Tuesday, 3 August 1999 Process Simplification Present: Liz Chun, Lynn Fallin, Greg Gaspar, Beth Giesting, John Higuchi, Peter Kay, Barbara Luksch, Laverne Moore, Junedale Nishiyama, Lily Ochoco (for Ruth Ota), Lee Ann See, Potter Swartz Next meeting: Wednesday, 22 September 1999 at 2:00 PM in the HSPCA Conference Room. We discussed our first priorities listed on the state coalition information sheet. Forming this task force is excellent timing because the state will pursue implementation of CHIP in 2000. The task force will review all aspects of the process, from the moment a potential client inquires about QUEST/CHIP until the child no longer needs this service. Our ultimate goal is to simplify what gets done and make sure it is uniform statewide. We agreed our primary focus is helping kids. Discussion Action Person Responsible 1. We need to research the federal laws, state laws, Med-QUEST requirements, and what field workers request from clients. Design a comparative matrix. Barbara, Junedale, and Potter 2. ASK 2000 is contracted through Hawaii Covering Kids to assist callers with information and mail-out applications. Invite Dorothy Colby to attend the next meeting (she is currently off-island). Barbara 3. Is there a "certification program" for eligibility workers? Talk with Alan Takahashi (DHS) regarding established standard operating procedures. Refer follow-up to Training and Public Education Task Force. Barbara 4. The current application form needs to be reviewed for simplification and educational-level appropriateness. Handouts given with the application and translation materials should be researched. Keep in mind the application could be used for both QUEST and CHIP. Investigate other states' applications and brochures. Lee Ann, John, and Barbara 5. Task force members would like to contact each other in-between meetings. Print information from the Hawaii Covering Kids database and fax to task force members. Barbara Thursday, 5 August 1999 Identification and Outreach Present: Lynn Fallin, Sally Hansen, Beth Giesting, Karen Ginoza, Dee Helber, Barbara Luksch, Junedale Nishiyama, Lee Ann See, Ruth Ota Next meeting: Thursday, 9 September 1999 at 1:00 PM in the HSPCA Conference Room. We brainstormed avenues for outreach to Med-QUEST eligible children throughout the state. School-Age Children 0 to 5 Years-Old Other DOE school registration packets (ready in February) PATCH newsletter to all providers to share with parents mammogram mobiles faculty and staff meetings Good Beginnings Councils faith communities parent conferences community play groups centers providing subsidy checks parent and teacher events Keiki Contacts labor unions new student information packets Books to Newborns DHS First-To-Work Program Parent Community Networking Centers park and recreation areas Department of Labor Hawaii State PTSA physicians: pediatricians, obstetricians, and gynecologists food banks newsletters/bulletins WIC foster children programs check for health insurance on excursion notices Hawaii Association For The Education of Young Children AFSCME education program School Support Coordinators (SSC) free car seat programs GED centers Social Service Outreach Counselors well-baby clinics night schools new parent groups tuberculosis testing sites Head Start public housing tenant associations Note: The DOE divides their schools into complexes. Kalihi-Palama Clinic works with McKinley Complex (Central Intermediate, Ka'ahumanu, Ka'iulani, Kauluwela, Lanakila, Likelike, McKinley High, Royal, and Washington Intermediate) and Kokua Kalihi Valley Health Center works with Farrington Complex (Dole Intermediate, Farrington Community, Farrington High, Fern, Kaewai, Kalakaua Intermediate, Kalihi, Kalihi Kai, Kalihi Uka, Kalihi Waena, Kapalama, Linapuni, and Pu'uhale). All of these schools are part of the Kalihi-Palama Pilot Project. Ruth Ota volunteered help from the public health nurses to distribute information during home visits. Some Information Sources Action Person(s) Responsible 1. DOE Emergency Card form Fax to Barbara Ruth 2. School food program form. Fax to Barbara Dee 3. Insurance currently offered to DOE students. Contact the local insurance affiliate to get brochures. Barbara Suggestions to be given to the Media and Public Information Task Force are using public service announcements on public television and language-specific newspapers and radio programs. Thursday, 12 August 1999 Evaluation Present: Dick Behenna, Jean Kajikawa, Nancy McGuckin, Bill Wood, Barbara Luksch, Junedale Nishiyama, Lee Ann See Next meeting: Thursday, 28 October 1999 at 10:00 AM in the HSPCA Conference Room Good news! HMSA Foundation agreed to fund the first year of our proposed Evaluation 1 (explained below). HMSA Foundation is a philanthropic organization whose mission is to extend HMSA's commitment to providing access to cost effective health care services; health promotion, education, and research; and the promotion of social welfare. We acknowledged Maia Rogers, HMSA Foundation Executive Administrator, for her assistance with our project. Copies of the evaluation proposal to HMSA Foundation (explaining Evaluation 1 and Evaluation 2) and "Preliminary Report Uninsured School Children in Hawai'i 1988-1990" were distributed. Bill Wood explained Evaluation 1 that would measure the rate of