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Philadelphia Allies Against Asthma. Michael Schaffer, Coalition Co-Chair. Overview. Background Collaboration, Coordination & