Healthy and Ready to Learn:

1

• Healthy and Ready to Learn
• Enrolling Children in Health Insurance

2011 National Smart Start Conference May 5,
2011
2

• Agenda
• 1000 am 1015 am Welcome, ice-breaker
• 1015 am 1030 am Group activity
• 1030 am 1045 am Overview of North
  Carolinas childrens health insurance programs
  and resources to support enrollment of
  young children Norma Marti, Public
  Health Minority Outreach Consultant, NC Division
  of Public Health
•  1045 am 1050 am Video intermission
•  1050 am 1115 am Healthy and Ready to Learn
  (HRL) initiative Ania Boer, Project Director
  Laura Brewer, India Foy and Betty Macon, HRL
  Local Community Coordinators, NC
  Pediatric Society Foundation
• 1115 am 1130 am Questions Answers
• Healthy students learn better!

3
NCs Public Programs Providing Quality Health
Care for KidsHealth Check / NC Health Choice
Norma Martí, Public Health Consultant Healthy
Ready to Learn SMART Start Conference May 5,
2011 Greensboro, NC
Children and Youth Branch
4
Overview

• NCs statistics you need to know
• Insured/Uninsured
• Diversity
• History of federal legislation
• Health Check/Medicaid
• NC Health Choice/S-CHIP and CHIPRA
• Overview of Health Check/NC Health Choice
• CLAS (Culturally Linguistically Appropriate
  Standards) components to outreach

5
Why is it important to promote child health
insurance and access to a medical home for
children?

• Parents struggle to address the health care needs
  of their children.
• Well Child Care / Immunizations
• Early Identification of Health Risks
• Treatment of Illnesses/Chronic Disease
• Behavioral-Mental Health
• Nutritional
• Dental/Vision/Hearing
• Access to health insurance and a medical home
  plays a key role in children receiving the
  community resources and services needed.
• There is a societal impact that being uninsured
  has on a childs ability to be healthy and ready
  to learn.
• Segments of population within our state are not
  as connected to systems or dont see prevention
  treatments as priority
• New immigrants/refugees
• Disenfranchised populations

6
Why is it important for children to be insured?

• Compared to insured children, uninsured children
  are
• 25 more likely to miss school
• 8X less likely to have a regular source of care
• 4X more likely to delay or avoid care when needed
• 5X more likely to seek care from an emergency
  room
• 7X more likely not to have prescriptions filled
• In addition
• 20 have untreated vision problems
• 1 in 5 parents of uninsured children keep their
  kids from playing sports due to fear of injury
• Research data compiled by the RWJF Covering Kids
  Project.

7
Census 2010http//2010.census.gov/2010census/data
/
8
(No Transcript)
9
NC Children in Immigrant Families Concentration
in Major Urban Areas

• Source Population Reference Bureau, analysis of
  the 2008 ACS, PUMS Data PUMS data.
• Children in Immigrant Families
• AN ACTION FOR CHILDREN NORTH CAROLINA
• EMERGING ISSUES REPORT
• February 2010
• www.ncchild.org

10
NC Refugee Population Country of Origin
(SY08-09)
Source NC DHHS-Refugee Health Program
11
What child health insurance programs does North
Carolina offer?

• North Carolina offers two health insurance
  programs for children
• Health Check (Medicaid for Children)
• N.C. Health Choice
• (Federal Name is CHIP)
• Both offer free or low cost health insurance for
  children and teens.
• The same application is used to determine
  eligibility for both programs.
• They are marketed together.

