This information supplements handouts in members packets. 1. Welcome and Introductions Beth Giesting, Executive Director of the Hawai'i Primary Care Association, opened the meeting at 1:30 PM. The statewide videoconference attendees included 18 in Honolulu, 3 in Waianae, 4 in Hilo, 1 in Kona, 2 on Maui, and 1 in South Carolina. 2. Med-QUEST Update (Aileen Hiramatsu, Division Administrator) *enrollment numbers for the expanded children's programs are slowly increasing but not as many as expected *simplifying the application process through self-declaration: Oahu is pilot testing self-declaration of income--the goal is to make it easier and still maintain quality *the community can help by finding eligible kids and helping parents/guardians in submitting completed applications to expedite the process. For example, questions should be completed with "NONE" or "0" and not N/A or left blank; one exception is if it is a kid-only application then N/A can be written in the asset section. *Med-QUEST outreach is hampered by lack of money; 10% of State CHIP funds covers both administration and outreach *information to reach immigrant children is not currently translated *school lunch information is kept manually at individual schools so if Med-QUEST attempted a systems link with DOE for data matching it would be an extra burden on the schools. *PCP data measures all visits (episodic acute and preventive); HEDIS measurement is a complicated method and the procedure codes change from year-to-year; although designed to measure preventive visits, the data are not perfect. *only 6 states maxed out their first State CHIP monetary allotments *State CHIP enrollees count toward the QUEST enrollment cap *ongoing eligibility reviews this year are done within 3 to 12 months because a large number of applicants were accepted at the beginning of the kids expansion programs; this prevents all eligibility reviews from occurring at the same time--a workload that could not be handled by the eligibility workers. *Aileen will send Barbara the March and April data for the expansion programs and they will be forwarded to the State Coalition members. 3. Review Year 2 Progress (Ruth Ota, Branch Chief, DOH Public Health Nursing) Strengths and Accomplishments of the Hawaii Covering Kids Project *value and tremendous benefit to get our children covered by health insurance *stories told about families who experience getting children covered and the appreciation of our hard work and assistance *passion, commitment, excitement about finding uninsured children and getting them enrolled *satisfaction in doing this kind of work and the gratification in helping our families *innovative strategies involving community input in making system changes Reflection as We Enter Year 3 *what did we tell RWJF (our grant funders) we would do? *what are the objectives written in the grant that we need to work on? *what must still be done to implement strategies to achieve the objectives? *it is not easy to discuss strategies but it is a crucial component to the project Statewide *we must continue adding coalition groups and members *continue our strong partnership with Med-QUEST focused on common goals *training: Ann G. is working on a reference guide for outstationed eligibility workers and outreach workers and a draft will be available for review before it is published; it will include information from the March 10 and September 15 conferences, outstationed eligibility worker meetings, Hawai'i Covering Kids web site, and Med-QUEST *statewide public information campaign will be held in conjunction with the August nationwide Back-to-School campaign; the media and public information task force will look into using radio messages in different languages *need to help establish long-term systems to carry on the work of Hawaii Covering Kids after the grant is completed *Year 3 outreach ideas: pharmacies, union groups, businesses, after school programs, and summer youth activities Big Island Pilot Project *electronic application: Catherine is working on uploading and working with Florence Ashihara at the Kona Med-QUEST office on downloading; Beth suggested a local technical person, such as Richard Wolfe at Bay Clinic, may be able to help with implementation. *Ann G. stated that applications downloaded from the Hawai'i Covering Kids web site are reaching Med-QUEST offices on the Big Island; Barbara noted when the current application is simplified, it will be coded so information can be typed on the computer and printed-eventually it will be typed and sent directly to the local Med-QUEST office. *enrollment partnering is underway through a DOE social worker, Mobile Care Unit, Hawai'i County Economic Opportunity Council, West Hawai'i Transitional Housing, and Kona Community Clinic (Marshallese outreach worker) Kalihi-Palama Pilot Project *they will implement the electronic application in the next phase (during Year 3) *current enrollment partners are Lanakila Health Center, Catholic Charities Community and Immigrant Services, and Pacific Gateway; they are targeting agencies that have direct contact with immigrants including WIC programs *translated with the pilot project is doing into various languages and faxed to school health aides; students can take the information home to their parents/guardians *DOH Bilingual Health Aides are very helpful *Supin Wongbusarakum, UH M"noa graduate assistant with the Hawai'i Covering Kids Data Project, explained that grantees at the East-West Center are required to do 200 hours of community service. This is a great resource for translation and interpretation for the Kalihi-Palama Pilot Project because most of the grantees are Asian and Pacific Islander. Lucy has the contact person and will follow-up. Also, UH Hilo has a similar program that could benefit the Big Island Pilot Project. *roving eligibility workers are starting and will be fully implemented in Year 3 Maui Pilot Project *enrollment partners are Head Start and Hui No Ke Ola Pono (sometimes they do the application with the client and sometimes they refer the person to Hawai'i Covering Kids) *Amy is working with Kameo at CyberCom to fix the upload bug on the server (minor programming problem) so they can use the electronic application 4. Announcements *The Covering Kids nationwide Back-to-School campaign will be the week of August 6. More details next month! *Amy Rosenberg, the Hawai'i Covering Kids outreach worker on Maui, showed a recent publication titled "Maui County Youth Connections" produced by the Department of Housing and Human Concerns. It is a summer guide to youth activities and programs with great ideas for summer outreach to kids. Outreach workers can check if their county also produces a similar booklet. 5. Next Meeting Our next meeting is Wednesday, 15 August 2001 at 10:00 AM at the Honolulu YWCA on Richards Street. The topic is "Health Attitudes and Practices of Pacific Islanders" with a focus on children and youth. The presenters will be persons representing their own cultures.