Tuesday, 11 April 2000 Evaluation Present: Laura Armstrong, Dorothy Colby, Charlene Gaspar, Jean Kajikawa, Maia Rogers, Barbara Luksch, Lucy Ndirangu, Bill Wood, Supin Wongbusarakum, and Rena Cuizon Next meeting: Tuesday, May 30 at 8:30 AM in the HSPCA Conference Room. 1. RWJF will support current Covering Kids projects with market research funding (approximately $26 million). More details to be announced by the national program office. 2. Current HMSAF Evaluation Project (June 1, 1999 to May 31, 2000) a. A few DOE schools are missing information; the September 1999 health insurance data report will be completed by early May. Barbara, Ruth Ota, and Karen Lim will meet to revise the school health aide report form to improve September 2000 data collection. b. Bill and Supin are collecting private schools data. Approximately 70 HAIS schools returned data collection forms and they will gather data starting with the larger schools. 3. New Proposal to HMSAF Barbara submitted a 2.5-year grant proposal to HMSAF to establish a system for yearly collection of reliable data on the number of uninsured children statewide. What will be achieved: a. Continue the current yearly public and private school data collection. Meet with principals to assert the importance of accurate and up-to-date emergency cards for each student. b. Work with WIC, Head Start, Good Beginnings Alliance, and daycare centers to gather annual insurance data on the 0-5 year-old population and help agencies with emergency card information for each student. b. Profile uninsured children in the Kalihi-Palama, Big Island, and Maui pilots. c. Determine the effects of outreach, media campaigns, and public information on the rate of uninsured children in the pilot areas. d. Qualitative assessments of the attitudes and behaviors of parents and providers through personal interviews. We discussed the best methods to collect data on uninsured children. Telephone surveys are very expensive due to required follow-up (some families we are trying to reach do not have telephones) and replicating studies such as the recent Urban Institute methodology are financially prohibitive. 4. Barbara and Sylvia Yuen (UH Center on the Family) attended a Boost4Kids Geographic Information System training at CDC. They will pursue mapping (spatial analysis patterns) appropriate data such as children without health insurance, students accessing free/reduced school lunch, and mothers enrolled in WIC. 5. Bill asked about the HOPE For Kids outreach in Kalihi-Palama, Waipahu, and Waianae. The volunteers will canvass door-to-door on April 15 and collect information on the total number of kids in homes and how many kids need health insurance. They will also get telephone numbers for follow-up and pass out Hawaii Covering Kids and WIC flyers. 6. We are evaluating our outreach methods through monthly "How Did You Hear QUEST" tally sheets (that are now titled "How Did You Hear About Health Insurance/QUEST/Hawaii Covering Kids?") and AUW ASK-2000 data. Dorothy will have an ASK-2000 report for 10/01/99 to 03/31/00 at our next meeting. 7. Barbara distributed 1999 DOE School Lunch Data listing schools and number of children receiving free or reduced price school lunch. Thursday, 13 April 2000 Training and Public Education Present: Alan Takahashi, Diane Tachera, Gloria Samson, Cassandra Stewart, Barbara Luksch, Ronnie Taamu, Momi Sonognini-Hewlen, and Clarysse Kami Nunokawa. Next meeting: Thursday, April 27 at 10:00 AM in the Honolulu Med-QUEST Conference Room. 1. We worked on the 9th draft of Videotape Part B "Helping Clients Complete Applications." It sounds easy BUT it's a long, tedious process. The good news: we have awesome task force members and we are almost finished! 2. Part A Videotape script was given out by Alan for review at the next meeting (April 27). It will be distributed to community members to field test with potential clients. 3. Gloria, Cassandra, and Barbara are writing income and assets lists to help clients gather appropriate documents. Thursday, 27 April 2000 Training and Public Education Present: Alan Takahashi, Gloria Samson, Cassandra Stewart, Barbara Luksch, Ronnie Taamu, Momi Sonognini-Hewlen, and William Tulua. Next meeting: Saturday, May 20 at 8:30 AM at the Honolulu Med-QUEST Office. Olelo will videotape reception area and office scenes. 1. We made a few changes to Videotape Part B "Helping Clients Complete Applications" as recommended by field testers. 2. We reviewed Part A Videotape script and decided to have two Part A videos: one for viewing at Med-QUEST offices and one for community groups. The latter will prepare clients for their interview and include information on what documents to bring. Thursday, 27 April 2000 Process Simplification Present: Ronnie Taamu, Momi Sonognini-Hewlen, Diane Tachera, Vicki Wallach, Barbara Luksch, Alan Takahashi, Marcia Hartsock, and Laverne Moore. Next meeting: Thursday, June 15 at 2:00 PM in the HSPCA Conference Room. 1. Marcia announced a new Hawaii Kids Count book is available for $10.00 and order forms are available from her at marciah@hawaii.edu. Also, check out the new Data Center for Children and Families at http://uhfamily.hawaii.edu! It is a work in progress that will eventually have over 100 indicators. 2. Barbara announced a new Hawaii Covering Kids pilot project will start on Maui. Also, the new North Shore Community Health Center in Kahuku has trained eligibility workers to interview clients and complete 1100A forms. 3. The Application Simplification Work Group will convene this summer. Barbara will update the task force as it progresses. 4. HB 540 will extend eligibility to legal immigrant children at the State CHIP income level (200% FPL). The federal government is not providing matched funding, so the state is paying 100% of the costs. The Identification and Outreach Task Force will discuss disseminating information to eligible families through currently established agencies. We noted strong networks exist among many immigrant populations including assistance in appropriate languages. 5. We discussed Healthy Mothers, Healthy Babies (HMHB) Hawai'i Coalition concerns expressed in their 31 March 2000 letter to Susan Chandler and Chuck Duarte. Some of our ideas are: a. Hawaii Covering Kids could organize a pregnant women's work group to assist HMHB in its efforts. b. Hawaii Covering Kids outreach workers could target pregnant teen groups in Year 2. c. Alan explained a pregnant teenager is legally responsible for the child. The child is usually not covered on his/her grandparent's health insurance policy. If the mother applies to Med-QUEST for medical assistance for the child only, the mother's and father's incomes are counted not the grandparent's. A forthcoming letter from Med-QUEST will respond to process simplification suggestions by our task force and HMHB. 6. Barbara will contact the Hawaii Family Support Center to get information on their assessments of every newborn through Healthy Start. This is a good avenue to not only distribute information, but also collect health insurance data. 7. Community concerns regarding Med-QUEST's current staffing and its ability to process the huge volume of anticipated State CHIP applications were reviewed: a. there is a state hiring freeze due to a Department of Commerce and Consumer Affairs RIF that prevents DHS from hiring eligibility workers to fill vacant positions b. eligibility worker training is approximately 7 weeks; new hires may not be ready to process applications starting July 1 c. on Oahu only one BESSD unit will help with medical assistance applications. They will screen 20 applications per day, do interviews, and send 10-day pending notices. They will not process applications: Med-QUEST will record the applications sent to BESSD daily and get them back to input into the HAWI system. We decided to refer the matter to our state coalition to decide how the community can get Med-QUEST more help.