THE CATCH APPLICATION SCORING PROCESS PART 3: THE … · Review Form — 2014 Cycle 1 CATCH...

THE CATCH APPLICATION SCORING PROCESS PART 3: THE ROLE OF TECHNICAL ASSISTANCE IN THE APPLICATION PROCESS

Session 8

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Review Form—2014 Cycle 1 CATCH Planning Grant Applications

SECTION I: APPLICATION CRITERIA

Inadequate-does not have all the required information Meets Criteria-applicant adequately answered the question

Exceeds Criteria-articulates and demonstrates a deep understanding of the community issue

Inadequate

(0 points)

Meets

Criteria

(1 point)

Exceeds

Criteria

(2 points)

Keywords and proposal abstract clearly stated.

Target population is described: number of children affected identified

and demographic information supplied.

Community in which target population is located is clearly described.

Community barriers impacting access to a medical home and other

needed health care services are clearly described.

Proposed project addresses access barriers in the community.

Present and future collaborative partners and their roles described,

including community members.

Pediatrician’s leadership is evident.

Project-related planning activities completed to date documented.

Overall goals of the program clearly stated.

Project activities for grant period described, with timeline clearly

presented.

Long-range goals described.

Plans for sustainability described.

Methods for measurement of project goals and objectives described.

Budget and budget justification provided, including appropriate

expenses.

Past, current and future funding sources identified.

SECTION II: PREREQUISITES Yes No

Project is for planning activities. 1 0

Project includes plans for community partnerships. 1 0

Budget reflects project timeline and activities. 1 0

Planning activities will lead to a program that increases children’s access to a

medical home or specific health services not otherwise available.

1 0

Methods for measurement of project goals and objectives described. 1 0

SECTION III: PRIORITIES Yes Somewhat No

Planning activities will lead to a program that assesses children’s medical home status and connects children who previously had none with a medical home.

4 3 2 1 0

Planning activities will lead to a program that increases access to

needed health services not otherwise available.

4 3 2 1 0

Planning activities will lead to a program that predominantly serves a population known to be underserved or with demonstrated health

disparities.

4 3 2 1 0

Planning activities will lead to a program that assesses children’s health insurance status and connects them with available insurance programs.

4 3 2 1 0

Project addresses an important need, and project activities are likely to achieve the stated goals.

4 3 2 1 0

Applicant is a practicing community-based pediatrician. 4 3 2 1 0

The applicant pediatrician plays a leadership role in the project. 4 3 2 1 0

Community partnerships are broad-based. 4 3 2 1 0

The proposal is creative or innovative. 4 3 2 1 0

A CATCH Facilitator provided technical assistance to this applicant. Do not check “yes” unless you, the reviewer, or (for CCFs) your co-CCF provided the assistance.

Yes (1 pt) No (0 pt)

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□A—Meets criteria □B—Meets some criteria “Bs” from 2 reviewers needed to disqualify application

A—Meets criteria

Application clearly demonstrates plans to improve access to primary health care services for children and/or promotes medical homes for the underserved or increases access to specific health care services not otherwise available Applications that require budget modifications or clarification of formula/activity qualify for category

“A” when other criteria are met

B—Meets some criteria

May not clearly relate the project activities to the project goals May not demonstrate community need May not include collaboration with community-based organizations or stakeholders “Bs” from 2 reviewers needed to disqualify application

Comments to applicant (Required):

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Comments to staff (Optional)

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2013 CATCH Planning (Cycle 2) Grant

Applicant Information

Application Type: General CATCH Planning Funds grant

AAP Chapter Member: Yes

AAP National Member: Yes

Provide AAP membership ID: 1161558

Uniformed Services Member: No

Primary Contact Applicant

What is the city and state of the institution or facility in which the proposed project will be located? City: Fayetteville State: NC

Please provide the full (Zip + 4) ZIP Code of the institution or facility indicated above. 28311-1423

Secondary Contact Person (Optional)

,

, Tel: Fax: E-mail:

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http://www2.aap.org/catch/funds/application/admin/printView.cfm?aID=2015http://www2.aap.org/catch/funds/application/admin/printView.cfm?aID=2015http://www2.aap.org/catch/funds/application/admin/printView.cfm?aID=2015http://www2.aap.org/catch/funds/application/admin/printView.cfm?aID=2015

CATCH Project Title: (MUST be 6 words or less):

Bully Proof: Improving Mental Health Access

Is this an existing program?

NO

Proposal Abstract (Maximum 250 words) Summarize the project.

30% of US adolescents are involved in bullying. Prevalence rates of bullying or having been bullied at school at least once in the last two months have been reported at 20.8% physical, 53.6% verbal, 51.4% social and 13.6% electronic. Studies have suggested a correlation between bullying among youth and depression, self harm, suicidal ideation and suicide attempts. It has also been ascertained that attention-deficit hyperactivity disorder and anxiety, are prevalent concurrently with bullying among the children involved. Only 21% of US children who need a mental health evaluation receive services implying roughly 7.5 million children have an unmet need for mental health care. This is particularly evident among ethnic minority youth and the uninsured. Even though , North Carolina has implemented a school anti-bullying law in 2009, the law does not include a procedure for referring the victim, perpetrator and others for counseling or mental health services. We intend to conduct a community needs assessment for mental health access for youth involved in bullying at Cumberland County schools in Fayetteville, NC. The goal is to assess the current procedure followed at schools when bullying takes place, and to collaborate with school officials,counselors, mental health providers, and social workers to improve screening and access to mental health care. Lack of health insurance is one of the primary barriers to healthcare access and efforts will be made to enroll any uninsured children encountered in available programs such as the North Carolina Health Choice for children.

What makes you a community pediatrician? I am a General Pediatrician at group practice in Cumberland County which is a medically under-served community and a designated Health Professional Shortage Area. Our practice provides medical care primarily to Medicaid patients, and institutes a discounted/sliding fee scale to accommodate the needs of our patient population.

Biographical Sketch: Amira El Sherif, MD, is a General Pediatrician at Pediatric Associates @ North Side in Fayetteville, NC. Dr. El Sherif completed her Bachelor of Science in Biology, with a minor in Psychology at the American University in Cairo, Egypt from which she graduated Summa Cum Laude and received the Ahmed Zewail Prize for Excellence in the Sciences and Humanities. She went to medical school at Weill Cornell Medical College in Qatar where she conducted public health research assessing abortion trends at Hamad Medical Corporation( the primary public hospital in Doha, Qatar ), and was recognized with awards in Humanism in Medicine, and Academic Excellence in Primary Care and Public Health. She then came to New York City and completed her residency at New York Presbyterian Hospital, Weill Cornell Medical Center in

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2012. Throughout residency Dr.El Sherif completed a community advocacy project at New York Hospital, Queens on cultural competency, supporting patients' right to a medical interpreter. She also took part in several community research projects improving PCV13 and Hib vaccine coverage, developmental screening and most recently, improving mental health screening among adolescents at her resident group practice in Long Island City, Queens. Currently Dr. El Sherif's clinical responsibilities involve primarily outpatient and newborn nursery medicine.

