Navigating the Health Care System

Overview– NTHCS is an adolescent health literacy curriculum available for use at no-cost, offered by Nemours
NTHCS Brochure– Brochure provides an overview of the curriculum, including topics covered in each module
Sample Student Workbook Pages– Check out some sample pages from our student workbook.
NTHCS Overview Slides– Overview of Navigating the Health Care Upstream (slide deck)
Full Curriculum– Register here to access the full suite of training & presentation materials
NTHCS- Zip Files (You must use a username and password to access content in the Zip Files section. Register for the 1st time or use a previously created username and password on the Full Curriculum)

Facilitator’s Guide- your dashboard for learning and presenting the curriculum:
Module One, Module Two, Module Three, Module Four, Classroom and Training Videos, Optional Review Activities
Teens Health- Doctor-reviewed advice on body and mind from the experts at KidsHealth, from Nemours Children’s Health System
Optional Activity: Trustworthy eHealth Sources, from Nationwide Children’s Hospital

Champions Toolkit– Contains content “champions” of health literacy can copy/paste to spread the word about NTHCS.

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Financing & Payment Models

Building the Business Case for Investment in Childhood Obesity Prevention– A tool to simulate costs, savings, and health outcomes of childhood obesity prevention. Contains:

Prevention Business Case Financial Simulation Tool– Download via Dropbox, disregard message that file is password protected.
Financial Simulation Tool User Guide– The Financial Simulation User Guide offers instructions on using the tool.

Defining an Accountable Community for Health for Children and Families– MHCU leaders make the case for an ACH for Children & Families
Early Childhood & Medicaid– Intro to Medicaid & CHIP and strategies for partnership for the early childhood sector
Medicaid & Financing Upstream Prevention– Approaches Medicaid, health plans, and stakeholders can use to fund upstream prevention. Contains:

Executive Summary– Approaches Medicaid, health plans, and stakeholders can use to finance upstream prevention
Making the Case for Prevention– The case for why Washington’s ACHs should pursue chronic disease prevention
Implementing Social Determinants of Health Interventions in Medicaid Managed Care-Addressing social determinants of health may be paid for within Medicaid managed care
Medicaid and Head Start: Opportunities to Collaborate and Pay for Upstream Prevention– Lessons from connecting a MCO with Head Start to link families to preventive services
Moving Medicaid Prevention Services Upstream– Partnership between Medicaid and Head Start to deliver an obesity prevention initiative
Community Care Coordination Systems: Connecting Patients to Community Services– Explains Community Care Coordination Systems and critical success features
Integrating Community Health Workers into State and Local Chronic Disease Prevention Efforts– Roles community health workers can play in mitigating the impact of chronic conditions
Webinar: Innovative Medicaid Payment Strategies for Financing Upstream Prevention– This is a recording of a July 17, 2018 webinar on the Medicaid Payment Strategies for Upstream Prevention

MHCU’s Financial Sustainability Workgroup– An overview of the Workgroup, including key lessons and resources to inform the field. Contains:

Program Sustainability: Opportunities & Approaches– From CHCS, strategies to promote sustainability of upstream work via value-based payments
Funding Upstream Work Via Global Budgets– A review of opportunities and challenges from experts in the field
Making the Case to Medicaid and Other Payers– From Green & Healthy Homes Initiative, strategies for engaging payers in upstream work
Real-World Example: Trinity Health System– An overview of Trinity Health’s journey to build and fund a People-Centered Health System

Pathways Through Medicaid to Prevention– A toolkit illustrating a range of Medicaid and CHIP options to fund upstream prevention. Includes:

A Roadmap of Medicaid Prevention Pathways Toolkit– How Medicaid can maximize existing federal authority to deliver preventive services

A Roadmap of Medicaid Prevention Pathways– Roadmap illustrates Medicaid and CHIP authority to deliver preventive health services
Roadmap Appendix A: Medicaid Authorities for Prevention– Reference on pathways to authorization of Medicaid reimbursement for preventive services
Roadmap Appendix B: State Planning Document– Tool for states to prioritize goals for planning and implementing prevention strategies
Roadmap Appendix C: Roadmap of Medicaid Prevention Pathways– Summary of prevention activities along the continuum of the Roadmap’s five main categories
Roadmap Summary– The Roadmap Summary provides an at-a-glance introduction to the Roadmap

