A New erA of HeAltHy StArt: emphasizing Quality and Planning for Success

CoNveNtioN ProgrAm

Wednesday - Thursday november 19 - 20 alexandria, 2014 This document was developed by the Healthy Start EPIC Center operated by JSI Research & Training Institute (JSI), and was funded under the Health Resources and Services Administration, Maternal and Child Health Bureau grant #UF5MC268450103

1 Supporting communities to give every child a Healthy Start.

November 19, 2014

Dear Attendee:

On behalf of the Healthy Start EPIC Center, we would like to welcome you and thank you for attending A New Era for Healthy Start: Emphasizing Quality and Planning for Success in Arlington, Virginia. Over the course of the next day and a half, you will have an opportunity to explore the new Healthy Start Model that aims to maximize the impact of Healthy Start on the reduction of infant mortality through the integration of current and emerging evidence-based approaches. During the plenary sessions, you will hear from presenters about various areas of the Healthy Start Model. All plenary sessions are organized around the four components of the Healthy Start EPIC model to improve maternal and infant health. These components are: 1) Evaluate need and impact; 2) Partner for collective impact; 3) Implement evidence-based practice and; 4) Consider the client’s context. Throughout our time together, there will be opportunities to discuss new expectations, share and celebrate your successes and strengths, and identify areas for which your peers, Division of Healthy Start and Perinatal Services, and the Healthy Start EPIC Center can provide you with support. We look forward to working with you. If there is anything we can do to make this experience more comfortable for you, please do not hesitate to speak with a Healthy Start EPIC TA Center staff member. Again, thank you so much for your attendance.

The Healthy Start EPIC Center Staff

2 Hilton Alexandria Mark Center

BreakOut Room Assignments Grantee States MCHB Project Officer Breakout Room Assignment AZ, CA, CO, IN, MN, NM, NV, OR, SD, Madelyn Reyes Arbors TX, WI Makeva Rhoden CT, DC, MA, MD, NJ, NY Angela Hayes-Toliver Beech Keisher Highsmith IL, PA Juliann DeStefano Plaza I Sharon Adamo GA, FL Johannie Escarne Plaza II AL, AR, LA, MS Kimberly Sherman Plaza III KY, NC, SC, TN, VA, WV John McGovern Birch OH, MI Willie Tompkins Juniper IA, KS, MO, NE, OK Trista Chester Dogwood Collective Impact Breakout Angela Hayes-Toliver Plaza Ballroom BC for Level 3 Grantee Madelyn Reyes (General Session Room) Project Directors (November 19 only)

3 AgENdA A New Era of Healthy Start: Emphasizing Quality and Planning for Success NovEmbEr 19 – 20, 2014 obJECTIvES: 1. To foster an understanding among all Healthy Start grantees of the Healthy Start model and its drivers; 2. To build an understanding among Healthy Start grantees of the importance of quality improve- ment (QI) and the skills necessary to incorporate QI into their projects; 3. To emphasize the importance of documenting success of grantees’ activities and outcomes with their clients and the overall Healthy Start Programs; 4. To connect and share resources with other Healthy Start grantees; and 5. To identify grantees’ training and technical support needs to be supported by HRSA/MCHB and the Healthy Start EPIC Center. All general sessions will take place in Plaza Ballroom BC. For breakout rooms, please reference the breakout room assignments sheet provided in the program.

NovEmbEr 19, 2014 1:00 – 1:30 Pm WElComE ANd oPENINg rEmArkS Speaker: michael lu, md, mS, mPH Associate Administrator for Maternal and Child Health Health Resources and Services Administration

Speaker: Hani Atrash, md, mPH Director Division of Healthy Start and Perinatal Services Health Resources and Services Administration

moderator: Susan Friedrich, mbA Project Director JSI Healthy Start EPIC Center 1:30 – 2:00 Pm INTroduCTIoN To THE HEAlTHy STArT modEl Speaker: makeva rhoden, mPH, CHES LCDR, U.S. Public Health Service Division Lead for Healthy Start EPIC Center Project Division of Healthy Start and Perinatal Services Health Resources and Services Administration

Speaker: Susan Friedrich, mbA Project Director JSI Healthy Start EPIC Center

4 AgENdA

NovEmbEr 19, 2014 - CoNTINuEd 2:00 – 2:55 Pm EvAluATE NEEd ANd ImPACT moderator: Willie Tompkins, Jr., Phd, lCSW-C CDR, U.S. Public Health Service Division of Healthy Start and Perinatal Services Health Services and Resources Administration

keynote Speaker: Sharron Crawford Corle, mS Associate Director for MCH Leadership Development & Capacity Building Association of Maternal & Child Health Programs