Project Information

Please provide the following information about the primary contact applicant.

Have you been awarded a CATCH grant as a primary applicant in the past? (Note: Former grantees are encouraged to apply, although their previous grant must be completed.)

No, I have never applied

Did you receive technical assistance (recommended) with the preparation of your grant application from any of the following sources? (Check all that apply)

AAP CATCH staff Dana Bennett-Tejes (Webinar) Chapter CATCH Facilitator Debra Best, MD District CATCH Facilitator Michele Lossius, MD (Webinar) Former CATCH Grantee Other Pediatrician/Physician (Specify: )

What type of technical assistance with the preparation of your grant application did you receive? (Check all that apply)

Grant writing/proposal preparation Information/Materials Sample grant documents Information from AAP grants database or assistance with how to search database ( Specify: ) .

Please indicate the primary employment setting of the pediatrician applicant, that is, the setting where he or she spends the most time.

Pediatric group practice, 3-10 pediatricians

What is the present employment status of the pediatrician applicant?

Full-time

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Approximately what percentage of the pediatrician applicant's time is spent in the following areas? (Note: This question is for program evaluation purposes only. Your response will not affect funding decisions.)

General Pediatrics 100 %

Other specialty/subspecialty area (Specify: ) %

100% Project Focus

Please select ONE topic from the box below as the project's primary topic area.

Mental Health (LHI)

In your own words tell us what personal experience led you to want to address this particular child health need in your community. (300 words or less)

Suicide is the third leading cause of death among youth and bully victims are roughly two to nine times more likely to attempt suicide. Some studies suggest that roughly 50% of suicides among adolescents are related to bullying. I was fortunate to take part in an initiative to increase mental health screening among adolescents in our residency group practice. This experience has increased my awareness of the essential role the primary care physician plays in addressing patients' mental health concerns. The alarming rate of teen suicides related to bullying has also lead me to incorporate a bullying screen in my adolescent visits. There have been numerous occasions when patients / parents have disclosed concerns with bullying at school and I have repeatedly been made aware by families of the lack of a clear framework with which they can get help for their child. Schools often have set procedures for detecting/ reporting bullying, however there is no clear channel with which children involved are screened or referred for mental health services. This project will allow us to perform a needs assessment of current procedures followed once bullying is detected in schools, available community resources for children and parents, and barriers to receipt of mental health care. It will also allow us to collaborate with school officials and mental health providers, and form partnerships that will help us bridge the gap and facilitate access to needed services.

Then select up to FIVE additional topics to serve as key words for your project. Include topics specific to the grant period only -- not long term.

Access/Barriers to Health Care (LHI) Behavioral Health Injury & Violence (LHI) Mental Health (LHI) School Violence

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Please identify the activities that will be a part of your project. (Check up to ten boxes)

Community assessment/Needs assessment Community meeting support Focus groups Grantwriting/Proposal development Interviews Outreach Program development/Program planning Survey development

Community Information Please describe your target population (include children's health statistics and number of children potentially affected by your 6-month project).

There are 89 elementary, middle and high schools in Cumberland County, Fayetteville, NC with roughly 53,000 students. Studies have suggested that 30% of students grades six through ten have been involved in bullying with more recent surveys citing up to 77% of students state that they have been subject to some form of bullying. Our office sees roughly 10,000 patients annually and our group (5 sites in/surrounding Fayetteville, NC) is a medical home to roughly 45,000 patients.

Do children with any of these types of health care coverage comprise 50% or more of the project's target population? (Check all that apply)

Other (Specify: 45% medicaid/ SCHIP 25% from Tricare, 15% from BCBS, 6-7% other commercial insurance, 3% uninsured )

What is the race/ethnicity of the project's primary target population? Your 6-month project only - not long term. (Check all that apply)

Asian/Pacific Islander Black Hispanic White, non-Hispanic (Specify: )

What is the developmental stage of the project's primary target population? (Check all that apply)

School age (6-10 years) Adolescent (11-21 years) (Specify: )

Does the project target any of these special populations? Your 6-month project only - not

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long term. (Check up to ten boxes)

Children living in poverty Minority populations Underserved children & families Uninsured/Underinsured children & families

Please describe the community (eg, agricultural, industrial, number of pediatricians and other health care professionals in the area, employment data, socioeconomic data)

The population of Cumberland County is roughly 324,885 (2010 census) with 26.5% under age 18 years. Fayetteville is Cumberland County’s largest town. Our patient population is roughly 45 % white, 42% Black/African-American,10% Hispanic/ Latino, 2.5% Asian and 2% American Indian. The per capita income for Cumberland County is 22,888$ with a mean household income of 44,861$. 17% of the population lives below the poverty line with a child poverty rate of 24%. The unemployment rate is roughly 9%. Fayetteville, NC is a designated health care professional shortage area with roughly 16.1 physicians per 10,000 residents and roughly 1 pediatrician per 3,848 residents. There are a total of 37 community pediatricians affiliated with the primary hospital in town (Cape Fear Valley Hospital). 20% of county residents are uninsured with roughly 12% in the 0-18 years age group.

Please characterize the target community for the project. (Check all that apply.) (Note: This question is for program evaluation purposes only. Your response will not affect funding decisions.)

Urban, not inner-city

Is the primary setting of your project academic or non-academic?

Non-academic

Please identify the primary setting of your project.

Other (Specify: private group practice in HPSA )

Please describe the barriers in your community that impact access to medical homes and other needed health care services for your target population (eg, geographic, physical, socioeconomic, communicative).

There are several barriers in our community that limit access to medical homes in general and mental health services in particular. Physical barriers such as lack of transportation and inability to take time off work to bring children in are some of the most common barriers cited by parents in the office. This is also impacted by lack of a stable home environment, given that a large portion of our patient population consists of single parent families or young mothers with the maternal grandparents taking on the primary

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caregiver role. Patient barriers to mental health access include social and cultural stigma and poor knowledge of existing resources and the impact of attaining mental health care. Provider barriers include poor knowledge of available community resources, visit time restrictions and lack of comfort in managing patient mental health concerns. Finally the primary system barriers often faced include insurance restrictions and the paucity of pediatric psychiatrists / psychologists in the community hence resulting in prolonged wait times when referrals are placed.

How will the proposed project address these access barriers?