Case Studies– Case studies offer a deeper dive to explore how decisions are made and implemented

Case Study: Nationwide Children’s Hospital– An Accountable Care Organization Going Upstream to Address Population Health
Case Study: Oregon– Medicaid and Public Health Collaboration in Oregon
Case Study: Washington State– Improving Health Through Health System Transformation in Washington State
Webinar Recording: Medicaid’s Role in Prevention, Population Health, and Building a Culture of Health at the State Level– This is a recording of a March 20, 2017 webinar on the Roadmap materials.

White Paper– White Paper expands upon the learnings from the Roadmap
Webinar Recording: Medicaid’s Role in Prevention, Population Health, and Building a Culture of Health at the State Level– This is a recording of a March 20, 2017 webinar on the Roadmap materials.

Population Health Integrators– How do hospitals & health systems catalyze multi-sector efforts to improve population health? Contains:

Integrator Project Summary– A two-page summary of the Population Health Integrators project.
Integrators & Upstream Population Health– Spotlights the functions & value of integrators in community efforts to improve health.

Example in Action: Payment & Financing– Check out these real-world examples!

Hudson River Health Care, Inc; Yonkers, NY– Finding and treating trauma in young children
NewYork-Presbyterian Hospital; East Harlem, NY– Building Bridges, Building Knowledge, Building Health Coalition
The Mayerson Center for Safe & Healthy Children at Cincinnati Children’s Hospital; Cincinnati, OH– Working to create better childhoods by building safe & nurturing environments for our kids
Children’s Hospital of Wisconsin; Milwaukee, WI– Partnering with schools & communities to improve health outcomes for children

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Health Care & Community Partnerships

Building Community Resilience Collaborative– BCR works to increase cross-sector collaboration to address trauma and toxic stress
Community Care Coordination Systems: Technology Supports– Brief explores technology emerging to “close the loop” between clinical & community services.
Defining an Accountable Community for Health for Children and Families– MHCU leaders make the case for an ACH for Children & Families
MHCU’s Policy Learning Labs: Food Insecurity; Root Causes of Asthma– Accelerating adoption of organizational and local policies for upstream health promotion

Overview and Lessons Learned– Overview of MHCU’s Policy Learning Labs and Lessons Learned- of interest to TA providers & convener
Compendium of Research and Technical Assistance Memos 2017– A goldmine! Detailed “how-to” materials provided to 2017 PLL teams. Why reinvent the wheel?
Compendium of Research and Technical Assistance Memos 2018– The goldmine…continued. Detailed “how-to” materials provided to 2018 PLL teams. Why reinvent the wheel?
Resource Directory– A curated, sortable collection of resources shared among teams and by PLL leadership
Policy Process Playbook– New to policy? Our playbook guides you through each step of the policy development process.
Social Media Best Practices– Practical tips and tricks for using and evaluating email and social media- designed for “non-experts”.
Webinar Recording & Materials (9.12.18)– Topic: Identifying & Addressing Food Insecurity in Healthcare Settings
Webinar Recording & Materials (11.12.18)– Topic: Parkland Center for Innovation Presentation

Moving Health Care Upstream– Profiles of the innovative population health initiatives of three children’s hospitals
Nemours Project HOPE– Harnessing Opportunity for Positive, Equitable Early Childhood Development (HOPE) Project

Increasing Developmental Screening and Promoting Social Emotional Development in Florida
Addressing Disproportionate Infant Mortality in Oklahoma
Scaling a Promising Model Statewide to Address Inequities in Washington State
Five Lessons Learned from Project HOPE– Lessons learned throughout the planning and implementation stages of HOPE.
Seeing Early Ripple Effects in States and Communities– HOPE events and activities that may potentially have impact outside of the main project

Population Health Integrators (DUPLICATE- also under Financing & Payment Models)
Roadmap For Action: Advancing the Adoption of Telehealth– Guide to help promote the adoption of effective telehealth implementation strategies.
Examples in Action: Partnerships– Check out these real-world examples!

