Childhood Obesity Management with MEND Implementation Teams (COMMIT)

RFP Supplement Packet

Packet Content

Reference Copy of the Application with fillable fields to support preparation for submission

of responses in the online form

MEND Implementation Roles and Responsibilities for CHCs and PCAs

MEND Implementation at a Health Center: Denver Health Example

Learning Collaborative Timeline

Links of Interest:

View a recording of, slides from, and an Application FAQ from the Informational Webinar on February 20, 2018 here: https://nachc-my.sharepoint.com/:f:/p/abarrington/EpWmUac4o05Ot9dzvrF2EDcBv_vprI7gfy-wXzrB9D7Xww?e=l4Z6TG

To Learn More about the MEND Program by Healthy Weight Partnership: http://www.mendfoundation.org/programs

To View an Archived Webinar about Implementing the MEND Program in Community Health Centers featuring Healthy Weight Partnership and Denver Health: https://chronicdisease.site-ym.com/general/custom.asp?page=EBPWMWebinars

To Download the Budget Template You Will Complete and Upload as part of the Application: http://www.nachc.org/wp-content/uploads/2018/02/Simple-Budget-TEMPLATE.xlsx

REFERENCEAPPLICATION

CHILDHOOD OBESITY MANAGEMENT WITH MEND IMPLEMENTATION TEAMS

FEBRUARY 15–MARCH 1

For Questions Contact: Ashley Barrington at 301-347-0400 or abarrington@nachc.com

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PREPARING TO COMPLETE APPLICATION:

The application is due by COB EST Thursday, March 1, 2018.

The application must be completed and submitted online.

This PDF is only to be used in preparation for submitting the online application.

The online application will take approximately 30 minutes to complete.

You will be required to upload a budget (template provided here) and a budget narrative of no more than one page.

You will be required to upload a letter of commitment signed by your organization’s CEO or Executive Director.

You will be required to upload a letter of commitment signed by the CEO, CMO, and CFO from each of the 4 participating health centers.

You will be required to upload an organizational chart.

Additional information about the MEND Program and this project, including the February 20th informational webinar, can be found in the supplemental packet linked above.

ONCE YOU BEGIN...

You must complete the application in one session. You cannot save a partially completed application and return to it later.

You may wish to use this PDF to plan your responses.

To submit your final application, hit the SUBMIT button at the end of the document.

To request assistance with the application, please write to abarrington@nachc.com.

QUICK INSTRUCTIONS/TIPS

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ORGANIZATIONAL INFORMATION

ORGANIZATION NAME:

TAX ID NUMBER:

MAILING ADDRESS (NO P.O. BOXES, PLEASE)

PRIMARY CONTACT FOR THIS APPLICATION:

CEO OR EXECUTIVE DIRECTOR:

CLINICAL OR QI LEAD:

DOING BUSINESS AS:

STREET:

FIRST NAME:

FIRST NAME:

FIRST NAME:

CITY:

PHONE:

PHONE:

PHONE:

EMAIL:

EMAIL:

EMAIL:

TITLE/ROLE:

YEARS IN CEO ROLE AT THIS HEALTH CENTER:

YEARS IN CMO ROLE AT THIS HEALTH CENTER:

LAST NAME:

LAST NAME:

LAST NAME:

STATE: ZIP:

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CFO:

TOTAL NUMBER OF ORGANIZATIONAL MEMBERS OF YOUR PCA/HCCN:

TOTAL NUMBER OF URBAN SITE LOCATIONS:

TOTAL NUMBER OF RURAL SITE LOCATIONS:

WHAT IS THE TOTAL NUMBER OF FTES EMPLOYED BY THE PCA/HCCN?

UPLOAD YOUR ORGANIZATION’S ORGANIZATIONAL CHART.

HOW MANY FTES ARE CURRENTLY ENGAGED IN QUALITY IMPROVEMENT, OPERATIONAL EFFICIENCIES, CARE MANAGEMENT, SYSTEM TRANSFORMATION WORKING DIRECTLY WITH HEALTH CENTERS?

