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Conversations with the Division of Healthy Start & Perinatal Services July 28, 2021 Division of Healthy Start and Perinatal Services (DHSPS) Maternal and Child Health Bureau (MCHB)

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Page 1: Conversations with the Division of Healthy Start

Conversations with the Division of Healthy Start & Perinatal Services

July 28, 2021

Division of Healthy Start and Perinatal Services (DHSPS)Maternal and Child Health Bureau (MCHB)

Page 2: Conversations with the Division of Healthy Start

Webinar AgendaTopic Speaker Time

Housekeeping NICHQ 5 min

Welcome & Announcements Dawn Levinson 5 min

HRSA/MCHB Updates Lee Wilson 15 min

Healthy Start Data & Evaluation- National Evaluation- Resources- Reporting (HSMED & Performance Reports)- HSMED Updates

Ada Determan 15 min

Grantee Organizational Assessment Rebecca Fink, Westat 10-15 min

Program Updates- HS Supplements- Re-budgets, FFR, Use of UOB- HS Grantee Mentoring- Grantee Meeting: Nov 3-5

Cardora Barnes, Melodye Watson, Vanessa Lee & Simone Esho

10-15 min

Secretary’s Advisory Committee on Infant Mortality Vanessa Lee 5 min

Maternal Health Sandy Lloyd 5 min

Question & Answer All Participants 15 min

2

Page 3: Conversations with the Division of Healthy Start

Please note the following:

This session is being recorded and will be archived for future viewing.

All participants are muted upon entry. We ask that you remain muted to limit background noise.

Members are encouraged to participate in the discussion by typing your comment/asking questions using the chat box.

Meeting Logistics

Page 4: Conversations with the Division of Healthy Start

4

Connecting to the Audio Conference

• Join Zoom Meeting by clicking Zoom Meeting

link & launching the Zoom application

• An audio conference box will appear

• If you do not see the box click the ‘Join

Audio’ button

• From the audio conference box: Select to

“Phone Call” or “Computer Audio”

• If using the phone:

• dial the number next to “Dial”

• You will be prompted to enter the

“Meeting ID”

• Then you will be prompted to enter the

“Participant ID”

4

Page 5: Conversations with the Division of Healthy Start

5

Ways to Participate: Chat

Healthy Start Webinar

HS TA & Support CenterAfter you click the ‘Chat’ button, a sidebar will appear where you can chat to all participants

Chat here to everyone!At the bottom of the

Zoom window, you will see a ‘Chat’ button

5

Page 6: Conversations with the Division of Healthy Start

Welcome & Announcements

Dawn Levinson, MSWActing Deputy, and Behavioral Health Lead Acting Senior Advisor Division of Healthy Start and Perinatal Services (DHSPS)Maternal and Child Health Bureau (MCHB)

Page 7: Conversations with the Division of Healthy Start

7

MCHB Strategic Plan

Page 8: Conversations with the Division of Healthy Start

HRSA/MCHB Updates

Lee Wilson Director, Division of Healthy Start and Perinatal ServicesDivision of Healthy Start and Perinatal Services (DHSPS)Maternal and Child Health Bureau (MCHB)

Page 9: Conversations with the Division of Healthy Start

Updates and Check-In

• Appreciation

▪ Keeping the lights on

▪ Data collection and reporting

• Accomplishments

▪ Reorganization

▪ HSMED and CAREWare

▪ Remote site visits

▪ GAO review − Rural Maternal Health Data

▪ Evaluation Design

▪ National Meeting

9

Page 10: Conversations with the Division of Healthy Start

MCHB’s Mapping Projects

MCHB Mapping Project

• Serves as a key resource to explore data on maternal & infant health in communities

• Has internal- & public-facing versions

• Available in late 2021

Enterprise Site Repository

• Will have the ability to provide information about HS programs’ sites & services

