Welcome to the Infant-Child Health Committee

(ICHC)

of the NJ Council for Young Children (NJ CYC)

Wednesday, September 20, 2017 9:00am - 12:30pm

Ericka Dickerson, LSW Infant Child Health Committee Chair ECCS Impact/Help Me Grow Coordinator Dept. of Children and Families-Family and Community Partnerships Office of Early Childhood Services

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Welcome and Introductions

All Partners

ICHC Agenda:

• 9:00 am Networking and Refreshments

• 9:30 am Welcome, Introductions and Overview of the day

• 9:45 am ICHC Stakeholder Partner Survey

• 10:15 am ECCS Impact State Overview

• Essex County

• Cumberland County

• 11:00 am Break/Networking/Review Resource Table and/or Partner Updates

• 11:15 am Grow NJ Kids Program: Then and Now

• 12:15 pm ICHC Partner Highlights/Updates

• 12:30 pm Meeting Adjourned 3

ICHC: Purpose and Priorities

4 *Please note ICHC Priorities are aligned with the priorities of the Early

Childhood Comprehensive Systems Impact, Help Me Grow NJ & NJ Project LAUNCH grants.

• Infant-Child Health Committee Purpose: To make recommendations that support the alignment of health and wellness systems for pregnant women, young children and their families. Priority Areas: • Family/Child Health & Wellness • Infant/Child Mental Health • Children with Special Needs

ICHC Meeting Info: ICHC meeting minutes, handouts, &

partner updates can be found under the NJ Council for Young Children under

sub-committees, go to: http://www.state.nj.us/education/ece/njcyc/

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Partner Survey (NJ PL)

Kristen Ojo and Constance Mercer, JHU

ECCS Impact State Overview: • Overview: ECCS Impact builds upon NJ’s existing progress in the development of an

integrated, comprehensive early childhood system of care for families from pregnancy to age five.

• 5 Placed Based Communities (Camden, Cumberland, Essex, Middlesex and Passaic counties) along with the State Impact Grantee (NJ DCF) participate in the ECCS Impact Collaborative Innovation and Improvement Network (CoIIN) – a collective impact approach to enhance NJ’s comprehensive, coordinated preventive health system.

• Goal is to:

• Demonstrate improved outcomes in population-based indicators that reflect children’s developmental health and family well-being.

• Strengthen state and local leadership in CQI expertise to inform change ideas to enhance existing EC system building on prior work through NJ-ECCS/Help Me Grow to ensure an integrated system of care to improve infant/ child outcomes, eliminate disparities, support parents and families, and strengthen communities.

• Cohort A Focus: Improve Developmental Health Promotion, Awareness, Monitoring, Screening, Referral and Follow-up.

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ECCS Impact Updates: New ECCS Impact Indicators: Released June 14, 2017 and

Updated August 31, 2017

• NJ DCF state leads are exploring approaches to align indicators with NJ data sources, prior to beginning reporting.

Revised Aim: By July 31, 2021 ECCS Impact Grantees and Place-Based Communities will promote healthy development of children birth through age 3 to achieve:

• 25% relative increase in children birth through age 3 that are achieving

age appropriate developmental health in all 5 developmental domains

• 15% relative decrease in disparity among children birth through age 3

that are achieving age appropriate developmental health in all 5

developmental domains (Select one: age, gender, poverty, or race)

• 15% relative increase in the proportion of family members of children

birth through age 3 that report reading, telling stories, and/or singing

songs with their child daily

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ECCS Impact Updates:

ECCS Impact Data Measures continued…

• 15% relative increase in the proportion of primary caregivers reporting improved social support

• 10% relative increase in the proportion of families connected to one or more services that address the social determinants of health (SDOH)

• 20% relative increase in the proportion of identified partners that report improved data processes for CoIIN reporting

• 30% relative increase in the number of new or updated policies that support developmental and relational health promotion

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ECCS Impact Updates: • Continue Ongoing: Monthly Action Period Calls, TA Calls

• NJ Learning Session- July 27, 2017 2017 (State Team and Placed Based Community (PBC)) – Meeting, ongoing learning, planning and support. • Recap learning from PDSA cycles over last 6 months, barriers, gaps, etc; • Parent Family Engagement and LTSAE resources presentation conducted with

ECCS Impact State Parent Lead and NJ Learn the Signs Act Early Ambassador, Deepa Srinivasavaradan and Ericka Dickerson, ECCS Impact Manager.

• NJ Zero to Three –Year 1 Check In call o Positive Feedback from Federal and Technical Assistance Partners o NJ is a model state; state infrastructure, state and local collaboration and

communication, engagement of parent leaders, all positive highlights for other states to glean from.

o Invited NJ to be highlighted in a Blog by their PR Team.

• Webinar Training ECCS Teams were Invited to Participate in: Screen Scene • Screen Scene Webinar Series – National American Academy of Pediatrics (3part

series) • Star Center: Screening and Technical Assistance Resource Center – American

Academy of Pediatrics • Developmental Screening and Pediatric Provider engagement • Star Center: www.aap.org/screening

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ECCS Impact Updates PDSA updates:

• Environmental Scan/Mapping of developmental screening by county – JHU developed survey with PBC’s feedback and input. • Identifying Gaps, barriers in screening with providers (Physicians, childcare,

and/other community partners). • PBC’s feedback from physicians continue to be the hardest to obtain.

Current feedback limited. Trying several strategies to gather input. • Feedback from childcare – initial screen at entry. Learned curriculum

assessment tools are used for ongoing monitoring.

• Family Access Portal – ASQ (Pilots) – universal access to screening. • Beginning developing plans/ soft launch with Essex County PBC June –

September 2017.

• LTSAE Brochures and Passports: • Parent Leaders – Community LTSAE Ambassadors, Family Engagement and

Developmental Health Awareness • CI, CCYC, Parent Leaders – strategies for PDSA and engagement of Parents

and Community Partners. • Additional Access to Brochures and Passports-

• Request for samples and/or PDF file for additional print. • Email nicole.hopkins@dcf.state.nj.us or ericka.dickerson@dcf.state.nj.us for

additional info.

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Essex County – Place Based Community

Karen Benjamin, EPPC, PCANJ

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Cumberland County – Place Based Community

Debra Cornelius, Robins’ Nest

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Break

Networking Review Resource Table

Partner Updates

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Grow NJ Kids Program: Then and Now

NJ Department of Human Services, Division of Family Development

Andrea Breitwieser, GNJK’s Coordinator

Kim Owens, GNJK’s Incentives Coordinator

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ICHC Partner Highlights And Updates

Thank you for participating!!!

Next Meeting of the

Infant-Child Health Committee (ICHC) Please note, the next meeting is the

1st Week of December

Wednesday, December 6, 2017 9:00am-12:30pm

DCF Professional Center,

30 Van Dyke Avenue New Brunswick, NJ 08901

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Who We Are

Essex County, New Jersey

Whitney Houston, Queen Latifah, Savion Glover, Joe Pesci, and

Shaquille O’Neal were all born in Newark!

Covers 127 mi2 in the NE section of NJ; part of NY Metropolitan Area

Urban Essex County: East Orange, Irvington, Newark (NJ’s largest city)

and Orange (estimated population of 4 cities: 425,000+)

Urban Essex is home to a large African American and Latino

population. There is also a large influx of Haitians, Africans, Mexicans

and South American populations.

Local

Policy

Maker

Community Health

Workers

Federally Qualified

Health Centers

County

Council

For

Young

Children

Child Care Resource

& Referral Agency

Central

Intake

Quality

Rating

and

Improvement

System (QRIS)

Early Intervention

Parents

Parents As Teachers

Home

Visiting

Program

Family to Family

Health Info Centers

Infant

& Early

Childhood

Mental Health

Peer Support

and Advocacy

Early Childhood

Education

Healthy Families

Home

Visiting

Program

Nurse-Family

Partnership

Home

Visiting

Program

Essex PBC Team

Strengths and Bright Spots

Current efforts in Essex County

4 EBHV programs use ASQ/SE; 8 LAUNCH pediatric sites use ASQ or SWYC

EPPC (Central Intake) able to link parents with children 0-8 to services

More than 4000 referrals in 2016; now integrated into NJ 2-1-1

Essex County Council for Young Children

Active parents on leadership team

Committees include health, education, and safety

Has a reach to 800+ parents/stakeholders in Essex

PDSA Cycles

Survey of child care center directors in Orange, NJ

April / May (2 cycles)