HS grantee Speaker: Jeffery J. guidry, Phd Associate Professor and Director, Education and Training Transdiciplinary Center for Health Equity Research (TCHER) A&M University, College of Education and Human Development 2:55 – 3:45 Pm EvAluATE NEEd ANd ImPACT brEAkouTS DHSPS and Healthy Start EPIC Center Facilitators 3:45 – 3:55 Pm brEAk 3:55 – 4:50 Pm mAxImIzINg ImPACT moderator: Hani Atrash, md, mPH Director Division of Healthy Start and Perinatal Services Health Resources and Services Administration

keynote Speaker: Sylvia Cheuy, gradSI Director of Deepening Community Learning Community Tamarack – An Institute for Community Engagement

HS grantee Speaker: laurita kaigler-Crawlle, mS Director Program Development and Implementation Boston Public Health Commission 4:50 – 5:40 Pm mAxImIzINg ImPACT brEAkouTS DHSPS and Healthy Start EPIC Center Facilitators 6:00 – 7:30 Pm rESourCE ExCHANgE ANd NETWork oPPorTuNITy

5 AgENdA

NovEmbEr 20, 2014 8:30 – 8:35 Am WElComE Speaker: makeva rhoden, mPH, CHES LCDR, U.S. Public Health Service Division Lead for Healthy Start EPIC Center Project Division of Healthy Start and Perinatal Services Health Resources and Services Administration 8:35 – 9:30 Am ImPlEmENT EvIdENCE-bASEd PrACTICES moderator: makeva rhoden, mPH, CHES LCDR, U.S. Public Health Service Division Lead for Healthy Start EPIC Center Project Division of Healthy Start and Perinatal Services Health Resources and Services Administration

keynote Speaker: Jan Shepherd, md, FACog Medical Adviser for the Women’s Wellness Connection at the Department of Public Health and Environment

HS grantee Speaker: Estrellita “lo” berry, mA President and CEO REACHUP, Inc. 9:30 – 10:15 Am ImPlEmENT EvIdENCE-bASEd PrACTICES brEAkouTS DHSPS and Healthy Start EPIC Center Facilitators 10:15 – 10:30 Am brEAk 10:30 – 11:25 Am CoNSIdEr ClIENT’S CoNTExT moderator: kimberly C. Sherman, mPH, mPP Public Health Analyst Division of Healthy Start and Perinatal Services Health Resources and Services Administration

keynote Speaker: michael mcAfee, Ed.d, mPA Senior Director PolicyLink

HS Client Speaker: Nicole redmond Magnolia Project

6 AgENdA

NovEmbEr 20, 2014 11:25 Am – 12:15 Pm CoNSIdEr ClIENT’S CoNTExT brEAkouTS DHSPS and Healthy Start EPIC Center Facilitators 12:15 – 1:00 Pm luNCH oN your oWN 1:00 – 1:10 Pm NATIoNAl HEAlTHy STArT ASSoCIATIoN Speaker: deborah Frazier, rN Executive Director National Healthy Start Association 1:10 – 1:40 Pm rEduCE dISPArITIES IN brEASTFEEdINg THrougH PEEr ANd ProFESSIoNAl SuPPorT FoA moderator: Sharon Adamo, mS, mbA, rd Perinatal Health Specialist Division of Healthy Start and Perinatal Services Health Resources and Services Administration

Speaker: valery Soto, mS, rd, ClC Nutritionist Supplemental Food Programs Division Food and Nutrition Service, USDA 1:40 – 2:10 Pm HEAlTHy STArT ToWN HAll moderator: makeva rhoden, mPH, CHES LCDR, U.S. Public Health Service Division Lead for Healthy Start EPIC Center Project Division of Healthy Start and Perinatal Services Health Resources and Services Administration

moderator: Susan Friedrich, mbA Project Director JSI Healthy Start EPIC Center 2:10 – 2:20 Pm CloSINg Speaker: makeva rhoden, mPH, CHES LCDR, U.S. Public Health Service Division Lead for Healthy Start EPIC Center Project Division of Healthy Start and Perinatal Services Health Resources and Services Administration