We currently screen all our school age and adolescent patients for mental health concerns with the pediatric symptom checklist (PSC) screen during annual visits and will be instituting a validated bullying screen in our office to allow for the detection of bullying and referral to needed mental health care. Patients can complete the screens while they are waiting to be seen which helps eliminate the visit time restrictions faced by physicians. During this project, we plan to perform a community needs assessment to better understand barriers to access to mental health care from the perspective of patients, parents, community mental health providers and school officials. We plan to survey patients and parents in our office to better understand the obstacles they face. We also plan to reach out to school officials in order to better understand the current process that occurs when bullying is reported in schools and barriers faced on their end. We will hold community meetings with mental health providers ( psychiatrists, psychologists and social workers) to enhance collaboration and better understand referral procedures/ insurance restrictions. We will also reach out to our community medicaid/SCHIP social worker to help address any insurance/ transportation concerns that arise and help facilitate access to needed services.

Describe your project and explain why CATCH should fund it. (i.e., summarize and justify the need for funding)

Numerous studies have documented the alarming prevalence of bullying in school-age children and its correlation with depression and suicidality. In order to be able to identify tangible interventions to improve delivery of mental health services to children involved in bullying, we first need to understand current barriers to care.This project will allow us to perform a community needs assessment of difficulties faced by patients, parents, school officials and mental health providers. It will also allow us to learn of available community resources and develop partnerships with school officials and mental health providers which will enhance collaboration and facilitate mental health access. We intend to 1) survey patients and parents in our office to better understand challenges they face when bullying occurs 2) reach out to school officials ( teachers, counselors, social workers) to better understand current procedures when bullying is reported and barriers faced 3) form partnerships with community mental health providers to better understand available resources, referral procedures and insurance restrictions , and 4) collaborate with our local medicaid/ SCHIP social worker to facilitate insurance issues, referral restrictions and transportation difficulties.

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Collaboration Information

Identify present and future community collaborative partners and describe their role in this project (eg, grassroots associations, parents, faith-based groups, local businesses, local public health service agencies, nongovernmental health agencies, hospitals).

List your current community collaborative partners and describe their role in this project. Please do not use acronyms. I have identified several collaborative partners who are interested in this initiative. The Mentor Network is a a national network of local health and human services providers offering an array of quality, community-based services including therapeutic foster care and children/family therapy services. The Mentor Network provides care to both families and children in our community, including family centered home counseling thus allowing them to have valuable insight into potential barriers to mental health access. Carolina Counseling Services is another local organization providing mental health care to seven counties in NC including Cumberland County. Both organizations would be involved in our community needs assessment of barriers to mental health services. Partnering with them will allow us to assess challenges in delivery of care from their stand point, current referral procedures, and identify feasible future interventions. 'Stand Up Speak Out - NC' is another organization that has demonstrated interest in this project, their main focus is utilizing Art Therapy to help channel at risk behaviors in youth, they also provide several work shops including one that addresses internet safety and cyber bullying. Collaborating with them will provide us with valuable insight regarding cyber bullying and how to best address it in our surveys. The Methodist University Physician Assistant program is another entity that has demonstrated interest in our initiative and we will collaborate with them to develop a framework within which PA students can be involved in this project.

List any additional individuals, groups or organizations you plan on partnering with during this project and describe their potential role. Please do not use acronyms.

I plan to partner with school officials from Cumberland County Schools and I have connected with Ms. Robin MacGregor, the Cumberand County Counselor Coordinator with regards to potential collaboration. Ms. MacGregor is also a liaison to the Cumberland County Schools' Antibullying Task Force which is a a district-wide committee consisting of administrators, counselors, social workers, safe school coordinators, community leaders, and law enforcement officers. The school will play an important role in this project as I would like to get insight into current barriers to mental health access from the perspective of school teachers, counselors, and social workers. In addition, I plan to partner with other community mental health providers. I have connected with Ms. Sharon Glover the Systems of Care Coordinator for the Cumberland County Mental Health Center and have attended their community collaborative meeting and discussed this project with various community representatives from the Cumberland County Schools, juvenile justice, Department of Social Services, and various community organizations. One of the meeting attendees that I look forward to collaborating with is a youth group called "Teens Making a Change" (T-MAC) who's main focus is to empower teens to identify problems they face and develop a proactive problem solving approach. I also plan to reach out to other youth groups in the community. I foresee that youth groups

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may play a role in understanding barriers to reporting bullying and would provide a unique perspective during our needs assessment. I have also attended one of the Carolina Collaborative Community Care (4C) meetings and look forward to collaborating with Dr.Heidi Middendorf, the network psychiatrist who will help me network with community mental health providers. Moreover, I will attempt to connect with local/ district parent teacher groups (PTA/PTOs) and will invite representatives to attend collaborative meetings/focus groups. Finally, I plan to collaborate with local medicaid /SCHIP social workers to help navigate any insurance restrictions.

What are the pediatrician applicant's responsibilities in carrying out the project?

I will oversee all aspects of this project. I will be involved in identifying potential community partners and will attend collaborative meetings. I will consider hiring a project coordinator to help me with creating and administering surveys, researching existing community resources and setting up collaborative meetings and focus groups. I plan to attend all meetings with the project coordinator and we will score surveys / code interviews together.

Describe any planning activities that have been completed to date (eg, had prior involvement with local community, conducted informal health assessment, attended community meetings focused on child health issues, read literature suggesting a need in the community, informally documented child health trend in own practice). (Maximum 300 words)

We currently screen school age and adolescent patients for mental health concerns in our office with the pediatric symptom checklist and will be instituting a validated bullying screen to enhance detection of bullying and referral for mental health services when necessary. I have also conducted a literature review that demonstrated the prevalence of bullying and lack of mandated referral to mental health services per the NC school anti-bullying law as discussed above. Finally, I have attended community meetings including the the Cumberland County Mental Health Community Collaborative Committee meeting and the Carolina Collabortive Community Care (4C) meeting and have discussed this project with various community representatives from the Cumberland County Schools, juvenile justice, Department of Social Services, and various community organizations.

Project Goals

The goals of this project are to: Note: List goals for the project period only. You will be asked an additional question later about the long-term goals of the project beyond the grant period. List goals - not activities.

1. Perform a community needs assessment to identify the current process in schools when bullying is detected, barriers to detecting/reporting bullying and barriers to mental health access. 2. Develop partnerships with community mental health providers and school officials to help improve mental health access for children involved in bullying and to help improve communication and coordination of care. 3. Collaborate with our local medicaid/ SCHIP social worker to facilitate insurance

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coverage issues and mental health referral restrictions.

Describe the major project activities, with timeline incorporated, based on a 6-month project period.

