APHSA Symposium 2019

V. Reflections on What Lies Ahead During the two-day meeting, the state and county participants lifted up several subjects that require further reflection to advance the field. For example, the session discussing ethical application of predictive tools prompted a very an important debate amongst participants, and participants requested that APHSA move forward with promoting discussions of more authentic engagement and trust engagement and trust building with community, how to increase racial diversity within their own agencies, and so on. Other feedback included a need for more concrete examples of how organizations are applying data analytics and are using AI to improve outcomes. Finally, some IT staff would like to dig into specific data literacy and other resources that would help them engage with their business/program side to understand how better to support them and their needs. The planning team for the event has been engaged in follow up calls conducted with over half the participating teams. The calls have shown that plans and next steps for advancing data and analysis practices are in place and moving forward without exception, covering foundation basics, change management, and targeted applications. Call participant needs for ongoing support in making changes are varied but the essential capacity for following through appears to be in place. Participant suggestions for future conversations in this space include networking time amongst systems that share either an urban or a rural orientation, or that are either state or locally administered.

in order to be more responsive to their needs. • Reducing infant mortality and infant morbidity has extremely high ROI due to the enormous costs of neo-natal health care and of long-term supports for children with lasting disabilities. Strategies for identifying and engaging at-risk mothers in effective pre-natal care to address their health and social needs (e.g., evidence- based home visiting programs) hold potential for improving maternal and child outcomes while significantly reducing health care costs. • Data analytics strategies must try to identify all factors relevant to understanding population needs and developing effective solutions (e.g., places with large numbers of undocumented immigrants) and data collection must not inflict trauma (e.g., create fear that the government will share data with law enforcement agencies.) Session 3: “Knowing what we know” about inequities by race and place. This session was facilitated by Kevin Filbey (Fairfax County, VA) and Christina Becker (APHSA). The group discussed the importance of collecting race/ethnicity data, and the importance of including the community to create system change. Examples included: • Creating a policy, such as One Fairfax 9 , that commits the agency to intentionally consider equity when making policies or delivering programs and services. The group noted the importance of an operational mechanism behind the policy, so it has a chance to make an impact. • Acknowledging the fact that human services agencies are part of a larger system that has caused some inequities to continue and grow. The community needs to lead the conversation about what data should be collected about them, and should be a driver of solutioning for them, rather than one agency trying to drive this process on behalf of its customers. Session 4:Workforce staffing challenges and building up the data literacy of your staff. This session was facilitated by Cynthia Green Edwards (Michigan Chief Compliance Officer) andYvonne Powell (Lewin Group). Team Exercises. On each day, teams from each jurisdiction met to brainstorm about how to apply what they learned to their own operations and improvement plans. See Appendix D .

9 Fairfax CountyVirginia’s One Fairfax Policy: https://www.fairfaxcounty.gov/topics/one-fairfax

APHSA H/HS Analytics Symposium for Action 2019 10