12
Medicaid Historical Legislation

• US historical link
• http//www.kff.org/medicaid/medicaid_timeline.cfm
  
• NC historical link (1992 Medicaid for Children
  renamed Health Check)
• http//www.ncdhhs.gov/dma/pub/historyofmedicai
  d.pdf

13
S-CHIP CHIPRAhttp//www.statehealthfacts.org/pr
ofileind.jsp?sub53rgn35cat4

• In 1998, in addition to a states Medicaid
  program, federal legislation created health
  insurance program for children up to age 19,
  known as the State Childrens Health Insurance
  Program (SCHIP). The NC General Assembly named it
  NC Health Choice and created appropriation to
  cover children in families whose income is at or
  below 200 of the Federal poverty level and do
  not qualify for Medicaid.
• In NC, the application is the same as states
  Medicaid program.
• In 2009, the act was reauthorized (CHIPRA)
  funding states to continue CHIP and allowed for a
  number of changes. In NC, the one change
  implemented was to allow children with
  lawful-permanent residency status to be able to
  apply (previously they had a 5-year waiting
  period).

14
Why market the two programs together?

• Family doesnt know what program their children
  will qualify for until they apply.
• Children may cross over from Health Check to NC
  Health Choice as they age.
• Families may have children in different programs.
• As a familys income changes, their children may
  go back and forth between programs.

200 (44,700) 100 (22,350) An
nual income for a family of 4
Poverty Level ()
NC Health Choice Income Guidelines
Health Check Income Guidelinesas of
April 1, 2011
0 1 6
18 Age (years)
15
What are the benefits?

• Well-child Checkups
• Sick Visits
• Medicines
• Immunizations
• Vision Hearing Care
• Dental Care

• Lab Tests
• Counseling
• Medical Equip Supplies
• Hospital Care
• Therapies
• Surgery

Additional benefits may be available for children
with Special Health Care Needs. Call
1-800-737-3028 for more information.
16
How can a family determine if their child is
likely to qualify?
Income guidelines (Valid 4/1/11)
Family Size Monthly Income Before Taxes
2 2,452
3 3,089
4 3,725
5 4,362
6 Add 637 for each additional family member.
Children from families who earn more may qualify
if they have child care, work-related or child
support expenses.
17
In addition

• For both programs, a child must
• Be a N.C. resident
• Be under age 19 (21 in some cases)
• Be eligible based on family income
• Provide or apply for a Social Security number
• And, for children who are U.S. citizens, provide
  documentation of citizenship and identity.

18
And

• Be over age 6 and under age 19
• Be income ineligible for Health Check (Medicaid)
• Be uninsured on the day coverage starts (your
  local Department of Social Services can give you
  more information)
• Have paid the N.C. Health Choice enrollment fee,
  if required

For NC Health Choice, a child must
19
Is a child of immigrant parents eligible?

• Yes, if the child is born in the USA and they
  qualify based on the familys income and
  residency status.
• A social security number must be provided for the
  child or proof that a social security number has
  been requested.
• Maybe, if the child was born abroad.
• It depends on the immigration status of the
  child. Check with the local Department of Social
  Services to find out.
• Children (and pregnant women) who have Lawful
  Permanent Resident immigration status (a variety
  of Visas) now have no waiting period. Before
  July 1, 2010 there had been a 5-year
  disqualification from Medicaid for LPR.
• Applicant must meet all the regular income and
  residency requirements.
• Note
• Parents DO NOT hurt their chances for
  naturalization by applying for childrens health
  insurance!

20
How much does coverage cost?

• Health Check (Medicaid)
• No annual enrollment fee
• No co-pays
• N.C. Health Choice
• Annual enrollment fee depends on the
• familys income.
• Some families have NO annual enrollment fee
• Some families pay 50 per child or 100 for 2 or
  more children
• Co-pays are small depend on the familys
  income.
• Families who have NO annual enrollment fee also
  have no co-pays except for a small prescription
  drug co-pay.
• Parents NEVER have a CO-PAY for
• check-ups
• shots

21
How can a family obtain an application for
Health Check (Medicaid)/NC Health Choice?

• To get an application, families can
• Go online to www.NCHealthyStart.org.Visit the
  FOR THE PUBLIC section and click on the Child
  Health Insurance link
• For help completing the application, families
  can
• Go to the local department of social services
  (DSS). They can help the family fill out the
  application accept it when it is completed.

