University of Florida Pediatric Pulmonary Center MCHB/Training Program Overview.

University of FloridaPediatric Pulmonary Center

MCHB/Training Program Overview

Before proceeding further:• Do you know what public health is? How about a population based

approach to healthcare?

• Do you know what HHS is?

• Do you know what disparities in healthcare are?

• Do you know what maternal and child healthcare is?

• Do you know what The Swamp is?

• Do you know how grant-funding works?

The answers to these questions will be partially addressed inthis talk, but you may want to get more information on these from the internet.

Health Resources and Services Administration

Maternal and Child Health Bureau

Pediatric PulmonaryCenter

United States Department of Health and Human Services

The Health Resources and Services Administration's mission is to

improve and expand access to quality health care for all.

MCHB emphasizes:

InterdisciplinaryInterdisciplinary

Family-CenteredFamily-Centered

Community-BasedCommunity-Based

Culturally CompetentCulturally Competent

Care

MissionTo provide national leadership and to work in partnership with states, communities, public-private partners and families to strengthen the maternal and child health infrastructure, assure the availability and use of medical homes and build the knowledge and human resources in order to assure continued improvement in the health, safety and well-being of the MCH population.

VisionA future America in which the right to grow to one's full potential is universally assured through attention to the comprehensive physical, psychological and social needs of the maternal and child health population. We strive for a society where children are wanted and born with optimal health, receive quality care and are nurtured lovingly and sensitively as they mature into healthy, productive adults. MCHB seeks a nation where there is equal access for all to quality health care in a supportive, culturally competent, family and community setting.

MCHB History

1. 1912: Development of the Children’s Health Bureau

2. 1935: Title V of the Social Security Act

3. 1998: Strategic Plan• Eliminate Health Disparities• Assure highest quality of care• Develop health infrastructure and questions

Block vs. SPRANS grants

To States forHealth Department

Use

To AcademicHealth Programs:

PPCsLEAHsLENDs

SPHSSWs

Nutrition ProgramsCE

Distance Education

Infrastructure Services

Population Based Services

Enabling Services

DirectHealth

ServicesTraining is considered infrastructure building

MCHB provides fundingfor these services

Other MCHB Programs:

Bright Futures

WIC

Children’s EMS

Healthy Start

Family VoicesNational AdolescentHealth Info Center

National NewbornScreening and Genetic

Resource Center

Home of the Gators

Home of the PPC

University of FloridaUniversity of Florida

College of College of EngineeringEngineering

College of College of Arts & SciencesArts & Sciences Health Science CenterHealth Science Center

Vet MedVet MedNursingNursingDentistryDentistryPHHPPHHP

Internal MedInternal Med Adult OrthoAdult Ortho Other AdultOther Adult Pediatrics: ChairmanPediatrics: ChairmanDr. BucciarelliDr. Bucciarelli

Gen’l pedsGen’l peds Peds OrthoPeds Ortho

PediatricPediatric PulmonaryPulmonary

Peds ENTPeds ENT Peds SurgPeds SurgPeds GIPeds GI

MedicineMedicineDean GoodDean Good

PharmPharm

OtherOtherCollegesColleges

Cystic FibrosisCenter

MCHB-fundedPediatric Pulmonary

Center Training Program

Pediatric PulmonaryDivision

CMS

Cystic FibrosisCenter

MCHB FundedPediatric Pulmonary

Center Training Program

Pediatric PulmonaryDivision

CMS

The Pediatric Pulmonary CenterTraining Program is funded by a training grant from the US Maternal and Child Health Bureau.

Locations of the PPCs

To recruit and train graduate To recruit and train graduate level health care professionalslevel health care professionalswho will be future leaders in the who will be future leaders in the culturally competent, community culturally competent, community

base, family centered care of base, family centered care of children with respiratory children with respiratory

disordersdisorders

To recruit and train graduate To recruit and train graduate level health care professionalslevel health care professionalswho will be future leaders in the who will be future leaders in the culturally competent, community culturally competent, community

base, family centered care of base, family centered care of children with respiratory children with respiratory

disordersdisorders

Definition: MCH Leadership• An MCH leader is one who understands and supports MCH values, mission, and goals with a

sense of purpose and moral commitment.

• He or she values interdisciplinary collaboration and diversity and brings the capacity to think critically about MCH issues at both the population and individual levels, as well as to communicate and work with others and use self-reflection.

• The MCH leader possesses core knowledge of MCH populations and their needs and demonstrates professionalism in attitudes and working habits.

• He or she continually seeks new knowledge and improvement of abilities and skills central to effective, evidence-based leadership.

• The MCH leader is also committed to sustaining an infrastructure to recruit, train and mentor future MCH leaders to ensure the health and well-being of tomorrow’s children and families.

• Finally, the MCH leader is responsive to the changing political, social, scientific, and demographic context and demonstrates the capability to change quickly and adapt in the face of emerging challenges and opportunities.

The PPC provides a public health perspective to clinical students

• Programs, services and institutions that involve and emphasize the prevention of disease and the health needs of the population as a whole.