Speaker: Susan Friedrich, mbA Project Director JSI Healthy Start EPIC Center

7 EPIC SESSIonS EvaluatE nEEd and ImPaCt WEdnESday, novEmbEr 19 2:00 Pm – 3:45 Pm SESSIon dESCrIPtIon This session will review the scope of community needs assessments and its essential data collection activities. The presenter will highlight the key steps for conducting a needs assessment and the importance of data-driven decisions when prioritizing client and community needs. Finally, the value of using monitoring and evaluation for continuous improvement will be discussed. SESSIon objECtIvES • Articulate the importance of conducting a community needs assessment • Explain the scope of a community needs assessment • List potential data collection methods and sources • Identify key steps to turn the assessment into action • Understand the importance of monitoring and evaluation modErator: PrESEntErS: Willie tompkins, jr., Phd, lCSW-C Sharron Crawford Corle, mS CDR, U.S. Public Health Service Associate Director for MCH Leadership Development & Division of Healthy Start and Capacity Building Perinatal Services Association of Maternal & Child Health Programs (AMCHP) Health Resources and Services Administration jeffrey j. Guidry, Phd Associate Professor and Director, Education and Training Transdiciplinary Center for Health Equity Research (TCHER) Texas A&M University, College of Education and Human Development thouGht QuEStIonS 1. What is your experience in this area of the EPIC model? 2. How can the Healthy Start EPIC Center and Healthy Start program staff support your work in this area of the EPIC model?

notES: ______

8 EPIC SESSIonS maxImIzInG ImPaCt WEdnESday, novEmbEr 19 3:55 Pm – 5:40 Pm SESSIon dESCrIPtIon This session will provide a high-level overview of Collective Impact (CI) and the distinction and implications of this approach to collaboration. The presenter will share important components of each of the five conditions of CI: Common Agenda, Shared Measurements, Mutually Reinforcing Activities, Continuous Communications, and Backbone Support. Much emphasis will be placed on understanding why the CI approach to collaboration is ideal for complex issues, how CI is different from traditional collaborative approaches as well as exploring the various paradigm shifts that are necessary for CI to be effective. SESSIon objECtIvES • Learn how Collective Impact (CI) varies from other forms of collaboration • Understand why CI is ideally suited to addressing complex issues • Discover what mindset shifts are required to effectively implement CI modErator: PrESEntErS: dr. hani atrash, md, mPh Sylvia Cheuy, GradSI Director, Division of Healthy Start and Director of Deepening Community Learning Community Perinatal Services Tamarack- An Institute for Community Engagement Health Resources and Services Administration laurita Kaigler-Crawlle, mS Director for Program Development and Implementation Boston Public Health Commission thouGht QuEStIonS 1. What is your experience in this area of the EPIC model? 2. How can the Healthy Start EPIC Center and Healthy Start program staff support your work in this area of the EPIC model?

notES: ______

9 EPIC SESSIonS ImPlEmEnt EvIdEnCE-baSEd PraCtICES thurSday, novEmbEr 20 8:35 am – 10:15 am SESSIon dESCrIPtIon This session will define evidence-based practices and discuss implementing programs that have been rigorously evaluated and proven effective in maternal and child health programs. The presenter will briefly highlight how evidence is generated and categorized into three levels, as well as provide examples of evidence-based practice across the perinatal period: preconception/ interconception, prenatal, postpartum, and parenting. SESSIon objECtIvES • Develop a common understanding of what constitutes a rigorously tested or evidence-based practice • Describe examples of evidence-based practices with proven effectiveness that can be implemented in the four Ps of the Healthy Start program modErator: PrESEntErS: makeva rhoden, mPh, ChES jan Shepherd, md, FaCoG LCDR, U.S. Public Health Service Medical Adviser for the Women’s Wellness Division Lead for Healthy Start EPIC Connection at the Colorado Department of Public Center Project Health and Environment Division of Healthy Start and Perinatal Services Estrellita “lo” berry, ma Health Resources and Services President and CEO Administration REACHUP, Inc. thouGht QuEStIonS 1. What is your experience in this area of the EPIC model? 2. How can the Healthy Start EPIC Center and Healthy Start program staff support your work in this area of the EPIC model?

notES: ______

10 EPIC SESSIonS ConSIdEr ClIEnt’S ContExt thurSday, novEmbEr 20 10:35 am – 12:15 Pm SESSIon dESCrIPtIon This session will explore the importance of large scale population-level approaches to transform communities challenged with high poverty, unemployment, and housing instability. The presenter will operationalize the social determinants of health framework using examples from Promise Neighborhoods collective impact initiatives. The session will highlight guiding questions for program delivery and provide examples of programmatic results when addressing social determinants. SESSIon objECtIvES • Expand understanding of results-based accountability as it pertains to place-based work, and specifically, leadership within place-based work • Expand understanding of how to operationalize the social determinants of health framework to break down silos and reconstruct more equitable, holistic systems modErator: PrESEntErS: KImbErly C. ShErman, mPh, mPP michael mcafee, Ed.d, mPa Public Health Analyst, Division of Healthy Senior Director, Start and Perinatal Services PolicyLink

nicole redmond Magnolia Project

thouGht QuEStIonS 1. What is your experience in this area of the EPIC model? 2. How can the Healthy Start EPIC Center and Healthy Start program staff support your work in this area of the EPIC model?

