2016 Oklahoma Annual Book of Reports

2016 Oklahoma Nurses Association
The Children’s Health Group
The Children’s Health Group functions as an advisory body to the OHCA and the OSDH on child health
issues and provides oversight of state activities to reach the 2020 objectives for perinatal, infant, child and
adolescent health in Oklahoma under Healthy Oklahoma 2020 - the new Oklahoma Health Improvement Plan
(OHIP). The meetings occur on a quarterly basis with Dr. Mary Anne McCaffree, MD, serving as Chair with Dr.
Marny Dunlap, MD and Dr. Edd Rhoades, MD, MPH as Co-Chairs.
The quarterly meetings consist of important updates and presentations regarding child health issues in the
state of Oklahoma. Some of the highlights of this year’s meetings are set forth below:
UPDATES:
• OHCA-The Oklahoma Health Care Authority was able to get an additional $18 million on top of their
base budget. In order to reach a balanced budget, the agency still had to make cuts in the amount of
$34.6 million, including administrative, travel, and programmatic cuts.
• OSDH-The Oklahoma State Department of Health received an appropriation amount of $60.6 million,
which is the same as last year. For FY 2016, twelve state agencies received the same appropriation
as their previous year, eight state agency budgets were increased, and forty-nine state agency
budgets were cut. There is a 900 million short fall for SFY 17.
• OSDH- Budget is $56 million for state appropriated funds and $330 million (federal funds, local
millage, etc.) totaling $386 million. 90% of funds support direct services to public however, agency
has had a 25% reduction of state funds since 2009. Outlook for FY 2017 is 15-19% reduction.
• OSDH- Changes that may be made; Contracts with OK Child Abuse Prevention providers. not filing
open positions and Closing County Health Departments that have more than one site in a county.
• Smoking & Tobacco Tax- Encouraged support and contact representatives to get $1.50 tobacco tax
approved for revenue to assist with Medicaid Program. Tobacco is #1 preventable cause of death
in our state/88,000 OK kids between 0-17 years of age will die prematurely due to smoking related
illnesses. Tobacco tax will prevent 31,800 kids today from becoming adult smokers. 62% of OK
voters favor tobacco tax of $1.50 (Democrat and Republican).
• OHCA Budget and Medicaid Rebalancing Act of 2020. House, Senate, and Governor trying to have
a budget agreement on revenue. Half a billion dollars already cut out of the program past 2 years;
perinatal dental, CPAP, future cuts children’s dental and optometric. Federal matching funds have
been lost.
PRESENTATIONS:
• OSDH - Collaborative Improvement & Innovation Network (CoIIN) on Infant Mortality Update,
Oklahoma was chosen to participate in 4 of 6 national quality improvement areas: preterm and early
term birth, pre-conception/interconception care, sleep-related infant deaths and social determinants
of health. Efforts to reduce sleep-related infant deaths focus on introducing safer sleep practices with
assistance of hospitals participating in safe sleep programs.
• New Oklahoma Adverse Childhood Experiences (ACEs) Initiative, OSDH - Information was
shared about the development of an Interim State of the State’s Health Report on Adverse Childhood
(ACE) experiences to describe the current state of ACE in Oklahoma utilizing a multi-agency
planning group. The Behavioral Risk Factor Surveillance System (BRFSS) will serve as the source of
information on the prevalence of ACEs experienced by the adult population in Oklahoma and their
correlation with chronic diseases. Additional information will be included on the current state of ACEs
in the child population from other sources such as marriage/divorce rates, the Domestic Violence
Review Board, national surveys on drug use and health, and child abuse data. Targeted release date
for the report was early 2016.
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