Survey of parents to determine how/where they get and

prefer to get info about children’s health, growth and

development

August / September

https://pcanj.wufoo.com/forms/r1rodh0c1auaqyu/

Developing process for utilizing and rolling out ASQ Family

Access Portal to participating Central Intakes

June / July and continuing (2+ cycles)

ASQ Family Access Portal

Opportunity to offer screening to families remotely and to

consider community partners who can offer in person

Opportunity to market in a standard way across all 5 PBCs (NJ-

211 Help Me Grow brochure, Help Me Grow Affiliate language)

Concerns raised by PBC teams:

Potential volume and capacity of CI staffing

Turnaround times to respond to families

Training and talking points essential for effectively communicating

with families and for consistency across counties

Dear (caregiver),

Thank you for your interest in the Ages & Stages Questionnaires, Third

Edition (ASQ-3), online screening tool to help you keep track of and

learn about your child's development. This tool can be used by families

residing in Essex County with any child from age 2 months to 5 years. The

questions ask about some things your child can and cannot do. There

are questions about your child's communication, gross motor, fine motor,

problem-solving, and personal/social skills. Within a few days after we

receive the completed questionnaire from you, we will contact you to

share the results and offer follow-up activities and resources.

To use this online screening tool, please use this link:

https://www.asqonline.com/family/0e02c0.

We look forward to your participation in ASQ-3!

Sincerely,

Essex Pregnancy and Parenting Connection (a Help Me Grow Affiliate)

Lessons learned,

challenges and successes

Opportunities for family engagement

Learning about CQI and PDSA cycles and who

can help based on existing relationships and

systems

Challenges: Competing demands and time

constraints to bring our full QI team together, the need to build in additional time and/or staffing to

achieve desired results (e.g. with surveys)

Successes with establishing our team, in

collecting surveys and in starting to work with the

ASQ Family Access Portal

Questions?

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» Cumberland County CCYC

» Central Intake

» MIECHV Providers

» Special Child Health

» Pediatrician

» Childcare Resource and Referral

» MH Professionals

» Early Intervention

» Human Services 4

www.HV-CoIIN.edc.org

Our Journey

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PDSA #4: Based on parent response that screenings not completed, focus on pediatric providers for Enviro Scan

PDSA #2a: To continue the Enviro Scan with Head Start focus PDSA #2b: To survey parents RE: child’s provider, services, screening

PDSA #1: To use Enviro Scan to get baseline data on occurrences of developmental screening county-wide

PDSA #3a: Continue Enviro Scan w/ Head Start PDSA #3b: Continue Parent Survey w/ new distribution strategy

A P

S D

A P

S D

S

A P

D

PDSA #5: Continued follow-up with pediatricians to get Enviro Scan responses

S

A P

D

PDSA #6: Engage Pediatric Associates to test use of developmental passports

PDSA #7:Engage other pediatricians to test use of developmental passports

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17 responses received; highest response rate from preschool providers(30%);

100% share general information about child development;

94% conduct formal assessments; 88% receiving training on developmental

screening; 94% use a tool to screen; 100% know what to do if child screens positive

for a delay; 54% refer to Early Intervention; 71% do not experience barriers to screening.

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44 responses received; 23% have 3-year old children; 100% have a medical home; 29% @ Complete Care 73% of children not enrolled in child care; 54% are not aware of completing developmental

screens; 55% of screens completed were in pediatric offices.

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Lessons Learned • Need to be creative in survey distribution

• For parents: in-person at key events (from 7 responses to 54!), incentives, social media

• For providers: targeted follow-up necessary • Most screenings are happening in pediatric offices, but 55% of parents

did not know that screens were completed for their child Barriers Faced • Difficult to distribute Enviro Scan with no direct access to list serves • Lack of responsiveness to Enviro Scan and challenge in knowing who to

follow-up with and how to follow-up- difficult to engage pediatric practices

• How to access underserved families who aren’t already connected to service providers

• Some team members not clear on direction of our work

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Meet with select pediatric offices to test use of developmental passport;

Educate parents on developmental milestones and promote their use of developmental passport;

Identify strategies to access hard to reach parents.

