Thursday, 9 September 1999 Identification and Outreach Present: Lynn Fallin, Sally Hansen, Dee Helber, Fay Nakamoto, Ana Rosal, Barbara Luksch, Junedale Nishiyama, Lee Ann See Next meeting: Thursday, 21 October 1999 at 1:00 PM in the HSPCA Conference Room. 1. DOE School We reviewed the Release of Information form used by INOVA's Partnership for Healthier Kids. This is one way school personnel can send names, addresses, and telephone numbers of interested persons to Hawaii Covering Kids. Dee and Barbara will redesign the form integrating task force members' suggestions. The form will be on bright paper, interesting to read, and translated into necessary languages. Dee met with Gene Kaneshiro, School Food Services Branch Director. We will write a short blurb to insert in the current form to also get release of information. Note: all students who receive TANF benefits also receive free school lunch. We discussed the practicality of following up once forms are completed by parents/guardians. We will need a cadre of volunteers statewide to make contact once we have permission. The Media and Public Information Task Force will publish a Hawa'i Covering Kids flyer to be included in the new student packets that go to all kindergarteners and children transferring from other states or countries. The DOE collates packets in February. Requested school forms will be sent to Superintendent LeMahieu with an explanation letter from Barbara and Dee so they can be approved. The packet will also include Secretary of Education Dick Riley's "Insure Kids Now! Through Schools Campaign" information. Barbara distributed a handout describing the accident insurance policies now available for students. This will be important for school outreach presentations so we can explain that these policies only cover accidents and not preventive health care. Lynn suggested we contact the State Council of Hawaiian Homestead Association. She also suggested we contact the immersions school statewide so Dee will send a list to Barbara. 2. Other We briefly discussed involvement by WIC workers. There will be more follow-up as the Training and Public Education Task Force organizes their QUEST Application Assistant trainings. Dee suggested when the support pieces are in place, we should have a big blitz campaign. This idea will be coordinated with the Media and Public Information Task Force. Sally suggested we find out what websites kids peruse and see if we can add Hawai'i Covering Kids information onto these sites. Barbara shared ideas she gathered from websites: Delaware's Governor signed a letter to all parents regarding children's health insurance. Outreach workers personally went to every school principal, explained the program, and asked that children be given the letter to take home. Applications from school contacts went from 5% to 65% in one month. Use cultural festivals and health fairs to not only distribute flyers but also get names and telephone numbers for follow-up. Identify parents through the child support system who are required by court order to provide medical support to children. Ana suggested we call the Child Support Enforcement Agency. Make fact sheets: * "What Child Care Groups Can Do" * "What Faith Groups Can Do" * "What Labor Unions Can Do" * "What Small Businesses Can Do" We will get community service groups and faith groups involved and Sally suggested the Ecumenical Council's Open Table. Barbara will follow-up. Dee volunteered to be our task force reporter at the State Coalition meeting on 15 November 1999. Thursday, 9 September 1999 Identification and Outreach Thursday, 16 September 1999 Media and Public Information Present: Diane Tachera, Barbara Luksch, Junedale Nishiyama, Lee Ann See Next meeting: Tuesday, 19 October 1999 at 2:00 PM in the HSPCA Conference Room. 1. We discussed the slogan and decided to submit "Advocating Health Insurance For All Keiki" to the State Coalition with the proposed typography: 2. We reviewed artist work from XY Design and Nomura Design (CyberCom decided not to participate in designing our logo). HSPCA staff assisted in perusing the materials. After a long discussion regarding the style that could best reflect a children's project, aimed at getting parents and guardians involved, we decided to use XY Design for our logo. Barbara will set up a meeting for task force members to convey project images to the company's artist. 3. We brainstormed ideas for a simple flyer and what should and should not be included. Junedale has experience from health fairs and QUEST promotion that assisted the task force. We want: QUEST ASK-2000 telephone number children health insurance pictures of kids Hawai'i Covering Kids logo Med-QUEST logo Hawai'i Covering Kids list of services provided Does your child have health insurance? Did you know you can be working and your child could qualify? Please tell your friends and neighbors We do not want income numbers because they could be misleading. Barbara will design a sample flyer for the task force and Big Island outreach workers to review. It will then be tested with pilot project clients before being finalized and translated into appropriate languages. 4. At the next meeting we will work on a brochure design. Barbara distributed information from the Maine AHEC Health Literacy Council for everyone to study (yes-homework!). Diane volunteered to be our task force reporter at the State Coalition meeting on 15 November 1999. Wednesday, 22 September 1999 Process Simplification Present: Lynn Fallin, John Higuchi, Barbara Luksch, Laverne Moore, Junedale Nishiyama, Dorothy Colby, Lee Ann See, Dee Helber, Mary Rydell, Alan Takahashi, Marcia Hartsock Next meeting: Wednesday, 3 November 1999 at 2:00 PM in the HSPCA Conference Room. OLD BUSINESS 1. Comparative Matrix Barbara and Junedale are completing their research to be presented at the next meeting. 