Project Activity From Through Drafting and submission of school research request as per Cumberland County Schools Policy Code: 5230.

1st Month

1st Month

Development of survey/ semi-structured interview questions for patients, parents, mental health providers and school officials. These questions will explore knowledge and understanding of current procedures for reporting bullying and available mental health resources, perceived importance of addressing bullying and mental health care, current provider satisfaction with system in place and patient/parent/ provider access barriers.

1st Month

1st Month

Identify community mental health providers/ organizations/ local medicaid/SCHIP social worker and organize planning meetings/focus groups.

1st Month

2nd Month

Administer patient/ parent surveys. 2nd Month 5th Month

Attend community collaborative meetings/ focus groups with mental health providers, social workers and school officials. Semi-structured interview questions will be administered during these meetings to assess aforementioned aspects of barriers to mental health access for children involved in bullying. These meetings will also allow us to understand current referral procedures and to foster partnerships with community mental health providers.

2nd Month

5th Month

Code and analyze data collected via surveys, focus groups and semi-structured interviews. 6thMonth 6thMonth

Identify the long-range goals for this project beyond the grant period. (Maximum 300 words) The long range goals of this project are to better understand mental health access barriers to children involved in bullying in Cumberland county and to identify tangible interventions to be implemented in the next phase of the project such as ways to increase screening for bullying in the primary care setting etc. Our community collaboration with mental health providers and school officials will also help increase access to mental health services and strengthen the primary medical home. Finally, this project will help us explore existing community resources and in the future we may be able to compile all that information in a public website for all community providers to benefit from.

How do you plan to sustain and implement the project beyond the grant period? (Maximum 300 words) Performing the community needs assessment and collaborating with stakeholders ( mental health providers, social workers, school officials) will help us identify interventions that we can

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implement to improve mental health access for children involved in bullying in the long run. After the grant period we plan to use data collected to develop an implementation project and we plan to apply for another grant through CATCH in the short term and possibly through healthy tomorrows for long term funding. We plan to compile Information gathered during the planning phase as well as interventions resulting from the implementation phase of the project in a public website to be used as a reference guide for patients/ parents and community providers.

How will you assess the achievement of your project goals listed at the beginning of this section (outcomes must be measurable)? (Check all that apply.)

Completion of community assessment Funding obtained Number of meetings of planning committee/task force Number provider contacts Number of surveys/focus groups/interviews Partnerships developed

Please describe how you will assess achievement of your project goals: (Maximum 200 words) We will assess the achievement of our project goals by several means: 1. Through scoring/coding surveys and interviews we will be able to assess existing barriers from the perspective of patients, parents, mental health providers and school officials. 2. This data will also allow us to identify tangible interventions to improve mental health access that we can address during the implementation phase 3. Through exploring community resources and developing long standing partnerships with stakeholders we will improve communication among providers and facilitate access to mental health services for patients involved in bullying. Overall, identifying feasible interventions to improve mental care access and using that information to develop an implementation project will be the best measure of the success of the planning phase.

Project Budget

Budget detail and justification of line items

To avoid the possibility of personal tax liability, it will be necessary for you to appoint a tax-exempt fiscal agent once you receive your award notification. Per federal tax law, individuals are responsible for the taxes on unexpended funds at year-end. Individuals are also responsible for the taxes on expended funds for which an expense report has not been submitted at year-end.

The institution or organization that acts as fiscal agent is not the grantee or cograntee.

1. Budget must clearly support the goals and timeline outlined in your application. 2. Include a complete description of each activity. 3. All budget line items must include a formula. 4. Do not group multiple activities in one line item.

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Activity Description and Formula $ Amount Collaboration/ planning meetings with mental health providers, social workers, school officials

200$ per meeting for refreshments, beverages and meeting materials x roughly 6 meetings.

1200

Focus groups with youth, parents, mental health providers and school representatives.

100$ per session for meals, beverages and materials x roughly 5 sessions.

500

Design and production of needs assessment survey/semi-structured interview questions

15$ per hour of work x 20 hours 300

Patient/Parent incentives for surveys/focus groups

10$ gift cards x 150 ( 75 patients, 75 parents) 1500

Office supplies pens, paper, copy expenses 150 Staff local project-related travel 200 miles @ $0.55/mile 110 Project coordinator The project coordinator will be in charge of

identifying potential community collaborators, setting up meetings and administering patient/parent surveys. 15$/h x (10h/week x 20 weeks)

3000

Data analysis ( coding/ scoring surveys and interviews)

15$ per hour of work x 20 hours 300

0 0 0 0 0 0 0 0

Total amount requested: 7060

Identify sources of past, current, and possible future funding

Past: None.

Current - Proposed project only:

None, CATCH planning grant anticipated.

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Possible future:

Healthy Tomorrows Partnership for Children Program is an opportunity we may be able to take advantage of in the future.

Additional Documents

Attachments:

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Planning Activity Description This list of activities is not inclusive or exclusive

Description and Formula Include a description and formula for all expenses

Maximum Allowance

Collaboration/ planning meetings with mental health providers, social workers, school officials

200$ per meeting for refreshments, beverages and meeting materials x roughly 6 meetings.

$1,200

Design and production of needs assessment survey/semi-structured interview questions

15$ per hour of work x 40 hours + survey monkey subscription ( 25$ per month x 6 months)

$ 750

Focus groups with youth, parents, mental health providers and school representatives.

100$ per session for meals, beverages and materials x roughly 10 sessions.

$1,000

Patient/Parent incentives for surveys/focus groups

10$ gift cards x 150 ( 75 patients, 75 parents)

$1,500

Transportation for focus groups or meetings (parents, caregivers, children)

890miles @ $0.55/mile $490

Child care for focus groups or meetings (parents, caregivers)

10$ per hour x 100 hours ( to be used for child care expenses for focus group attendees- roughly 10 groups with roughly 5-10 families per group/ staff child care for meetings)

$1000

Data analysis (coding and scoring of interviews)

$ 15 per hour x 70 number of hours +

$1,000

Consumable office supplies and percentage of telephone usage

pens, paper, copy expenses, telephone usage

$500

Staff local project-related travel (Physicians qualify)

600 @ $.55/mile, or public transportation costs

$330

Project coordinator The project coordinator will be in charge of identifying potential community collaborators, setting up meetings and administering patient/parent surveys. 15$/h x (10h/week x 20 weeks)

$3,000

Promotion (eg, flyers, posters, mailings, media)

Flyers 1000 @ 0.5$ newspaper ads 500$

$1,000

Hyperresearch software Single license $ 230 $ 230

TOTAL $12,000

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American Academy of Pediatrics Community Access to Child Health (CATCH) Program