notES: ______

11 Presenter Bios

Hani atrasH, MD, MPH Prior to joining the Health Resources and Services Administration’s Maternal and Child Health Bureau as the Director of the Division of Healthy Start and Perinatal Services, Hani K. Atrash, MD, MPH was at the Centers for Disease Control and Prevention (CDC), where he served as the Chief of the Pregnancy and Infant Health Branch (1987 to 2001), Associate Director for Program Development of the Na- tional Center on Birth Defects and Developmental Disabilities (2001 to 2008) and Director of the Division of Blood Disorders (2008 to 2012). Dr. Atrash received his medical training and completed his residency in obstetrics and gynecology at the American University of Beirut (AUB) and received a Masters Degree in Public Health (Epide- miology) from the Rollins School of Public Health at Emory University and then completed the preventive medicine residency at CDC. During his distinguished public health career, Dr. Atrash has served as faculty at AUB, consultant for the World Health Organization and several other international groups, led CDC efforts around Safe Motherhood, Maternal and Child Health Epidemiology, and preterm delivery, and spearheaded the new CDC initiative on Preconception Health and Health Care. Dr. Atrash received numerous CDC and na- tional awards and authored/ coauthored over 170 scientific publica- tions and book chapters.

estrellita “lo” Berry, Ma Estrellita “Lo” Berry, M.A, serves as President and CEO of REACHUP, Inc., a community non-profit whose mission is to advocate for and mobilize resources to help communities achieve equality in health- care and positive health for families. Additionally, Lo is Affiliate Facul- ty, University of South , College of Public Health, Department of Community and Family Health and the 2010-2012 President of the National Healthy Start Association Board of Directors. She is Project Director and Principal Investigator for Central Hillsborough (Federal) Healthy Start and Co-Investigator of the National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health grant program, Toward Eliminating Disparities in Maternal and Child Health Population. Lo serves on the Boards of Hillsbor- ough County Healthy Start Coalition, and March of Dimes, Florida Bay Division. In 2005, Lo assisted in championing Florida Legislation HB1269 creating a statewide practice collaborative to examine racial disparities and infant mortality, The Black Infant Health Practice Ini- tiative (BIHPI). Lo has co-authored numerous publications including Healthy Start Program and feto-infant morbidity outcomes: Evaluation of program effectiveness (Maternal and Child Health Journal) and Community-Academic partnerships to reduce black-white disparities in infant mortality in Florida (Progress in Community Health Partner- ships: Research, Education, And Action). Lo and her team successful- ly transitioned from the University of South Florida to a Not For Profit 501c3 in 2009. Subsequently, adding an additional 11 programs for services. Lo received her undergraduate degree in Clinical Psychology and Masters in Education and Community Counseling at the Universi- ty of Evansville, Evansville . She is a wife and mother to a son. Lo was recently selected as a finalist for the Florida Blue Foundation 2014 Sapphire Award Individual Category for Outstanding Leadership in Community Health Care and Health.

12 Presenter Bios

sylvia CHeuy, GraDsi Ms. Cheuy, a Director with Tamarack – An Institute for Community Engagement, leads the Seeking Community Online Learning Team and provides coaching, leadership and support in the fields of collab- orative leadership; collective impact and community engagement to Tamarack’s community partners through the design and delivery of learning events. Throughout 2014, Sylvia has facilitated several dynamic and inter- active presentations for grantees funded through HRSA’s Maternal Child Health Bureau. Sylvia’s experience working with MCHB funded grantees has provided her the opportunity to work with MCH leaders that are applying Collective Impact within the context of maternal child health and early childhood systems. Between 2005-2013, Sylvia was Executive Director to Headwaters Communities in Action (HCIA), a grassroots citizen initiative that fosters collaborative leadership and action in support of a long-term vision of well-being for Ontario’s Headwaters region. Tamarack played a key role in launching HCIA and it has given Sylvia first-hand experi- ence implementing a collective impact initiative. Sylvia has a Masters Diploma in Social Innovation at the University of Waterloo where she explored opportunities to create change within regional food systems.

sHarron CrawforD Corle, Ms Ms. Corle is a learning and development professional with almost two decades of public health experience, eleven of those at the Associ- ation of Maternal and Child Health Programs (AMCHP) where she currently serves as the Associate Director for MCH Leadership Devel- opment and Capacity Building. In this capacity, Ms. Corle supports and drives initiatives related to AMCHP’s workforce and leadership development strategy. Ms. Corle routinely facilitates/designs, delivers and evaluates training sessions, skills-building sessions, workshops, discussion groups, communities of practices, and other learning events. She has au- thored fact sheets, issue briefs, reports, and a peer-reviewed article for a variety of public health audiences. She has given presentations at a number of national conferences such as the American Public Health Association, CityMatCH, and National Conference of State Legislatures Fall Forum and has been invited to speak at numerous state-specific conferences. During her eleven years at AMCHP, she has served as the project director for multiple grants and cooperative agreements. Ms. Corle possesses a master’s degree in human devel- opment from Virginia Tech, with a focus on adult learning and human resources development.