2. Aloha United Way ASK-2000 Dorothy Colby, Director, explained their operation. They are a comprehensive generic information and referral group that provides reliable information to approximately 6000 callers per year. The goal is that the next call the client makes will get her/him the help needed. They have a wide-ranging database that is continually updated and they randomly follow up with 20% of the callers regarding the information that was provided. Most calls center on health issues and with the new Hawaii Covering Kids partnership Aloha United Way ASK-2000 can be accessed toll free from the Neighbor Islands (effective approximately 15 October 1999). The staff is being trained through Med-QUEST to answer eligibility questions and help callers complete the Med-QUEST application. They will also mail out applications and related forms. Their website is www.ask2000.org. 3. Eligibility Worker Certification Alan explained Med-QUEST eligibility training that is done by DHS full-time training staff. It involves seven weeks of medical and system training before an eligibility worker is given an access to information key. This includes approximately three weeks in the classroom interspersed with on-the-job training, including customer service skills and stress management. Following the training, they work on cases but do not determine eligibility until they gain more experience. Neighbor Island eligibility workers are trained on O'ahu by the same staff so the training is uniform statewide. This year the state legislature designated 67 permanent eligibility worker positions (38 on Oahu), therefore temporary eligibility workers needed to complete the state civil service selection process. Over the long term there will be less staff turnover, however currently there is a longer wait for client interviews (11 weeks) due to hiring and training. The time will decrease when all new eligibility workers are trained and fully integrated into the application and enrollment processes. Alan also mentioned that eligibility worker performance expectations have been developed and are regularly monitored. Next year a new enrollment center will be in operation, separating it from eligibility and creating more efficiency. 4. Application Simplification Our current form is simple regarding the information it requires, however we would like an easier to read design. Barbara distributed forms from North Carolina and Maryland which have ideas we could adapt. This will be discussed more in-depth at the next meeting. NEW BUSINESS 5. CyberCom John Higuchi, Project Manager, described the web-based portal design. Two handouts (attached) show the site structure and how applications will be processed through an intranet connection to Med-QUEST. Updates will be provided as the design progresses. Task force members were asked to review websites, note what they like and dislike, and bring to the next meeting. NOTE: We would also like feedback on our web design from state coalition members (YOU!). Please, please, please send your thoughts and ideas to Barbara as soon as possible! 6. Boost 4 Kids Hawaii Covering Kids was invited by the Governor's Office to be a Boost 4 Kids Hawaii Performance Partner. Boost 4 Kids is a partnership with the National Partnership for Reinventing Government (NPRG) federal, state, and local government and the community. NPRG Performance Partners work on regulatory flexibility in exchange for shared goals, outcomes, and results. As a partner, we will focus on QUEST/CHIP process simplification. Marcia Hartsock from the University of Hawaii at Manoa Center on the Family will assist the task force identify outcomes and indicators at the next meeting. Friday, 24 September 1999 Training and Public Education Present: Barbara Luksch, Junedale Nishiyama, and Lee Ann See Next meeting: Wednesday, 20 October 1999 at 2:00 PM in the HSPCA Conference Room. Alan Takahashi could not make the meeting so we reviewed the QUEST Application Assistant concept based on the Kalihi-Palama Pilot Project. 1. There must be a confidentiality agreement form for trainees to sign. This will emphasize information from clients cannot be shared unless professionally necessary. 2. The training must include: a. Med-QUEST information (minimum 3 hours) b. Review of Med-QUEST information with role play scenarios (3 hours) c. On-the-job training: observe experienced eligibility worker during approximately 5 interviews, interview at least 5 clients while observed by experienced eligibility worker, and complete at least 5 interviews on own with supervisor checking paperwork These ideas will be discussed at the Kalihi-Palama Pilot Project afternoon meeting with outreach workers and Med-QUEST. 3. Materials related to important skills (customer service, interview, and listening) will be brought to the next meeting. Barbara will check with WIC, Junedale will review American Red Cross Family Service handouts, and Lee Ann will call Queen's Medical Center. 4. We will outline our timeline and information for the training video at the next meeting when Alan is available. Junedale volunteered to be our task force reporter at the State Coalition meeting on November 15.