Priester Presentation 2012

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  • Covering Kids and Families originated in 1999, with a grant from the RWJ Foundation. Based at University of Wisconsin Madison, and affiliated with University of Wisconsin-Extension, Covering Kids and Families (CKF) is a coalition of more than 65 statewide organizations that includes academic and health care institutions, state agencies including WI Department of Health Services and WI Department of Public Instruction, Community Based Organizations, county agencies and more. CKF contracts with Community Advocates, which is a basic needs social service agency based in Milwaukee, which is where I am located at. CKF is dedicated to reducing health disparities and improving the overall health in Wisconsin by enhancing the capacity to maximize participation in BadgerCare+.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Most of you, I’m sure are familiar with BadgerCare+. BadgerCare + is Wisconsin’s state health insurance program available for our children and families. It is administered at the State level in the Department of Health Services, and at the local level by each county. Families are often helped by other community partners, such as schools, to enter the process and navigate the system.The goal of BadgerCare+, much like that of CKF, is to expand coverage for those eligible children and families. There are plenty of details about BC+ that we’ll get to at the right moment with the right staff; the important thing to know beyond the text on the slide is that it is available to virtually all children and many parents/care-takers. Even though our focus is on BC+, there are resources we can refer to other families as well.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Most of you, I’m sure are familiar with BadgerCare+. BadgerCare + is Wisconsin’s state health insurance program available for our children and families. It is administered at the State level in the Department of Health Services, and at the local level by each county. Families are often helped by other community partners, such as schools, to enter the process and navigate the system.The goal of BadgerCare+, much like that of CKF, is to expand coverage for those eligible children and families. There are plenty of details about BC+ that we’ll get to at the right moment with the right staff; the important thing to know beyond the text on the slide is that it is available to virtually all children and many parents/care-takers. Even though our focus is on BC+, there are resources we can refer to other families as well.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Most of you, I’m sure are familiar with BadgerCare+. BadgerCare + is Wisconsin’s state health insurance program available for our children and families. It is administered at the State level in the Department of Health Services, and at the local level by each county. Families are often helped by other community partners, such as schools, to enter the process and navigate the system.The goal of BadgerCare+, much like that of CKF, is to expand coverage for those eligible children and families. There are plenty of details about BC+ that we’ll get to at the right moment with the right staff; the important thing to know beyond the text on the slide is that it is available to virtually all children and many parents/care-takers. Even though our focus is on BC+, there are resources we can refer to other families as well.
  • Most of you, I’m sure are familiar with BadgerCare+. BadgerCare + is Wisconsin’s state health insurance program available for our children and families. It is administered at the State level in the Department of Health Services, and at the local level by each county. Families are often helped by other community partners, such as schools, to enter the process and navigate the system.The goal of BadgerCare+, much like that of CKF, is to expand coverage for those eligible children and families. There are plenty of details about BC+ that we’ll get to at the right moment with the right staff; the important thing to know beyond the text on the slide is that it is available to virtually all children and many parents/care-takers. Even though our focus is on BC+, there are resources we can refer to other families as well.
  • Insert screen shot of home page
  • Insert screen shot of home page
  • Most of you, I’m sure are familiar with BadgerCare+. BadgerCare + is Wisconsin’s state health insurance program available for our children and families. It is administered at the State level in the Department of Health Services, and at the local level by each county. Families are often helped by other community partners, such as schools, to enter the process and navigate the system.The goal of BadgerCare+, much like that of CKF, is to expand coverage for those eligible children and families. There are plenty of details about BC+ that we’ll get to at the right moment with the right staff; the important thing to know beyond the text on the slide is that it is available to virtually all children and many parents/care-takers. Even though our focus is on BC+, there are resources we can refer to other families as well.
  • BadgerCare+ provides comprehensive coverage for most basic health services for our families, including the extensive list found on this slide. Learning that coverage is available for children to obtain eyeglasses and mental health services is often welcome news for families and school staff. The bottom line is that in BadgerCare+ helps kids to be healthier and therefore better learners by ensuring access to these needed services.
  • Depending on your preferred level of engagement, the REACH BC+ project can present itself a number of ways in your district. Some of the activities we can engage in your district include the following.
  • Please feel free to contact CKF at 608 261 1455 or at the info@ckfwi.org e-mail address at UW Madison and keep the website address handy for reference. Please contact me specifically for more information on how to become involved in the project.
  • Priester Presentation 2012

    1. 1. A university, public schools, and Extension collaborationto assist uninsured families with access to Medicaid/SCHIP Roberta Riportella, PhD Health Policy Specialist UW Extension Professor, Dept of Consumer Science, School of Human Ecology University of Wisconsin-Madison covering kids & families
    2. 2. Purposes• End goal: leave with tools so you can replicate outreach project• Who we are• What we do• How Extension has been involved• Why we know it’s important…evaluation base covering kids & families
    3. 3. covering kids & families● Began as RWJ statewide coalition 1999, currently 65 organizations● Dedicated to reducing health disparities and improving overall health in Wisconsin● Emphasis on enhancing local capacity to maximize participation in BadgerCare+● Grant funded covering kids & families
    4. 4. Covering Kids & Families• Coalition of more than 65 statewide organizations – Academic institutions – UW-Madison and UW Extension – State agencies – WI Department of Health Services and Department of Public Instruction – Community Based Organizations – Family Resource Connection and La Causa• A statewide coalition with a university home allows us: – Easy access to data to target problems and populations – To be in the field and evaluate (research and outreach) – Credibility within Wisconsin and beyond covering kids & families
    5. 5. BadgerCare Plus• Wisconsin’s SCHIP: State Children’s Health Insurance Program• Precursor, BadgerCare, began in 1999• Eligible persons must apply & renew for benefits• Program expansions: – Children at all income levels (some exceptions) – Caretaker relatives up 200% of poverty – Childless adults up to 200% of poverty• Recent approvals for increased premiums covering kids & families
    6. 6. Reaching the Uninsured• Awareness among eligible families remains incomplete• There are newly eligible families all the time• Information campaigns alone may not be enough – Many other barriers: • Perceptions (income too high, insurance unnecessary) • Complicated family lives with competing priorities • Programmatic complexities (paperwork requirements, difficult to navigate alone) • Language difficulties and cultural beliefs covering kids & families
    7. 7. The CHILD Project Connecting Health Insurance with Lunch DataThe Goal: Sustainable, effective, efficientprocesses that schools can use to reachfamilies in need of BadgerCare Plus (BC+)The Method: Working closely with schoolsacross Wisconsin to improve and expandoutreach about BC+ while building local capacityto assist with enrollment. covering kids & families
    8. 8. CHILD to REACH BC+• Began in 16 Wisconsin districts – Pilot project – field test different methods – Originally: Connect free/reduced price lunch participants to BC+ • CHILD (Connecting Health Insurance to Lunch Data)• Currently in 3 CESAs (cooperative educational service agencies) covering multiple districts – Less direct assistance to individual schools, working through community partnerships – REACH BC+ (Retention and Enrollment to Achieve Childrens Health and Build Capacity) covering kids & families
    9. 9. covering kids & families
    10. 10. Here’s What We’ve Learned• Build capacity among school staff• Provide simple, accessible training tools on BadgerCare Plus• Provide county-specific outreach tools• Tailor outreach strategies to district capacity• Strengthen community partnerships• Integrate systems to collect and share insurance information covering kids & families
    11. 11. Before we were involved in theproject…we were fragmentedabout how we were going to help{uninsured} families. Now wefeel we have some strategies. Health coordinator CHILD district covering kids & families
    12. 12. REACH BC+: School-based outreach in CESA 8CESA 8 PAC Meeting presentationCaroline B. GomezFebruary 10,2012 covering kids & families
    13. 13. Overview● Explain who we are: ● covering kids & families. ● REACH BC+.● Discuss what we know about families and health insurance: ● CESA 8 Parent Survey results (2011) ● What families in the Northwoods are thinking. ● Statewide School Pupil Services Staff Survey (2009)● Introduce ways CKF can help your school district assist families through REACH BC+. covering kids & families
    14. 14. Why This Project, Why Now In Wisconsin, 86,000 children (7 %) were uninsured for all or part of 2009 (WI DHS) More families may be losing health insurance, due to economy and rising health care costs Information campaigns alone may not be enough; families may need follow-up contact, direct assistance or other resources covering kids & families