• The HS DGIS Site Form will be revised to better capture these details

• Release date: TBD

10

Page 11: Conversations with the Division of Healthy Start

Updates and Check-In

• Budget Updates

▪ Infant Health Equity

▪ Doulas

▪ Technical Assistance

▪ Other – MIEHCV, Pediatric Mental Health, Maternal Health

• Budget and Program Forecasting

▪ Infant Health Equity

▪ President’s Budget for FY22

• Transitions

. 11

Page 12: Conversations with the Division of Healthy Start

Transitions

David de la Cruz

IjeZienachimdi “Ziena” Chinaza

OgbonnaBorn June 28th @10:13

7lbs 5oz, 21 inches

SandraAtallah "Ollie" Munir Sayegh

Born June 27th @5159lbs 3oz, 21 inches

Sandy Dawn

Deployments

12

Page 13: Conversations with the Division of Healthy Start

Healthy Start Data & Evaluation Team

Ada Determan PhD, MPHHealth ScientistDivision of Healthy Start and Perinatal Services (DHSPS)Maternal and Child Health Bureau (MCHB)

Page 14: Conversations with the Division of Healthy Start

2017 National Evaluation

14

Final Report & Summary of Report Highlights

▪ Both available for download at the Healthy Start EPIC website!

o Final Report: https://www.healthystartepic.org/wp-content/uploads/2021/07/HS-Evaluation-Final-Report_2.19.20-Final-NoWatermark.pdf

o Summary: https://www.healthystartepic.org/wp-content/uploads/2021/05/2017-HS-Eval-Summary_Posted-May-2021.pdf

Page 15: Conversations with the Division of Healthy Start

National Evaluation for 2019-2024 Cohort

2020-2021 - Design Plan

▪ Working with our contractor, Westat, to develop a design plan:

▪ Applies implementation, utilization, outcome, and transformative evaluation

▪ Conducted an organizational assessment of data capacity

▪ Technical Expert Panel meetings in June, July, and August:

▪ Stakeholder input

▪ Focus on measuring program effectiveness in a feasible manner

Fall 2021 - Implementation

▪ HRSA to release solicitation this summer for a fall contract start:

▪ Base Yr + 3 Option Yrs

▪ Will include:

▪ TA & capacity building

▪ HSMED, DGIS, and secondary data analysis

▪ Use of case studies, site visits, staff & network surveys, and semi-structured stakeholder interviews

▪ Dissemination of results with grantees

Page 16: Conversations with the Division of Healthy Start

Data & Evaluation Resources: EPIC Website

Data Collection FAQs

• Provides answers to a host of questions about participant types, completing forms, and other HS guidance

• Go to the Data Collection Forms section of the HS Implementation tab

HSMED Tools

• Includes templates, user guides, common issues document, implementation guides, and recordings of HSMED trainings

• Go to the Monitoring, Data, & Evaluation section of the HS Implementation tab

Performance Measures Tools

• Includes the HS Benchmarks Data Dictionary

• Go to the Monitoring, Data, & Evaluation section of the HS Implementation tab

→ Please consider checking these resources for quick answers to your questions. If you cannot find what you need, please direct your question to your project officer or the HS Data Mailbox.

16

www.healthystartepic.org

Page 17: Conversations with the Division of Healthy Start

Data and Reporting Updates & Reminders

Ada Determan PhD, MPH

Page 18: Conversations with the Division of Healthy Start

Performance Report- Reminders

• Due 6/30/2021

▪ Thank you to all who have submitted!

▪ If you received an extension, please submit as soon as possible (before or on your extension due date).

▪ If you are having technical issues submitting your report, please contact Tier 2 EHBs Support at 877-464-4772.

✓Follow-up with your Project Officer

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Page 19: Conversations with the Division of Healthy Start

Monthly Aggregate Report - Reminders

• Final aggregate data submission due no later than 7/31/2021:

▪ Reporting period is June 2021

▪ Include any corrections for January-May 2021 data, if needed

▪ Email submission to [email protected] and CC’ your HRSA Project Officer

• After 7/31:

▪ Monthly aggregate report decommissioned

▪ Monthly HSMED submissions - primary source for participant counts, demographic info, birth outcomes, and participant behaviors (related to PMs/benchmarks)

19

Page 20: Conversations with the Division of Healthy Start

HSMED – System Updates

• Three grantee dashboards released on July 22nd

▪ Participants Served – # of men, women, and children served; demographic/perinatal characteristics.

