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University of FloridaPediatric Pulmonary Center
MCHB/Training Program Overview
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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.
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Health Resources and Services Administration
Maternal and Child Health Bureau
Pediatric PulmonaryCenter
United States Department of Health and Human Services
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The Health Resources and Services Administration's mission is to
improve and expand access to quality health care for all.
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MCHB emphasizes:
InterdisciplinaryInterdisciplinaryFamily-CenteredFamily-Centered
Community-BasedCommunity-BasedCulturally CompetentCulturally Competent
Care
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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.
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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
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Block vs. SPRANS grants
To States forHealth Department
Use
To AcademicHealth Programs:
PPCsLEAHsLENDs
SPHSSWs
Nutrition ProgramsCE
Distance Education
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Infrastructure Services
Population Based Services
Enabling Services
DirectHealth
ServicesTraining is considered infrastructure building
MCHB provides fundingfor these services
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Other MCHB Programs:
Bright Futures
WIC
Children’s EMS
Healthy Start
Family VoicesNational AdolescentHealth Info Center
National NewbornScreening and Genetic
Resource Center
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Home of the Gators
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Home of the PPC
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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 OrthoPediatricPediatric
PulmonaryPulmonary
Peds ENTPeds ENT Peds SurgPeds SurgPeds GIPeds GI
MedicineMedicineDean GoodDean Good
PharmPharm
OtherOtherCollegesColleges
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Cystic FibrosisCenter
MCHB-fundedPediatric Pulmonary
Center Training Program
Pediatric PulmonaryDivision
CMS
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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.
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Locations of the PPCs
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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
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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.
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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
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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
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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.
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PPC Goals 2010-20151. 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
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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
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Goal 1: Leadership TrainingTRAINEE DISCIPLINESTRAINEE DISCIPLINES
DietitiansDietitiansNursesNurses
Physicians (Fellows)Physicians (Fellows)Respiratory TherapistsRespiratory Therapists
Social WorkersSocial WorkersFAMILY PARTNERSFAMILY PARTNERSPhysicians (Residents)
PharmacistsPsychologists
Public Health students
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Goal 1: Leadership Training
Long (5%)Medium (77%)Short (18%)
Long term
= >299 hours
Short term
= < 4
0 hours
40 299
Medium te
rm =
40-29
9 hours
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Clinical Care Research
Teaching Policy/Advocacy
Goal 1: Leadership Training
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Methods of Education
• Classroom (Core Curriculum)
• Clinical (In clinic or hospital)
• Self Directed Learning Activities (SDLAs)
• Division activities
• With Faculty Mentor
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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
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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
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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
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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…
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Sample TA Projects
Asthma Summit
Health CareersOpportunity Grant
CMS DistanceLearning
ADA EvidenceAnalysis
Sleep FellowshipCross CulturalCases
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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
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