Health Policy Roundtable

Health Policy Roundtable 

February 25-26, 2014
Washington, DC

Meeting Goals

  • Explore the leading edge of early childhood health policy across the 0-8 age spectrum:
    • What are good policies, and how can they be scaled and spread to other states? 
    • What are the gaps?  What is missing, and how can we address the gaps? 
    • What are good leverage points and innovative ways to advance strong, effective advocacy strategies?
    • What policies and data measures matter in terms of impact and outcomes?
  • Identify opportunities to promote health equity and show progress.
  • Gather input for the Alliance for Early Success to use in partnering to promote healthy early childhood development.  

Day 1 – Tuesday, February 25, 2014
Location: Kalorama Room, The Churchill Embassy Row
1914 Connecticut Avenue NW, Washington, DC

4:30 p.m.       Registration 

5:00 p.m.       Welcome, Meeting Overview and introductions         
Opening: Lisa Klein and Steffanie Clothier, Alliance for Early Success
Meeting overview and Introductions: Lorez Meinhold, Keystone Center

6:00 p.m.       Building a Healthier America
Hear about the new recommendations from the Robert Wood Johnson Foundation Commission to “invest in the foundations of lifelong physical and mental well-being in our youngest children.”
Speaker: Kristin Schubert, Robert Wood Johnson Foundation
RWJF Commission to Build a Healthier America

6:20 p.m.       Laying the Groundwork
This opening session will provide a brief look at the social determinants of children’s health and health equity as a lens for the meeting.  
Like the achievement gap, health disparities are present but start even earlier with access to prenatal care and nutrition and infant mortality. To get at a shared agenda requires shared understanding of the roots of health disparities. Charlie Bruner of the Child and Family Policy Center and BUILD started the conversation.
Health Equity and Young Children presentation

7:00 p.m.       Adjourn and walk to restaurant
7:15 p.m.       Dinner - Bistro Bistro, 1727 Connecticut Ave NW, Washington, DC.  Enjoy dinner and take advantage of the opportunity for table discussions. 
Table Question: What are you working on related to child health policy?

Day 2 – Wednesday, February 26, 2014
Location: FHI 360 Conference Center
1825 Connecticut Ave. NW, 8th Floor, Washington, DC                                                                               

7:30 a.m.       Full breakfast

8:00 a.m.       Getting Started: Ground Rules and Tools
The morning will begin with a discussion of ground rules and an introduction to the interactive technology that will be used during the meeting.
Facilitator: Lorez Meinhold, Keystone Center

8:30 a.m.       Exploration of Key Topics: Round 1
Experts will set the stage with provocative ideas on the following two topics:

Screening and Then What? – What follows screening for young children who need supports and services? 
Early childhood programs, pediatricians and primary care practices, and parents are engaged in screening efforts that are part of a larger surveillance of child health and in the service of identifying delays and disabilities early. Who screens and for what purpose is key as is what happens after screening.  Are families referred and who are they referred to?  Some children will be eligible for Part C early intervention while others may benefit from preventive services, reducing the need for later, more expensive interventions.  Paul Dworkin from CT Children's Medical Center jump started the conversation.

Maternal Mental Health – What opportunities does the ACA provide to help states better address maternal mental health needs? 
As Olivia Golden from CLASP so eloquently stated, maternal depression is critically important to address because it is widespread and often goes untreated, challenging for the mother, and developmentally problematic for the child. What she described as a “huge opportunity moment,” new health coverage for low income parents, that includes a mental health benefit, make it possible for these moms to get the help they need.  But it will take a number of steps forward to get there. 
Speaker: Olivia Golden, Center for Law and Social Policy
Maternal Depression-Olivia Golden.pdf

9:15 a.m.       Small Group Discussions 
                      Participants will select one of the two topics and divide into smaller groups for deeper conversations.  