uninsured children in Hawaii. Information included: Baseline data will be collected in September/October 1999 and September/October 2001. It is understood this will be a census with certain error factors. All records will be kept secure and confidential according to research protocol and will be available only to the researchers. Data problems can occur if school health aides reuse old cards and scratch out information as a child progresses from kindergarten to grade twelve because they are difficult to read. Bill has a good working relationship with the Hawai'i Association of Independent Schools that includes large and small schools. Children eligible for QUEST or CHIP are often involved in parental health insurance support problems, receiving tuition scholarships, or with insurance plans not recognized in Hawai'i due to residency status outside the state. Qualitative information will be gathered through personal interviews. Outreach activities will commence in the pilot projects following the initial collection of data. This will slowly be expanded statewide in years two and three of the Hawaii Covering Kids initiative. Dick Behenna noted it will be interesting to correlate the health conditions checked on the emergency cards with the parents' perception of needing health insurance. Barbara reviewed the sequence of events in August and September for Evaluation 1: Beth Giesting will write formal letters to school head administrators explaining the program. Bill Wood and Barbara Luksch will meet with HAIS officials to explain the Hawaii Covering Kids initiative. Representatives from DOH (Ruth Ota), DOE (Dee Helber), and HAIS will meet with Bill Wood and Barbara Luksch to organize a detailed action plan. Bill Wood and Barbara Luksch will meet with pilot project outreach workers to establish an outreach timeline. Bill Wood and Barbara Luksch will meet with HMSA Foundation representatives to discuss a detailed plan including evaluation methodology, deliverables to be produced, and project timeline. Evaluation 2 will be discussed at the next meeting. Thursday, 12 August 1999 Media and Public Information Present: Peter Kay, Diane Tachera, Barbara Luksch, Junedale Nishiyama, Lee Ann See Next meeting: Thursday, 16 September 1999 at 2:00 PM in the HSPCA Conference Room. We discussed our name, slogan, and a logo. 1. It was decided to keep the title Hawai'i Covering Kids to identify with the national program. We will add a slogan and logo to show our state's participation. 2. We brainstormed ideas and words for a slogan that focused on kids, stated our purpose, and had "bumper sticker appeal." A final thought was "Health Care For All Keiki" however because we are not a health care outreach program a suggested change is "Health Insurance For All Keiki" with a verb such as advocating, promoting, or supporting. 3. We decided to contact artists interested in working with our project. An artist will be contracted not only for an immediate logo design but also future complementary work. Names and telephone numbers should be submitted to Barbara. Each artist will be requested to submit logo sample work for the task force to peruse at the next meeting. 4. Our logo ideals is a black and white design that can be changed in size (increased and decreased), and adds a local stamp to our work. 5. We discussed our web design process and how the CyberCom component could be linked to Diane's DHS project. Barbara will meet with Med-QUEST and CyberCom on 7 September to promote collaboration. Wednesday, 25 August 1999 Training and Public Education Present: Diane Tachera, Barbara Luksch, Junedale Nishiyama, and Lee Ann See Next meeting: Friday, 24 September 1999 at 9:00 AM in the HSPCA Conference Room. We focused on training community outreach workers to be certified QUEST application assistants. They would assist clients with information and completion of applications. During the first year, we will concentrate on pilot project areas followed by statewide training. For these projects, Kalihi-Palama and the Big Island, completed applications will be given to the project coordinators for data and follow-up purposes. Groups that should initially be trained include outreach workers with WIC, Head Start, and Ke Ola Mamo as well as public health nurses, Catholic Charities, The Immigrant Center, and school representatives (volunteer teachers, PCNC, AmeriCorps Members, VISTA Volunteers, etc.). Training will be coordinated with Med-QUEST and involve not only eligibility and community resource information but also skills related to interviewing, retaining confidentiality, customer service, and listening. We agreed that ideal assistants are compassionate, resourceful, assertive, friendly, articulate, and language proficient. We will check with outside businesses on their training methodologies (ASK-2000, Polynesian Cultural Center, Liberty House, K-Mart, Queen's Medical Center, and banks). In the future, we may recruit and train long-term volunteers. Since clients share personal information we discussed how the demographics of our target group would determine the ideal age for the assistant. For example, some adults prefer help from an older adult while teenagers may prefer a peer. We also think a professionally produced training videotape with QUEST/CHIP information would be extremely helpful.