2013 CATCH Planning Grant

GRANT APPLICATION EVALUATION Applicant:

City/State: Fayetteville, NC

Project Title: Bully Proof: Improving Mental Health Access

Overall Score: 265/294

PART I

Application Criteria

Needs

Improvement

Adequate

Superior

Keywords and proposal abstract clearly stated �

Target population is described: number of children affected

identified and demographic information supplied

�

Community in which target population is located is clearly described �


needed health care services are clearly described

�

Proposed project addresses access barriers in the community �

Present and future collaborative partners described, including

community members

�

Pediatrician’s leadership is evident �

Project-related planning activities completed to date documented �

Overall goals of the program clearly stated �


presented

�

Long-range goals described �

Plans for sustainability described �

Methods for measurement of project goals and objectives described �

Budget and budget justification provided �

Past, current and future funding sources identified �

PART II

Prerequisites/Priorities Evaluation

Yes or No

Project is for initial phase of implementation Yes

Project includes plans for community partnerships Yes

Budget reflects project timeline and activities Yes

Project increases children's access to a medical home or specific health services not otherwise available

Yes

Methods for measurement of project goals and objectives described Yes

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GRANT APPLICATION EVALUATION

Applicant: Amira El Sherif, MD

PART III: PRIORITIES Yes Somewhat No

4 3 2 1 0

Average

Project assesses children's medical home status and connects children who previously had none with a medical home

4 3 2 1 0 2.75

Project increases access to needed health services not otherwise available

4 3 2 1 0 4.00

Project predominantly serves a population known to be underserved or with demonstrated health disparities

4 3 2 1 0 4.00

Project assesses children’s health insurance status and connects them with available insurance programs

4 3 2 1 0 3.50

Project addresses an important need and project activities are likely to achieve the stated goals

4 3 2 1 0 4.00

Applicant is a practicing, community-based pediatrician

4 3 2 1 0 4.00

Applicant pediatrician plays a leadership role in the project

4 3 2 1 0 4.00

Community partnerships are broad-based 4 3 2 1 0 3.75 Comments/Recommendations

Reviewer 1: Very well done application addressing a significant mental health concern. A good deal of planning has already gone into this by identifying community groups. Well done. Reviewer 2: This project uses a community-based approach toward behavioral health services in the prevention of bullying; good planning approach in an underserved area. Reviewer 3:

Dear Dr. Sherif, This is a good and worthy project. Your participation in the technical assistance aspect is evident in your application. You might consider a broader list of stakeholders in your planning. CATCH staff will need more specifics in payment some of the expenses such as "Design and production of needs assessment survey/semi-structured interview questions 15$ per hour of work x 20 hours $300". Overall very well presented. Michael Jordan, MD, FAAP

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Review Form—2014 Cycle 1 CATCH Implementation Grant Applications

SECTION I: APPLICATION CRITERIA

Inadequate-does not have all the required information Meets Criteria-applicant adequately answered the question

Exceeds Criteria-articulates and demonstrates a deep understanding of the community issue

Inadequate

(0 points)

Meets

Criteria

(1 point)

Exceeds

Criteria

(2 points)

Keywords and proposal abstract clearly stated.

Target population is described: number of children affected identified

and demographic information supplied.

Community in which target population is located is clearly described.


needed health care services are clearly described.

Proposed project addresses access barriers in the community.


community members.

Pediatrician’s leadership is evident.

Project-related planning activities completed to date documented.

Overall goals of the program clearly stated.


presented.

Long-range goals described.

Plans for sustainability described.


Budget and budget justification provided, including appropriate

expenses.

Past, current and future funding sources identified.

SECTION II: PREREQUISITES Yes No

Project is for the initial phase of implementation (pilot program or new program).

1 0

Project includes plans for community partnerships. 1 0

Budget reflects project timeline and activities. 1 0

Project increases children's access to a medical home or specific health services not otherwise available.

1 0


1 0

SECTION III: PRIORITIES Yes Somewhat No

Project assesses children's medical home status and connects children who previously had none with a medical home.

4 3 2 1 0

Project increases access to needed health services not otherwise available.

4 3 2 1 0

Project predominantly serves a population known to be underserved or with demonstrated health disparities.

4 3 2 1 0

Project assesses children’s health insurance status and

connects them with available insurance programs.

4 3 2 1 0

Project addresses an important need, and project activities are likely to achieve the stated goals.

4 3 2 1 0

Applicant is a practicing community-based pediatrician. 4 3 2 1 0

Applicant pediatrician plays a leadership role in the project 4 3 2 1 0

Community partnerships are broad-based. 4 3 2 1 0

The proposal is creative or innovative. 4 3 2 1 0

A CATCH Facilitator provided technical assistance to this applicant. Do not check “yes” unless you, the reviewer, or (for CCFs) your co-CCF provided the assistance.

Yes (1 pt) No (0 pt)

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□A—Meets criteria □B—Meets some criteria “Bs” from 2 reviewers needed to disqualify application

A—Meets criteria

Application clearly demonstrates plans to improve access to primary health care services for children

and/or promotes medical homes for the underserved or increases access to specific health care services not otherwise available Applications that require budget modifications or clarification of formula/activity qualify for

category “A” when other criteria are met

B—Meets some criteria

May not clearly relate the project activities to the project goals May not demonstrate community need May not include collaboration with community-based organizations or stakeholders “Bs” from 2 reviewers needed to disqualify application

Comments to applicant (Required):

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

Comments to staff (Optional)

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

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2013 CATCH Planning (Cycle 2) Grant

Applicant Information

Application Type: General CATCH Planning Funds grant

AAP Chapter Member: Yes

AAP National Member: Yes

Provide AAP membership ID: 1135620

Uniformed Services Member: No

Primary Contact Applicant

What is the city and state of the institution or facility in which the proposed project will be located? City: Kenner State: LA

Please provide the full (Zip + 4) ZIP Code of the institution or facility indicated above. 70065-4045

Secondary Contact Person (Optional)

,

, Tel: Fax: E-mail:

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http://www2.aap.org/catch/funds/application/admin/printView.cfm?aID=2077http://www2.aap.org/catch/funds/application/admin/printView.cfm?aID=2077http://www2.aap.org/catch/funds/application/admin/printView.cfm?aID=2077http://www2.aap.org/catch/funds/application/admin/printView.cfm?aID=2077

CATCH Project Title: (MUST be 6 words or less):

Investigating Access to Adolescent Health Services

Is this an existing program?

NO

Proposal Abstract (Maximum 250 words) Summarize the project.