    15. 15. Parent Survey Results (cont’d)• Percentage of uninsured children hovered right at the state average of 7%.• This gives us an estimate of how many uninsured children may be in each district: Beecher: 17 Niagra:30 Bonduel: 57 Oconto: 77 Bowler: 26 Oconto Falls: 128 Clintonville: 101 Peshtigo: 85 Coleman: 52 Shawano- Crandon: 63 Gresham: 178 Crivitz: 52 Suring: 33 Florence: 33 Tigerton: 19 Goodman- Wabeno: 35 Armstong: 10 Wausaukee: 35 Laona: 16 White Lake: 13 Lena: 27 Wittenberg- Marinette: 151 Birnamwood: 86 covering kids & families
    16. 16. Cesa 8 Parent HealthInsurance Survey Results What families in the Northwoods are thinking. covering kids & families
    17. 17. Parent Survey Results CESA 8: Worried About Family Having Health Insurance N = 292 43% 34% 22% 1%Not at all worried Somewhat worried Extremely worried missing covering kids & families
    18. 18. covering kids & families
    19. 19. covering kids & families
    20. 20. Parent Survey Results (cont’d) CESA 8: Specific Source of BadgerCare+ Information Through Schools N = 72 32% 17% 14% 14% 8% 7% 4% 3% 1% covering kids & families
    21. 21. Statewide School Pupil Services Staff Survey (2009) School District Staff Perspectives covering kids & families
    22. 22. covering kids & families
    23. 23. Statewide School Pupil Services Staff Survey (cont’d)● How would you rate your knowledge of BadgerCare+? Excellent 2% Good Not very good 45% 53% covering kids & families
    24. 24. covering kids & families
    25. 25. So, What isBadgerCare+? Eligibility and Covered Services covering kids & families
    26. 26. Video cliphttp://dpimedia.wi.gov/main/Viewer/?peid=00653105c2764590abe97f3e6779cf98 covering kids & families
    27. 27. Schools Are a Natural Fit!School staff are often a first resource forfamilies in need: ● Well respected, trusted ● Accessible for families ● Very likely already providing some BadgerCare+ help covering kids & families
    28. 28. What Can Schools Do?● Increase awareness and understanding of BadgerCare+ among key district staff● Promote BadgerCare+ to students and families● Help students (and families) in need of health insurance find the resources they need to enroll in BadgerCare+ covering kids & families
    29. 29. REACH BC+ This is where WE come in! covering kids & families
    30. 30. http://www.ckfwi.org/toolbox.html covering kids & families
    31. 31. What’s in the Toolbox?• BadgerCare Plus Basics• Outreach Materials• County Tools• Research and DataFree, easy to download resources! covering kids & families
    32. 32. BadgerCare Plus Toolbox• Helping families apply• Express enrollment How To covering kids & families
    33. 33. BadgerCare Plus Toolbox• Downloadable Materials• Localizable brochures• Presentations covering kids & families
    34. 34. Outreach Materials• BadgerCare Plus bookmarks, flyers• Newsletter articles• Presentations and Trainings• Outreach Plans• Insurance Data Collection Tools covering kids & families
    35. 35. REACH BC+ Goals● Increase knowledge among school and community staff about eligibility and enrollment options such that they are positioned to assist uninsured children● Spur action among school and community staff to proactively promote coverage options, identify uninsured children and provide assistance● Affect systems in schools and community organizations so that this level of engagement is a sustainable part of schools’ missions covering kids & families
    36. 36. What Your Schools Get Out of REACH BC+• District access to CKF staff who can answer your questions about access to health care• Access to the CKF BadgerCare+ Toolbox• BadgerCare+ trainings, tailored to individual staff, groups, or districts• Facilitation of partnerships among existing agencies, schools and community resources covering kids & families
    37. 37. GiveUs theGreenLight! This is where YOU come in! covering kids & families
    38. 38. Next Steps1. Would you like Covering Kids & Families to work with your school district so that your staff are more prepared to assist families with BadgerCare+.2. Would you like us to follow up with you or other school contact with more information about the specifics of REACH BC+. covering kids & families
    39. 39. Health & Education“We’re firm believers that if we can keep the kids healthy, they are going to have a better chance at learning and being successful here in school.” • District Administrator, a Wisconsin School District covering kids & families
    40. 40. What we want from Extension and others• Help taking a well-tested, promising model statewide – CKF developed and tested the model in 15 diverse districts over the past three years – We now stand poised to put it to work, but need local supports for schools to be most effective – Statewide “replication light” – More intensive replication in Southwestern, Western and Central Wisconsin covering kids & families