FIRST NAME:

PHONE: EMAIL:

YEARS IN CFO ROLE AT THIS HEALTH CENTER:

LAST NAME:

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INDICATE KEY PARTNERS WITH WHICH YOUR PCA/HCCN CURRENTLY WORKS. (check all that apply):

WHAT IS THE TOTAL NUMBER OF HEALTH CENTER PATIENTS SERVED IN YOUR STATE IN 2016? (UDS Table 3A)

WHAT IS THE TOTAL NUMBER OF CHILDREN AGE 7-13 SERVED BY HEALTH CENTERS IN YOUR STATE IN 2016? (UDS Table 3A)

WHAT IS THE TOTAL NUMBER OF HEALTH CENTER PATIENTS IN YOUR STATE WITH AN OVERWEIGHT OR OBESE DIAGNOSIS IN 2016? (UDS Table 6A Line 14A)

WHAT IS THE TOTAL NUMBER OF HEALTH CENTER PATIENTS IN YOUR STATE WHO HAD A WEIGHT ASSESSMENT AND RECEIVED COUNSELING IN 2016? (UDS Table 6B Line 12A)

Public Health Department Project ECHO Professional Development Programs (not including Project ECHO) Food Insecurity ProgramsYMCA or other Fitness Programs

CHW OrganizationsMedicaidHealth Plans Independent Practice Associations (IPAs) Other (please specify) ____________________ None at this time

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DESCRIBE THE CHILD OBESITY EPIDEMIC IN YOUR STATE. (75 Word Limit):

DESCRIBE YOUR PCA/HCCN’S CURRENT CHILDHOOD OBESITY ACTIVITIES (75 Word Limit):

n. Other (please specify) (14) ____________

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ARE HEALTH CENTERS CURRENTLY SUBMITTING CLAIMS AND BEING REIMBURSED FOR WEIGHT SCREENING AND COUNSELING HEALTH SERVICES IN YOUR STATE?

Yes (1)No (2)

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IF YES, IDENTIFY THE PAYER(S). (check all that apply):

SHARE YOUR ORGANIZATION’S GOALS FOR PARTICIPATING IN CHILDHOOD OBESITY MANAGEMENT WITH MEND IMPLEMENTATION TEAMS (COMMIT) OVER THE NEXT YEAR BY ANSWERING THE FOLLOWING QUESTIONS:

A. WHY IS THIS CURRENTLY IMPORTANT TO YOUR ORGANIZATION? (75 words):

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a. Medicaid non-managed careb. Medicaid managed care (capitated) c. Medicaid managed care (fee-for-service) d. Medicare non-managed caree. Medicare managed care (capitated)f. Managed care (fee-for-service) g. Other public including non-Medicaid CHIP (non-managed care)

j. Public Housing Primary Care

k. State government grants and contracts (please specify) ____________________

l. State/local indigent care programs (please specify) ____________________

m. Local government grants and contracts (please specify) ____________________

n. Foundation/private grants and contracts (please specify) ____________________

h. Other public including non-Medicaid CHIP (managed care capitated)

i. Community Health Center Health Care for the Homeless

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IN WHICH OF THE FOLLOWING PRACTICE TRANSFORMATION/QUALITY IMPROVEMENT ACTIVITIES IS YOUR PCA/HCCN CURRENTLY ENGAGED? (click all that apply):

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a. HRSA BPHC sponsored obesity collaborativeb. PCMH recognition/accreditation c. Practice transformation coaching (please describe) d. Learning collaborative (i.e., a short-term learning system that brings together teams from multiple organizations to work on improvement in a focused area) (please specify) ____________________

e. Peer Learning Networks with health centers

h. ECHO Series (please specify) ____________________

i. Other (please specify) ____________________

j. None at this time

f. Payment Reform Activitiesg. Statewide Diabetes Collaboratives

B. WHY IS IT IMPORTANT TO YOUR MEMBER HEALTH CENTERS? (75 words):

C. DESCRIBE YOUR ORGANIZATIONAL STRATEGY TO ENGAGE 4 SUCCESSFUL HEALTH CENTER TEAMS. (100 words):

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DESCRIBE YOUR ORGANIZATION’S ACCESS AND USE OF HEALTH CENTER DATA TO DRIVE IMPROVEMENT. (100 words):