22
What if the family completes the application on
their own? Then what?

• Families can mail or take the completed
  application to their local Department of Social
  Services. Remind them to
• Attach copies of wage stubs or proof of income
  for the previous month.
• For children who are U.S. Citizens, the DSS will
  also need proof of their citizenship and
  identity. The DSS can help families verify
  citizenship and identity. However, it will help
  speed the process if the family can bring a copy
  of each childs
• birth certificate
• social security card
• proof of identity (government issued photo ID or
  school, medical or hospital record with name and
  date of birth)
• For immigrant children who are Lawful Permanent
  Residents, the family should provide US
  Citizenship and Immigration Services (USCIS)
  documents that prove their status plus proof of
  identity, state residency and social security
  card.
• Include a phone number where the DSS worker can
  call if they have a question!
• Social Services will notify the family by mail to
  let them know if they qualify. This can take up
  to 45 days.
• If they qualify they will get an insurance card
  and benefits booklet in the mail.

23
Help families stay enrolled!

• Remind families that they must RE-ENROLL each
  year!
• A re-enrollment packet will arrive in the mail.
• Families must let their local Department of
  Social Services know if they move!

24
Community-Based Organizations Partners in
meeting CLAS

• With growing concerns about racial and ethnic
  disparities in health and the need for health
  care systems to accommodate increasingly diverse
  patient populations, cultural competence has
  become more and more a matter of national concern
  and attention. https//www.thinkculturalhealth.or
  g/

• Hispanics In PhilanthropyNC Latino Grantees
• http//www.hiponline.org/Home/FundersCollaborati
  ve/Grantees/NorthCarolina.htm
• National Council on Interpreting in Health Care
• http//www.ncihc.org/mc/page.do?sitePageId57768
  orgIdncihc
• National Center for Cultural Competence
  http//www11.georgetown.edu/research/gucchd/nccc/i
  ndex.html
• NC Refugee Assistance Program
• http//www.ncdhhs.gov/dss/refugee/index.htm

25
What Resources Are Available?
26
For More Information

• A "Partnership Page" offers a one-stop-shop for
  everything
• folks need to help with child health insurance
  outreach.
• http//www.nchealthystart.org/outreach/Partnership
  Page/index.htm
• Provides links to
• Health Check / NC Health Choice Orientation PPT
• NC Healthy Start Foundation Online Catalog
• NC Healthy Start Foundation Online Order Form
• HC/NCHC Application in English
• HC/NCHC Application in Spanish
• List of Local DSS Addresses and Phone Numbers
• Directory of Health Check Coordinators
• Child Health Insurance Web Page (For the Public)
• Note Save this link on your desktop you will
  have easy
• access to everything needed!

27
For more information

• For Questions About Health Check/NC Health Choice
  Outreach
• Norma Martí 919-707-5643 or Norma.Marti_at_dhhs.nc.
  gov
• For Questions About Ordering Materials
• NC Healthy Start Foundation
• 919-828-1819 or http//www.nchealthystart.org/cat
  alog/index.htm

28

• Public service announcement
• Health Check/NC Health Choice health insurance
  for children

29

• Healthy and Ready to Learn initiative

30

• N.C. Healthy and Ready to Learn Initiative
• Funding through Childrens Health Insurance
  Program Reauthorization Act (CHIPRA)
• Original CHIP Federal legislation in 1997
• North Carolina legislature created NC Health
  Choice for Children
• Robert Wood Johnson Foundations Covering Kids
  grants to states
• NC moves NC Health Choice children under age 6
• into Medicaid in 2006
• Federal Reauthorization in 2009 (Outreach
  Enrollment grants)
• Vision for health care reform
• Implementation of the Patient Protection and
  Affordable Care Act in North Carolina
• Model of outreach efforts to reach uninsured
  population
• Best practices and lessons learned

31

• N.C. Healthy and Ready to Learn Initiative
• School-targeted outreach and enrollment effort
  to register all eligible and uninsured children
  entering public kindergarten into Health Check or
  NC Health Choice under auspices of the CHIPRA
  grant.
• Partnership of Physicians, School Nurses, SHACs,
  State Agencies (DPI, DPH, DMA), Local Education
  Agencies, and Community-based Organizations, HRL
  Steering Committee has 40 members, supported by
  the Office of Governor and the State
  Superintendent.
• Identifies uninsured kindergarten students
  through the Kindergarten Health Assessment form
• Year 1 Pilot outreach in 16 high-need counties
• Year 2 Statewide outreach, focus in 32 more
  counties to include pre-K and K students

