Community Access to Child Health (CATCH ) Nancy Powers, MD

Community Access to Child Health (CATCH ) Nancy Powers, MD

Disclosures I have no actual or potential conflict of interest in relation to this presentation. The CATCH slides are courtesy of the CATCH Facilitator and Liaison Resources.

The CATCH Program The concept of the CATCH Program emerged in 1993 from the recognition that many pediatricians and communities have ideas for improving the health care of children in their local areas but do not have the time, expertise or money to plan and implement the projects.

The CATCH Mission CATCH supports pediatricians to collaborate within their communities so that all children have access to needed health services and a medical home. Geoffrey Collins, MD 2010 CATCH Resident Funds Grantee Cyclopedia

The CATCH Vision The vision of CATCH is that every child in every community has a medical home and other needed services to reach optimal health and well-being. Henry G. Hank Herrod, MD 2010 CATCH Planning Funds Grantee Inner-city Medical Home: Parental and Provider Perceptions

CATCH Key Concepts The medical home, more commonly defined as the point of access to all needed health services Local people can solve local problems using local resources Communities have both assets and needs Communities are different and will often need to approach similar problems in different ways Pediatricians can make a difference in their communities Experiences and successes can be shared We need to help and support each other

Components of the CATCH Program: Training Technical assistance Peer support Networking opportunities Funding opportunities Thomas Faber, MD, MPH 2008 CATCH Planning Grant, 2010 Implementation Grant, 2012 Planning Grant Zuni Comprehensive Community Health Center

Chris Derauf, MD 2009 CATCH Implementation Funds Grantee Medical-Legal Partnership Hawaii Team The CATCH Program acts as a mentoring matrix for pediatricians to accomplish the mission

Peer Support & Networking District and Chapter Facilitators National and District Resident CATCH Liaisons CATCH-sponsored training, programs and events Technical assistance given by peers Leonard P. Rome CATCH Visiting Professorships Community Pediatrics e-news Robert Sheppard Nickel, MD 2010 CATCH Resident Funds Grantee STEP up: Sickle Cell Treatment & Education Project

The CATCH Network Consists of: Over 100 District and Chapter Facilitators and Resident CATCH Liaisons Over 1,500 past CATCH grant recipients Accessible CATCH staff Learning from and meeting other pediatricians who are interested in community-based activities expands the CATCH network of pediatricians and improves the individualized assistance available for improving children s access to health care at the community level.

Your CATCH Resources Chapter CATCH Facilitators Nancy Powers, MD npowers@ghs.org District CATCH Facilitator Amber Pendleton, MD amberlynette@gmail.com Michael Foxworth, MD mfoxworth@hope-health.org

Your CATCH Resources District Resident CATCH Liaisons Kevin Murray, MD murrayk32@gmail.com University of Louisville, Louisville Ryan Spotts, MD rls5304@gmail.com Duke University, Durham National Resident CATCH Liaisons Kimberly DeQuattro, MD kimberlyakemi@gmail.com University of Southern California, Los Angeles KymberlyGonzalez, MD kymberly.gonzalez@childrens.com University of Texas SW Medical Center, Dallas

CATCH Grants Joanna Mimi Choi, MD 2011 CATCH Resident Funds Grantee MotivateMe: Motivational Interviews to Address Obesity Planning Grants and Implementation Grants for Pediatricians and Fellowship Trainees Grants of up to $10,000 awarded twice per year Grant applications available May July and November January Resident Grants $2,000 grants awarded twice per year for planning and/or implementation projects Grant applications available May July and November January

Planning Grants Planning grants include planning activities only Activities may include: coalition/collaboration meetings to engage community partners planning meetings with project staff, families, community partners parent/family/caregiver/provider focus groups for needs assessment development of needs assessment to determine barriers/interventions community asset mapping development of grant proposals for future implementation after the planning phase is complete Alejandro Clavier, MD 2010 Implementation Grantee Families Connecting to Care

