III.E.2.b.v.a. Public and Private Partnerships 

OHA MCAH public and private partnerships

Oregon’s Title V program is strongly committed to collaborating with a wide range of partner agencies to expand the capacity and reach of the state Title V MCAH and CYSHCN programs. These partnerships and collaborations span public and private sector entities across the state, as well as MCHB and other Federal programs which serve the MCAH population. 

The “Public and Private Partnerships Table” in Supporting Document 3 provides a detailed description of the key the collaborations and partnerships which are listed below.

• Other MCHB investments: State Systems Development Initiative (SSDI), Maternal, Infant and Early Childhood Home Visiting (MIECHV); Intimate Partner Violence CoIIN, Children’s Healthy Weight CoIIN, Healthy Start Grants.

• Other Federal Investments: Nutrition Program for Women, infants, and Children (WIC), Early Hearing Detection and Intervention Program (EHDI), Rape Prevention Education, PREP Teen sexual health grant, Pregnancy Risk Assessment Monitoring System (PRAMS), CDC Immunizations, Preschool Development Grant.

• Other HRSA Programs: FQHCs.

• State and local MCH programs: Universally Offered Home Visiting, Maternal Mortality and Morbidity Review Committee (MMMR), Local Public Health MCH Programs, Conference of Local Health Officials (CLHO).

• Other Oregon Health Authority programs: Adolescent and School Health Programs, Injury and Violence Prevention Program, Tobacco Prevention and Education Program, Chronic Disease Prevention, HIV/STD, Newborn Metabolic Screening Program, Medicaid and CHIP, Health Policy & Analytics Division, Health Systems Division, State Public Health Director’s Office, Equity, and Inclusion Division.

• Other governmental agencies: OR Department of Human Services, OR Department of Education, OR Department of Justice, Early Learning Division, OR Housing and Community Services.

• Tribes, Tribal Organizations and Urban Indian Organizations: Oregon Tribes, Northwest Portland Area Indian Health Board, Native American Youth and Family Center.

• Public health and professional educational programs and Universities: see table in supporting document 3 for details.

• Health systems: see table in supporting document 3 for details.

• Community and non-profit organizations see table in supporting document 3 for details.

• Advisory boards and inter-agency work groups: see table in supporting document 3 for details.

Among the many partnership initiatives with which Title V MCAH is engaged, a few highlights from the past year are outlined below:

• MCAH Title V’s transition to a more upstream focus on the “Foundations of MCAH” (social determinants of health and equity, trauma, toxic stress, ACEs, and resilience; and culturally and linguistically responsive services), has aligned with opportunities to develop shared initiatives with both the State Health Improvement Plan (Healthier Together Oregon), and a cross-Center initiative focused on shared risk and protective factors (SRPF). The SRPF work is bringing together the state offices of Injury and Violence Prevention, Maternal and Child Health, Adolescent and School Health, and Chronic Disease Prevention to develop a shared strategic approach to violence prevention as well as improved lifelong health. This work continues to evolve at the Center level including the development this year of a Shared Risk and Protective Factors Tool for use when developing funding, program, or policy initiatives.

• Oregon’s Title V staff continued to partner with and support a major Public Health Division expansion in partnerships with community-based agencies. As the COVID-19 Pandemic work winds down, OHA’s has continued its commitment to working with diverse communities through an opportunity funding CBOs to engage in upstream Public Health work on equity, community engagement, and policy, systems and environment initiatives. Title V staff participated in selecting and supporting the community grantees, and plan to leverage the systems and relationships developed as we begin planning for our 2025 Needs Assessment.

OCCYSHN public and private partnerships
OCCYSHN collaborates with state and community-based agencies and organizations, health care and service providers, and family members of CYSHCN to improve systems of care serving Oregon CYSHCN and their families (see Attachment 1 - OCCYSHN Advocacy and Committee Participation.):

• OCCYSHN’s Family Involvement Program identifies and mentors family members of CYSHCN to provide their perspective to program and policy efforts, both within OCCYSHN and at regional and statewide levels. For example, we connected family members to the Medicaid Advisory Committee’s Advancing Consumer Experiences sub-committee, where they gave data and feedback on the subject of Paid Parental Caregiving. We also recruited families to provide input to the Oregon Health Authority’s Durable Medical Equipment workgroup and the State of Oregon’s Insurance Advisory Committee.

• OCCYSHN partners with local public health authorities, education, and health and service providers statewide to implement community-based programs. OCCYSHN’s ECHO-based virtual learning communities provide a platform for health and service providers across the state to collaborate on improving care coordination for CYSHCN.
   
• OCCYSHN collaborates with OHA to strengthen the public health nursing home visiting workforce, increase alignment of CaCoon with OHA’s Babies First! program, and develop the THEO home visiting data system.
   
• OCCYSHN collaborates with OHSU’s Doernbecher Children’s Hospital Department of Pediatrics, Oregon Department of Human Services Child Welfare District 2, Randall Children’s Hospital Every Step Clinic, and OHSU’s Beaverton Primary Care Clinic to develop and implement quality improvement projects. We also collaborate with OHSU’s Department of Pediatrics Transition Workgroup to inform the development of clinic infrastructure that supports transition and provide evaluation consultation on a transition toolkit pilot project.

• In an effort to better serve CYSCHN from diverse cultural and ethnic backgrounds, OCCYSHN collaborates with the Sickle Cell Anemia Foundation of Oregon, the Latino Community Association of Central Oregon, and the Portland-based African Youth Community Organization. We also partner with Oregon State University to host OCCYSHN’s online course for community health workers, Supporting Families: Navigating Care and Services for Children with Special Health Needs.

• OCCYSHN leads a collaboration between Oregon Health Authority’s Emergency Medical Services for Children program and Oregon Portable Orders for Life-Sustaining Treatment Registry to operate a ground-breaking emergency information registry for Oregon’s children and young adults. The registry is especially useful for CYSHCN. This innovative on-line platform allows families to record critical details about their child or young adult’s health that can be accessed by medical providers responding to pediatric emergencies. The registry launched October 2022.

OCCYSHN partners with OHA and Oregon Pediatric Improvement Partnership as opportunities arise. We provide input based on our long-term and wide-ranging experience implementing cross-systems care coordination for CYSHCN.