A Population Health Approach to Early Childhood Development
APHA 2014 Lisa Stanley, DrPH (310) 312-9083
[email protected] http://TECCS.net. Neal Halfon, MD MPH
Director, Center for Healthier Children, Families and Communities
[email protected] Transforming Early Childhood Community
Systems 1
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Transforming Early Childhood Community Systems (TECCS) A
National Partnership between UCLA Center for Children, Families and
Communities and United Way Worldwide Enhance the capacity of
communities to improve early childhood development by Establishing
a community level indicator of childrens developmental outcomes
using the Early Development Instrument (EDI) Linking EDI data to
local planning and improvement activities 2
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National Partnership 3 EDI Data Engage Community around
Informed Planning and Improvement Improved Developmental Outcomes
Use of Evidence- Based Practices
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Goals for TECCS Give communities tools to: Create strong local
coalitions Understand their neighborhoods to make informed,
strategic decisions Work collaboratively across the state to
release synergies and innovation Develop early childhood
comprehensive systems Optimize school readiness for all children
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5 TECCS - Four Key Strategies Community Engagement Measurement,
Mapping and Analytics Targeted System Improvement Collaborative
Learning Network 5
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6 1. Community Engagement Mobilizing local early childhood
coalitions around data collection, planning and improvement
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7 2. Measurement and Mapping Childrens health, development and
school readiness outcomes using the Early Development Instrument
(EDI) to inform cross-sector planning & improvement UCLA Center
for Healthier Children, Families and Communities, under license
from McMaster University, is implementing the EDI with its sub
licensees in the US. McMaster University, The Offord Centre for
Child Studies
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3. Targeted Systems Improvement Work with communities to
identify system-level barriers and test, refine and monitor success
of improvement strategies Create a culture of ongoing testing and
learning to facilitate innovation and improvement
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4. National Shared Learning Network Help communities share
experiences, tools, and lessons learned Make organizations more
innovative & collaborative Make organizations more agile Infuse
external knowledge into the organization
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Measurement and Mapping Early Development Instrument
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EDI Overview Developed at the Offord Center for Child Studies
Population focus Provides a community-level measure of school
readiness Data are reported by neighborhood for entire city/county
Holistic measure Consistent with the NEGP Covers five key
developmental domains Teachers find it easy to use Average 10-15
minutes per EDI Observational assessment Good validity and
reliability 11
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What Does the EDI Measure? 12
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Why Use a Population Approach? Delivers information about early
childhood development for all children in a community Moves focus
from the individual to the entire community to make a bigger impact
Provides opportunity to shift the curve for the whole population
Assesses over time how the communitys cumulative efforts are
impacting childrens development 13
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The EDI Does Not: Report on individual children Diagnose
specific learning disabilities Recommend which children should be
placed in special education categories, who should receive extra
classroom assistance, whether children should be held back a grade,
etc Recommend teaching approaches for specific children Reflect the
performance of the school or quality of the teaching 14
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15 Reporting EDI Results Community Profile Results Public
information consisting of EDI tables and maps Describes how
children are doing by neighborhood Map set includes additional
indicators by neighborhood Child level data file Provided to local
lead agency Used to conduct additional analyses Confidential school
report Provided to schools/districts only Tells schools how their
children are doing developmentally Compares individual school EDI
outcomes to those in entire district 15
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Confidential School Report Template 16
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17 Example EDI Summary Table 17
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Using EDI maps The EDI data maps allow stakeholders to compare
childrens development: By geography to identify areas of greatest
need To socio-economic indicators, to help better understand
community conditions that may be impacting childrens development To
service data to identify where there are service gaps 18
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Recap on EDI Provides a community measure of child health,
development and school readiness that can be used to Look back and
assess how the early childhood community can better prepare
children for school Look forward to inform how to address the needs
of the incoming class of kindergarten students 22
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Outcomes from TECCS Increase awareness about importance of
early childhood development Facilitate collaborative relationships
Foster shared accountability Assess impact of past investments
& guide future ones Emphasize prevention & focus on the
whole population Build the evidence base Gain public support and
political will to attract & sustain resources dedicated to
early childhood Wichita Falls Attracted $1.2M to expand community
engagement and data gathering Southeast Mississippi Data on SE
Development Creative Discipline as QRIS High school curricular
changes Long Island, NY Informing ES instruction and programming
Calhoun, MI ECE network mapping and service planning And more
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We presented to the Superintendent and her cabinet this morning
and they were blown away. Everyone couldnt wait to get before the
Board to explain what theyre going to do next. Dana Fried man The
Early Years Institute Long Island TECCS is helping us bring
together and energize the people who can make a difference for
young children and their families. The specific data about where
children need help and the nature of the risks they face helps us
focus our efforts and agree on a unified plan of action. Steven Dow
Executive Director Community Action Project of Tulsa County 24