Screening and Then What?
Table 1: Karen Peifer, AZ First Things First, and Amy Fine, Center for the Study of Social Policy
Table 2: Paul Dworkin, CT Children’s Medical Center, and Debbie Chang, Nemours

Maternal Mental Health
Table 1: Olivia Golden, Center for Law and Social Policy
Table 2: Sheila Smith, National Center for Children in Poverty, and Jill Rosenthal, National Academy for State Health Policy

Discussion Questions:
What are the key policy ideas, challenges and solutions?
What are the measures that matter and how will we know if we are successful?  

10:15 a.m.     Break  

10:30 a.m.     Exploration of Topics:  Round 2
Experts will set the stage with provocative ideas on the following two topics.

Coverage – What opportunities does ACA provide, and what are the implications for eligibility and coverage?
Many of the issues facing the early childhood field are also challenges in health care.  These include family friendly approaches to eligibility and maintaining eligibility.  State Medicaid choices such as continuous eligibility could help families keep their coverage. Similarly, state child care subsidy policies that create 12 month authorization periods would better support development and learning.  Donna Cohen Ross from the Centers for Medicare and Medicaid Services kicked off a conversation about coverage. 
Applying Lessons for CHIPRA-Donna Cohen Ross.pdf

Early Childhood Mental Health – How are states providing mental health support for young children? 
Many in the early childhood field have been working to address both the healthy social and emotional development of young children and how to help when that development gets off track.  Cindy Oser kicked off the conversation.
Infant-Early Childhood Mental Health-Cindy Oser.pdf

11:15 a.m.    Small Group Discussions
Participants will select one of the two topics and divide into smaller groups for deeper conversations.  

Table 1: Jill Rosenthal, National Academy for State Health Policy, and Wes Prater, Georgetown Center on Children and Families
Table 2: Donna Cohen Ross, Centers for Medicare and Medicaid, and Hannah Matthews, Center for Law and Social Policy

Early Childhood Mental Health
Table 1: Cindy Oser, Zero to Three
Table 2: Ann Rosewater, Healthy Readers, Grade Level Reading Campaign, and Denise Dell Isola, Irving Harris Foundation

Discussion Questions:
What are the key policy ideas, challenges and solutions?
What are the measures that matter and how will we know if we are successful?  

12:15 p.m.     Lunch and Networking

1:15 p.m.       Report-outs and Discussion                                            
Brief summaries from the small group discussion will be presented, followed by a full group discussion to clarify or add to the summaries.
Lorez Meinhold and Leslie Cowell, Keystone Center, Steffanie Clothier and Helene Stebbins, Alliance for Early Success

2:15 p.m        Word Cloud Activity & Break
The group will do a short exercise to gauge interest in the topics discussed during the morning.  Focus:  In 1-3 words, what issue/ topic excites you most?

2:30 p.m.       “Social Capital” – Connecting Health and Early Childhood
Social capital refers to the collective value of social networks, and the value they provide in helping families, communities, and societies to thrive. How can we and                          should we think about social capital in connecting health policy and early childhood development. 
Another key to improving the trajectories of young children is to start at the community level, to foster the social capital or social networks in a community among families and within the service system that is meant to address families’ needs.  David Willis from HRSA offered ideas about how to think about social capital as we approach health and early learning policies. 

Introduction:  Steffanie Clothier, Alliance for Early Success 
Speaker: David Willis, Health Resources and Services Administration

Social Capital and Building Health in Early Childhood-David Willis.pdf

3:15 p.m.       Group Discussion:  Feedback on Policy Topics and What’s Missing?
The meeting focused on a number of topics and new thinking.  What other topics are important to discuss in future settings that were not discussed today
Moderator: Lorez Meinhold, Keystone Center

3:30 p.m.       Moving Forward
Discussion Questions:
How do we want to continue the conversation?
What support do state and national organizations need beyond this meeting?
Closing remarks:  Lisa Klein and Steffanie Clothier, Alliance for Early Success

 4:00 p.m.       Adjourn

Meeting Materials 

Health Roundtable Agenda 

Health Policy Roundtable participant list

Selected Reading for Health Policy Roundtable