The purpose of this project is to analyze access to and need for Adolescent Health services in the town of Kenner, Louisiana. My project involves the creation of survey in order to assess what the community feels its needs are in terms of adolescent health. The survey is to be distributed at well child visits in clinic. There will also be organized focus groups of adolescents at the local high school level. In addition to the survey, there will be a live discussion on available resources for adolescent health, and a brief discussion on sexual health. A second set of focus groups will involve student health officials - RNs, school psychologists, guidance counselors. This will focus on barriers to obtaining healthcare as well as discussing possible solutions. The goal is to obtain the data in order to either seek further funding in order to augment our clinic or to reach out to local gynecologists in order to facilitate a referral system that is currently non-existent in our community.

What makes you a community pediatrician? I work at a general pediatric practice with a predominant Spanish-speaking Medicaid population. As a Hispanic doctor, I feel I provide insightful, culturally competent advice to my patients and my families.

Biographical Sketch: I was born and raised in New York City. I have a BA in Biology and Dramatic Literature from New York University and my MD from Mount Sinai School of Medicine. I am a member of the Gold Humanism Honor Society, inducted in 2007. My residency training was completed at North Shore-LIJ Health System in New York. I completed one year of Pediatric Hematology-Oncology training at Cincinnati Children's Hospital Medical Center, but subsequently resigned in order to pursue a better suited career as a General Pediatrician. I have a strong interest in minority health, as demonstrated in my prior capacity as president of the National Boricua Latino Health Organization, and as a developer of a program to teach Latino women how to use the internet, Madres en la Red (Moms on the Web). I have participated in various activities including as a mentor to high school students, clinical skills mentor to medical underclassmen, as coordinator of AMSA Primary Care Week events, and coordinator for Mount Sinai School of Medicine's Health Fair. I have participated in multiple research projects, including the published abstract: Persistently Elevated LDL Particle Number Despite Attainment of "Optimal" Cholesterol Goal: Implications for Clinical Practice. AHA Scientific Sessions 2008. Sealove, B. et al. I am a second author of the following journal article: Vickers A, Ballen V, Scher H. Setting the Bar in Phase II Trials: The Use of Historical Data for Determining "Go/No Go" Decision for Definitive Phase III Testing. Clin. Cancer Res. 13 (3): 972-976, 2007.

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Project Information

Please provide the following information about the primary contact applicant.

Have you been awarded a CATCH grant as a primary applicant in the past? (Note: Former grantees are encouraged to apply, although their previous grant must be completed.)

No, I have never applied

Did you receive technical assistance (recommended) with the preparation of your grant application from any of the following sources? (Check all that apply)

Chapter CATCH Facilitator Dr. Choojitarom (Specify: )

What type of technical assistance with the preparation of your grant application did you receive? (Check all that apply)

Information/Materials Sample grant documents ( Specify: ) .

Please indicate the primary employment setting of the pediatrician applicant, that is, the setting where he or she spends the most time.

Solo or two physician practice

What is the present employment status of the pediatrician applicant?

Full-time

Approximately what percentage of the pediatrician applicant's time is spent in the following areas? (Note: This question is for program evaluation purposes only. Your response will not affect funding decisions.)

General Pediatrics 100 %

Other specialty/subspecialty area (Specify: ) %

100% Project Focus

Please select ONE topic from the box below as the project's primary topic area.

Adolescent Health

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In your own words tell us what personal experience led you to want to address this particular child health need in your community. (300 words or less)

In the seven months I have been working at Mendoza Medical Clinic, I have seen multiple adolescent female with the chief complaint of abnormal vaginal discharge, dysmenorrhea, or secondary amenorrhea. One patient in particular, had symptoms concerning for Pelvic Inflammatory Disease. Because of lack of a proper gynecologic examination table and lack of tools needed to perform the exam, I subsequently referred her to the emergency room. Commenting this fact to my nurses, they report that there is a dire need for gynecologic care for adolescents. Very few gynecologists in the surrounding towns will accept an adolescent on Medicaid for routine health care visits because of reduced reimbursement for such care. Local pediatricians do not routinely have the supplies to perform gynecologic exams. The only resource for the adolescent is the emergency room or Planned Parenthood, the only one of which is only located in the city of New Orleans, and is only accessible by car. This prompted the questions, does the community see a need for adolescent health services? Do they know where to go if such a need arises? My project hopes to answer these questions in order to subsequently develop an improved medical home for adolescents in Kenner and Metairie, Louisiana.

Then select up to FIVE additional topics to serve as key words for your project. Include topics specific to the grant period only -- not long term.

Access/Barriers to Health Care (LHI) Adolescent Health Responsible Sexual Behavior (LHI) Sex Education STDs

Please identify the activities that will be a part of your project. (Check up to ten boxes)

Community assessment/Needs assessment Focus groups Survey development

Community Information

Please describe your target population (include children's health statistics and number of children potentially affected by your 6-month project).

My target population includes non-Hispanic black and Hispanic adolescents. According to US Census data, these ethnic groups comprise almost 50% of the population in Kenner. 23% of the population is under the age of 18, almost 13,000 people. According to the Center for Disease Control and Prevention, Hispanics and African Americans were less likely to use contraception - (75% versus 90% in non-Hispanic whites). his correlates with data from 2002 that finds that pregnancy rates were more than twice as high among non-Hispanic black and Hispanic teenagers as among non-Hispanic white teenagers.

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Interesting to note is that the number of lifetime sexual partners varied by race and ethnicity. According to CDC data, among single male adolescents ages 15–19, 29% of non-Hispanic Black and 25% of Hispanic males had more than three sexual partners, compared with 12% of non-Hispanic white males. This correlated with data from 2004 also demonstrating a large disparity in gonorrhea and chlamydia transmission. Black adolescents are disproportionately affected by gonorrhea by 9:1 compared to non-Hispanic whites. Hispanics also have 3:1 increased risk in contracting gonorrhea compared to non-Hispanic whites.

Do children with any of these types of health care coverage comprise 50% or more of the project's target population? (Check all that apply)

Medicaid/SCHIP recipients (Specify: )

What is the race/ethnicity of the project's primary target population? Your 6-month project only - not long term. (Check all that apply)

Black Hispanic (Specify: )

What is the developmental stage of the project's primary target population? (Check all that apply)

Adolescent (11-21 years) (Specify: )

Does the project target any of these special populations? Your 6-month project only - not long term. (Check up to ten boxes)

Minority populations

Please describe the community (eg, agricultural, industrial, number of pediatricians and other health care professionals in the area, employment data, socioeconomic data)

Kenner, Louisiana is a suburban city located in Jefferson Parish, approximately 20 minutes outside of New Orleans. According to 2010 Census data, there are 66,000 people in the community. It is 23% Hispanic, six times higher than the rest of the State of Louisiana. Approximately 15% of the population of the city live below poverty level. According to the US Bureau of Labor Statistics, there is an unemployment rate of 4%. There are 51 Pediatricians serving the community of Kenner, as well as the neighboring cities of Metairie and LaPlace. Dedicated Pediatric Emergency Services are located at Oschner Main Campus and Children's Hospital of New Orleans, both located in neighboring Orleans Parish. All Pediatric sub-specialty services are provided by these same hospitals.