▪ Data Collection Detail – identifies stored forms, completion dates, and additional details by participant.

▪ Participant Linkages – identifies linkages between participants based on stored form data.

• Access dashboards via EHBs main page after login:

▪ Navigate to “Dashboards” tab; Project Directors control access similar to HSMED upload permissions

• More in development!

▪ Performance Measure/Benchmark calculations based on stored forms

20

Page 21: Conversations with the Division of Healthy Start

HSMED – Data Collection Reminders

• Screening Procedure:

▪ Complete a new prenatal form for the new pregnancy:

✓ Question G4 - change the initial CompletionDate to the new completion date

o This is the only time CompletionDate should ever change

✓ Question G5 – complete “Other Update” fields to trigger archive

o “Date Updated” - date the new prenatal form is completed

o “Specify Reason for Update” - indicate “new pregnancy”

o The update question must be completed to archive the previous pregnancy before overwriting with the new pregnancy

• Upload Procedure:

▪ CompletionDate will trigger a warning flag – due to a change from the previous uploaded date

✓ Resolve warning - add a comment to CompletionDateWarningComment field indicating “new pregnancy” and re-upload.

• Please send any questions or requests for technical assistance to [email protected]

21

Prenatal Form – Documenting multiple pregnancies while enrolled

Page 22: Conversations with the Division of Healthy Start

HSMED – Upload Reminders

Grantee Pre-upload Checklist

Ensure forms are complete

• Initial forms – Screened all questions; all questions answered*

• Update forms – Re-screened all applicable questions according to instructions; all applicable questions answered*

• Avoid leaving empty fields – Alerts tied to PM/Benchmark calculations

*If participant refused questions/screening: complete appropriate response from participant’s perspective for each question (“Declined to answer”, “Unable to determine”, “No, was not able to administer this”, etc.)

Submit clean data

• Check date fields for errors (ex. EnrollmentDate = 1918, DueDate = 2030)• No empty date fields

• CompletionDate• EnrollmentDate – exclude “Other Adults”• UpdateDate – if form is an update• ExitDate, Post-Pregnancy F/U Date – as applicable

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Page 23: Conversations with the Division of Healthy Start

Organizational Assessment of Grantee Data CapacityRebecca Fink, MPH

23

Page 24: Conversations with the Division of Healthy Start

Organizational Assessment Objectives

❯ Better understand barriers to consistent data collection and reporting

among grantees

❯ Determine possible technical assistance needs to enable grantees to

collect accurate, consistent, and available project data

• Promote rigorous cross-site data collection and improved capacity in

advance of the next evaluation

24

Page 25: Conversations with the Division of Healthy Start

Organizational Assessment Methods

❯ Semi-structured interviews with a sample of grantees

❯ Topics covered data collection, data systems, staff capacity, monitoring

activities, local evaluation, and evaluation needs

❯ Grantees sampled on three characteristics:

1) New/Experienced grantee status as of the current grant cycle

2) Urban/Rural status

3) Health Department/non-Health Department (HD/non-HD)

organization types

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Page 26: Conversations with the Division of Healthy Start