32
Healthy Ready to Learn Initiative Child Health
Insurance Grantee Schools, Year 1 2
Includes Elkin City Mount Airy City
Includes Lexington City Thomasville City
Includes Weldon City Roanoke Rapids
Includes Asheboro City
Includes Mooresville City
Alleghany
Northampton
Camden
Gates
Ashe
Caswell
Stokes
Surry 11
Person
Rockingham 17
Warren
Currituck
Vance 10
Hertford
Pasquotank
Granville
Halifax 11
Watauga
Includes Asheville City
Perquimans
Wilkes 13
Yadkin
Chowan
Forsyth 42
Avery
Orange
Guilford 69
Alamance 21
Franklin
Bertie
Mitchell
Durham 29
Nash 17
Caldwell 16
Alexander
Davie
Edgecombe 5
Yancey
Madison
Iredell 21
Washington
Martin 5
Tyrrell
Wake
Pitt 20
Davidson 22
Dare
Burke 17
McDowell
Wilson 14
Randolph 23
Chatham
Catawba 25
Rowan 20
Harnett 12
Beaufort
Buncombe 26
Haywood
Johnston 22
Hyde
Greene
Swain
Lincoln
Cabarrus 24
Rutherford 1o
Lee 8
Graham
Henderson
Montgomery 5
Wayne 15
Cleveland 18
Gaston 29
Jackson
Stanly 16
Polk
Moore
Lenoir 8
Mecklenburg
Transylvania
Craven 15
Macon
Pamlico
Cherokee 7
Cumberland 48
Includes Hickory City Newton Conover City
Clay
Hoke
Anson 6
Jones
Union 29
Richmond 9
Duplin 8
Sampson 9
Carteret
Scotland 9
CONTACT Ania Boer, Project Director,
(ania_at_ncpeds.org, 919-839-1156) Laura Brewer
(laura_at_ncpeds.org, 910-865-5507) Cleveland,
Columbus, Cumberland, Davidson, Gaston, Randolph,
Robeson, Rutherford New Counties Brunswick,
Buncombe, New Hanover, Bladen, Scotland,
Richmond, Anson, Union, Cherokee,
Montgomery Betty Macon (betty_at_ncpeds.org,
252-822-3340) Edgecombe, Halifax, Harnett,
Lenoir, Pitt, Vance, Wayne, Wilson New
Counties Lee, Johnston, Nash, Craven, Martin,
Sampson, Duplin, Onslow, Durham India Foy
(india_at_ncpeds.org, 336-617-6628) New Counties
Burke, Caldwell, Catawba, Iredell, Rowan,
Cabarrus, Stanly, Alamance, Guilford, Rockingham,
Forsyth, Surry, Wilkes
Onslow 19
Includes Kannapolis City
Robeson 23

Bladen 7
Pender
Columbus 10
New Hanover 24
Includes Clinton City
Brunswick 9
Includes Whiteville City
-Year 1 278 schools (22 LEAs) -Year 2 567
schools (40 LEAs) Total of 845 schools in 48
counties (62 LEAs)
33
Healthy Children Learn Better!

• More alert
• More focused on learning
• Miss less school
• Learn healthy behaviors to prevent the leading
  causes of death in NC heart disease, stroke and
  cancer
• Source Robeson County SHAC presentation

34
Kindergarten Health Assessment Form
35
Kindergarten Health Assessment Form
36
Kindergarten Health Assessment Form

• Form is often NOT filled out completely when it
  arrives at schools
• Frequently, parents do not fill their part due to
  low literacy levels or not realizing it is their
  responsibility
• Important to fill out form completely so the
  school staff has an entire record on child's
  health
• Back side- under Parent Complete- identifies
  children who do not have health coverage

