Name
From Strategy to Sustainability: Scaling HealthySteps Across SFHN Using Dyadic Billing and Cross-Sector Partnerships
Description

This session will describe SFHN’s early-stage expansion of the HealthySteps model to primary care clinics across the network, building on its initial implementation at one site since 2019. Presenters will outline the clinical, operational, and financial rationale for adopting a dyadic care model to fill gaps in serving children ages birth to five within a PCBH system designed primarily for adults. Participants will learn how SFHN is approaching implementation in clinics with very low pediatric volumes as a strategy to advance equity and improve access to developmental and caregiver supports. The session will also highlight sustainability planning, including dyadic billing, programmatic financing, and partnership with the San Francisco Department of Early Childhood (DEC). A panel discussion will offer cross-sector perspectives on opportunities and challenges in scaling dyadic care in a public health system.

Speakers
Rachel Clee, LMFT, IF-ECMHS
Kathryn Hallinan, LMFT
Shaylee Perez, PsyD
Theresa Zighera
Content Level
All Audience
Tags
Pediatrics, Population and public health, Workforce development
Session Type
Concurrent
Objective 1
Describe a real-world approach to scaling HealthySteps in a public health network, including implementation in low-volume pediatric clinics.
Objective 2
Identify clinical, process, and financial metrics (including dyadic billing performance) to evaluate dyadic integrated care in primary care.
Objective 3
Apply a sustainability framework that blends billing, city department funding, and workforce development to support integrated early childhood services.Adapt team-based workflows and cross-sector partnerships to their local context to improve Quintuple Aim outcomes.
Content Reference 1

Briggs, R.D., Carpenter, S., Krug, L.M., MacLaughlin, S., Perez, SL. (2024). Population Health Opportunities in Pediatrics to Support Infant and Early Childhood Mental Health Promotion and Prevention: The HealthySteps Model. In: Osofsky, J.D., Fitzgerald, H.E., Keren, M., Puura, K. (eds) WAIMH Handbook of Infant and Early Childhood Mental Health. Springer, Cham. https://doi.org/10.1007/978-3-031-48627-2_25

Content Reference 2

Margolis, K. L., Buchholz, M., Charlot-Swilley, D., Serrano, V., Herbst, R. Meiselman, E., Talmi, A. Kahhan, N.A., Schurman, J.V., Duncan, C.L, Junger, K.W. (2022). Early childhood integrated behavioral health: A promoter of equity in pediatric care. Clinical Practice in Pediatric Psychology 10(3), 263-272. https://doi.org/10.1037/cpp0000454

Content Reference 3

Pageler, N.M., Webber, E.C., & Lund, D.P. (2021). Implications of the 21st Century Cures Act in pediatrics. Pediatrics (Evanston), 147(3), 1-. https://doi.org/10.1542/peds.2020-034199

Content Reference 4

Zero to Three (2021. June 3). HealthySteps evidence summary. www.healthysteps.org/resource/healthysteps-outcomes-summary