicants • Advice to current grantees • Sustaining your Project’s • positive outcomes can be • difficult in these • economic times; engage all • your partners to help in this • challenge. • Advice to applicants • Give yourself time to learn the • reporting process; keep • focused on your project’s • purpose, stay flexible and • open to new strategies, and • collect and review your • tracking data often.

21. Publications/Products • List publications/products-no major ones • Cross-section list over the five years or by year • YR 1 -Idaho AAP Dinner Presentation February 22, 2007 ; Scott Burt, ID Steelheads Hockey Player promotions • YR 2 -YAK Director (in Blaine County), Girls on the Run, School Nurses’ outreach promotions; School lunch application check-off for CHIP • YR 3 - Free mobile dental van promotional to Idaho City (Boise County) for one day to provide dental/oral health services and health coverage sign-up opportunities to middle and high school uninsured students who were in need of dental care; Idaho State Nursing Students helping with outreach promotion in 2 counties; $10,000 from the Regence Foundation for promotion materials for school nurses to do outreach. • YR 4 - Toolkit developed at the request of our state Medicaid to reach uninsured children/youth; CHIP postcard-English/Spanish;8 Steps to Help Families Apply for CHIP;HT Letter to HOSA Teacher in Cassia County; Radio outreach –NRNS Station Usage Report • YR 5 – BSU Bronco Football YouTube outreach; Spanish radio spot; Back to School Campaign & Holiday Outreach materials

22. Results/Outcomes Expected & Unexpected • Health status outcomes • Our data indicates that in May 2010, we had reached 822 new uninsured youths or 54% of our goal (an increase of 1500 uninsured 13-19 year olds enrolled by February 2011 in our 5 ID. Counties). • The month of May, historically, does not identify our highest enrollment numbers. However, our state’s new IBES system currently only has enrollment numbers through May 2010. • When youth are determined eligible for CHIP/Medicaid and if they do not have a “medical home,” that is provided— through Healthy Connections • System changes • Three name “changes” to the CHIP/Medicaid Program and two state system changes –the latest as of July 2010 (IBES)- since the beginning of this HT Project in Idaho • Major “cost savings” structure changes at the state level for CHIP/Medicaid during this Project. One of the most impacting was the elimination of regional IDHW offices in some of our counties.

23. Impact Nation

24. Dissemination/Utilization of Results • Action taken • within the State - Sharing of data/results with state Medicaid office and with community partners • outside the State – Sharing of BSU radio & television outreach spots with national contacts.

25. Sustainability • Future plans • Train-the-Trainer for CHIP/Medicaid enrollment: webinar delivery is being planned in January/February. We will target an “expanded” number of community contacts in our 5 counties -- including Community Health Clinic and ER staff. • Our CHIPRA-Cycle 1 current grant includes outreach in 2 of our 5 HT counties • Apply for funding to… • CHIPRA-Cycle 2 • Other public & private funding entities

26. Questions to HRSA • Q 1: Are there federal funds available to promote a Train-the-trainer effort to expand our outreach to other counties in our state? • Q 2: How will you use the outcomes and information from our Project ?

27. Questions?