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 CCOs. The work also involved OPIP distilling and summarizing our learnings from working in 13 counties and informed by front line, 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 getter meet the need of young children.
If you are interested in receiving technical assistance of this topic, please reach out to OPIP@ohsu.edu
OPIP will be hosting a two part webinar series on the Novel Social-Emotional Reach Metric for Children Birth to Five:
The first of two webinars that will provide an overview of the new Social-Emotional Reach Metric for Children Birth to Five, a claims-based metric that assesses the degree to which Medicaid/CHIP insured young children have received recommended screenings, assessments or services that address their social-emotional health. Review of the Social-Emotional Reach Metric data is Component 1 of the System-Level Social-Emotional Health Metric included in the Coordinated Care Organization Incentive Metric set for 2022 and 2023, with sharing of the reach metric data with community-level partners required in Component 3 and use of the data to guide and inform the Action Plan required in Component 4.
The 8/17/2022 12-1:30pm webinar will address the following:
- Overview of the development process for the metric
- Definition and scope of social-emotional services intentionally included in the metric aligned with priority areas informed by feedback from parents of young children, front-line providers, early learning providers, and system-level leaders
- Alignment of the metric with clinical recommendations and community-level priorities and specific codes and claims included and why
- Overview of potential benchmarks and strategies communities could use to identify improvement goals anchored to the Social-Emotional Reach Metric
- Frequently Asked Questions: Provide answers to the most common questions asked about the metric
Overview of Reach Metric Data Component of Oregon’s Novel Social-Emotional Health Metric for Children Birth to Five webinar:
September 21st Webinar is meant to be focused on answering additional and remaining questions that you may have, or to provide further clarity on a topics we discussed.
Registration Link: When: Sep 21, 2022 12:00 PM Pacific Time (US and Canada)
- We asking attendees of the 9/21 to please ensure that you attended or listened to this 8/17 webinar before attending the September 21st webinar.
- To help us best prepare to answer your questions for the September 21st webinar, we have developed a Survey Monkey for you to submit your questions ahead of time. Please fill this out in advance J