Problem Statement:

»

The 2001 Current Population Survey revealed that 9.1 million US children less than 19 years of age —or 11.8% of the 76,616,883 total child population —do not have health insurance (This number is increasing with our current economic down turn).

»

Uninsured children are less likely to receive preventive care, are less likely to use needed health care services, and are more vulnerable to health problems.

»

This is alarming, because it is well documented that availability of, and access to, quality health care has a direct

American Academy of Pediatrics Division of Health Policy Research access to primary care for children. New England Journal of Medicine. 1998; 338(8):513-9

TO ADDRESS THIS PROBLEM: The American Academy of Pediatrics began:



the Health Tomorrows Partnership for Children Program in 1989 with funding from MCHB.



the CATCH Program in 1991 under a grant from the Robert Wood Johnson Foundation.



the Reaching Children: Building Systems of Care in 1999 with funding from MCHB.

Barriers to access

 Lack of providers/services  Clinic hours  Transportation  No medical benefits  Cultural barriers such as language differences  Parental lack of understanding  The examples go on and on…..

“ Inferior doctors treat the patient’s disease; Mediocre doctors treat the patient as a person; Superior doctors treat the community as a whole ” Huang Lee, 2600 BC

Community Pediatrics is...



A perspective that enlarges the pediatrician's focus from one child to all children in the community.

»

Community Needs Assessments

»

Community Resources

»

Community Assets

Community Pediatrics is ...



A recognition that family, educational, social, cultural, spiritual, economic, environmental, and political forces act favorably or unfavorably, but always significantly, on the health and functioning of children.

Community Pediatrics is...



A synthesis of clinical practice and public health principles directed toward providing health care to a given child and promoting the health of all children within the context of the family, school, and the community.

Community Pediatrics is...



A commitment to use a community's resources in collaboration with other professionals, agencies, and parents to achieve optimal:

– – –

access quality of services for all children advocacy

Community Pediatrics is...



An integral part of the role and duty of all health care professionals who care for children.

The CATCH Mission

The mission of CATCH is to support pediatricians who work with communities to assure that all children have medical homes and have access to any other needed health care services.

The CATCH mission is built upon several 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

The CATCH mission is built upon several key concepts

 Communities are different and will often 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.

This is done by:

 providing pediatricians with tools and resources needed to put ideas into action (TA).

 providing them with support and model programs (networking, peer support, VP, CQ).

 motivating pediatricians with fiscal support (funding opportunities).

 getting pediatricians involved with their communities.

Components of the CATCH Program:

1. Training 2. Technical assistance 3. Peer support 4. Networking opportunities 5. Funding Opportunities

Training and Technical Assistance

Provides opportunities to learn about and develop skills necessary in doing community based projects:

 Needs and asset assessment  Showing what does and doesn’t work  Resource development  Coalition building  Program evaluation

Peer Support and Networking:

 District/Chapter CATCH Facilitators  CATCH sponsored training, programs and events  Technical Assistance given by peers  CATCH Visiting Professorships 

CATCH Quarterly

newsletter

The CATCH Program acts as a mentoring matrix for pediatric residents to accomplish the mission

The CATCH Network 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.

The CATCH Network consists of:

 over 80 District and Chapter CATCH facilitators  a database of 16,000 pediatricians and other child health advocates  over 500 Past CATCH grant recipients  accessible CATCH staff

CATCH Facilitators:

 provide technical assistance visits.

 assist projects in linking to local resources.

 assist projects in recruiting pediatricians.

 highlight/promote CATCH/HTPCP projects in their community.

 provide technical assistance to potential applicants and grantees.

 reviews and scores grant applications.

The Resident District CATCH Liaison

 Resident District CATCH Liaisons are pediatric residents with a special interest in community pediatrics and children’s access to medical homes and other needed services.

 Resident District CATCH Liaisons work with the Resident Section Leadership.

 Resident District CATCH Liaisons are part of the Nation wide CATCH Network.

Dist IX

WA

 

OR

  

CA



NV



AK

 

ID AZ



UT

   Dist VIII

MT WY CO



NM

  Dist VI Dist V   

VT NH



ME



ND

 Dist II  Dist I  

SD NE KS TX



OK

 

MN IA



MO AR



LA



WI

  

IL



MI

  

IN MI



KY TN



AL



OH

   

WV



PA VA

 

NC

 

NY



CT RI



MA

    

NJ

Dist III

DE

 

MD



DC

 Dist IV  

GA SC

 

FL

Dist X Dist VII   

HI

 

PR

FUNDING OPPORTUNITIES:

CATCH Funds The concept of CATCH Funds 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.

Funding Opportunities (Due Date):



Residency CATCH Planning Funds Program (July and January)



CATCH Planning Funds Program (July)



CATCH Implementation Funds Program (January)



Visiting Professorship (Awarded)



Healthy Tomorrows Partnership for Children (Oct. Nov.)



Reaching Children: Building Systems of Care (Not accepting applications at this time)

CATCH Grants

 Resident Grants $3,000  Planning Grants $10,000  Implementation Grants $10,000 *Note: Residents may apply for planning and implementation grants

CATCH Visiting Professorships Year 1994-96 1996-98 1998-00 2000-02 Total # 10 12 11 9

CATCH Planning Funds Year 1993-95 1996 1997 1998 1999 2000 2001 2002 # Grants 56 26 40 33 75 62 73 59

Resident CATCH Planning Funds Year 2000 # Grants 20 2001 2002 28 34

CPF-Awarded by Year 80 70 60 50 40 30 20 10 0 20 17 19 26 40 33 75 62 20 73 28 59 34 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

TT

Remember, you do not have to have a CATCH Planning Funds grant to be considered a CATCH program.

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.

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

“ I don’t know what your destiny will be, but one thing I know: the only ones among you who will be truly happy are those who will have sought and found how to serve.” Albert Schweitzer

Pediatricians remain instrumental in efforts to create, organize, and implement changes in communities, efforts that can substantially improve the health of children.