One track of work within Building Health and Resilience was specifically focused on pathways for children with Social-Emotional delays.
OPIP has been working in collaboration with the Children’s Institute, and with support from the Oregon Health Authority, to support the Health Aspects of Kindergarten Readiness (HAKR) Workgroup recommendations for a four-part measurement strategy meant for adoption in the CCO Incentive Metric set in order to galvanize improvements and transformation that could be stimulated by the CCO to support kindergarten readiness.
The four-part measurement strategy includes:
- Preventive Dental Visits for Children 1-5; Endorsed for adoption in 2020
- Well-Child Visits for Children 3-6; Endorsed for adoption in 2020
- CCO-Level Metric Focused on Social-Emotional Health; Endorsed for adoption in 2022 and included in Oregon’s challenge pool set for 2021
- Follow-Up to Developmental Screening – PENDING development
One of the HAKR workgroup metrics identified was a metric that would focus on system-level activities that could address and enhance social-emotional services.
Over the last two years, OPIP and Children Institute have developed this metric. This involved significant stakeholder feedback, focus groups with parents, and a pilot of a majority of the Coordinated Care Organizations (CCOs). The work also involved OPIP distilling and summarizing our learnings from working in 13 counties and by front line providers, who greatly informed the metric.
Metric Vision and Purpose:
- Vision: Children from birth to age 5, and their families, have equitable access to services that support their Social-Emotional health and are the best match for their needs.
- Purpose: Drive CCOs to address complex system-level factors that impact the services kids and families receive and how they receive them, and for which there may be payment or policy barriers that need to be addressed; Address gaps in existing CCO incentive metric set.
- Activities: Build capacity within CCOs for enhanced services, integration of services, cross-sector collaboration, and future measurement opportunities; Use child-level data to guide and inform efforts, assess the sensitivity and specificity of the child-level metric to those efforts.
The Health Aspects of Kindergarten Readiness (HAKR) Social Emotional Metric was officially approved to be part of the CCO Incentive Metric set for 2022 in Oregon and will be included as one of our metrics in the challenge pool set.
There are four interdependent components to this novel System Level Attestation Metric which include:
- Component 1: Social-Emotional Health Reach Data Review and Assessment
- Component 2: Asset Map of Existing Social-Emotional Health Services and Resources
- Component 3: CCO-Led Cross-Sector Community Engagement
- Component 4: Action Plan to Enhance Social-Emotional Health Capacity
It is our hope that this measure will create a foundational shift and focus on young children and ways to better meet their social emotional needs, and that this metric will help galvanize, and create financial incentives to, better meet the need of young children.
OPIP has conducted a number of statewide and national webinars on the Novel Social-Emotional Health Metric for Children Birth to Five – Webinar descriptions, slides, and records are available here.
If you are interested in receiving technical assistance of this topic, please reach out to [email protected]