37

• Healthy and Ready to Learn partners
• Steering Committee members
•  Mary Jane Akerman, Wellness Coordinator,
  Thomasville City Schools
• LaTasha Bennett, Information and Communication
  Specialist, NC Community Health Center
  Association
• Ania Boer, Laura H. Brewer, India Foy, Betty
  Macon, NC Pediatric Society Foundation
• Clementine Buford, President, School Nurse
  Association of North Carolina
• John Dervin, Policy Advisor, NC Office of
  Governor
• Nicole Dozier, Assistant Project Director, NC
  Justice Center Health Access Coalition,
• Marian Earls, MD, Past President, NC Pediatric
  Society
• Linda Faulkner, Program Consultant, Medicaid
  Eligibility Unit, Division of Medical Assistance
• Janice Freedman, Executive Director, Erica
  Payton, NC Healthy Start Foundation
• Jessica Gerdes, School Health Nurse Consultant,
  NC Division of Public Health
• Dan Gitterman, Senior Policy Advisor, NC Office
  of the Governor
• Gary Henry, Director, Carolina Institute for
  Public Policy, University of North Carolina at
  Chapel HIll
• Mark Holmes, Senior Research Fellow, Cecil G.
  Sheps Center for Health Services Research, UNC
• Lynn Harvey, Child Nutrition Services Director,
  NC Department of Public Instruction
• Robin Lane, Pediatric, Nurse Practitioner,
  Outstanding Kids Inc.
• Jade Marcus, Research Fellow, Rebecca Zulli,
  Project Manager, Carolina Institute for Public
  Policy at UNC

38

• Healthy and Ready to Learn Steering Committee
  member list - continued
• Danielle Matula, Norma Marti, NC DHHS/DPH
• Chris Minard, Allied Health Consultant, Division
  of Public Instruction
• Ben Money, Executive Director, NC Community
  Health Center Association
• Lena Murill-Chapman, President of Student
  Services Division, NCAE
• Katrilla Ragin, Health Check Consultant, Division
  of Medical Assistance
• McAllister Ross Myhra, Director of Operations,
  John Rex Endowment
• Kevin Ryan, MD, Chief of Women's Children's
  Health Section, NC DHHS/Division of Public Health
• Carolyn Sexton, NC DHHS/Division of Public Health
  CCNC
• Gary Skinner, Catholic Charities of the Diocese
  of Raleigh
• Steve Shore, Executive Director, NC Pediatric
  Society
• Carol Tant, Head of Children Youth Branch, NC
  DHHS/Division of Public Health
• Susan Vaudreuil, Health Check Coordinator, NC
  Access Care
• Tom Vitaglione, Senior Fellow Health and
  Safety, Action for Children NC
• Wendy Ward, Project Director, Exceptional
  Childrens Assistance Center
• Ann Ward, Local Partnerships Support Specialist,
  Smart Start
• Margaret Watts, John York, Field Staff
  Supervisor, NC Division of Medical Assistance

39

• School Nurses School Health Advisory Councils
  (SHACs)
• School nurses
• -Link to children and families
• -Integral component to identifying eligible and
  uninsured children using the Kindergarten Health
  Assessment form
• SHACs
• -Assistance from local healthcare entities,
  community and faith-based organizations that
  interact with children and families

40
Coordinated School Health Approach
HRL Project School Nurses and SHACs
41

• Collaborative effort is a key!
• Collaborative effort between school nurses,
  student support services staff and School Health
  Advisory Council is a key to helping students
  stay healthy and learn better
• HRL School Partners
• Use existing communication channels and
  partnerships to promote childrens health
  insurance
• Implement a few outreach ideas at school from a
  menu of school outreach strategies developed
• Link Healthy and Ready to Learn to existing
  school community priorities

42

• Head Start Collaboration
• Letter to local directors sent from the NC State
  Head Start
• Orientation Webinar
• Action Steps developed after conducting a survey
  
