How We Use Coalitions For Spread Washington State CKF Collaborative Learning Session 2 Chattanooga, TN March 30 – April 1.

How We Use CoalitionsFor Spread

Washington StateCKF CollaborativeLearning Session 2

Chattanooga, TN March 30 – April 1

In this presentation…

• Washington State’s context

• WA CKF Coalition structure

• System Change Workgroups – How we operate

• How we are using this structure to initiate spread

• Discussion – Could some of these ideas work in your state?

“Free service that familiesneed. What could be so complicated?”

New Program Manager,

5 years ago

“For FO6 reviews I used a Barcode AD hoc report that is titled ‘128 Eligibility Reviews due, by worker, (F06 medical program only).’ This report counts AU's and includes duplicate household (cases) that have been Sneed-Kisered.”

Collaborative Team Member,

Recently

9.5%

12.2%

10.9%

8.4%

10.7%

12.9%13.3%

14.0%

11.4%

10.2%

11.4%

8.5%7.2%7.8%7.6%

0%

2%

4%

6%

8%

10%

12%

14%

16%

1993 1997 1998 2000 2002

Trends in the Percent Uninsured, all, children, and working-age adults,

Washington State, 1993-2002

Adults

Total

Children

Data: 1993, 1997, Robert Wood Johnson Surveys; 1998-2002, Washington State Population Surveys.

Coalition – an alliance,especially a temporary one

Organic – living, responsive to stimuli

Webster’s, adapted

WA CKF Coalition –Then and Now

• Five years of public and private partners

• Shift from networking to advocacy

• Changed co-chairs from lead organization to Children’s Alliance and Washington State Hospital Association

• WA PTA – example of coalition collaboration

• Strength of coalition workgroups

FirstFridayForum

HCCY

SpokaneSchools CHOICE

Clark CountyHealthDistrict

HIP

YakimaNeighbrhd

HealthServices

ChildrensAlliance

HealthyKidsNow!

(HIP &HMHB)

RWJFCovering Kids & FamiliesNational Program Office

WCOMO

CKFPart 2

ADULTS

CKF Part 3

ACCESS

CoalitionWorkgroups

Eligibility Working with Schools Integrated Application

Statewide Work Local Site & Coalition

WA Health FoundationStatewide

Lead Organization

Covering Kids & Families Statewide Coalition

WA Covering Kids & FamiliesKey:

VISTAs

System Change Workgroups

1. Eligibility (Focus from Renewals +

Eligibility Changes → Eligibility)

2. Working with Schools (Focus from Linking Applications → Administrative Match)

3. Integrated Application

Eligibility Workgroup,How It Started

• Middle management from 3 organizations (Children’s Alliance, DSHS MAA and WHF) had an idea for a workgroup.

• Brought bosses (all CKF coalition members) to the table; shared idea/developed idea together

• All impacted state divisions at the meeting• Agreed to charter, membership and

leadership

Eligibility Workgroup

• Eligibility Workgroup is MAA, reps from 6 CSO regions, and CBO stakeholders

• Meets monthly; Renewal Workgroup folded in.• Forum for policy makers and implementers to share best practices and address challenges• Advises on spread of strategies statewide• Successes to date:

Helped coordinate training for CSOs and CBOsDiscussion led to rescinding renewal signature WACDiscussion helped draw attention to problems which led

to adding 68 FTEs at CSOsHelped develop verification checklist

Eligibility Workgroup and Spread

• “Yakima Collaborative” is one of several renewal strategies. Others are:

Keeping Kids Covered in King CountyVISTAs doing PDSAsMAA conducting MEQC study HIP (CKF local site) cost analysis report

• Workgroup team gives feedback on all ideas.• Workgroup team advises how to move toward

statewide spread, if/when appropriate, including getting approval for spread.

What We’re Learning – Blessings and Curses

• If it works, everyone wants credit. But if it doesn’t…

• It’s hard to let go of a strategy that doesn’t work, especially if it’s clear and relatively cheap. This is good, and bad.

• Everyone at the table has a somewhat different viewpoint.

More on Learnings

• Building trust is Everything.

• Having the right people and the right organizations at the table is Next.

and

Keep your stick onthe ice. We’re all inthis together.

Discussion