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AcademyHealth. is a leading national organization serving the fields of health services and policy research and the . professionals who produce and use . this important work. . Together with . our members.

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AcademyHealth is a leading national organization serving the fields of health services and policy research and the professionals who produce and use this important work. Together with our members, we offer programs and services that support the development and use of rigorous, relevant and timely evidence to:Increase the quality, accessibility and value of health care,Reduce disparities, andImprove health. A trusted broker of information, AcademyHealth brings stakeholders together to address the current and future needs of an evolving health system, inform health policy, and translate evidence into action.


AcademyHealth and CAHMI Partnership

Partnership focus is on promoting well-being and healing for children through an applied focus on the prevention and management of adverse childhood experiences (ACEs) in children, youth, and families Specifically interested in transforming roles of health providers and health systems to identify, prevent and address ACEs in their communities and promote healing and positive health attributes that may buffer, prevent and attenuate the intergenerational cycle of ACEs.Partnership activities will result in an agenda on research and policy priorities to address ACEs and communications infrastructure an materials to engage the field in continued collaboration and collective actionSlide3

Project Scope

The project will focus at three levels on this issue:The clinician/family level The healthcare organization level, including hospitals, clinics, and health plans.The health policy levelFor each level, we are asking: What do we know about ACEs and promoting child development and well-being.What do we know about how ACEs are currently addressed?What evidence exists? What research questions are of highest priority to address?What actions can be taken at each level?Slide4

Overview of project activities

Work with leading experts and stakeholders in child well-being and ACEs;Publish a series of articles on the state of the science and practice in leading journals; Develop a research and action agenda through iterative, crowdsourcing methods; Produce Champions Communications Toolkit to advance agenda. Slide5

Process and Methods

Discovery phaseSynthesis phase Dissemination phase Slide6

Discovery: Process and Methods

March-June 2014: Convene starting working group and specify goals and priorities for summit meeting and agendaMarch-June ‘14 and Ongoing: Conduct an environmental scan of research and initiativesJune 5-6, 2014: Convene early stage partners to review and further specify goals, priorities and to strengthen relationships, collaboration and facilitate shared visionWordle generated from “Co-Digital” input on “What concrete output should we leave the meeting with”Slide7

Synthesis: Process and Methods

July-September ‘14: Convene working group to agree on core summit meeting summary and core themes and components for emerging research agendaidentify topics and focus for a series of papers to commission and publish on what is known and recommendations for research and action.further refine the environmental scan and project nicheOctober-December ‘14: Invite and gain agreement from identified candidate paper author leads. March ‘14-ongoing: propose and procure additional funding to ensure full funds available to commission all envisioned papers and public special journal issueSlide8

Synthesis: Process and Methods

January-March ‘14: Launch start of commissioned papers (to be completed Summer, 2015)April-December ‘14: Research and write baseline paper on ACEs in children in the US (Health Affairs, December ‘14)July-November ‘14: Assess capacity of NSCH to produce local reports on ACEs and develop for key ACEs summit meetings focused on counties/cities.July ‘14-January ‘15: Develop short video based on June meeting; Develop a basic web presence to communicate about the project and continue to update and convene working groups as possible and needed.Slide9

Dissemination: Process and Methods

September-ongoing: Submit abstracts and proposals to report on and further evolve a collective action approach to advancing the promotion of early and lifelong health through an effective approach to ACEs.October-February 2014: Plan for and conduct a special panel at National Child Health Policy Conference in DC—early review and dialogue on agendaFebruary-December 2015: Publish papers; complete version 1.0 of agenda; complete “Champions Toolkit”; evolve project; disseminate; Slide10

Collective Insight Questions

Question 1: What should the specific goals of our community be related to ACEs and resilience? (e.g. the child health services research and policy community.Question 2: What are the research questions, policy actions and existing efforts to consider as priorities in an agenda.Slide11

Emerging Scope of Agenda

Six Fundamental Health Services and Policy Research DomainsSlide12

Emerging Agenda Components

Three interlocking components comprise the emerging research and action agenda as outlined below. Component #1:  Functions and Types of ResearchComponent #2:  Priority Topics and Focal AreasComponent #3:  Short Term Collaborative Actions    Slide13

Component #1:  Functions and Types of Research

Design & Develop: synthesize existing knowledge and design and develop new translational knowledge, methods, and tools Implement & Evaluate: adapt, implement, and evaluate existing and emerging strategies to prevent and buffer impact of ACEs to promote well-beingEducate & Communicate: assess existing awareness and contribute to public, provider and stakeholder education and awareness, knowledge and action.  Disseminate & Support: develop methods and capacity to scale, spread and support effective prevention, intervention, and training models in the fieldSlide14

Component #2:  Priority Topics and Focal Areas

Meanings and Measures: Advance standardization of definitions, measures, and dataCore Science:  Promote research to address gaps in science especially pertinent to policy and practice Public Health: Understand public health impact and opportunities for translation of knowledge into public health practiceCommunities: Know what a healthy community is and how to address ACEs through community based collaborations and efforts Economics: Define and measure economic impact of ACEs and return on investment through effectively addressing ACEs  Slide15

Component #3:  Short Term Collaborative Actions

Move the Game Board: Define a conceptual map and model to clarify definitions and foster shifts in mindset and norms to facilitate collective action Continuous Translation and Improvement: Synthesis, dissemination, translation, and ongoing assessment of existing models, methods, and practices Training and Capacity Building: Provider, community, and family education and training Policy platform and demonstration: Define recommendations to align health reform and systems design with needs and health improvement opportunitiesSlide16

Partnering and Participation

Visit the AMCHP CAHMI DRC booth #6 and poster #PA5 (Sunday PM and Monday AM)www.cahmi.org (select adverse childhood experiences under “projects”)www.academyhealth.org/ACESinfo@cahmi.orgmsolloway@cahmi.orgaditi.srivastav@academyhealth.orgSlide17

Possible Questions to Consider This Morning

What should be the goals of the MCH community be related to ACEs and resilience and positive health development?What research questions, program and policy actions and current programs should be considered as priorities in an agenda? Why is now a good time for a broader focus on ACES in health policy?  Slide18

(OR) Possible Questions to Consider This Morning

Why is now a good time for a broader focus on ACES in MCH?What will it take for the MCH community and health care system to respond to ACES?What do health policymakers, program leaders and the public need to know about ACES? What are the most significant barriers to an improved MCH response to ACES? If there is one thing you could change in health policy to make progress on ACES, what would it be?