13 Presenter Bios

DeBoraH loMBarD frazier Deborah Lombard Frazier is the CEO of the National Healthy Start Association, (NHSA) the membership organization for federally funded Healthy Start programs. The organization has a presence in 39 states including , , and the territory of . On behalf of NHSA, she works with national federal and foundation partners to address issues impacting vulnerable and disparate populations. She also works to maintain national and other relationships that bring value to the organization and enhance its mission, vision and priorities. She serves as chief spokesperson, representing and promoting NHSA as a leader in community based programs that work with the voices of the community to improve birth outcomes, reduce disparities, and assure equitable access to a continuum of affordable quality health care and community services for families. Ms. Frazier is a Registered Nurse with a degree in Health Administration.

susan frieDriCH, MBa, PMP Ms. Friedrich is a senior manager at JSI with nearly 30 years of experience working with health care and public health organiza- tions. Since joining JSI in 1985, Ms. Friedrich has consulted with federally funded programs at the federal, state and local levels and worked on a number of national policy initiatives. Ms. Friedrich is an experienced project director for large Capacity Building projects. She served as Project Director for MCHB’s, Division of Children with Special Health Care Needs project to strengthen systems of care for children and youth with special health care needs. Ms. Friedrich also serves as Project Director on two national projects to collect, validate, report, and analyze the Uniform Data Set for the Bureau of Primary Health Care (BPHC) and the Indian Health Service (IHS). Ms. Friedrich worked with the State of and partners (e.g., Navigator organizations, community health centers and health and social service organizations) to implement the Health Insurance Marketplace and advised community-based organizations (CBO) on how best to outreach to eligible populations.

14 Presenter Bios

Jeffrey J. GuiDry, PHD Jeffrey J. Guidry has conducted health disparities research for the past 20 years as a professor, researcher, and community organizer. He received his Ph.D. from the University of Texas School of Public Health at Houston. He has been on faculty as an Associate Professor in the Department of Health and Kinesiology for the past 20 years. His passion is evaluation. At A&M, he developed courses on Evaluating Community-based Health Promotion projects and a special Honors course on conducting qualitative Research. He has worked on evaluation projects since graduate school. He helped to develop and evaluate Houston Sunny Futures in 1999. He has worked with numerous projects over the 15 years which include Healthy Start New Orleans, Pee Dee Healthy Start, Family Roads of Baton Rouge. He has also provided presentations, workshops and technical assistance to other projects.

laurita KaiGler-Crawlle, Ms Ms. Kaigler-Crawlle is a dedicated professional with over fifteen years’ experience strategically administering human service programs in a range of public, community based and philanthropic organizations. Laurita has a proven track record in developing, implementing and evaluating healthcare, education, workforce and youth development programs as well as providing oversight for capacity building initia- tives that have had measurable impact on health and education indicators for marginalized communities in . Laurita is the Director for Program Development and Implemen- tation with the Boston Public Health Commission Bureau of Child, Adolescent and Family Health (CAFH). As such Laurita is responsible for developing, implementing and evaluating healthcare program quality improvement strategies that contribute to the achievement of health equity goals for the CAFH Bureau. Laurita collaborates with the Bureau Director and Program Directors in creating and sustaining a Bureau-wide performance management system that will use data, cross-sector stakeholder input, and continuous quality improvement tools to develop programs, policies, and activities that effectively pro- mote public health and health equity, including equitable workplace practices and procedures.