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Please characterize the target community for the project. (Check all that apply.) (Note: This question is for program evaluation purposes only. Your response will not affect funding decisions.)

Suburban

Is the primary setting of your project academic or non-academic?

Non-academic

Please identify the primary setting of your project.

Clinic - FQHC

Please describe the barriers in your community that impact access to medical homes and other needed health care services for your target population (eg, geographic, physical, socioeconomic, communicative).

The population that my clinic serves is primarily Spanish-speaking; approximately 60-70% of the patients are of Latino descent. The majority of this group are first generation Hondurans with Spanish as their primary language. Their language barrier provides a significant hurdle to overcome as a way to navigate the system. They are unable to speak with sub-specialty offices if there is no live interpreter, they are unable to navigate through the paperwork for insurance or WIC because it is in English. Because of this, immigrant families seem afraid to attempt to seek specific services, thinking that there is no one available to understand them. This reluctance to seek help is easily passed on to the children. Although they are fluent in English, their parents' attitudes and fear towards navigating the healthcare system perpetuates into the children's own fears regarding healthcare. It subsequently becomes a challenge to address specific needs and concerns.

How will the proposed project address these access barriers?

This project will provide adolescents and student health officials the opportunity to voice their impressions on their access to adolescent/sexual health services. It also gives this population and the school system a forum to give input on how to bridge this gap.

Describe your project and explain why CATCH should fund it. (i.e., summarize and justify the need for funding)

My project involves the creation of survey in order to assess what the community feels its needs are in terms of adolescent health. The survey is to be distributed at well child visits in clinic. There will also be organized focus groups of adolescents at the local high school level. In addition to the survey, there will be a live discussion on available resources for adolescent health, and a brief discussion on sexual health. A second set of focus groups will involve student health officials - RNs, school psychologists, guidance counselors.

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This will focus on barriers to obtaining healthcare as well as discussing possible solutions. The goal is to obtain the data in order to either seek further funding in order to augment our clinic to fulfill this need, or to begin discussions with gynecology practices and possibly open a collaboration or referral system. The mission of the CATCH grant is to facilitate local physicians who want to spearhead projects to improve access to care for their patients and improve the medical home for his/her community. I feel that my project is at the core of this mission. I strongly feel that this population needs a physician who wants to go into the trenches and listen to their medical needs. I want to listen to my community. I want to help facilitate improvement in their medical care. Unfortunately, as a small clinical practice, it is difficult for my clinic to fund this project. Therefore, I am applying for this grant with the hope that I can start making a difference in Kenner.

Collaboration Information

Identify present and future community collaborative partners and describe their role in this project (eg, grassroots associations, parents, faith-based groups, local businesses, local public health service agencies, nongovernmental health agencies, hospitals).

List your current community collaborative partners and describe their role in this project. Please do not use acronyms. Dr. Jiby George, Kerri Perry, APRN. - Assisted in informally gathering data from clinic EMR to assess number of adolescent focused visits occurred in 2012.

List any additional individuals, groups or organizations you plan on partnering with during this project and describe their potential role. Please do not use acronyms.

Alfred Bonnabel High School. - Local high school. Site of adolescent focus groups, student health official focus group. East Jefferson High School. - Local high school. Site of adolescent focus groups, student health official focus group.

What are the pediatrician applicant's responsibilities in carrying out the project?

My role will be to help create and implement the Adolescent Health survey at Mendoza Medical Clinic. I will also be reaching out to the high schools to organize and run the focus groups. I will be available to oversee data analysis.

Describe any planning activities that have been completed to date (eg, had prior involvement with local community, conducted informal health assessment, attended community meetings focused on child health issues, read literature suggesting a need in the community, informally documented child health trend in own practice). (Maximum 300 words)

With my colleagues at Mendoza Medical Clinic, we reviewed charts from January 2012 to October 2012. Of approximately 11 thousand charts, 3% of visits had an adolescent patient with a chief complaint of vaginal discomfort, vaginal discharge, dysuria, Of these 350 patients, 45% reported sexual activity. Adolescent males (40% of the 500 patient cohort) were sent for urine studies for GC/chlamydia. Adolescent females (60%) were informed to go to the emergency room for further evaluation and were provided with a

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prescription for antibiotics for empiric treatment in case they did not go to ED for further ED and became lost to follow up.

Project Goals

The goals of this project are to: Note: List goals for the project period only. You will be asked an additional question later about the long-term goals of the project beyond the grant period. List goals - not activities.

1. To assess need for dedicated Adolescent Health Services in Kenner, Lousiana. 2. To determine barriers to providing dedicated Adolescent/sexual health services to adolescents in Kenner, Louisiana. 3. To establish potential collaborations between Student Health, Mendoza Medical Clinic, and local gynecologists in order to create a medical home for adolescents.

Describe the major project activities, with timeline incorporated, based on a 6-month project period.

Project Activity From Through

Development of Adolescent Health survey 1st Month 1st Month

Distribution and collection of Adolescent Health Survey during Well Child Visits and focus groups.

1st Month

5th Month

Adolescent Focus Groups at schools - directly speak with adolescents to determine their barriers to receiving health care specifically related to sexual health.

2nd Month

5th Month

Focus groups with school health officials in order to obtain their input on barriers to care in adolescent health, discuss potential collaborative efforts to provide a medical home for adolescents between between Mendoza Medical Clinic and Student Health.

2nd Month

5th Month

Making contact with local gynecologists to establish professional collaborations and referral system.

5th Month 6thMonth

Data analysis 5th Month 6thMonth

Identify the long-range goals for this project beyond the grant period. (Maximum 300 words) I envision this grant the first step in creating a medical home for adolescents in the community. With the collected data, I will subsequently apply for grants in order to obtain the medical supplies needed in order to provide this specific level of care at our clinic, such as examination tables for gynecological exams. I will alternatively provide this data to local gynecologists in order to seek a collaboration or a referral system for the adolescent girls.

How do you plan to sustain and implement the project beyond the grant period? (Maximum 300 words)

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There are some federal grants available that seem to support the mission of improving access to care for minority populations. They include the Cooperative Agreements to Improve the Health Status of Minority Populations, the Applied Leadership for Community Health Improvement, and the Cooperative Agreements to Promote Adolescent Health through School-Based HIV/STD Prevention and School-Based Surveillance. I also plan on collaborating with local gynecologists in order to establish a referral system.