• Add HC/NC Health Choice to Health Services
  Advisory Committee (HSAC) meetings agendas,
• Invite the HRL Local Community Coordinator to
  HSAC meetings
• Provide a HC/NC Health Choice booth at
  registration events during summer/year round

43

• Pediatric Providers
• Orientation Webinar for Pediatric Providers
• Authority figure providers in pilot counties
  asked to submit the prepared op-ed article to
  local media
• Collaboration to assure KHA forms are completed
• (it will reduce repeat visits for providers and
  cost to parents)
• Discuss importance of completion of Personal
  Data with parents
• Offer NCHC/HC as a resource for children's health
  insurance

Dr. David Hill
44

• Catholic Charities

• Presentation to orient Catholic Charities Case
  Managers about HRL initiative.
• HRL Local Community Coordinators met with staff
  locally
• include in conversations with families and
  community partners
• use as a resource during parenting programs,
  self-sufficiency trainings
• offer as a resource in early childhood centers,
  free clinics, Catholic elementary schools
• post in bulletin boards, newsletters

45

• Smart Start
• HRL orientation webinar for Smart Start
  Executive Directors and staff (36 participated)
• Action steps created for Smart Start staff to
  assist with helping uninsured families enroll in
  NC Health Check
• Collaboration with Durham Partnership for
  Children (as a model)
• HRL and Smart Start collaborations already
  initiated and ongoing in some counties

46

• NC Parent Teacher Association (NC PTA)
• The NC PTA is already involved in child health
  insurance outreach in some local areas
• Article has been published in their statewide NC
  Parent-Teacher Bulletin and emailed to 1,075
  PTAs across the state reaching over 165,000
  individuals
• Articles have also been published in their
  Parent Resource Handbook for PTA Presidents
• There are links from the NC-PTA web site to CHI
  web pages
• Exhibiting the HRL and CHI program at the NC
  PTAs Annual Parent Education Conference to be
  held on May 14, 2011 in
• Fayetteville, NC

47
Examples of school-based child health insurance
(CHI) outreach strategies to implement at your
school

• Use existing health status assessments
• Send HC/NCHC envelope stuffer home with every
  child, along with a response form to be returned
  to the childs teacher (available from the
  School Partnership link above).
• Ask parents to indicate the childs current
  insurance status on school forms. Have them sign
  it, provide contact information, and ask if they
  want to receive a HC/NCHC application form
• Existing communication infrastructures
• Use school voice mail systems to communicate a
  message to all parents or a targeted group of
  parents like those whose children qualify for
  F/RP School Meals, or who have newly enrolled
  kindergarteners.
• Home-schooled children may have a list serve that
  can be utilized to reach that population of
  students.
•  

48
Examples of school-based child health insurance
(CHI) outreach strategies to implement at your
school

• School-produced materials and forms
• Use Parent/Student Handbooks as an opportunity to
  educate about CHI. (Information has been scripted
  for use in such a resource, see School
  Partnership link). If the parent has to sign a
  document that they reviewed in the Handbook, then
  a check box could be added to the form for
  parents to indicate if they would like further
  information or to be contacted about CHI.
• Ask about insurance status through School
  Registration, Sports Physicals, and other forms
  to promote CHI and follow up as appropriate.
  Include where to turn for more information
  www.NCHealthyStart.org or go to local department
  of social services.

49
For More Information

• A "School Partnership Page" offers a
  one-stop-shop for everything you need to do for
  child health insurance outreach
• http//www.nchealthystart.org/outreach/SchoolPartn
  ership/index.htm
• Provides links to
• School-Based Child Health Insurance Outreach
  "Menu of Strategies"
• Tools to Support Implementation of the "Menu of
  Strategies"
• Health Check / NC Health Choice Orientation PPT
• NC Healthy Start Foundation Online Catalog
• NC Healthy Start Foundation Online Order Form
• HC/NCHC Application in English
• HC/NCHC Application in Spanish
• List of Local DSS Addresses Phone Numbers
• Directory of Regional Health Check Coordinators
• Child Health Insurance Web Page (For the Public)
• NC Pediatric Society Foundations Healthy Ready
  to Learn Initiative Web Page
• Note Save this link on your desktop you
  will have easy access to everything needed!