Implementation Grants Implementation grants include initial or pilot activities and may include planning activities Activities may include: o planning activities, such as those described for planning grants o intervention implementation o project evaluation o development of grant proposals for future implementation after the pilot phase is complete NOTE: Proposals with only planning activities and without implementation/pilot activities should be submitted in the planning grant category Iroro Akpovwa, MD 2009 CATCH Resident Funds Grantee Every Smile Counts

Resident Grants Resident CATCH projects may be for planning activities only, planning and implementation, or implementation only (with evident prior planning) To ensure project completion, residents must be PL-1 or PL-2 year PL-3 or below in medicine-pediatrics residency PL-3 if doing a chief resident year in 4th year PL-4 or below in triple board residency 3rd-year residents may apply as co-applicants

Leonard P. Rome CATCH Visiting Professorships Promotes advocacy for children and advances the field of community pediatrics. Accredited pediatric residency or medical programs can receive up to $4,500 to fund a 2- to 3- day educational program. Up to 8 visiting professorships are available yearly. This program is administered by the AAP Community Pediatrics Training Initiative and housed in the Division of Community-based Initiatives.

CATCH is more than just grant Utilize the CATCH network to share experiences, successes and lessons learned. Utilize the grants database as a tool. Remember CATCH staff as a resource. Pediatricians can make a difference in their communities. Geoffrey Collins, MD 2010 CATCH Resident Funds Grantee Cyclopedia

Ideas for the Future Grants Poverty and child health Medical legal partnership Mental health School health Obesity Immigration status Foster care Dental care Access to a medial home. Endless possibilities

Road Map to Community Collaboration Phased approach to collaboration development with associated challenges. Adapted from Toolbox Overview for Building Needle-Moving Community Collaborations. Available at: www.serve.gov/sites/default/files/ctools/communitycollaborativetoolkit_all%20_materials.pdf. 29

Making the Case for Medical Legal Partnership 60% of health is social factors 45% of children live in low income households Low income individuals have on average 2-3 health -harming civil legal needs

What is a Medical Legal Partnership Integrated model for medical and legal care with lawyers embedded in the health care team National Center for Medical Legal Partnership formed in 2006 Mission: To improve the health and well-being of people and communities by leading health, public health, and legal sectors in an integrated, upstream approach to combating health-harming social conditions. National Center for Medical Legal Partnership (http://medical-legalpartnership.org)

What does an MLP do? Provides integrated, collaborative medical & legal care Enhances patient access to legal protections and benefits Diminishes barriers to health and well being

Screening for Social Determinants of Health

MLP Activities TRAIN healthcare, public health and legal teams to work collaboratively and identify needs upstream; TREAT individual patients health harming social and legal needs with legal care ranging from triage and consultations to legal representation; TRANSFORM clinic practice and institutional policies to better respond to patients health harming social and legal needs; PREVENT health harming legal needs broadly by detecting patterns and improving policies and regulations that have an impact on population health.

Where are MLP s? Currently established in 294 healthcare institutions in 41 states 155 Hospitals 139 Health Centers 34 Health Schools 126 Legal Aid Agencies 52 Law Schools 64 Pro Bono Partners

Potential Community Partners Medical schools Hospitals Health centers Mental health centers Legal aid agencies Law schools Pro bono partners Universities?Other

MLP Success Stories in Greenville Number of patients screened Number of referrals to SC Legal Services Number of providers educated Number of open cases Number of closed cases Number of guardianships obtained

Be a CATCH pediatrician. If not you, then who?

Additional Resources Council on Community Pediatrics www.aap.org/commpeds/cocp Community Pediatrics Training Initiative www.aap.org/commpeds/cpti Healthy Tomorrows Partnership for Children Program http://www.aap.org/commpeds/htpcp National Center for Medical Home Implementation http://medicalhomeinfo.org Bright Futures http://brightfutures.aap.org Young Peds Network www.aap.org/ypn

Web Sites CATCH www.aap.org/catch Community Pediatrics www.aap.org/commpeds Grants database of previous grantees: abstracts, goals, contact information www.aap.org/commpeds/grantsdatabase

Community-based Initiatives E-mail List Sign up at www.aap.org/commpeds/listserv.cfm to receive the Community Pediatrics e-news, program news, and the community-based initiatives monthly funding announcement

Questions?