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Building Effective Partnerships Between Pediatrics and Public Health
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Transcript of Building Effective Partnerships Between Pediatrics and Public Health
Building Effective Partnerships
between Pediatrics and Public Health: Lessons Learned from the Practical Playbook &
the American Academy of Pediatrics
July 27, 2016
@PracPlaybook
Tia Simmons, DrPH, MCHES,
Senior Project Manager,
The Practical Playbook
Courtney Bartlett, MPH, CPH,
CHES, Project Planner,
The Practical Playbook
Objectives:
Describe tools and resources for AAP members to assist in finding and partnering with public health professionals.
Share tangible examples of primary care/public health partnerships.
Discuss challenges/barriers, and tips for successful partnering.
Jacqueline Dougé, MD, MPH,
FAAP, Medical Director of Bureau
of Child Health, Howard County
Health Department
Amanda D. Castel, MD, MPH,
AAHIVS, Associate Professor and
Co-Director MSPHMEID Program,
George Washington University
AAP Prevention and Public Health Special Interest Group
• The SIG hosts a quarterly webinar series focused on children’s public health issues, and opportunities for collaboration between pediatricians and public health
professionals.
SIG Co-Chairs:Jacqueline Dougé MD, MPH, FAAP
Amanda Castel MD, MPH, FAAP
The Prevention and Public Health SIG:• Promotes public health approaches to child health• Promotes collaborations between pediatricians and public
health professionals• Provides a network for pediatricians to develop strategies
that integrate clinical medicine and public health• The SIG is jointly managed by the AAP Section on
Epidemiology, Public Health, and Evidence and the AAP Council on Community Pediatrics.
• Contact: [email protected] to join the SIG.
How Can The Practical Playbook Help?
Get started with Fundamentals.
Turn Knowledge into Action.
Read Expert Perspectives.
Learn from Others.
Phyllis Agran, MD, MPH,
FAAP, Executive/Medical
Director, Clinic in the Park
Health Collaborative of Pediatricians, Community, Academic,
Public and Private Organizations &Individuals providing
Health and Wellness Services
This project is supported, in part, by Grant # H17MC26778 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal
and Child Health Bureau.501(c)3 nonprofit fiscal
sponsor
Connect • Screen • Educate
Using Public Space for Health at the OC Great Park & Neighborhoods
Faculty Disclosure Information
In the past 12 months, we have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or
provider(s) of commercial services discussed in this CME activity.
We do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation.
Phyllis Agran, MD, MPH
Sandra Murray, MD
Herlinda Guzman, BA
John Billimek, PhD.
Clinic in the Park 2015
www.clinicinthepark.org
16
American Academy of Pediatrics Resources
This project is supported, in part, by Grant # H17MC26778 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal
and Child Health Bureau.501(c)3 nonprofit fiscal
sponsor
Poverty in Orange
County
A Tale of Two Cities(PBS Documentary)
1/5 live in poverty
(>30% in some areas)
1/3 overweight/obese
1/3 untreated dental disease.
(>30% in some areas)
54% Food Insecurity; up to 98%
School Lunch Program
Poor Health Translates to Poor
Academic Performance
2016-2019 Goals
•Access to health services in community public venues (parks; schools; resource centers)
This project is supported, in part, by Grant # H17MC26778 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau.
Connect • Screen • Educate
•Venue(s) where health
organizations, public,
private and academic
institutions/organizations
and individuals collaborate
to provide services in
neighborhoods.
○One Stop Shop
○Greater impact - refer
and cross refer
○Replicate model
•Sustainable community
resource in underserved
communities
•Demonstrate economic
benefit
A Fiscally
Sponsored Project
of OneOC*
Establishing Sustainable Partnerships
•Children’s Health -Needs
•Aligned Mission(s)
-Optimal Health
•Leadership
-Credible, uniform messages
-AAP
•Diverse Collaborative
-Community non-profits
-Academic institutions
-Families
-Public Policy Makers
-Public and Private orgs
•Policies and Procedures
-Goals
-LOI
-MOU
•Sustainability
-Diverse Revenues
-Leverage
•Data Sharing
-Provide Results
•Evaluate
-Remodel; Reassess; QI
-Engage Partners
Clinic in the Park 2012
www.clinicinthepark.org
• American Academy of Pediatrics*• Allergy & Asthma Associates of Southern CA• Be Aware Foundation• Blind Children’s Learning Center• California Highway Patrol• Cal Optima (County Medicaid)• Catholic Charities of Orange County • Child Abuse Prevention Center*• Children & Families Commission of OC• CHOC: Children’s Community Education Dept.• City of Irvine & Great Park Corp. • Coalition of OC Community Health Centers• Community Health Initiative of OC• Dietitian, Katherine Bennett• Great Park Farm and Farmer’s Market• Head Start • Healthy Smiles for Kids of OC*• Hurtt Family Health Center (FQHC)• Irvine High School• Irvine Parks and Rec: Mobile Rec Unit• Irvine Police Department• Latino Health Access*• Legal Aid Society of OC*• MOMS (Maternal Outreach & Management
Services) OC*• National Ovarian Cancer Coalition
• OC Dept. of Education: Center for Healthy Kids & Schools
• OC Social Services• OC Health Care Agency Family Health & Health
Promotion Divisions*• OC Children’s Therapeutic Arts Center• Orangewood Foundation, Bridges for Newborns• Providence Speech & Hearing• Raise Foundation*• Regional Center OC• Safe Kids OC• THINK Together, Early Literacy*• Tustin Unified School District
Beswick & Veeh Elementary SchoolsCurrie-Thorman School
• UC Irvine: Health, School of Medicine, Trauma and Injury Prevention Services, Nursing Program*, Institute for Clinical & Translational Science, Population Health/Public Health, Burn Center, Pediatric Exercise Research Center, Pediatrics,
• Emergency Medicine, Informatics• Student Organizations. • Woodbridge High School• 2110C• Craig Anderson, PhD. DrPH*• Elaine King, MD* Farrouk Shadab, MD*• Sandra Murray, MD* Shahram Lotfipour, MD*• Zhijun Wang, MD*• Phyllis Agran, MD, MPH*
* Founding Faculty
Clinic Collaborators
Clinic in the Park Total Key Services 6/2012-5/2015at Great Park Hub and SatellitesEstimated Total Visitors: 19,000
Types of Services Provided Year 1 Year 2 Year 3 Total
Jun 2012-May 2015 Jun 2012 - May 2013 Jun 2013 - May 2014 Jun 2014 - May 2015 Jun 2012 - May 2015
(#Visitors = 5,481) (#Visitors = 9,164)(#Visitors = 3,603+290)
Allergy and Asthma 400 277 N/A 4219
Child Development 438 820 627 2285
Child/Adolescent Safety 1902 2171 1317 2972
Connections to Services 2204 1022 1226 4307
Dental Services 467 1491 466 1152
Early Literacy 1493 1599 1215 1883
Emotional Health 717 1152 988 689
First Aid / CPR N/A 389 399 3366
Health Chats 612 246 294 2493
Hearing and Speech 225 305 133 1117
Legal Information/Resources 488 412 217 5446
Medical Services 119 455 115 663
Nutrition 981 1129 1449 677
Parenting Skills 978 837 678 2802
Physical Activity 848 767 861 731
Prevention 638 1891 1036 2392
Total Services to Date 12510 14963 11021 37194
HealthyTomorrows.Thisprojectissupported,inpart,byGrant#H17MC26778fromtheU.S.DepartmentofHealthandHumanServices,HealthResourcesandServicesAdministration,MaternalandChildHealthBureau.*OneOCisa501(c)(3)nonprofit
organization
AFiscallySponsored
ProjectofOneOC*
COMMUNITYNEEDSASSESSMENT
(FULLRESULTSAVAILABLE)
Community
AnnualIncome<$23,000
68%
Jobless 30%
ServiceNeedsBicycleHelmet37%HealthyEatingTools27%ChildCarSeats20%
HealthCare
Dentist37%
Doctor31%MedicalHome27%HealthInsurance25%
IMPACT:
ATOTALOF492VISITORSOFALLAGESRECEIVED3,264DISCRETESERVICESAND200POUNDSOFFREE,FRESHPRODUCE.
· OFADULTSWHOWERESCREENED,2IMMEDIATELY
REFERREDTOTHECOMMUNITYCLINIC
· REQUESTSFORMOREBOOSTERSEATSANDBICYCLE
HELMETS
· 55CHILDRENRECEIVEDFREEORALSCREENINGINCLUDINGFLUORIDEVARNISH
COMMENTSANDOBSERVATIONS:“ITISAMUCHNEEDEDSERVICE…WITHOUTTHECLINIC
[APARENT]WOULDN’THAVEKNOWNSHEHADA
HEALTHISSUE”
–LISASOLOMON,PRINCIPAL,MADISONELEMENTARY
KEYOUTCOMES
(FULLREPORTAVAILABLE)
COSTSAVINGS:
· $15/BOOSTERSEATSAVES$2700INCOSTSAVINGS
· $1/FLUORIDETREATMENTSAVES$38INDENTALCOSTS
· $1INVESTEDINNUTRITIONEDUCATIONREDUCESHEALTHCARECOSTSBY$10
Services
Child/AdolescentSafetyEducation
235
FreeBicycleHelmetsFreeBoosterSeats
1915
EarlyLiteracy:FreeBooks
250
DentalServices:
Education/ReferralsFluoridetreatment
15055
HandsOnlyCPRSkills 178
EmotionalHealth 179
MedicalServices 106
NutritionEducation 580
ClinicintheParkatMadisonMarch26,2016
Impact
LEADPARTNERS/HOSTS:•ClinicinthePark•MadisonParkNeighborhoodAssociation•GREENProject•MadisonElementarySchoolCOMMUNITYPARTNERS:14ORGANIZATIONS,168IN-KINDHOURS
I haven’t had an
exam in 3 years
because I do not
have health
insurance and
now I will get
medical care.
My son and I learn
new things each
month, especially
today when Dr.
Malger spoke at the
health chat and your
dietitian were there to
speak directly with
my son. Sometimes
kids have to hear it
from someone other
than a parent.
Healthy
Smiles
found a
cavity in my
daughter’s
mouth. My children
were given
booster seats. I
didn’t know
they outgrew
their car seats!
It was great
meeting
Bobby Grich
and hearing
him talk
about
health.
We love
the
Adventure
Farm Tour
and fresh
produce.
(Tom
Larson
hosts the
Tour)
The Clinic is
very friendly.
They talk to
you, give
useful
information
and help us.
They are very
patient and
answer all of
our questions.
They are not
rushed like a
doctor’s office.
Our kids like
the activities
and like to talk
to the doctors
too. We like
the fruit!
Visitor Comments
Volunteer Opportunities● Visit a Clinic
● Marketing/Branding
○ Refresh Marketing Video (www.clinicinthepark.org)
○ Increase Social Media Presence/Followers
○ Need Mobile Unit (SUV, Mini Van for storage and transport to
satellites
● Assist with Child Safety Station
○ Booster Seats, Bicycle Helmets, Kids in Hot Cars
○ Burn, Poison, Drowning Prevention
● Assist with Sponsor Donations
○ Fresh Produce
○ Book Bags & School Supplies
○ General Funding
● Volunteer
○ Assist with Clinic setup and teardown
○ E-mail [email protected]
○ Bring your ideas
Benefits of Clinic in Park
• Provide evidence-based AAP messages
• Time for chats
• Provide education to extended family
• Educational tools
• Safety Equipment
• Venue for Collaborators
• One-Stop Shop
• Promotes cross-referrals
• Replicable ModelClinic in the Park 2015
www.clinicinthepark.org
Safe to Sleep StationPresented at American Academy of
Pediatrics 2015
.
Research Agenda
•Can public space for health enhance access to community resources and education?
•What is the impact of a large community health collaborative providing one stop shop for health?
