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Organization | General Meeting Notes (5/18/22) |
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| Costal family health starting this week with sessions. community garden is planted! J A Carmichael starting June 2nd (collaboration with Boys and Girls Club) 3hr sessions in the AM twice a week. HEAL partnership with local church for June 1st summer program. Intro session next week with parents. In person with kids, virtual with parents. 3 org participants - 2 FQHCs, 1 org/church - 3 different modalities of implementation - interesting/innovative outcomes |
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| Finished cohort 2 weeks ago - end of year celebration was successful. Sending video and pictures (formatting concerns). Summer break - restart mid/end of June mini group/alum reunion - 4 or 5 sessions (modify curriculum - quick review and next level learning) - drop off in participation in summer. (worked with younger and older siblings - teenagers are a difficult engagement) - different approach with Teens - everyone in the family is accepted |
| 3rd week of current cohort. Participation is struggling a bit with recruitment - struggles with follow through. Those who are participant are very engaged - Tuesday, Thursday night classes - behavioral health consultants and family yoga - cooking classes are successful (cauliflower curry). Next Saturday AM in-person hike. Engagement is key and drop off is inevitable. 25 Grocery gift cards for cooking classes. |
| 3 YMCA’s - Denver, Miami and Tucson - wrap around series, existing opportunities with the Y. Value to work together to support youth and families. |
Organization | General Meeting Notes (6/15/22) |
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| Importance and fun of step test COMMIT is going well - all 3 of the sites are in implementation phase - one cohort has 30 participants |
| learning stages and strategies - implementation in the next stage |
| Setting up summer alumni reunion - 4 week special curriculum - Start July 18th - finalize details by next week - tomorrow meeting with all providers and important staff to outline/block off schedules for next COMMIT - protected time during the work day for COMMIT - talked with staff about changing survey (pre and post survey) - vitals/labs |
| Kicked off week 7 - session led by RD and family friendly yoga - capture funding RD (no group funding but refer for one on one visit) track one on ones for revenue streams |
| design out self sustaining model for when COMMIT/CDC funding ends |
Topic | Response by Organization |
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Reach •Who are you targeting to recruit for COMMIT? •How are you recruiting for COMMIT? •Who is being reached? Who is NOT being reached? |
Targeting children who meet eligibility criteria and have parental support and interest for engagement. Various modalities - tapping into established group, recruiting by provider refers through EHR search, working with organization who has the subpopulation/space In process. Those who we can’t gain access to through the parents (either infrastructure barrier or lack of engagement/interest)
Provider referrals have been most effective. COVID staff turnover and competing priorities - patients not coming in or having virtual capabilities. One health center was successful in setting up virtual program ( recruit from ongoing programs for easy transition)
Warm hand off from other providers - immediate sign up opportunities, referrals, waiting list for those who are identified while the program is ongoing unreachable - too many activities in school/ difficulty with parent engagement - some older kids where able to come but still need parent buy in for lifestyle changes
Use family med/peds/behavior health providers - across the board referrals in EMR - 7-11 children - beyond BMI to include family need for education/strategies for prevention (bigger pool) primary care behavior health team - integrated in clinics - in exam room with provider - know more about the families - creating the connections/trust needed Not being reached - families that can’t do the time commitment |
Adoption •How many sites and cohorts will you offer? •How many staff are involved? (new AND continuing!) •How is COMMIT present in the rest of the health center functions? (Meetings, physical space, integration into other services, etc) |
One cohort with year 4 of MEND, both were in previous years - innovative with implementation Costal has a pediatrician, clinical dietitian (new to MEND), reach care coordinator, 1 staff works in behavior health, 1 PE teacher - two virtual sessions to get new staff up to speed with MEND JA - 1 clinical dietitian (WIC program) mothers and children primary focus HEAL team - registered dietitians, WIC people, 1 RN - MEND certified trainer Take away: Leveraging expertise and get them up to speed without doing a new training (advantage)
Block off time on provider schedules to ensure MA participants in programs (protected time), same with nutritionist - sustainability Do bill and get reimbursed - support from C-Suite (productivity has gone up) (12 kids in 1 hour) Take away: Having a work flow that is supported by reimbursement is crucial
Have one cohort - recreated components of MEND virtually - new innovative approach - 2 behavioral health, 3 dietitians, 1 yoga instruction, 2 health center evaluation participants, 1 family medicine provider (short visit assessments) Take away: Having the ability to adapt formal curriculum is so important - rewriting process was an integrative process |
Implementation (6/15/22) •What are your strategies? (leadership/staff) •Additional materials? •Any incentives or gifts? •Tools to address barriers? |
- engagement strategies: MS mend huddle every 2 weeks for 30 min - troubleshoot/commiserate - communication is key - additional resources YR 4 - new org - reached out to previous orgs to pass along previous resources like manuals and exercise equipment - incentives/gifts - gift cards, grocery shopping opportunities - addressing barriers - resources (human, fiscal, environmental) importance of community partnerships - sharing the wealth, lost staff and did a two day training, struggling with recruitment - sharing cohort/participants - barriers health centers that engaged earlier that have dropped off? Staffing - lack of time needed to keep the program afloat - engaging providers - need dedicated staff to keep everyone on track - train the trainer - centralized staff - going to where the kids are to help with retention and recruitment barriers - COVID virtual component with parents
-Challenge: provider engagement during COVID - importance of leadership buy in - virtual adaption - nurse and RD working with kids - provider was available as needed - recruited from existing programs
-engagement with leadership and staff - the importance of protected time w/ C suite support/backing - organize workflow properly - patient gift incentives: gift cards, gifts at the end of the program, yoga mats, mid way gift, cheaper fitbit (you-fit?) as a prize at the end, target/publix gift card, every program a different gift for variety -Resources?: Chopt family link (recipes), small bites program, plastic - class kick (interactive responses from participants integrated in PowerPoint - barriers of parental attendance - mend shift adaption? modify the lessons to better fit what the providers should be teaching - change format - follow mend by the book for first two years and then shifted YR 3 - opportunities/unique strengths
-engagement strategies: recruitment - speaking at monthly peds provider meeting - new EMR (increased referrals, 70/80 new people) - primary care behavioral health professionals in clinics - know the families very well and were able to refer families that were more ready - works well and will continued to use in the fall - harder when school is out in the summer - Physician involvement (family med) surprised by poor health - communication with leadership and recruiting more MDs - not using any MEND materials - innovated/utilized new implementation strategies developed by El Rio- behavior staff/RD development support - incentives - grocery store gift cards - raffles - another gift card for completion - bingo/weekly checklist for the kids to motivate/remind them/track progress - barriers with participation (last week only one family attended) - school is out/family vacations - some regular attendance - when you integrate you get more referrals and provider buy in - clinic team is important in adoption/implementation |
Maintenance •What are your strategies? •Additional materials? •Any incentives or gifts? •Tools to address barriers? Mississippi Illinois Borinquen (6/15/22)
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