pediatric obesity mini collaborative improvement and ... · 2. state team members will then...

Pediatric Obesity mini Collaborative Improvement and Innovation Network

Application Packet

February 2015

of 17

Introduction Welcome to the Pediatric Obesity mini Collaborative Improvement and Innovation Network (CoIIN). A CoIIN has been described as a cyber-team of self-motivated people with a collective vision that innovatively collaborate by sharing ideas, information and work either in person or via technology.1 In a CoIIN, participants learn from one another and national experts, share best practices and lessons learned, and track progress toward shared benchmarks. A mini CoIIN is a scaled-down version of a traditional CoIIN. The Pediatric Obesity mini CoIIN has less funding than a traditional CoIIN. This mini CoIIN is defined by allowing fewer states to participate and asking all the participating states to focus on a single driver. The planning committee will continue to advocate for additional funding so that more states could participate and states could address more than a single driver. The strategies in this Pediatric Obesity mini CoIIN are based on the Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report.2 This mini CoIIN is focusing on children ages 2 to 5 and is promoting three of the Expert Committee Recommendations:

1. Adopt policies and practices in early care and education (ECE) settings that support healthy weight behaviors.

2. Develop and disseminate universal, evidence-based nutrition and physical activity messages.

3. Promote optimal care coordination practices to assure that children who need them receive high-quality, weight management services.

To start this mini CoIIN, all state teams will focus on number 1, above, regarding policies and practices in the ECE setting.

1 Gloor PA. Swarm Creativity: Competitive Advantage through Collaborative Innovation Networks. New York: Oxford University Press, 2006. 2 Barlow S. Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report. Pediatrics. 2007; 120: S164-S192.

Pediatric Obesity mini CoIIN Application Packet 2015-02-03

Planning Committee A planning committee of experts in pediatrics, maternal and child health, evaluation, children with special health care needs, state public health nutrition, quality improvement and the CoIIN process formed in July 2014. The planning committee has designed this Pediatric Obesity mini CoIIN and collectively developed the materials in this application packet. Will Bruer, MPH, MPA Program Manager II Dept. of Health Care Organization & Policy University of Alabama at Birmingham, School of Public Health [email protected] Krista Casazza PhD, RD, LD Project Director/Associate Professor Department of Pediatrics University of Alabama at Birmingham [email protected] Anne B Harris, PhD, MPH, RD WI LEND Director University of Wisconsin, Madison www.waisman.wisc.edu Donna B. Johnson, RD, PhD Professor, Nutritional Sciences University of Washington [email protected] Michele Lawler, MS, RD Division of State and Community Health Programs Maternal and Child Health Bureau [email protected] Meredith Morrissette, MPH Project Officer Division of MCH Workforce Development Maternal and Child Health Bureau [email protected] Iran Naqvi, MBA, MHS Integrated Services Branch Chief MCHB, Division of Services for Children with Special Healthcare Needs [email protected]

Sandy Perkins, MS, RD, LD Consultant Association of State Public Health Nutritionists [email protected] Mary Podrabsky, MPH, RD Director of School and Community Initiatives Clinical Instructor, Nutritional Sciences University of Washington [email protected] Karen Probert, MS, RD Executive Director Association of State Public Health Nutritionists [email protected] Lauren Ramos, MPH Deputy Director Division of MCH Workforce Development Maternal and Child Health Bureau [email protected] Charlene Rhoades Project Administrator University of Alabama at Birmingham Department of Pediatrics [email protected] Denise Sofka, RD, MPH Division of MCH Workforce Development Maternal and Child Health Bureau [email protected] Bonnie A. Spear, PhD, RDN Retired Professor of Pediatrics [email protected]

mailto:[email protected]


http://www.waisman.wisc.edu/












of 17

Driver Diagram The Aim of the Pediatric Obesity mini CoIIN is to increase the proportion of children ages 2-5 who fall within a healthy weight range from __% to ___% by December 2015. Children 2 to 5 years old were selected because small changes can make a big impact with this age group and most other interventions are school based or affecting older children/adolescents. The desired percentage change was left blank because of the lack of available baseline data. A driver diagram was developed with three primary drivers selected from the Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report. The three primary drivers are:

1. Policies and practices that support healthy weight behaviors; 2. Evidence-based communication messages that support healthy weight and behaviors

are tailored to state needs; and 3. Optimal care coordination practices.


Change Packages Sub-committees developed change packages for each primary driver. A change package is a way to break down the driver into issue or task levels. They indicate specific changes or activities necessary to achieve the key changes identified to reach the driver statement.

of 17

State Expectations APPLICATION-RELATED EXPECTATIONS

1. Submit “Intent to Apply” or “Interested” email by January 30, 2015. 2. At least one person from the state must attend the technical assistance webinar on

February 6, 2015 from 3:30 to 4:30 Eastern. If attendance is not possible alternative arrangements can be made by contacting [email protected].