    41. 41. What we specifically want from Cooperative Extension• Level 1: What we call the “Basic ask.” – Field a phone call from CKF staff to provide a run down of what’s going on in the community: organizations suited to potentially help, work in the schools already in place, key contacts, etc. – Provide space for gatherings of people to be introduced to the toolbox – Promoting the project to key, established contacts and via existing communication modalities (list serves, websites, newsletters) covering kids & families
    42. 42. What we specifically want from Cooperative Extension: cont’d.• Level 2: A more involved ask – funding for up to 5% FTE – Promoting the project to less established contacts – Attending gatherings of people getting introduced to REACH BC+• Level 3: Community collaborator – funding for up to 10% FTE – Help to develop the train the trainer package (a refinement of our Toolbox) – Get trained to deliver and delivering the BC+ 101 training – Get trained to field and fielding initial technical assistance requests in the wake of BC+ 101 covering kids & families
    43. 43. Why This Project, Why Now• Virtually all kids, regardless of income, are eligible – Yet, 83,000 children (8%) were uninsured for all or part of 2008 – Three-quarters of these children were eligible for BadgerCare Plus• Tough economy means there are newly eligible families all the time, some brand new to seeking public assistance• Information campaigns alone may not be enough• Federal health reform causing additional confusion covering kids & families
    44. 44. Why This Project, Why You: Cont’d.• Schools offer a semi-captive audience in a trusted environment, are interested, doing some work already, have systems, need help.• At a time when county boards are asking Extension to be more involved with helping vulnerable families through these difficult economic times, your engagement is not only an asset for our work, but highly relevant to your community needs. covering kids & families
    45. 45. What We’ve Learned• Provide localized outreach tools• Tailor outreach strategies to district capacity• Build capacity among school staff• Provide simple, accessible training tools on BadgerCare Plus• Strengthen community partnerships• Integrate systems to collect and share insurance information covering kids & families
    46. 46. Helping Schools Help Families Get Health Insurance1. Assess local capacities and level of interest a. What are you already doing that could be adapted to include health insurance outreach and/or enrollment assistance? b. Who is there to help? Challenges:  Identifying and connecting with the right people  Navigating existing (and highly variable!) school systems covering kids & families
    47. 47. Helping Schools Help Families Get Health Insurance2. Enlist & Cultivate local partners a. Make/re-affirm local connections b. Provide training for MA/SCHIP enrollment Challenges:  Fostering “buy-in”  Keeping expectations realistic  Need for on-going technical assistance covering kids & families
    48. 48. Helping Schools Help Families Get Health Insurance3. Determine outreach strategies a. Select and adapt materials for student population b. Strategies differ through targeting specific populations, and by level of intensity of personal contact Challenges:  Choosing strategies that complement existing activities  Data sharing agreements and data sharing itself can be time intensive and complex processes covering kids & families
    49. 49. Helping Schools Help Families Get Health Insurance4. Implement outreach strategiesChallenges:  Time & Energy  Following through beyond providing information5. Assess, evaluate, modify, assess, evaluate…Challenges:  Isolating the effects of outreach efforts on changes in knowledge, attitudes, or coverage covering kids & families
    50. 50. CHILD outreach strategies covering kids & families
    51. 51. CHILD Project outcomes and methods used for measurement covering kids & families
    52. 52. covering kids & families
    53. 53. Funding2003-2007 Robert Wood Johnson, “Covering Kids & Families”2007-2010 UW School of Medicine and Public Health’s Wisconsin Partnership Program (March 2007- November 2010) The Healthier Wisconsin Partnership Program, a component of the Advancing a Healthier Wisconsin endowment at the Medical College of Wisconsin (July 2007-June 2010) Federal funding has also been made available through the Wisconsin Department of Health Services. Beckner Funds; Evjue Foundation; Centene Foundation; UW Extension Cross-Divisional AwardCurrent Helen Bader Foundation (July 2010-June 2012) Ira and Ineva Reilly Baldwin Wisconsin Idea Endowment (July 2010-June 2013) Wisconsin Department of Health (CHIPRA) UW School of Medicine and Public Health’s Wisconsin Partnership Program (March 2010- February 2013) covering kids & families
    54. 54. Contact Us covering kids & families Caroline B. Gomez, Outreach Specialist 608-261-1455 cbgomez@wisc.edu Michael Jacob, Project Coordinator 608-261-1455 mbjacob@wisc.eduCovering Kids & Families Website www.ckfwi.org covering kids & families

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