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Discussion • What do you make of these results? • What are your thoughts for potential

ways to move forward with our ECCS work?

ICMH Committee Meeting

September 20, 2017

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New Landscape of Early Learning

and Development Programs

• Significant federal investment in early learning and

development programs.

• More than $1 billion in Race to the Top- Early Learning

Challenge projects in 20 states.

• In addition, $500 million in federal funds for Early Head

Start and Child Care Partnerships.

• New rules to raise quality across all federally funded

programs.

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Over 45 States in the nation have a

Quality Rating & Improvement System

Grow NJ Kids Categories

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Safe, Healthy Learning Environment

Curriculum and Learning Environment

Family and Community Engagement

Workforce/Professional Development

Administration and Management

Technical Assistance Structure

• NJ is using a multilayered approach.

• Quality Improvement Specialists

• Targeted technical assistance

• Technical Assistance Specialists

• Intensive technical assistance

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Grow NJ Kids – Core Elements

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GNJK Supports

• Child Care Resource & Referral Agencies (CCR&R)

• Regional Technical Assistance Centers (TAC)

• Center for Autism & Early Childhood Mental Health at Montclair University

• GNJK Training Services at Rutgers University

• Early Childhood Leadership Institute (ECLI) at Rowan University

• NJ Workforce Registry

Grow NJ Kids Process / TA

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Grow NJ Kids Process / TA

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Grow NJ Kids Programs

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Grow NJ Kids Program Enrollment

4th Year Programs 124

3rd Year Programs 279

2nd year Programs 166

1st year Programs 368

Pilot Programs 57

Total Programs that enrolled in Grow NJ Kids 994

Withdrew/Closed - Disengaged Programs 145

Actively Participating Grow NJ Kids Programs

849

**Number discrepancy by due to FCC providers who submitted electronically

Enrollment by Program Type

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Enrollment by Program Type

55 DOE

99 Head Start

419 CCDF

189 Private

15 EHS-CC

20 Head Start & Abbott

128 CCDF & Abbott

26 Abbott

2 Not Answered

7 Head Start & CCDF

22 DOE/PART B

9 ECPA/ELLI

991 TOTAL

Grow NJ Kids Family Child Care

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Family Child Care Enrollment

3rd Year Programs 0

2nd year Programs 80

1st year Programs 155

Pilot Programs 41

Total Programs that enrolled in Grow NJ Kids 276

Withdrew/Closed - Disengaged Programs 32

Actively Participating Grow NJ Kids Programs

244

Grow NJ Kids Incentives

• Curriculum Materials

• Scholarships

• Merit Awards

• Teacher and FCC Training Supports

• Training

• Health and Safety Enhancements

• Classroom Enhancements

• Rating Incentives

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Reading the Stars

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Grow NJ Kids

Participating

Program/Provider

A license or certificate of registration from the Department of Children and Families or a

Department of Education-approved school district.

Completed the Grow NJ Kids Director’s Orientation.

Completed a self-assessment and quality improvement plan that identifies areas of

strength and how the program will work toward higher quality.

Met all of the requirements as a Grow NJ Kids participating program/provider.

All teaching staff attended a minimum of five hours of training on selected research-based

curriculum/developmentally appropriate practices.

Classrooms met quality standards, using a nationally recognized rating scale.

Met all of the requirements for three stars.

All teaching staff attended a minimum of 10 training hours on selected research-based

curriculum/developmentally appropriate practices.

Classrooms met high quality standards, using a nationally recognized rating scale.

Met all of the requirements for four stars.

Implemented research-based curriculum and developmentally appropriate practices.

Classroom met high-quality standards, using a nationally recognized rating scale.

HOLD for Video

GNJK Animated Video will be included in this slide. Video is too large to be

included in the emailed version of the power point.

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