Healthy Food Access: Healthy Tarrant County Collaboration– Partnering to create access to healthy foods for the most under-served population
Nemours Student Health Collaboration– An innovative approach to sharing student health records with school nurses
Comer Children’s Hospital; Chicago, IL– Feed1st In-House Food Pantry
Nationwide Children’s Hospital; Columbus, OH– Healthy Neighborhood, Healthy Families is a place-based revitalization collaborative.
Ravenswood MHCU Collaborative; East Palo Alto, CA– Our work focuses on closing the achievement gap by focusing on the early years.
Seattle Children’s Hospital; Seattle, WA– Seattle Children’s is refocusing on children’s health by deepening community partnerships.

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Leading Change

MHCU’s Improvement Network Lessons and resources for re-designing care for upstream population management are shared.

Aim Statements of MHCU Improvement Network teams
Working as a System guidebook

Nemours Project HOPE Harnessing Opportunity for Positive, Equitable Early Childhood Development (HOPE) Project

Increasing Developmental Screening and Promoting Social Emotional Development in Florida
Addressing Disproportionate Infant Mortality in Oklahoma
Scaling a Promising Model Statewide to Address Inequities in Washington State
Five Lessons Learned from Project HOPE – Lessons learned throughout the planning and implementation stages of HOPE.
Seeing Early Ripple Effects in States and Communities – HOPE events and activities that may potentially have impact outside of the main project.

Policy Leadership for Health Care Transformation How can health systems use policy to sustain their work addressing social determinants?

Executive Summary- Policy Leadership for Health Care Transformation –  A two-page executive summary of the findings of this year-long initiative.
Full Paper- Policy Leadership for Health Care Transformation – Read on for the full length Policy Leadership for Health Care Transformation paper.
Organizational Self-Assessment – View the organizational self-assessment used, in part, to inform our work.
AGHL Logic Model – View logic model for the Alignment of Government & Leadership in Healthcare.

Population Health Integrators How do hospitals & health systems catalyze multi-sector efforts to improve population health?

Integrator Project Summary – A two-page summary of the Population Health Integrators project.
Integrators & Upstream Population Health – Spotlights the functions & value of integrators in community efforts to improve health.

Roadmap For Action: Advancing the Adoption of Telehealth Guide to help promote the adoption of effective telehealth implementation strategies
Transformational Leadership What are the common characteristics of leaders in the upstream movement?
Examples in Action: Leading Change

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Policy Strategies

Medicaid & Financing Upstream Prevention Approaches Medicaid, health plans, and stakeholders can use to fund upstream prevention
MHCU’s Policy Learning Labs: Food Insecurity; Root Causes of Asthma Accelerating adoption of organizational and local policies for upstream health promotion
Moving Health Care Upstream Profiles of the innovative population health initiatives of three children’s hospitals
Pathways through Medicaid to Prevention A toolkit illustrating a range of Medicaid and CHIP options to fund upstream prevention
Policy Leadership for Health Care Transformation How can health systems use policy to sustain their work addressing social determinants?
Population Health Integrators How do hospitals & health systems catalyze multi-sector efforts to improve population health?
Transformational Leadership What are the common characteristics of leaders in the upstream movement?
Examples in Action: Policy Strategies

Healthy Food Access: Healthy Tarrant County Collaboration – Partnering to create access to healthy foods for the most under served population
NewYork-Presbyterian Hospital; Central Harlem, NY – Building Bridges, Building Knowledge, Building Health Coalition
The Mayerson Center for Safe & Healthy Children at Cincinnati Children’s Hospital; Cincinnati, OH – Working to create better childhoods by building safe & nurturing environments for our kids
Children’s Hospital of Wisconsin; Milwaukee, WI – Partnering with schools & communities to improve health outcomes for children
Nemours National Office of Policy & Prevention – An example of how health systems can advance upstream health by strategic organizational structure