50
YOU can make a difference! 10 HRL Actions Steps

1. Share information about the Healthy and Ready to
   Learn and child health insurance programs, Health
   Check/ NC Health Choice, with school staff and
   all your SHAC members (This PowerPoint will be
   posted at www.NCPedsFoundation.org under
   Orientation).
2. Order free (English/Spanish) outreach materials,
   i.e. fact sheets (D4, D4BR), envelope stuffers
   (D3), applications (D6E, D6S) and poster (D5)
   from www.NCHealthyStart.org, click on Order. For
   other languages, check http//www.nchealthystart.
   org/outreach/index.html.

• Make sure ALL information on the KHA form is
  complete and follow up on families who dont fill
  out their part.
• 4. Hang a HC/NCHC poster so that families can see
  it.

51
YOU can make a difference! HRL Actions Steps

• Have outreach materials on hand and distribute
  them to families who mark no insurance on the
  KHA form or dont mark anything after your
  attempts. Please share a flier with income
  guidelines (fact sheet or envelope stuffer), an
  application, and the address of local DSS.
• 6. Consider following up with families to see
  if they need help enrolling and offer them
  resources such as www.NCHealthyStart.org and
  local DSS.

• 7. Build on existing infrastructure and implement
  a few outreach ideas in your school system from
  School-based child health insurance outreach
  strategies. For example, share materials during
  kindergarten registration events or parent
  orientations, or place a simple message to
  parents on your schools voice system.
• If your school has a Pre-K program, please
  reach out to families of 4-year old children.
• 8. Please keep track of the number and race of
  the families you assist. Every quarter, we will
  ask for an approximate number of families you
  have reached.

52
YOU can make a difference! Actions Steps

• Call us if you need help with ordering materials,
  scripting a message, need a cover letter to send
  to families, or want us to mail you fliers with
  DSS addresses by county.
• Local Community Coordinators for HRL are
• Laura H. Brewer (south/west region, office in
  Robeson County), laura_at_ncpeds.org, 910-865-5507,
  and Betty Macon (north/east region, office in
  Halifax County), betty_at_ncpeds.org, 252-822-3340,
  and India Foy (central/western region, office in
  Guilford County), india_at_ncpeds.org,
• 336-617-6628.
• Visit www.NCPedsFoundation.org for outreach
  tools and resources!
• 10. Share your success stories with us!

53
Healthy and Ready to Learn Initiative Local
Community Coordinators
Project Director Ania Boer, ME, MA 1100 Wake
Forest Road, Ste 200 Raleigh, NC 27604 919
839-1156 FAX [phone] ania_at_ncpeds.org
C Central Region India Foy, MPH Greensboro,
NC 336-617-6628 india_at_ncpeds.org
NE Northeast Region Betty Macon Roanoke Rapids,
NC. 252-822-3340 betty_at_ncpeds.org
C
NE
SW
S
S SW Southern Southwestern Region Laura H.
Brewer St. Pauls/ Lumberton 910-865-5507 laura_at_ncp
eds.org
December 2010
54

• North Carolina Pediatric Society Foundation
• Healthy and Ready to Learn initiative team
• Steve Shore, MSW, Executive Director, NCPS-F
• Ania Boer, ME, MA, Project Director,
  ania_at_ncpeds.org
• Laura Brewer, Local Community Coordinator for
  south/western region
• (office in Robeson County), laura_at_ncpeds.org,
  [phone]
• India Foy, MPH, Local Community Coordinator for
  central/western region
• (office in Guilford County), india_at_ncpeds.org,
  [phone]
• Betty Macon, Local Community Coordinator for
  northeastern region
• (office in Halifax County), betty_at_ncpeds.org,
  [phone]
• 1100 Wake Forest Road, Suite 150
• Raleigh, NC 27604
• Phone [phone]
• Fax [phone]
• www.NCPedsFoundation.org

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• Thank you for your support of the
• Healthy and Ready to Learn Initiative!
• QA