Organizational Assessment Methods

Grantee type Total number of

Healthy Start grantees Number of Healthy Start

grantees interviewed States represented by grantees interviewed

Rural New 5 5 AR, IN, GA

Urban New 10 9* CA, GA, IL, IN, NC, VA, WI

Rural Experienced 18 9 FL, GA, MI, NC, NM, OK, OR, SC, SD

Urban Experienced HD 20 9 (+1)† AZ, CA, CT, DC, FL, LA, NY, OK, OR

Urban Experienced non-HD 48 9 CA, FL, IL, MD, NE, NY, OH, PA

Total 101 42

26

❯ Grantee sampling

Page 27: Conversations with the Division of Healthy Start

Organizational Assessment Methods

❯ Interview guide development

• Reviewed program documents, current and past data collection

instruments

• Semi-structured guide covering data collection, data systems, staff

capacity, monitoring activities, local evaluation, and evaluation needs

• Tailored for five sampling groups

❯ Grantee interviews

• Introductory email

• Interviews conducted Dec. 18 to Jan. 22, 2021

• Coding following interviews

27

Page 28: Conversations with the Division of Healthy Start

Organizational Assessment Findings: Data Collection

❯ All grantees (100%) are using the HS Data Collection Forms updated in

July 2020

❯ 98% of grantees have submitted to HSMED-II

❯ All grantees (100%) have submitted data using Aggregate Data

Reporting Template

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Page 29: Conversations with the Division of Healthy Start

Organizational Assessment Findings: Data Collection Challenges

Rural Urban Total

New (n=5)

Experienced (n=9)

New (n=9)

Experienced HD

(n=10)

Experienced non-HD

(n=9) N=42

Healthy Start Data Collection Forms

Recent changes to the forms 2 (40%) 1 (11%) 4 (44%) 1 (10%) 2 (22%) 10 (24%)

Difficulty mapping updated forms to database

0 (0%) 2 (22%) 2 (22%) 4 (40%) 2 (22%) 10 (24%)

Length of forms 2 (40%) 0 (0%) 2 (22%) 1 (10%) 2 (22%) 7 (17%)

Language overly personal or open to misinterpretation

0 (0%) 0 (0%) 3 (33%) 1 (10%) 1(11%) 5 (12%)

HSMED-II

Difficulty mapping data to required fields

4 (80%) 2 (22%) 1 (11%) 3 (30%) 3 (33%) 13 (31%)

Understanding validation errors

2 (40%) 4 (44%) 1 (11%) 2 (20%) 2 (22%) 11 (26%)

System crashing/submission issues

0 (0%) 1 (11%) 3 (33%) 1 (11%) 1 (11%) 6 (14%)

Aggregate Data Reporting Template

Confusing instructions 1 (20%) 1 (22%) 4 (44%) 2 (20%) 0 (0%) 8 (19%)

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Page 30: Conversations with the Division of Healthy Start

Organizational Assessment Findings: Data Collection

30

❯ Additional data collected by grantees:

• Attendance at classes, numbers of referrals provided, and number of

supplies provided (diapers, Pack ‘n Plays, etc.)

• Social determinants of health, such as demographics and poverty rates

• Access medical records or collect data on mental health screening or

services

❯ All grantees use a combination of in-person and phone or electronic data

collection

• 90% reported that phone or electronic data collection was

implemented as a result of COVID

Page 31: Conversations with the Division of Healthy Start

Organizational Assessment Findings: Data Systems

❯ 95% report using enterprise software such as ChallengerSoft, Well

Family System, REDCap, or CAREWare

❯ 24% report using more basic data systems such as Microsoft Excel and

Access

❯ Health Departments

• 57% have access to additional data and IT resources within the HD to

troubleshoot problems with data systems

❯ Non-Health Departments

• 75% reported that they have encountered problems using their data

system(s)

• 25% felt the need for additional training or TA on their systems

31

Page 32: Conversations with the Division of Healthy Start

Organizational Assessment Findings: Staff Capacity

Rural Urban Total

New (n=5)

Experienced (n=9)

New (n=9)

Experienced HD

(n=10)

Experienced non-HD

(n=9) N=42

Staff participating in data collection

Care coordinators, case managers, and CHWs

4 (80%) 9 (100%) 8 (89%) 9 (90%) 7 (78%) 37 (88%)

Epidemiologists, evaluators, data managers

2 (40%) 0 (0%) 3 (33%) 3 (30%) 4 (44%) 12 (29%)

Clinical staff including RNs 1 (20%) 4 (44%) 1 (11%) 2 (20%) 3 (33%) 11 (26%)

Supervisors, program managers

0 (0%) 5 (56%) 2 (22%) 2 (20%) 1 (11%) 10 (24%)

Training methods

One-on-one sessions 5 (100%) 4 (44%) 4 (44%) 8 (80%) 5 (56%) 26 (62%)