3. Complete the February 6, 2015 webinar evaluation. 4. Submit a completed application by 5 pm Eastern Time on February 20, 2015. 5. Show agency support for this effort by having key, essential representatives on the team

and having supervisors sign off on the application. 6. Recruit at least four (4) team members prior to submitting the application. More team

members can be added throughout the project. 7. The state team must include

• A representative from the state health department (managers of MCH, chronic disease, WIC, or health promotion)

• A public health nutritionist, (RDN preferred) • A representative from the state childcare licensing agency • One person can meet more than one of the above three requirements

8. Consider other team members including representatives from a statewide nutrition coalition or network, a state ChildCare Aware organization, a Head Start program, the Child and Adult Care Food Program, an early childhood advisory council, etc.

9. The state’s 2015 ASPHN dues must be paid prior to the June 2015 face to face meeting. PROJECT-RELATED EXPECTATIONS

1. Prior to the face-to-face meeting in June 2015, teams will take part in teleconference calls discussing the CoIIN method and begin to think through the common issues and root causes of barriers. All team members must have the ability to participate in the Pediatric Obesity mini CoIIN calls (no more than one per month).

2. State team members will then participate in a face-to-face meeting on June 17, 2015 where the team will continue to identify common issues, the root cause of the issues, and arrive at consensus on major issues that can be addressed within the project.

3. Four (4) team members must be available to travel for a face-to-face meeting on June 17, 2015. ASPHN will cover travel costs for four team members. There is more information in the FAQ about the time demands of participating in this mini CoIIN.

4. State team members will continue to meet over webinars and/or teleconference calls through to December 2015 (funding permitting).

5. State teams will learn about or be reminded of the Plan-Do-Study-Act (PDSA) cycle and how it can be applied as part of the CoIIN.



6. State teams will identify technical assistance needs that ASPHN can assist with through webinars and/or teleconferences.

7. Throughout the project, state teams will participate in evaluation activities, which include periodic interviews, online evaluations, and provision of documents to evaluators. There is a page in this packet entitled, “Evaluation” with more information on the state’s role in evaluation.

8. Throughout the project, state teams will receive technical assistance from ASPHN consultants, technical experts, and other states that are part of the CoIIN.

9. Lessons learned from this project will be shared with all states so everyone can benefit from these efforts.

of 17

Pediatric Obesity mini CoIIN Application Due to [email protected] by 5 pm Eastern time on February 20, 2015

Resources that may help with this application: • www.eceobesityprevention.org • http://www.cdc.gov/obesity/strategies/childcareece.html • http://healthykidshealthyfuture.org/home/welcome.html • http://mchb.hrsa.gov/programs/earlychildhood/ • ASPHN success stories on child care: Kentucky, Louisiana, Minnesota, Mississippi, North

Carolina, and Utah Any state-level organization is eligible to submit the application. This can include a state government agency or a state-level, non-government agency. 1. Information for State Team Point of Contact Person:

State

Name

Position

Agency

Phone number

Email Address

2. Briefly describe the state-level data you have available for the following items or describe

how you could find this information in the next three months. a. Proportion of children ages 2 - 5 years within a healthy weight range from 5 to

85% BMI. b. Number of ECE policies/guidelines/regulations that support healthy weight

behaviors.

mailto:[email protected]?subject=Blueprint%20TA%20Grant%20Opportunity

http://www.eceobesityprevention.org/

http://www.cdc.gov/obesity/strategies/childcareece.html

http://healthykidshealthyfuture.org/home/welcome.html

http://mchb.hrsa.gov/programs/earlychildhood/

http://www.asphn.org/resource_read.php?resource_id=634








3. Twelve opportunities have been identified as best practices for obesity prevention in ECE settings: http://www.eceobesityprevention.org/spectrum/. Which of the spectrum of opportunities have already been implemented/addressed in your state?

Licensing and Administrative Regulations Child and Adult Care Food Program Quality Rating and Improvement Systems Funding and Finance Pre-service and Professional Development Facility-level Interventions Technical Assistance Access to Healthy Environments Early Learning Standards Family Engagement Multicomponent Initiatives Emerging Opportunities

4. Tell us about current activities (key activities / projects) in your state related to policies and

practices in ECE settings. Be sure to include state health agency activities through the CDC-funded 1305/State Public Health Actions program.

5. At this stage in the Pediatric Obesity mini CoIIN, all states in the mini CoIIN must focus on

the policies and practices in the ECE setting driver. Indicate the opportunity or opportunities that your state proposes to address in this CoIIN?

Licensing and Administrative Regulations Child and Adult Care Food Program Quality Rating and Improvement Systems Funding and Finance Pre-service and Professional Development Facility-level Interventions Technical Assistance Access to Healthy Environments Early Learning Standards Family Engagement Multicomponent Initiatives Emerging Opportunities

6. In addition to the work with the ECE setting, do you plan to work on another driver? If so,

what driver do you plan to address?

7. In 300 words or less, describe the proposed project and expected outcomes. 8. What does your state hope to learn or gain by participating in this Pediatric Obesity mini

CoIIN? Be sure to include something specific.

http://www.eceobesityprevention.org/spectrum/

of 17

9. What can your state contribute and/or share with other states as a participant in this Pediatric Obesity mini CoIIN? Please include something specific.