•Can health education be effective outside of the traditional medical home/office visit?
•Is the Clinic model replicable and sustainable?
This project is supported, in part, by Grant # H17MC26778 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau.
Clinic in the Park 2016
Accomplishments
This project is supported, in part, by Grant # H17MC26778 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau.
Clinic SatellitesAnaheim; Santa Ana; Tustin; Costa Mesa
New CollaboratorsMadison Park Neighborhood Assoc. Newport Mesa USD & Hoag Center for Community Health; Collaboration to Assist Motel Families; UCI/CHOC Pediatric Residents
• Transportation Program. Veeh; Project Access
• Presentations. AAP, Safe Kids, UCI
• New Funders
• HRSA Region IX Director: Melissa Stafford Jones hosted a health chat
Clinic in the Park –2016 CDPH Innovation Award Finalist
This project is supported, in part, by Grant # H17MC26778 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau.
THANK YOU
www.clinicinthepark.org (949) 385-3067)[email protected]
Roderick K. King MD, MPH
Chief Executive Officer,
Florida Institute for Health
Innovation
Working Collaboratively for Results
Liberty City Collaborative for Change:
Build Health Challenge
Roderick King, MD, MPH, Florida Institute for Health Innovation
Overview
Participants will learn about:
• Liberty City Collaborative for Change: Build Health Challenge
• Best practices for mobilizing leaders
• Role and leadership of pediatricians
The Florida Institute for Health Innovation
38
Health In All Policies
Collective Impact for Healthy Communities
Research Evaluation and Training
(Health Impact Assessment Work)
Liberty City Collaborative for
Change: Build Health Challenge
Miami, Florida
Building a Healthy
and Resilient
Liberty City
Result: A Safe and Healthy Liberty City
40
Story of Liberty City• 1933 Liberty Square Housing Project
developed in response to deteriorating
housing conditions in Overtown
• “The Wall” along 12th avenue signified the
divide between Blacks and White
communities
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
45.00%
33127 33142 33147 33150 Miami-DadeCounty
Percentage of Families Below Poverty in Liberty City Zip
Codes (2015)
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
45.00%
50.00%
33127 33142 33147 33150 Miami-DadeCounty
Percentage of Homeowners in Liberty City Zip Codes (2009-
2013)
What does it take for population
health level changes?
“Real” adaptive work for communities
Rooted in a Theory of Change
45
Collaborative Leadership
Competencies
Urgency and
Public
Accountability
Focus on Results
Population level changes are most likely to occur if a group of
leaders come together across sectors and agencies and focus their
efforts on achieving a desired result
Results Based Leadership Framework
Results Based
Accountability
Interest Based-
Negotiation
Action Commitments and
Accountability
Jolie Bain
Pillsbury
Key: Leadership Capacity
Building
Engagement• Diversity of stakeholders
• Inclusiveness – everyone at table has a voice
• Looked within community for residents and community partners first
• Known and respected leadership from LC agencies / organizations
Medical Professionals, Criminal Justice & Law enforcement, Youth and family program providers,
School system, government agencies
• Meeting location is central and neutral
Carrot – all involved have a vested interest in Liberty City
Role of pediatricians
• Challenges facing communities often require a life course approach
• Pediatricians work and see children along the life spectrum (cradle to college)- 14 WCC visit by 4 years old
– Unique opportunity to educate, identify and intervene/refer (1 on1)
– Child health population expert
– Credible voice (for community, for funders and for other health care providers
• Challenge: Which role(s) best fit my skills and capacity that will support the work of the community?
48
Q&A
Please post questions in the chat box.
Dr. King
Chief Executive Officer
Florida Institute for Health Innovation
Dr. Agran
Executive/Medical Director
Clinic in the Park
Thank you!
Practical Playbook:
• Tia Simmons [email protected]
• Courtney Bartlett [email protected]
American Academy of Pediatrics:
• Jackie Dougé [email protected]
• Amanda Castel [email protected]
Clinic in the Park: http://www.clinicinthepark.org/
BUILD Health Challenge: http://buildhealthchallenge.org/
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