Vendor trainings 0 (0%) 3 (33%) 4 (44%) 0 (0%) 7 (78%) 14 (33%)

Group sessions 0 (0%) 6 (67%) 3 (33%) 1 (10%) 3 (33%) 13 (31%)

Online webinars 1 (20%) 5 (56%) 1 (11%) 4 (40%) 2 (22%) 13 (31%)

EPIC center training modules 1 (20%) 3 (33%) 2 (22%) 3 (30%) 1 (11%) 10 (24%)

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Page 33: Conversations with the Division of Healthy Start

Organizational Assessment Findings: Monitoring Activities

33

❯ 100% of 28 Experienced grantees conduct routine monitoring of the data

collection and entry process, such as manual review by a supervisor and

generation of automated summary reports

❯ Very few (n = 4) have a system for providing real-time checks or

feedback to data collectors as data entry occurs

❯ 93% analyze their data to get feedback about the quality of data

collection and entry

❯ 18 Experienced grantees (64%) have participated in a reproductive risk

monitoring process or review, such as an infant or maternal morbidity

review committee

Page 34: Conversations with the Division of Healthy Start

Organizational Assessment Findings: Local Evaluation

Rural Urban Total

New (n=5)

Experienced (n=9)

New (n=9)

Experienced HD

(n=10)

Experienced non-HD

(n=9) N=42

Conduct local evaluation 5 (100%) 9 (100%) 7 (78%) 4 (40%) 8 (89%) 33 (79%)

Experience challenges to conducting local evaluation

4 (80%) 5 (56%) 7 (78%) 3 (30%) 6 (67%) 25 (60%)

Lack of time and resources

1 (20%) 3 (33%) 1 (11%) 1 (10%) 5 (56%) 11 (26%)

Data collection challenges, including changes to forms

0 (0%) 2 (22%) 3 (33%) 0(0%) 0 (0%) 5 (12%)

Data analysis challenges 3 (60%) 1 (11%) 2 (22%) 1 (10%) 0 (0%) 7 (17%)

COVID-19 0 (0%) 0 (0%) 3 (33%) 2 (20%) 1 (11%) 6 (14%)

Recruitment 0 (0%) 1 (11%) 1 (11%) 0(0%) 0 (0%) 2 (5%)

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Page 35: Conversations with the Division of Healthy Start

Organizational Assessment Findings: Evaluation Needs & Context

❯ Health Departments: 43% described limitations related to bureaucracy,

subcontracts, and DUAs; 50% mentioned positive effects such as access

to more resources/data and cross-collaboration with other divisions of

the HD

❯ Rural grantees: 50% said lack of access to Wi-Fi and other electronic

infrastructures can be a barrier to data collection in their settings

❯ Other suggestions:

• Assess impact of COVID-19 on HS programs

• Analyze specific groups, such as rural grantees, the American Indian

community, and programs participating in the Fatherhood Initiative

35

Page 36: Conversations with the Division of Healthy Start

Organizational Assessment Conclusions

❯ Challenges affecting data capacity

• Changes made to data collection forms; lead time to adjust to changes

and prepare for data submission due dates

• Lack of time and resources to implement data monitoring and

evaluation activities

❯ Implications for national evaluation

• Variability in data quality as grantees adjust to use of new forms and

use different data management systems

• Additional technical assistance is needed

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Page 37: Conversations with the Division of Healthy Start

Organizational Assessment Recommendations

❯ Increase technical assistance for building data capacity

• Training on use of HSMED-II, including for local program

monitoring/evaluation

• Implementation of CAREWare and other data systems

• Opportunities to share best practices

❯ Incorporate contextual issues such as organization type, targeted

program components, and effects of COVID-19 into the evaluation

design

❯ Build trust and partnership with grantees

• Involve grantees in the planning and implementation of the next

evaluation as early as possible

37

Page 38: Conversations with the Division of Healthy Start

Healthy Start Branch Updates

Cardora BarnesActing Supervisory Public Health AnalystDivision of Healthy Start and Perinatal Services (DHSPS)Maternal and Child Health Bureau (MCHB)

