Strategic
Planning for Iowa's Maternal and Child Health Programs: Workshop Summary
and Recommended Next Steps
200 kb file
The growth
in managed care, the implementation of welfare reform, and the rising
rate of poverty among children and families are among the external changes
facing Iowa's maternal and child health programs. To assess the impact
of these environmental changes on MCH programs and services and to plan
for the agency's future role, the Iowa Family Services Bureau requested
technical assistance in the area of strategic planning. The focus of
this technical assistance assignment was the conduct of a two-day strategic
planning workshop; this report presents a summary of this workshop,
addressing such issues as the development of an environmental assessment,
an analysis of the FSB's strengths, weaknesses, opportunities, and threats
in relation to major environmental forces, and the development of a
strategy to reshape the orientation of the FSB in light of the changing
environment. (Prepared for Iowa Family Services Bureau, 1997)

Systems
Development and Analytic/Quantitative Skills: A Review of the Literature
193 kb file
This report
reviews the literature on a range of analytic and quantitative skills
important to these systems development efforts for health services to
children and families, including needs assessment, strategic planning,
data collection and analysis, quality assurance, program evaluation,
electronic information transfer systems, combined record-keeping systems,
budget development, policy analysis, economic analysis, and development
of utilization and cost estimates. (Prepared for MCHB, January 1997)

Maintaining
Effective MCH Systems of Care in an Era of Medicaid Reform
122 kb file
For the
State of Florida, HSR provided assistance to the Maternal and Child
Health System Redesign Workgroup, a group composed of MCH, Healthy Start,
Medicaid, and University of South Florida staff and formed to advise
Florida's Agency for Health Care Administration (AHCA) on critical MCH
policy issues in a changing health care environment. The focus of the
project was on development of policy recommendations for preserving
MCH systems of care in anticipation of Medicaid block grants and accelerated
implementation of Medicaid managed care. The report is a compendium
of the four site visit reports and the two policy reports developed
during the TA project. (Prepared for Florida Department of Health, 1996)

Redesigning
MCH Systems under Health Care Reform: A Proposal for Puerto Rico Officials
187 kb file
For the
Commonwealth of Puerto Rico, HSR assisted Maternal and Child Health
Officials in exploring future directions for the Commonwealth's Title
V program under health care reform. The report analyzes existing MCH
systems in Puerto Rico; presents a range of options for new program
development in the areas of support services for high-risk families,
services for children with special health care needs, primary prevention
activities, and core public health functions; estimates the costs that
would be associated with adoption of the proposed new functions; and
discusses implementation strategies and key challenges to be faced by
Puerto Rico officials as they assume new roles. (Proposed for Puerto
Rico Department of Health, 1996)

Strategic
Planning for Ohio's Maternal and Child Health Agency
193 kb file
For the
State of Ohio, HSR and its consultant facilitated the development of
the Division of Maternal and Child Health's strategic planning process
for restructuring and refocusing the Division's programs under health
care reform. The report integrates three papers produced over the course
of this project: the initial site visit report, a summary and synthesis
of a strategic planning retreat of Maternal and Child Health officials,
and a summary of a workshop for Ohio officials exploring MCH roles in
performing core public health functions. (Prepared for Ohio Department
of Health, 1995)

Health
Care Reform in Vermont and its Implications for Systems of Care for
Children
213 kb file
For the
State of Vermont, HSR and its consultant analyzed the proposals of the
Health Care Authority (HCA) with respect to the impact that health care
reform may have on primary care systems for children. In particular,
the report describes the strengths and weaknesses of the state's existing
public programs for children, identifies key questions raised by the
work of the HCA, and discusses a range of issues regarding children's
access to needed care that might require further analysis. (Proposed
for Vermont Department of Health, 1994)