• The community (or state, region, country) is “the patient” and public health professionals assess and intervene at a community (or state, regional or national) level to improve “the patient’s” health

• Other Public Health activities include:– Community education– Research/Policy Development– Community Partnerships– Program planning– Advocacy

Dr. Wagner, PPC Director

Susan Horky, SW Faculty

Ellen Bowser, Nutrition Faculty

Cindy Capen, Nurse Faculty

Angela Miney,Family Partner

Dave Yonutas, RespiratoryFaculty and Educ. Consultant

Who we are

Leonile KitnurseRespiratory Faculty

UF PPC Goals 2005-2010:1.1. Recruit and retainRecruit and retain diverse graduate-level trainees and fellows who

demonstrate a high potential for MCH leadership

2.2. EducateEducate fellows and trainees to be leadersleaders in the interdisciplinary care of children with chronic respiratory conditions.

3. Provide interdisciplinary education programsinterdisciplinary education programs at the local, state, regional and national levels to address key MCH issues and the Healthy People 2010 objectives.

4.4. CollaborateCollaborate with, and provide technical assistance to, Title V and other MCH agencies at the local, state, regional and national levels.

5. Expand programs in key MCH/Healthy People 2010 areas including cultural competence/diversity, family involvement and faculty cultural competence/diversity, family involvement and faculty developmentdevelopment.

PPC Goals 2010-2015

1. Provide and evaluate high quality leadership training

2. Develop, implement and evaluate a model Distance Leadership Training Program

3. Provide and evaluate at least 150 interdisciplinary CE programs

4. Partner with and provide at least 75 technical assistance (TA) sessions to Title V and MCH Agencies

5. Develop and evaluate a web-based network through which trainees and faculty will sustain MCHB relationships, values, and skills throughout their careers

35%32%

28%30%

32%28%

58%

22%

67%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2006 2007 2008

shortmediumlong

Goal 1:Recruitment from diverse backgrounds: # of trainees from under represented groups per year

Goal 1: Leadership Training

TRAINEE DISCIPLINESTRAINEE DISCIPLINES

DietitiansDietitiansNursesNurses

Physicians (Fellows)Physicians (Fellows)Respiratory TherapistsRespiratory Therapists

Social WorkersSocial WorkersFAMILY PARTNERSFAMILY PARTNERSPhysicians (Residents)

PharmacistsPsychologists

Public Health students

Goal 1: Leadership Training

Long (5%)

Medium (77%)

Short (18%)

Long term

= >

299 hours

Short te

rm =

< 4

0 hours

40 299

Med

ium

term

= 4

0-29

9 hours

Clinical Care

Research

TeachingPolicy/

Advocacy

Goal 1: Leadership Training

Methods of Education

• Classroom (Core Curriculum)

• Clinical (In clinic or hospital)

• Self Directed Learning Activities (SDLAs)

• Division activities

• With Faculty Mentor

Public Health/Population Based Topics Clinical Topics

MCH/Title V Overview/Healthy People 2010 Normal Respiratory Function

Service Provision Models & Systems of Care Assessment of the Pediatric Respiratory System

Impact of the Social, Political and Economic Environment on Health Care Systems

Pathophysiology of Asthma

Community Needs Assessment, Program Planning and Evaluation

Chronic Lung Disease of Childhood

Health Policy: History, Development and Implementation

Evaluation and Treatment of Sleep Disorders

Health Education: Prevention and Health Promotion CF POSE*: An Interdisciplinary Approach to Problem Based Learning About Cystic Fibrosis

Advocacy: Grassroots, Media and Legislative Respiratory Therapy: Considerations for Care

Organizational Administration: Finance, Budgeting and Evaluation

Interdisciplinary Care of Chronic Respiratory Conditions in Infants and Children

Disparities in Care/Access to Care Prevention and Treatment of Feeding Problems in Children with Chronic Respiratory Conditions

Ethics/Professionalism Psychosocial Issues in Management of Chronic Respiratory Conditions

Leadership of the Interdisciplinary Team Cultural Competence/Health Beliefs

Research POSE*: An Interdisciplinary Project Applying the Principles of Cultural Competence to Reduce Fatal Asthma

Interdisciplinary Discharge planning, Care Coordination and Community Resources

Family Involvement and Family Centered Care Care of Technology Dependent Children

Genetics of Chronic Respiratory Conditions Transitioning to Adult Care

*Peer Oriented Simulation Exercises: problem-based learning exercises designed to promote interdisciplinary team problem

solving, while simultaneously teaching content.

Parents as Faculty

PPC Core Curriculum

Goal 2: Distance Training

• Year 1: Local pilot with WIC

• Year 2: Expand to Pasco County WIC

• Year 3-5: Expand to other disciplines

• Year4-5: Provide TA on Distance Training

Goal 3: Interdisciplinary Education

Distance and in-person talks given to:Distance and in-person talks given to:

Children’s Medical ServicesLocal Schools

Shands, University of FloridaLocal, Regional and National Conferences

Professional organizations

20082008: : 237237 programs provided to a total of programs provided to a total of 32613261 participants participants

Goal 4: Collaboration and TA

2008: 120120 TA Sessions to 4545 groupsIncluding….

…Cystic Fibrosis Foundation; MCHB Working Groups; Area

Health Education Centers; Sleep Disorders Centers; Florida DOH;

Florida DOE; Pediatric Nutrition Practice Group;

Florida Organ Transplant Advisory Council;

UF COM CME Committee; Child Advocacy Center; American Lung

Association, American Dietetic Association…

Sample TA Projects

Asthma Summit

Health CareersOpportunity Grant

CMS DistanceLearning

ADA EvidenceAnalysis

Sleep FellowshipCross Cultural

Cases

Goal 5: Development of MCH Network

• Facilitate faculty comfort with Web 2.0

• Develop PPC Trainee network

• Expand PPC Trainee network to other MCHB training programs