How will you assess the achievement of your project goals listed at the beginning of this section (outcomes must be measurable)? (Check all that apply.)

Completion of community assessment Number of surveys/focus groups/interviews Partnerships developed

Please describe how you will assess achievement of your project goals: (Maximum 200 words) The focus of this project is to understand the current structure of adolescent health in Kenner. The survey being developed will focus on the community members' access to adolescent services, their preference of where these services should be provided, their current knowledge regarding current resources for sexual health concerns, the utilization of the services available. This information will be qualified with focus groups, by obtaining first hand information from adolescents their understanding of sexual health and the resources available to them. Separate focus groups with student health officials that the local high schools will focus on their knowledge of available health resources for adolescents, understanding their approach to sexual issues at school, and possible solutions to bridge the gap between school and the health center.

Project Budget

Budget detail and justification of line items

To avoid the possibility of personal tax liability, it will be necessary for you to appoint a tax-exempt fiscal agent once you receive your award notification. Per federal tax law, individuals are responsible for the taxes on unexpended funds at year-end. Individuals are also responsible for the taxes on expended funds for which an expense report has not been submitted at year-end.

The institution or organization that acts as fiscal agent is not the grantee or cograntee.

1. Budget must clearly support the goals and timeline outlined in your application. 2. Include a complete description of each activity. 3. All budget line items must include a formula. 4. Do not group multiple activities in one line item.

Activity Description and Formula $ Amount Focus group incentives $15 dollar gift cards for adolescents (Presume 15

people per meeting x 6 meetings) 1350

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Focus group meetings (adolescent and student health officials)

Snacks and beverages. x 10 meetings (6 meetings with adolescents, 4 meetings with student health officials)

1000

Design and production of needs assessment survey

$15/hr x 50 hours 750

Translation of needs assessment survey

$15/hr x 50 hours 750

Data Analysis $15/hr x 50 hours 750 Office supplies Copy paper - $ 50 Pens - $ 30 Name tags - $20

Printer ink - $100 Notebooks/notepads - $ 50 250

Reproduction of surveys for distribution

500 surveys - approx 15 cent/copy 75

Promotion Flyers - 500 - approx 15 cent/copy Brochures - 500 - approx 15 cent/copy

150

0 0 0 0 0 0 0 0

Total amount requested: 5075

Identify sources of past, current, and possible future funding

Past: None

Current - Proposed project only:

Personal funds.

Possible future:

If successful, will discuss incorporating budget for project into annual budget for office. Also will apply for future grants from Dept of Health and Human Services.

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GRANT APPLICATION EVALUATION Applicant:

City/State: Metairie, LA

Project Title: Investigating Access to Adolescent Health Services

Overall Score: 188/294

PART I

Application Criteria

Needs

Improvement

Adequate

Superior

Keywords and proposal abstract clearly stated �

Target population is described: number of children affected

identified and demographic information supplied

�

Community in which target population is located is clearly described �


needed health care services are clearly described

�

Proposed project addresses access barriers in the community �


community members

�

Pediatrician’s leadership is evident �

Project-related planning activities completed to date documented �

Overall goals of the program clearly stated �


presented

�

Long-range goals described �

Plans for sustainability described �

Methods for measurement of project goals and objectives described �

Budget and budget justification provided �

Past, current and future funding sources identified �

PART II

Prerequisites/Priorities Evaluation

Yes or No

Project is for initial phase of implementation Yes

Project includes plans for community partnerships Yes

Budget reflects project timeline and activities Yes

Project increases children's access to a medical home or specific health services not otherwise available

Yes

Methods for measurement of project goals and objectives described Yes

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PART III: PRIORITIES Yes Somewhat No

4 3 2 1 0

Average

Project assesses children's medical home status and connects children who previously had none with a medical home

4 3 2 1 0 1.50

Project increases access to needed health services not otherwise available

4 3 2 1 0 4.00

Project predominantly serves a population known to be underserved or with demonstrated health disparities

4 3 2 1 0 3.75

Project assesses children’s health insurance status and connects them with available insurance programs

4 3 2 1 0 0.25

Project addresses an important need and project activities are likely to achieve the stated goals

4 3 2 1 0 3.00

Applicant is a practicing, community-based pediatrician

4 3 2 1 0 3.75

Applicant pediatrician plays a leadership role in the project

4 3 2 1 0 4.00

Community partnerships are broad-based 4 3 2 1 0 1.50 Comments/Recommendations

Reviewer 1: This is a project that addresses an at-risk population. It is a great idea for this underserved population with which I am very familiar and sympathetic. The application has a number of concerns: although you have identified yourself as a FQHC, the project seems to revolve around your clinic patients. It would be better to emphasize a relationship with the community, like your local high school which was not mentioned so it is not clear if you had spoken to them yet. This aspect raises a number of other issues including discussing sexual health in that environment from a legal and cultural point of view. Additionally, it is not clear from the grant if you have had discussions with anybody else outside your immediate practice partners, i.e. the Gynecologist. If part of what you want to address is Insurance coverage, therefore they can see the gynecologist, then there are several pathways to get coverage for children currently and partnering with them, would strengthen your application. The budget is reasonable but, it would be better to itemize all line items. In general it is a much needed project that really needs just a little refinement and broadening and as the Louisiana CATCH Facilitator I would be happy to discuss this project with you. Reviewer 2: I believe CATCH was originally created to assist exactly this type of pediatrician who has identified a need and is trying to gather information to address that need within the community. CATCH does not fund projects geared solely toward enhancing the care at one clinic/one practice but the applicant clearly is looking to the broader community with involvement of the high school and local gynecologists. I think the proposal would be stronger if other pediatric practices were included as it sounds like the lack of adolescent-focused services is community-wide. It also could be strengthened by considering outreach to programs/agencies in the community other than the school that interface with adolescents. Community partners could assist greatly in identifying adolescents who are not linked to a medical home at all. Reviewer 3: The obvious need in your community is great and the idea behind this grant truly seeks to meet that need. CATCH can not be for one clinic's growth only. A way to enhance this grant application would be to partner with some of the other pediatricians and survey their patients as well. Also to survey those pediatricians regarding their ideas for possible solutions or do a focus group of all the local pediatricians. Further the community partnerships should be expanded...such possibilities include local faith based groups, the gynecologists, and any other community groups who would have a vested interest in adolescent health improvement. I hope you will continue to pursue this project idea.

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Session 8: The CATCH Application Scoring Process Part 3: The Role of Technical Assistance in the Application Process

THE CATCH APPLICATION SCORING PROCESS PART 3: THE … · Review Form — 2014 Cycle 1 CATCH...

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