0 Welcome. 1 Tonya Winders, President and CEO, Allergy & Asthma Network.
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Transcript of 0 Welcome. 1 Tonya Winders, President and CEO, Allergy & Asthma Network.
1
Welcome
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WelcomeTonya Winders, President and CEO,
Allergy & Asthma Network
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Getting into Action on Asthma
Tracy Washington Enger, Environmental Protection Agency
Indoor Environments Division
Communities in Action:
The Indoor Environments Division’s Role in Supporting Communities to Deliver
Sustainable In-Home Asthma Care Services
November 2015Office of Research and DevelopmentFull Name of Lab, Center, Office, Division or Staff goes here.
The Calling
Heroic Journey
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EPA’s Calling
Mobilizing 1,000 Communities to Lead the Nation in the Delivery of
Quality Asthma Care
The System for Delivering High Quality Asthma Care
Poor and Minority Children Have a Greater Asthma Burden
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Asthma Prevalence Among ChildrenPercent of total U.S population of 0-17 year olds (2013)
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Mexican/Mexican American
Puerto Rican
Hispanic
Other Non-Hispanic
Black Non-Hispanic
White Non-Hispanic
> 250% poverty level
100%-249% poverty level
< 100% poverty level
Total
0 5 10 15 20 25
5.620.7
7.47.9
13.47.5
13.68.1
11.7
8.3
Percent
Source:CDC/NCHS, National Health Interview Survey, http://www.cdc.gov/asthma/nhis/2013/table4-1.htm
Federal Efforts to Combat Asthma Disparities
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May 2013
Foundation: Effective asthma care must be comprehensive & address the environment & self management skills
Focus: Environment, in-home asthma care, local capacity
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A national call-to-action to prompt parental and community action through a research-based, public service campaign developed by EPA and the Ad Council.
Audience: Parents/caregivers/youth, especially urban, low-income communities
Media: Radio, newspaper, outdoor, web, social media, posters (English & Spanish)
Resources: Website www.noattacks.org/breathe-easies
A National Call to Action
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Communities in Action
EPA’s ACN.org Network of 1,000+ Programs Delivering Comprehensive Asthma Care
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Opportunity to connect with other health and housing programs
Answering the Call
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Equip health, housing, environmental and health insurance programs to
effectively support the delivery, infrastructure and/or sustainable financing of
environmental asthma interventions at home and school.
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Key Considerations for Securing Sustainable Financing
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• Delivery Provider– Community Health Worker– Nurse, RT, other licensed practitioner
• Program Components– Education– Environmental assessment– Intervention/Remediation
• Community Support System & Infrastructure– Link with clinical care– Connection to housing & environment programs
Population served Program Outcomes & Return on Investment
Our Approach:Securing Sustainable Financing for In-Home Asthma Care Services
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Equip 300 health, housing, environmental and health insurance programs to effectively support the delivery, infrastructure and/or sustainable financing of environmental asthma interventions at home and school.
Influence Health Plans, State Medicaid & Key Stakeholders
Equip Programs to Act
The Role of Medicaid
18Source: ahrq.gov, 2005.
Stakeholders Who Drive Change within State Medicaid Programs
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Key Interests Represented
• People paying for services
• State Medicaid/Legislature• Health Plans
• People delivering services
• People supporting and driving change
• Regional health, housing and environment
Federal Agencies Working to Expand Access to In-Home Asthma Care Services
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HUD Healthy Homes Asthma Summits
• Promote coverage of in-home asthma care services by Medicaid programs and private insurers (summits held in: Cleveland, Kansas City, Baltimore, Denver, Philadelphia and Los Angeles .
• HUD lead with assistance from EPA, CDC, and HHS Asst. Sec for Health.
• EPA is active collaborator and participant (highlights work from “local champions” and organizations that have made progress on the issue).
• Materials from summits are posted on EPA’s Asthma Community Network website: www.asthmacommunitynetwork.org/resources/conferences/
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What is it you are called to do?
Whom are you called to serve?
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How to be
• Open to Assuming a Leadership Role in Asthma
Control
• Aggressively Seeking Out New Approaches
• Focused on Committing to Actions You in Can
Take
• Leaders in Service to One Another
• PRESENT!
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What does it mean to be “Present”?• Present- I am here• Present- In the moment• Present – A gift• Presence – I am here, in the moment as a
gift.
Sharing Our Wisdom“Community is a locus of healing, not the hospital or the clinic.”
“Patients cannot see outside their pain, we cannot see in, relationship is the only bridge between”
Dr. David Loxtercamp, author of “A Measure of My Days: The Journal of a Country Doctor.”
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State of Asthma in the United States: James Sublett, MD, President, American
College of Allergy, Asthma & Immunology (ACAAI)
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Break In
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Innovative Approaches for Asthma Care in Your Community: Panel Discussion
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• What elements of delivery, infrastructure and sustainability are surfacing in this program’s story?
• What am I hearing that resonates with me?• What can I take away to use in my work?
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What strategies and approaches are successful asthma programs using to deliver services to their target populations?
What are these programs doings to tailor their activities to the local community needs?
What actions can I take to get more powerful results in my work?
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Networking Lunch(I mean it)
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Improving Outcomes for Children with High-Risk Asthma
Susan Steppe, Le Bonheur CHAMP program.
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The Emerging Role of Telehealth for Asthma: Panel discussion
Elena KaltsasJay Portnoy, MD
Tania Elliott
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• What did you hear?• What was your reaction?• What do you want to understand
better to get into action?
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Break In
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Climate Change Impact on Indoor and Outdoor Air:
Jay M. Portnoy, MD, FACAAI, Children’s Mercy Hospital, Missouri; Healthy Homes: Indoor-Outdoor
Environmental Interventions to Improve Asthma Outcomes
Michael McKnight, Green and Healthy Homes Initiative (GHHI)
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• What did you hear?• What was your reaction?• What do you want to understand
better to get into action?
Tasks Objectives GoalsMission
Activities Outputs OutcomesImpact
Logic Model
EVALUATION DESIGN
Value Proposition: Your Pitch
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Program Evaluation to Drive Outcomes & Funding for
Sustainability Andrea Jensen, Utah County Health
Department
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Comprehensive Asthma Control Through Evidence-based Strategies
and Public Health—Health Care Collaboration
Paul Garbe, Centers for Disease Control and Prevention.
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• What did you hear?• What was your reaction?• What do you want to understand
better to get into action?
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Closing? (I think not)
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Gratitude