15 Presenter Bios

MiCHael C. lu, MD, Ms, MPH Michael C Lu, MD, MS, MPH, was named associate administrator of maternal and child health (MCH Bureau Director) of the Health Re- sources and Services Administration (HRSA) on November 3, 2011. HRSA is an agency of the U.S. Department of Health and Human Services. The mission of the Maternal and Child Health Bureau (MCHB) is to provide leadership, in partnership with key stakeholders, to improve the physical and mental health, safety and well- being of the mater- nal and child health (MCH) population. Through its Title V program, MCHB serves 40 million women, infants, children, adolescents, and their families each year, Including fathers and children with special health care needs. Dr. Lu joined HRSA from the University of , Los Angeles Schools of Medicine and Public Health, where he was associate pro- fessor of obstetrics, gynecology and public health. Dr. Lu brings years of experience in MCH research, practice, and poli- cy to his post at HRSA. Prior to his appointment to head up MCHB, Dr. Lu chaired the Secretary’s Advisory Committee on Infant Mortality. He has served on two Institute of Medicine (IOM) Committees (Commit- tee on Understanding Premature Birth and Assuring Healthy Out- comes, and Committee to Reexamine IOM Pregnancy Weight Guide- lines), and the Centers for Disease Control and Prevention Select Panel on Preconception Care. While at UCLA, Dr. Lu was a lead investigator for the National Chil- dren’s Study. He also led a project to monitor and improve the quality and safety of maternity care in California. He was best known for his research on racial-ethnic disparities in birth outcomes, and his vision- ary leadership on life course. Dr. Lu taught obstetrics and gynecology at the David Geffen School of Medicine at UCLA, and maternal and child health at UCLA School of Public Health. He has received numer- ous awards for his teaching, including Excellence in Teaching Awards from the Association of Professors of Gynecology and Obstetrics. As an obstetrician, Dr. Lu has attended over a thousand births, and has been voted one of the Best Doctors in America since 2005. Dr. Lu received his bachelor’s degrees in political science and human biology from Stanford University, master’s degrees in health and medical sciences and public health from UC Berkeley, medical degree from UC San Francisco, and residency training in obstetrics & gyne- cology from UC Irvine.

16 Presenter Bios

MiCHael MCafee, eD.D, MPa Dr. McAfee has served as a results-driven leader in the education, government, philanthropic and human service sectors for over 20 years. His partnership with leaders in these sectors has resulted in more than 3,000 units of affordable housing, 5,000 jobs and hundreds of thousands of families accessing the supports they need to prosper. He brings this expertise to his direction of the Promise Neighborhoods Institute at PolicyLink (PNI), advancing economic and social equity with an emphasis on improving access to quality education. Under Dr. McAfee’s leadership, PNI has become an internationally-recognized game-changing system for achieving results for children and families. His team has created a robust infrastructure that includes a strong results framework, the use of Results-Based Accountability, state-of-the-art data collection and analysis and a disciplined system of technical assistance that is accelerating local leaders’ ability to achieve results that lift children and families out of poverty. Today, more than 250,000 children are receiving support from the Promise Neighborhoods network, and because of its early insistence on the use of data, PNI is able to track both the individual and collective impact of Promise Neighborhoods’ early childhood education, quality classroom programs, school board involvement, expanded learning efforts, school turnaround approaches, and college preparatory and success strategies— spawning a national movement for cradle-to-college-career solutions to breaking the cycle of generational poverty.

Jan sHePHerD, MD, faCoG Dr. Shepherd received her MD from Northwestern University, completed a residency in Obstetrics and Gynecology at the University of Cincinnati, and then a fellowship in Reproductive Endocrinology and Infertility at the University of South . She currently serves as a Clinical Associate Professor in Obstetrics and Gynecology at the University of Colorado School of Medicine, as the Medical Advisor for the Women’s Wellness Connection at the Colorado Department of Public Health and Environment, and as a consultant for both the Women’s Health and Menopause Center in Denver and Boulder Valley Women’s Health Center. In 2003, Dr. Shepherd was appointed Founding Education Director for Obstetrics and Gynecology at Florida State University College of Medicine. In this role, she developed and taught the curriculum in both gynecology and obstetrics, including the essentials of prenatal care, and began working with the Healthy Start program in the Florida Panhandle. She participated regularly in the Panhandle Fetal and Infant Mortality Review sponsored by the Healthy Pregnancy Network at Capital Area Healthy Start Coalition, giving her significant insight into the Healthy Start program. Dr. Shepherd has been a nationally recognized speaker on women’s health issues locally, nationally, and internationally for the past 20 years.

