Delaware Center for Health Innovation
PATIENT & CONSUMER ADVISORY COMMITTEE MEETING
Thursday, March 3, 2016 @ 1:00 PM
Division of Public Health
Edgehill Shopping Center
Dover
Member Attendance:Secretary Rita Landgraf, Chair
Laura Howard
Rosa Colon-Kolacko, PhD
Joann Hasse
Brian Olson
Ashok Subramanian, MD (phone) / Others:
Julane Armbrister
Judy Chaconas
Jeanne Chiquoine
John Dodd
Jill Fredel
Jim Grant / Pete Haney
Katie Rosch Hegedus
Denise Hughes
Robin Lawrence
Lolita Lopez
Kate DuPont Phillips
AGENDA
§ Partnership to Improve Community Health (PICH) / Neighborgood
§ Navigating Healthcare from an Adolescent Perspective
§ SIM Updates
§ Other Business
§ Public Comment
SUMMARY OF DISCUSSION
Update to February 4, 2016 Meeting Summary
§ The February meeting summary will be updated to reflect that the Cultural and Linguistic Statewide Study presented by Dr. Rosa Colon-Kolacko at the February 4, 2016 meeting is being conducted in collaboration with the Delaware Hispanic Commission.
For Delaware students
Partnership to Improve Community Health (PICH) / Neighborgood
Kate DuPont Phillips / Nemours
§ Launched in December 2015, Neighborgood is a partnership to improve community health by creating community environments that make it easier for people to make healthy choices. It is funded by the CDC and is focused on Wilmington communities.
For Delaware students
- Goals are to increase availability of healthy foods, increase availability of safe places to be active, and to increase awareness and use of community-based resources and thus reduce the incidence of chronic disease and associated costs.
· Healthy food availability has increased in corner stores and the opening of farmer’s markets. The farmer’s markets can now accept EBT/SNAP.
· Several parks/playground areas have been revitalized to make them safe and pleasant for a variety of healthy activities, including culinary education.
- Although the CDC funding is specific to Wilmington, the materials can be shared and efforts duplicated in other areas.
- As a holistic approach to overall wellness, other suggestions included utilizing the food banks, schools, clothing closets, FQHCs, State Service Centers, Dept. of Agriculture, spiritual organizations to help promote/deliver healthy goods and/or start programs in other areas.
- Awareness is increasing due to increased marketing throughout the communities.
· Advertising through newspapers, social media, community banner placements, window clings, and word of mouth. It will also be heralded at the 2016 Wilmington Wellness Day.
- Funding and Volunteering -
· New Castle County has engaged constituents and created the “Friends of Parks” where they are able to raise funds to revitalize the parks.
· Several organizations whose members earn merits for offering volunteer services could be utilized to clean-up neighborhoods and parks this spring: i.e., AmeriCorps, Eagle Scouts, Girl Scouts.
- Ms. DuPont Phillips will be invited back at a future date to provide an update and lessons learned.
Navigating Healthcare from an Adolescent Perspective
Denise Hughes / Nemours
§ Navigating Health Care from an Adolescent Perspective is a program started by Nemours and piloted in several New Castle and Sussex County schools in the 2014-15 school year. It is now in its second year. Aimed primarily at high school-aged students, it teaches adolescents about healthy choices and how to navigate the health care system by engaging and empowering them to be their own health advocates through skill-based learning.
- Instructors (typically 9th and 10th grade health teachers) are trained to provide the lessons. The lessons are not State or federally mandated.
- The students move through four learning modules:
· Module 1 – Definitions, Self-Advocacy, Doctor Types, ED/Urgent Care, Family Medical History
Students learn which type facility/physician to use and why.
· Module 2 – Symptoms, Diagnosis, Allergies, Medications and Vaccines
Students learn to be symptom-specific with their health care providers, and discuss immunizations, HPV and sharing prescriptions.
· Module 3 – Insurance and Privacy/Confidentiality
Students learn about their insurance card, co-pays. They also navigate thru various health insurance websites, i.e. Medicaid, ChooseHealthDE.com. They learn that anyone over the age of 12 can receive medical services without parental consent. They discuss behavioral health.
· Module 4 – Making/Navigating Your Visit, Filling out Medical Forms
- Feedback demonstrates the program’s success. Students conveyed that the lessons provided them a better understanding of navigating the health care system. They found the materials used in the lessons to be helpful. Instructors also provided feedback, finding the materials useful for teaching.
- Future plans include expanding the program throughout Delaware, collaborating with health care providers, creating an Advisory Board, and testing in other states.
- It was noted that the program is transferable to parents/adults. Instructors could include care coordinators, case management and community health workers and others. Lessons can be broken out into sections, as needed, rather than teaching the whole curriculum.
SIM Updates
Secretary Rita Landgraf
§ DCHI Board and Committee updates were provided via a handout to committee members. Secretary Landgraf elaborated on several updates:
- It was determined that DCHI is not the appropriate organization to apply for the CMMI accountable health communities model testing grant, due to its comprehensiveness and complexity.
- The Board approved the Consensus Paper on Outcomes-Based Payment for Population Health Management. It is posted to the DHCC website: http://dhss.delaware.gov/dhss/dhcc/dchi.html
- Changes to Delaware’s licensing and credentialing will need to go through legislation, which may not be proposed until the next fiscal year.
- The first three Healthy Neighborhoods will be rolled out this year, order to be determined:
· Wilmington/Claymont
· Smyrna/Dover
· West/Central Sussex
Other Business
§ The draft End-of-Life report is currently open for public comment. The final report will be delivered to the Health Care Commission at its April 7, 2016 meeting. The Commission will decide next steps.
Agenda Items – Next Meeting
§ Re-review of Charter; How are we measuring up? – Secretary Rita Landgraf
§ Focus Group Update – Alex Parkowski and Mike Cordrey / ab+c
§ Patient Experience Survey Update – Steve Cheng / McKinsey
Next DCHI Patient & Consumer Advisory Committee Meeting
§ April 7, 2016 @ 1PM
DHSS / Division of Public Health
Lg. Training Room
Edgehill Shopping Center
43 S. DuPont Hwy.
Dover, DE 19901
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