Page 39: Conversations with the Division of Healthy Start

Healthy Start Branch Updates - Agenda

HRSA Supplemental Funding Opportunities Status

• Infant Health Equity Action Plans, HRSA 21-120

• Community Based Doulas Initiative, HRSA 21-121

Budget Information

Grantees Mentoring Program

39

Page 40: Conversations with the Division of Healthy Start

Healthy Start Initiative:Infant Health Equity Supplement HRSA-21-120

Melody Watson and Vanessa Lee, MPHPublic Health AnalystsDivision of Healthy Start and Perinatal ServicesMaternal and Child Health Bureau (MCHB)

Page 41: Conversations with the Division of Healthy Start

What would it take to achieve equity in infant mortality rates by 2030?

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Page 42: Conversations with the Division of Healthy Start

Healthy People 2030: Infant Mortality

42

Page 43: Conversations with the Division of Healthy Start

Where Are We Now?

Source: United States Department of Health and Human Services (US DHHS), Centers of Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics (DVS). Linked Birth / Infant Death Records

2016-2018, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program, on CDC WONDER On-line Database. Accessed at http://wonder.cdc.gov/lbd-current.html

4.7

10.9

5.0

8.6

3.9

Healthy People 2030

0

1

2

3

4

5

6

7

8

9

10

11

12

Non-HispanicWhite

Non-HispanicBlack

Hispanic Non-HispanicAmerican Indian /

Alaska Native

Non-HispanicAsian / Pacific

Islander

Infa

nt

dea

ths

per

1,0

00

live

bir

ths

Of broad or bridged race/ethnic groups, only NH Black and AI/AN infants have not already met the HP 2030 target.

In fact, they have not even made the original HP 2000 target (7.0) 30 years after it was set.

Even if they meet the target, they wouldn’t achieve equity with NH White majority group.

Using the same target setting projection for the overall IMR, NH White infants are projected to reach 4.0 by 2030 – this is the true target for equity.

43

Page 44: Conversations with the Division of Healthy Start

Where Do We Go From Here?

• Ultimately, we want to prevent every infant death possible.

• Given the large and persistent gap between black and AI/AN infant mortality rates compared to the white rate, we need to accelerate efforts to achieve equity now.

44

Page 45: Conversations with the Division of Healthy Start

HS Grantee Map

45

Page 46: Conversations with the Division of Healthy Start

Infant Health Equity Supplement Funding Status

Application Period Closed on June 23, 2021

Eligible Applicants Current Healthy Start Grant Recipients

Anticipated Funding Available $2,500,000

Estimated Award Amount $80,000

Period of Performance April 1, 2021 through March 31, 2022

Estimated Number of Awards up to 30 grants

Anticipated Award and Project Start Date September 30, 2021

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Page 47: Conversations with the Division of Healthy Start

Infant Health Equity Supplement Activities

Purpose of the Action Plans for Infant Health Equity Supplement

• The purpose of this HS supplement is to support the development of action plans that include innovative data-driven policy and systems level strategies to address the social and structural determinants of health that impact infant mortality (IM) disparities in HS communities.

Goals

• The goal of this supplement is to reduce disparities in infant mortality (IM) within HS service area counties that have the highest numbers of excess annual non-Hispanic Black or non-Hispanic American Indian/Alaska Native (AI/AN) infant deaths.

Objectives

• Engage their Community Action Network (CAN) and other cross-sector state and local partners, and others to collective develop the action plan.

• Identify and prioritize underlying root causes of disparities in IM within HS communities, and share with HRSA through progress report and within the action plan.

• Develop and disseminate a plan for preventive action, including policy and systems change strategies.