17 Applying EpiC ComponEnts

The four components of the Healthy Start model help Healthy Start grantees maximize the effectiveness of their services to reduce infant mortality, improve birth outcomes, and eliminate health disparities. to Apply this ComponEnt, hs progrAms should bE AblE to: • Conduct community needs and assets assessment using local data EEvAluAtE nEEd And impACt: • Track participant service utilization, health behaviors, Use community, program, and participant satisfaction, and health outcomes level data to set priorities for service system • Conduct root cause analyses to identify community and improvement and to evaluate the impact of societal factors that impact maternal and infant health program activities. • Interpret and use program data to improve the quality of services to Apply this ComponEnt, hs progrAms should bE AblE to: • Recruit a diverse, cross-sector representation of consumers, community members, agencies, and business pArtnErP for CollECtivE impACt: leaders Establish a Community Action Network • Support coordination and integration of activities among (CAN)—a coalition of consumers, providers, CAN members to create positive system and community and community leaders to enact commu- change nity-level change. Much of the focus of the • Convene partners and establish a common agenda that CAN is reducing disparities in perinatal includes a shared mission and shared priorities outcomes through cross-sector information • Effectively apply conditions of Collective Impact to address sharing, collaboration, and linkages. complex perinatal health issues identified by the CAN to Apply this ComponEnt, hs progrAms should bE AblE to: • Ensure access to core services across the 4 perinatal phases using the best available, evidence-based implEmEntI EvidEnCE-bAsEd prACtiCEs: approaches In serving women, infants, and families, use • Identify evidence-based practices that fill gaps in service perinatal health and community strengthen- provision ing interventions that have been rigorously • Conduct a comprehensive risk/needs assessment with evaluated and proven effective. every participant • Consider participants’ values and preferences and providers’ expertise in making evidence-based care decisions to Apply this ComponEnt, hs progrAms should bE AblE to: • Promote comprehensive women’s health beyond the nine months of pregnancy to improve birth outcomes CConsidEr thE CliEnt’s ContExt: • Link participants to emergency assistance and other Integrate the social determinants of health services to meet basic needs and life course approaches into program • Ensure assessment of participants’ life conditions and planning and service delivery. Consider circumstances circles of influence and the multiple • Link participants to social services to address social contributing factors that impact women’s determinants of health and infants’ health. • Ensure that all services are provided in a culturally and linguistically appropriate manner

18 Healthy Start strives to ensure access to community-based, culturally sensitive, family-centered and com- prehensive health and social services to women, infants and their families, as shown below. Adherence to the four EPIC components will help grantees to create community service systems that best meet partici- pant needs across all phases of the perinatal period. prEConCEption/intErConCEption postpArtum (womEn bEforE And bEtwEEn prEgnAnCiEs) (infAnts/mothErs from birth to 6 months) • Optimize women’s health, behaviors, and • Ensure quality of care for newborns knowledge before pregnancy • Ensure access to quality postpartum care • Enhance access to and quality of care for • Assess for and manage mood disorders/ women before and between pregnancies screen for postpartum depression • Facilitate reproductive life planning (planning • Facilitate reproductive life planning pregnancy, contraception, optimum birth • Provide lactation counseling and support spacing) • Promote safe sleep • Promote education, screening, referral, and treatment for women with high risk conditions

prEnAtAl pArEnting (prEgnAnt womEn from diAgnosis (bAbiEs/fAmiliEs from birth to AgE 2) of prEgnAnCy to birth) • Support comprehensive home visiting • Improve health risk screening for all programs pregnant women • Ensure infants and families are connected to a • Provide evidence-based tobacco cessation medical home counseling • Connect families to benefits and services to • Referral and treatment of women with meet basic needs substance abuse and mental health disorders • Provide child development and parenting • Increase access to and quality of education and support prenatal care • Provide socio-emotional development • Support comprehensive home visiting screening for children programs

The Healthy Start model: use

principles across the 4 Ps

19 The Healthy Start EPIC Center provides assistance to support Healthy Start (HS) grantees in achieving program goals. The Center helps to strengthen staff skills to implement evidence-based practices in maternal and child health, facilitates grantee-to-grantee sharing of expertise and lessons from the field, enables grantees to conduct ongoing evaluation of activities for effectiveness, and builds program capacity to work with community partners to improve health and social service systems for women, infants and families. ServiceS provided by the healthy Start epic center

Training and Technical Assistance (TA): Training and TA are mutually reinforcing capacity building activities that are timely and relevant. Training builds individual core competencies and organizational capacities to increase reach and effectiveness of Healthy Start programs. TA provides for in-depth assistance to an individual grantee or group of grantees that is tailored to their unique needs, contexts, and environments. Training and TA are “data-driven”, designed to address specific needs and gaps identified by grantees, Project Officers, needs assessments, performance monitoring, and program evaluation.

Training and TA are offered through various modalities including conferences, regional meetings, webinars, and online learning modules, and through the Healthy Start CoIIN and Learning Collaboratives.

Healthy Start Collaborative Innovation and Improvement Network (HS CoIIN): The HS CoIIN is a partnership of Level 3 grantees dedicated to strengthening existing Healthy Start services and systems, as well as to developing innovative new approaches to reduce infant mortality and improve birth outcomes. Participants learn from one another and national experts, share best practices and lessons learned, and track progress toward shared benchmarks. The CoIIN facilitates collaborative learning around mutually identified issues, and promotes adoption of quality improvement principles and practices among all HS grantees.

