Application Year Plan (FFY20):  This section presents strategies/activities for 2016-2020 MCH priorities related to Child Health. See Five-Year State Action Plan Table for more information.

In FFY20, the Child Health Program (CHP) will continue to impact NPM 6--the percent of children (10-71 months) receiving a developmental screen using a parent-completed tool by implementing the following strategies:

1. The CHP will use FFY20 to convene key statewide stakeholders within the Wyoming early childhood system to include the WDH, Wyoming Department of Workforce Services, Wyoming Department of Family Services, Wyoming Department of Education, University of Wyoming, Wyoming Children's Trust Fund, and Wyoming Kids First to define the early childhood system, identify duplicate and complementary services, and identify gaps in available services.  This effort will reduce the fragmentation within the early childhood system and strengthen system partner relationships. The MCH Unit recently requested technical assistance from the MCH Workforce Development Center to accomplish this work. The goals for this project are:

1. Develop a shared vision for delivering high-quality services to children and families.
2. Create a unified mission statement.
3. Convene regularly to assess gaps and barriers.
4. Develop common messaging.
5. Set measurable short and intermediate strategic goals.
6. Create a tool for evaluating success.

2. The CHP will support the work of the Wyoming Home Visiting Network and will provide technical assistance and education as needed to members of the network on developmental screening and developmental monitoring to include education on the importance of parent-completed screening tools. 

3. The CHP will support the Wyoming Maternal, Infant and Early Childhood Home Visiting program (MIECHV) grantee Parents as Teachers National Center (PATNC) in the completion of a comprehensive early childhood systems map to support both the Title V and MIECHV needs assessments and five-year strategic plan.

4. The CHP will collaborate with Wyoming Medicaid and other partners to expand the education of providers on the American Academy of Pediatrics (AAP) Bright Futures guidelines (4th ed.) as part of efforts to improve access to and quality of Early and Periodic Screening, Diagnosis and Treatment (EPSDT)/well-visits.

5. The CHPM and the MCH Unit Manger will continue to participate in a multidisciplinary workgroup focused upon improving lead screening rates.

In FFY20, the CHP will continue to impact SPM 5: Percent of children (6-11 years) who are physically active at least 60 minutes per day by implementing the following strategies:

1. Work with the Head Start State Collaboration Office to distribute and promote a Wyoming Health Policies Toolkit targeting early childcare centers, Head Starts, Early Head Starts, licensed childcare providers, and elementary schools. 
2. Work closely with the CDPP to identify needs, gaps, and challenges related to childhood obesity prevention as part of the MCH Needs Assessment. 

* The CHP and MCH Epidemiology Program will also track NPM 7.1 and 7.2 in FFY20 due to a change in program strategy to focus on childhood injury prevention for ages 0-19.

The CHP plans to impact childhood injury hospitalizations by implementing the following selected strategies:

1. The CHP and YAYAHP established a community mini-grant program to address the leading causes of injury/hospitalizations in Wyoming children age 0 to 18 years. Each community selected for this mini-grant demonstrated a data-informed need to address selected injury topics. This mini-grant will support nine applicants across Wyoming in implementing or sustaining work related to child passenger safety, teen driver safety, infant safe sleep, prescription drug management programs, and adolescent suicide.

Nine community-based applicants have been selected for this grant program.  Below are the anticipated recipients and the topic selected:

• Youth Emergency Services of Campbell County (adolescent suicide prevention)
• Campbell County School District  (adolescent suicide prevention)
• Cheyenne Regional Medical Center (prescription drug monitoring system)
• Cheyenne Regional Medical Center (child passenger safety, water safety)
• Park County Wyoming (child passenger safety)
• Johnson County Wyoming (child passenger safety, safe sleep)
• Uinta County Wyoming (safe sleep, child passenger safety, medication safety, water safety)
• JDavis Consulting (safe sleep)
• Wyoming Highway Patrol (teen driver safety)

The CHP and YAYAHP prioritized the selection of applicants who identified system or environmental level approaches and incorporated social determinants of health into the identification of need in order to positively impact their identified populations. Additionally, the MCH Unit is committed to providing technical assistance to each of the grant recipients and will support the implementation of sustainable evidence-based strategies.    

2. Continue participation in the Child Safety Learning Collaborative (CSLC), through the Child Safety Network (CSN), to focus efforts to reduce fatal and serious injuries among infants, children, and adolescents. This learning collaborative allows for the MCH Unit to receive targeted technical assistance, multi-state partnership and peer support in two injury topic areas: Suicide & Self-Harm Prevention (SSHP) and Motor Vehicle Traffic Safety (Child Passenger and Teen Driver/Passenger) (MVTS). This collaborative will leverage existing partnerships between the MCH Unit, Wyoming Injury & Violence Prevention Program, the Wyoming Department of Transportation, Wyoming Students against Destructive Decisions, and PHN. This learning collaborative will also identify and strengthen new partnerships. With 76% of Wyoming considered as frontier, the MCH Unit is dependent on local partnerships in order to affect change. The learning collaborative is identifying community partners who are engaging with their communities such as the Wyoming Chapter of Students Against Destructive Decisions (SADD). SADD has a physical presence in schools across the state and is able to support the implementation of evidence-based strategies and interventions directly targeting school-aged children and adolescents. In much the same way the Wyoming Highway Patrol have resident Troopers stationed in virtually every community in Wyoming and to support the needs of their respective communities. By partnering with and supporting these community-based partners, we can expand the reach of our injury prevention strategies in a way that is relevant and responsive to community needs.