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Page 48: Conversations with the Division of Healthy Start

Healthy Start Initiative:Community Based Doulas Supplement HRSA-21-121

Simone EshoPublic Health AnalystDivision of Healthy Start and Perinatal ServicesMaternal and Child Health Bureau (MCHB)

Page 49: Conversations with the Division of Healthy Start

Community Based Doulas Supplement Funding Status

49

Application Period Closed on July 6, 2021

Eligible Applicants Current Healthy Start Grant Recipients

Anticipated Funding Available $2,500,000

Estimated Award Amount $125,000

Period of Performance April 1, 2021 through March 31, 2024

Estimated Number of Awards up to 20 grants

Objective Review Committee Aug 3-4, 2021

Anticipated Award and Project Start Date September 30, 2021

Page 50: Conversations with the Division of Healthy Start

Community Based Doulas Supplement Activities

Purpose

• The purpose of this supplement is to increase the availability of doulas in Healthy Start service areas most affected by infant and maternal mortality in order to reduce such deaths and decrease racial/ethnic disparities.

Goals

• Improve outcomes for both mothers and infants.

• Provide advocacy for pregnant mothers to ensure mothers receive the best possible maternal care.

• Ensure women are heard.

Objectives

• Recruit, facilitate training and certification, compensate and retain doulas.

• Provide services to women during the periods of pregnancy, birth and at least three (3) months post-partum.

• Provide culturally responsive pregnancy and childbirth education, early linkage to health care and social services, labor coaching, and breastfeeding education and counseling while fostering parental attachment.

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Page 51: Conversations with the Division of Healthy Start

Healthy Start Budget Information & Grantees Mentoring Program

Cardora Barnes

Page 52: Conversations with the Division of Healthy Start

Federal Financial Report (FFR) – Important Notes

▪ Reports are due July 30, 2021.

▪ If the grantee needs to make any changes, they’ll need to go to PMS. If the grantee has questions about accessing, submitting, or locating their FFR in PMS they should go to PMS Self-Service Web Portal or send an email to [email protected]. If the grantee is updating their FFR based on comments from HRSA, they should contact their GMS.

▪ Questions regarding unobligated balances as reported on their FFR should go to the GMS.

▪ Grantees should state their intent to use unobligated balance in Remarks Box 12 of the FFR.

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Page 53: Conversations with the Division of Healthy Start

FFR Remarks – Question # 12

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Page 54: Conversations with the Division of Healthy Start

Healthy Start Budget Information

Use of Unobligated Balance (Carryover Request)

▪ Remember to start looking at your budget mid-year, and make any re-budget adjustments necessary.

▪ A prior approval (PA) is not required for requesting amounts under Expanded Authority.

▪ Carryover request over the Expanded Authority (EA) amount require a PA, and should be submitted 30 days after the FFR is due, but no later than November 30th.

▪ When requesting any amount over EA, the carryover request must be for the full amount you are requesting (i.e., amount up to EA + amount above EA).

Reminder: The use of unobligated funds are for previously approved activities that were not able to be completed in the authorized year. Carryover is not to fund new activities.

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Page 55: Conversations with the Division of Healthy Start

PMS Contact Information

Internet Access:

Payment Management Services Home Page

pms.psc.gov

Hours of Operation:

Monday thru Friday: 5:00 a.m. - 11:00 p.m. ET*

Saturday and Sunday: 9:00 a.m. - 9:00 p.m. ET*

*Requests for payment submitted after 5:00 p.m. ET will be processed as if received on the

next business day.

Help Desk Number:

Telephone #: 877-614-5533

E-Mail: [email protected]

55

Page 56: Conversations with the Division of Healthy Start

Grantees Mentoring Program

Page 57: Conversations with the Division of Healthy Start

Grantees Mentoring Program

• In collaboration with National Heathy Start Association and NICHQ, the Division is planning another kickoff of the Grantees Mentoring Program. The new cohort will launch in August and run for 6 months!

• The mentoring program is a peer to peer project learning opportunity for new and existing projects to gain technical assistance and strategies to strengthen program performance and activities.

• The Division strongly encourages projects to participate in the mentoring program, when available.

• The previous cohort of nine projects completed the program in March 2021.