10. State whether or not you have read and understand the items on the “State Expectations”

pages.

11. Use the next page(s) to list your state team members. • At least four (4) team members must be identified in the application but more team

members can be added throughout the project. Four team members must be available to travel for a face-to-face meeting on June 17, 2015. ASPHN will cover travel costs for four team members.

• The state team must include − A representative from the state health department (managers of MCH, chronic

disease, WIC, or health promotion) − A public health nutritionist (RDN preferred) − A representative from the state childcare licensing agency − One person can meet more than one of the above three requirements

• Other team members to consider include representatives from a statewide nutrition coalition or network, a state ChildCare Aware organization, a Head Start program, the Child and Adult Care Food Program, an early childhood advisory council, etc.

• Applicant must show agency support for this effort by having key, essential representatives on the team and having supervisors sign off on the application.

Please contact Sandy Perkins at [email protected] with questions.

mailto:[email protected]?subject=Blueprint%20TA%20Grant%20Opportunity


State:

Team Member #1 Team Member #2 Team Member #3 Team Member #4

Name

Title

Representing

Public Health Nutritionist State health agency State childcare licensing agency




Address

Phone number

Email Address

Can attend June 17, 2015 Meeting

Yes No

Yes No

Yes No

Yes No

Supervisor’s Signature

of 17

Team Member #5 Team Member #6 Team Member #7 Team Member #8

Name

Title

Representing

Address

Phone number

Email Address

Supervisor’s Signature


Evaluation The University of Washington will be conducting evaluation activities throughout the mini CoIIN implementation period. The activities are being designed to be low burden for State participants and community partners. They will consist of: • State Lead Interviews – These telephone interviews will take about 1 hour and will occur

approximately every 2-3 months throughout the implementation period.

• Community Partner Interviews – These telephone interviews will take about 1 hour and will occur 1-2 times throughout the implementation period.

• Document Review – These include meeting agendas and minutes and other existing documentation of State-level project activities, to be provided to the evaluation team.

• Evaluation of National Training and Other Support Activities – Links to electronic surveys will be provided to participants following webinars and other trainings and activities that are provided by the National Team in support of State CoIIN members.

Additionally, interviews and surveys will be conducted with the National Team members.

Key Evaluation Questions

Recruitment: What strategies were used by State lead organizations to recruit CoIIN team members and how effective were they? How and why were specific community partners recruited to participate in the CoIIN? Implementation: Which specific changes have been chosen for implementation and how successful was the State CoIIN in achieving implementation goals? What barriers and/or challenges have been faced during implementation? How stable was CoIIN membership and how engaged were members throughout the project period? Adequacy and Quality of Training and Support: How have trainings, materials, and other support provided from the National Team met the needs of State CoIIN members? Benefits and Challenges of Participation: What are the perceived benefits and challenges of the CoIIN from the broad perspective of state and local participants? What impact did the CoIIN have on the work in states and communities and how feasible and sustainable were/are the chosen specific changes?

of 17

Planning for the Future: What were the most notable successes of the CoIIN from the perspective of the National Team and how will lessons learned be incorporated into future CoIIN planning? How well did the CoIIN meet early goals of experts and early stakeholders?

Questions about the Childhood Obesity CoIIN evaluation may be directed to:

Mary Podrabsky, MPH, RD Director of School and Community Initiatives

Center for Public Health Nutrition Clinical Instructor, Nutritional Sciences

University of Washington Email: [email protected] Voice: 206-221-4528


tel:206-221-4528


Glossary Aim Statement - A written, measurable, and time sensitive statement of the expected results of an improvement process. It answers the three fundamental questions of the Model for Improvement. There are four components to a good Aim Statement: rationale/importance, target population, time frame for completion, and measurable goals. Change Package - A set of key changes that have proven to be effective for driving improvement of a specific target. Collaborative Improvement and Innovation Network (CoIIN) – Teams of self-motivated people with a collective vision, that innovatively collaborate by sharing ideas, information. Cyberteam - A team of people working on the Internet or in cyberspace. Driver Diagram - A structured logic model with three or more levels or measurable factors including:

• Aim Statement • Primary Drivers – High-level factors that need to be influenced to achieve the aim. • Specific projects and activities that act upon the primary drivers.

For more complex aim statements the number of levels in a driver diagram can be expanded so that each primary driver has its own set of underpinning factors (i.e. ‘secondary drivers’ etc.). It is these secondary drivers (or lower level drivers) that would then be linked to projects and activities. PDSA Cycle – A small-scale structured test of a process change. Steps include:

• Plan: Writing your plan for the cycle; who, what, when, where the change will be tested; • Do: A time to try the change and observe what happens; • Study: An analysis of the results of the trial; and • Act: Devising next steps based on the analysis.

This PDSA cycle will naturally lead to the “plan” component of a subsequent cycle. Quality Improvement - The result of a continuous, executive-driven program that seeks to reduce systemic defects to as close to zero as possible.

pediatric obesity mini collaborative improvement and ... · 2. state team members will then...

Documents