Healthy Start Learning Collaboratives: The HS learning collaboratives (LC) are ongoing peer-to-peer learning forums where grantees share and learn from their collective experiences and challenges around a particular topic area. LCs focus on implementation of evidence-based practices and integration of quality improvement activities. LC activities alternate between webinars and conference calls. The HS LCs will be facilitated jointly by Level 3 grantees and the Healthy Start EPIC Center team, with input from MCH experts.

Resources and tools: The Healthy Start EPIC Center curates and creates reference materials, guidance resources, and tools to support grantees in implementing the HS model and delivering HS services.

Website: www.healthystartepic.org is the portal for technical assistance, resources and tools, home for the Healthy Start knowledge base and a platform to facilitate collaboration and communications. Website features will include a grantee directory and profiles, links to statistical databases, an online TA request system, a searchable inventory of evidence-based practices, an online training catalog, and e-learning modules developed by the Healthy Start EPIC Center, as well as discussion forums for grantees.

contact Us: www.healthystartepic.org: to learn about training, request ta, or access resources and tools. at present, a basic website houses webinars presented to date by Mchb and the healthy Start epic center, but beginning in 2015, a full-featured website will be available.

[email protected]: Email us for specific questions or immediate assistance. Or call 1-844-225-3713, toll-free.

the healthy Start epic center is operated by JSi, a public health management consulting and research organization dedicated to improving the health of individuals and communities throughout the world. this document was developed by the healthy Start epic center operated by JSi, and was funded under the health resources and Services administration, Maternal and child health bureau grant #UF5Mc268450103.

20 loCal reStaurantS

Steak/Seafood Distance: 1.5 miles 13. Chili’s Bar & Grill 5501 Leesburg Pike 1. Finn & Porter 7. Vinh Loi Restaurant Distance: 1.3 miles Hotel Lobby 5811 Leesburg Pike Distance: 1.8 miles Pizza/PaSta Middle eaStern/Greek 8. Duangrat’s Thai Restaurant 14. Genova Pizza 2. Go Greek Athens Restaurant 5878 Leesburg Pike 4614 Kenmore Ave. 3541 Carlin Springs Road Distance: 2.0 miles Distance: 0.6 miles Distance: 1.3 miles 9. Kampo Restaurant 15. Armand’s Chicago Pizzeria 3. Bamian Restaurant 5884 Leesburg Pike 4716 King Street 5634 Leesburg Pike Distance: 2.0 miles Distance: 1.1 miles Distance: 1.5 miles aMeriCan Bar & Grill 16. Olive Garden Italian Restau- ChineSe/VietnaMeSe/thai rant 10. Clyde’s Restaurant 3548 S. Jefferson St. 4. Haad Thai 1700 N. Beauregard St. Distance: 1.3 miles 1472 North Beauregard St. Distance: 0.4 miles Distance: 0.6 miles Café 11. TGI Friday’s 5. Illusions Thai Café 4650 King Street 17. La Madeleine French Bakery & 1472 N Beauregard St. Distance: 1.0 mile Café Distance: 0.6 miles 5861 Crossroads Center 12. San Antonio Bar & Grill Distance: 1.9 miles 6. Hunan East 5177 Leesburg Pike 3501 A South Jefferson St. Distance: 1.3 miles

21 hotel Shuttle SChedule

national airPort/PentaGon City Mall & Metro

The Hilton Alexandria Mark Center offers a complimentary shuttle service 7 days a week from 6:00 a.m. to 10:30 p.m. The vans depart from the front of the Hotel on the hour and half hour, arrive at Pentagon City Mall/Metro (blue and yellow line) at approximately 10 minutes and 40 minutes after the hour and continue on to Ronald Reagan National Airport. Our last pick up at Pentagon City at approximately 10:40 p.m. The van arrives at the airport at approximately 20 minutes and 50 minutes after the hour. We pick up at Terminal A, Terminal B door 5 and Terminal C door 9. Our last pick up at Ronald Reagan Washington National Airport is at approximately 10:50 p.m.

5000 Seminary Road, Alexandria VA 22311 703-845-1010

kinG Street kinG Street Metro Station

The Hilton Alexandria Mark Center offers complimentary shuttle service to King Street in Old Town Alexandria 5 days a week from 3:15 p.m. until 9:15 p.m. The van departs from the front of the Hotel at 15 minutes past the hour. We pick up at the shelter at the King Street Metro Taxi Stand. Our last pick up is at approximately 9:30p.m.

Arrival times are approximate and are affected by traffic levels.

Seating is on first come first served availability basis; we recommend being in the departure area 5 minutes early.

5000 Seminary Road, Alexandria VA 22311 703-845-1010

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26 Supporting communities to give every child a Healthy Start.