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UPLOAD THE FOLLOWING LETTERS OF COMMITMENT:

LIST THE 4 HEALTH CENTERS COMMITTING TO PARTICIPATE IN THE CHILDHOOD OBESITY MANAGEMENT WITH MEND IMPLEMENTATION TEAMS (COMMIT) IN YOUR STATE. CONSIDER THE FOLLOWING WHILE ENGAGING HEALTH CENTERS:

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a. Letter of commitment signed by your PCA/HCCN’s CEO

Health center leadership (CEO/CMO/CFO/CIO) supports project participation and are willing to engage community partners

Currently implementing a childhood obesity prevention or treatment effort or food insecurity programs

Has a significant number of children (patient numbers greater than 50) between the ages of 7 and 13 years, who are overweight or obese from stable backgrounds, without developmental, physical or mental health conditions that would hinder full participation.

Has a committed provider with a strong care team

Has access to population health management reporting or the ability to create custom queries to produce patient registries

Willing to participate actively in a learning collaborative and QI coaching

b. Letter of commitment signed by each health center’s CEO,CMO, CFO.

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UPLOAD YOUR COMPLETED BUDGET TEMPLATE.

UPLOAD YOUR BUDGET NARRATIVE.

PROVIDE THE FOLLOWING INFORMATION FROM YOUR COMPLETED BUDGET TEMPLATE.

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HEALTH CENTER ORGANIZATION

HEALTH CENTER SITE

PROVIDER CHAMPION QI CHAMPION REVENUE

MANAGER

Personnel salaries and wages total

Fringe benefits total

Personnel total

Operating Expenses total

Indirect costs total

Budget total

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ROLES AND RESPONSIBILITIES FOR MEND IMPLEMENTATION

Identify Your Project Team

Although the project management team and their roles and responsibilities will vary between organizations, consider how you can incorporate the following duties and responsibilities into your team. Health centers and PCAs can focus on staff who may be able to complete these tasks.

PRO

JECT

MAN

AGER

ROLEManages, supports and coordinates the project team to ensure successful delivery of MEND programs. Establishes relationships with local partners and organizations to embed MEND into the community.

DUTIES & RESPONSIBILITIES• Manages and leads the project team

• Facilitates relationships with local key stakeholders and partner organizations (for example, associations, industry groups, community and regional organizations, etc.) to promote awareness of MEND and foster and enhance strategic partnerships

• Establishes, develops and maintains efficient operating models (policies, procedures, partner functions, etc.)

• Develops and manages a marketing and promotions strategy

• Oversees the development and implementation of a family recruitment strategy

• Coordinates program reporting and evaluation

EXPERIENCE, SKILLS, AND QUALITIES• Experience in account or project management

• Experience working in the public sector, healthcare or recreation industries

• Effective organizational skills with a proven ability to multi-task and manage multiple priorities/projects simultaneously

• Excellent time-management skills

• Excellent written and verbal communication skills

• Ability to foster new contacts and build and maintain strong, effective relationships with partners

• Extensive experience facilitating face-to-face meetings, delivering presentations and communicating by telephone and email to ensure effective operations

• Ability to relate effectively to a diverse group of people

• Experience in budget management/cost control/financial record-keeping

• Knowledge of public sector agencies and public policy in the areas of health and social services

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PRO

GRAM

MAN

AGER

ROLE

Responsible for all stages of planning, implementing and managing the program, and oversees the program’s operations, logistics and administration. Acts as MEND’s representative and key facilitator when reaching out to potential partners and recruitment venues

DUTIES & RESPONSIBILITIES

• Plans and leads family recruitment and registration activities

• Establishes community partnerships and family referral pathways

• Establishes and maintains communication pathways for families and external community partners

• Manages required data input into MEND’s data-management system

• Coordinates the hiring of MEND delivery teams and offers support or mentoring to develop teams’ delivery skills