Page 58: Conversations with the Division of Healthy Start

Grantees Mentoring Program Benefits & Activities

Benefits:

• Obtain 1:1 technical assistance on an ongoing basis

• Receive mentoring from experienced Project Directors who are willing to share their practices and strategies

• Focus on mentoring topics, such as organizational leadership, developing or re-imagine the CAN, and recruitment strategies, among other program activities

• Identify strategies to strengthen your program performance based on your interest and needs

• Build relationships and network with other Healthy Start projects.

Activities:

• Mentor and mentee will develop SMART goals that include desired outcomes, timetable, resources, etc.

• Monthly 1:1 meetings

• Monthly progress reports submitted by the mentor

• Project Officer monitors the mentoring progress

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Page 59: Conversations with the Division of Healthy Start

Grantees Mentoring Program – Interested?

• How to Become A Mentor?

▪ Project Directors who have 2+ years of Healthy Start program experience can complete an application that will be forward to NHSA and NICHQ.

▪ Mentor Projects receive one time $2,000 incentive!

• How to Become a Mentee?

▪ Projects can express their interest to their assigned Project Officers. No application is needed!

• The Project Director Mentor Application closes soon on July 30!

For information you may contact your assigned Project Officer or Cardora Barnes at [email protected].

Page 60: Conversations with the Division of Healthy Start

Secretary’s Advisory Committee on Infant Mortality (SACIM) Updates

Vanessa Lee, MPHDesignated Federal OfficerDivision of Healthy Start and Perinatal ServicesMaternal and Child Health Bureau (MCHB)

Page 61: Conversations with the Division of Healthy Start

SACIM: Administrative Updates

• New Designated Federal Officer (DFO) – Vanessa Lee, DHSPS

• Committee continues to meet quarterly; 3 meetings held so far in 2021 – January, April, and June

• Remaining meetings in 2021 planned for September and December – dates TBD

• All meetings are open to the public – HS grantees are encouraged to attend if interested and available.

• Committee’s Charter expires on Sept. 30th, and is in the process of being renewed.

• New Committee Members have been nominated and we are waiting for approval.

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SACIM: Administrative Updates (cont.)

For more information about the Committee, past meeting minutes, recordings, presentation slides, and transcripts –please visit the HRSA ACIM website:

https://www.hrsa.gov/advisory-committees/infant-mortality/index.html

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SACIM Priority Areas

• The Committee continues to prioritize infant mortality; maternal mortality and severe maternal morbidity; the health of women before, during, and after pregnancy; and the disparities seen across all of these outcomes.

• In the last year, members have chosen to also focus on the impact of racism on maternal and infant health; the impact of environmental conditions; and migrant and Border health.

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SACIM Recommendations to HHS Secretary

• The Committee is preparing to submit a set of policy and program recommendations to HHS Secretary Becerra, in the following areas:

▪ Maternity and infant care systems and financing of care

▪ Workforce expansion and diversification

▪ Environmental conditions

▪ Migrant and border health

▪ Data and research for action

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Maternal Health Updates

Sandra Lloyd, RN, BSN, MEdMaternal and Women’s Health BranchDivision of Healthy Start and Perinatal ServicesMaternal and Child Health Bureau (MCHB)

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AIM Community Care Initiative

Goal: To improve maternal health and safety in the United States

Purpose:

• Support the development and implementation of non-hospital focused maternal safety bundles within community-based organizations and outpatient clinical settings across the United States

• Build upon the foundational work of AIM by addressing preventable maternal mortality and severe maternal morbidity among pregnant and postpartum women outside of hospital and birthing facility settings

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AIM Community Care Initiative

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https://www.aimcci.org/

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Maternal Health Learning and Innovation Center

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https://maternalhealthlearning.org/

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2021 National Maternal Health Innovation Symposium

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Registration Now Open for National Maternal Health Innovation Symposium

August 30 & 31 in Baltimore, Maryland

Registration for in-person and virtual attendance is available

1. Regular in-person attendance registration deadline is August 6

2. Virtual attendance registration deadline is August 20

https://maternalhealthlearning.org/maternal-health-innovation-symposium-2021/

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Questions & Answers

If you have additional questions not addressed here, please write:

Healthy Start Mailbox: [email protected]

Healthy Start Data Mailbox: [email protected]