• Coordinates and participates, when necessary, in some MEND sessions, such as the supermarket tour, group reward, MEND fabulous food fest and at the graduation

• Identifies and coordinates the program venue

• Orders and manages the program kits

• Maintains a good understanding of the delivery organization’s policies, including those dealing with health and safety, child protection, data protection and bullying, and is aware of responsibilities

• Plans and coordinates activities for families after MEND sessions end

EXPERIENCE AND QUALITIES

• Experience in team-based project and program management

• Background in health, wellness or health promotion is an asset

• Exceptional verbal and written communication skills

• Experience working with family-based programming is strongly recommended

• Experience with database management and data entry

• Exceptional organizational skills and attention to detail

• Positive, enthusiastic and supportive working style

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PRO

JECT

AD

MIN

ISTR

ATO

R ROLEProvides administrative support to the project team

DUTIES & RESPONSIBILITIES• Inputs data into MEND’s data-management system

• Coordinates team meetings

• Assists with marketing and promotion of programs

• Organizes MEND training for delivery teams

• Provides administrative support and assists with external communication systems, including phone and email contact with families and partners

EXPERIENCE AND QUALITIES• Exceptional verbal and written communication skills

• Experience working with family-based programming is an asset

• Experience with database management and data entry

• Exceptional organizational skills and attention to detail

• Experience of event planning is an asset

• Highly computer-literate

• A team player

Choosing Your MEND Delivery Team

Your MEND leaders will become part of a passionate and committed worldwide team helping to support families to live healthier and happier lives. To do this, they must have the attitude, skills and knowledge needed to make a difference in your community. Program organizers have identified leaders with very different backgrounds, qualifications and experience, but the following qualities are essential:

Experience working with children, and a personality and attitude that kids will find engaging and inspiring

Experience working with groups of parents and children

The ability to motivate kids and families

Enthusiasm — the more the better!

The duties, responsibilities, experience and qualities listed below are a guide to help you identify your delivery team leaders.

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MIN

D &

NUT

RITI

ON

LEAD

ERROLEResponsible for successfully delivering the MEND mind and nutrition sessions to children and their families. The role includes facilitating two healthy growth check sessions that require collecting and recording accurate data, and leading a group-reward session after the program. The mind and nutrition leader’s ability to engage, connect with and support MEND families is an important part of families’ success.

DUTIES & RESPONSIBILITIES• Completes the MEND training and post-course assessment

• Delivers the MEND mind and nutrition sessions efficiently and effectively

• Communicates with the MEND program organizer to ensure efficient and professional program deliver

• Creates a safe and supportive learning environment in which families are empowered to

• make healthy choices

• Role models healthy behaviors

EXPERIENCE AND QUALITIES

• A passion for and interest in improving family health and well-being

• Excellent facilitation and coaching skills

• Ability and willingness to motivate families

• Ability to establish an effective rapport with families

• An active listener

• Ability to be flexible while maintaining a non-judgmental attitude about families’ lifestyles, weight and health

• An awareness of how to communicate sensitively and accurately when talking about weight

• Commitment to providing a quality experience for all families

• Recognized facilitation and coaching qualifications are an asset

• College degree in nutrition or dietetics, or certification as a registered dietitian, is an asset

POSSIBLE HEALTH CENTER ROLES

• Diabetes Educator

• Nutritionist

• Patient educator

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EXER

CISE

LEAD

ER (EL)

ROLEResponsible for successfully leading the MEND exercise sessions with children, using fun, games-based, non-competitive activities to boost their self-confidence and improve their fitness. The role includes assisting with two healthy growth check sessions that require collecting and recording accurate data, and assisting in a group-reward session after the program. The exercise leader’s ability to engage, connect with and support MEND children is an important part of the children’s success.

DUTIES & RESPONSIBILITIES• Completes the MEND training and post-course assessment

• Delivers the MEND exercise sessions efficiently and effectively

• Communicates with the MEND program organizer to ensure efficient and professional program delivery

• Creates a safe, supportive and fun environment in which children can enjoy physical activity through games and activities to improve fitness and skills competency

• Role models healthy behaviors

EXPERIENCE AND QUALITIES

• A passion for and interest in improving family health and well-being

• Excellent coaching skills

• Ability to motivate children and maintain a fun and positive, but safe, environment

• Ability to establish an effective rapport with children

• Ability to be flexible while maintaining a non-judgmental attitude about families’ lifestyles, weight and health

• Commitment to providing a quality experience for all families

• Background in health promotion, exercise science, fitness or related field

• Recognized coaching qualifications are an asset

POSSIBLE HEALTH CENTER ROLES

• Diabetes Educator

• Nutritionist

• Patient educator

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PRO

GRAM

ASS

ISTA

NT

ROLEResponsible for assisting the MEND mind and nutrition and exercise leaders to ensure successful delivery of the sessions. The role includes supporting the two healthy growth check sessions that require collecting and recording accurate data, and supporting a group-reward session after the program. The program assistant’s ability to engage, connect with and support MEND families is an important part of this role.

DUTIES & RESPONSIBILITIES• Assists the leaders in the delivery of all sessions

• Communicates with the MEND program organizer to ensure efficient and professional program delivery

• Role models healthy behaviors

• Has completed the MEND training and post-course assessment (optional)

• May assist in data entry and recruiting of families with program organizer

EXPERIENCE AND QUALITIES• A passion for and interest in improving family health and well-being

• Ability to establish an effective rapport with families

• Ability to be flexible while maintaining a non-judgmental attitude about families’ lifestyles, weight and health

• Commitment to providing a quality experience for all families

• Strong organizational skills

• Data-entry experience is an asset

POSSIBLE HEALTH CENTER ROLES

• Medical Assistant

Tips for Choosing Your Team:

Consider how you can encourage your leaders to work together as a team. Set up regular team “catch-ups” during the program to talk about what’s going well and what is challenging. Organize a team event after the program ends, to celebrate a successful program.

Think about identifying a mix of female and male leaders as a way to provide different role models for kids.

In the past, leaders have included dietitians; nutritionists; exercise, sports and fitness professionals; school nurses; health promotors or educators; counselors; social workers; youth workers; and students.

Consider the need for one of your leaders to hold a first aid certification, if this is required by your organization.

Do your leaders have background checks (if required by your organization)?

Do your leaders have child protection and anti-bullying policy awareness training (if required by your organization)?

DENVER HEALTH

DEFINING THE MEND PROGRAMA Project by Denver Health

1 HOUR OF NUTRITION EDUCATION

ONE CLINIC 2015

FIVE CLINICS 2018

1 HOUR OF PHYSICAL ACTIVITY

Targets Kids Ages:

6–13

Provides experiential workshops to address ROOT CAUSES of obesity.

Denver Health is a safety-net health care system.

They run 9 CHC’s, all of which serve poor, minority and majority Latino populations.

The family joinstwice a week for 10 WEEKS total.

Children are referred by their pediatriciansand the ENTIRE family participates.

The MEND Program has grown:

MEANWHILE:parents continue a nutrition discussion.

Kids join in two actitives:

CURRENTLY THERE ARE

overweight & obese children in DH.

The program aims to address issues of childhood obesity with an effective and supportive intervention.

Childhood Obesity Management with MEND Implementation Teams (COMMIT) 

Learning Collaborative Timeline 

 

 

Laying the FoundationDecember 2017‐April 2018

•Project design and preparation•PCAs/HCCNs recruited and identified through RFP•Measure development and alignment

Ramp UpApril ‐ June 2018

•PCAs engage health centers•Health centers form implementation teams•PCAs launch learning communities•Patient and family selection criteria established•First cycle of MEND Program launched with 15 children per site

ImplementationJune ‐ December 2018

•4 PCAs and 16 health centers implementing MEND•Baseline assessments complete on engaged children and families•Monthly reporting, learning, and coaching•Schedule second cycle of MEND program

Evaluation and HarvestOctober ‐ December 2018

•Communication strategy for health centers and communities highlighting success•Harvest lessons learned and recognition•Share lessons learned nationally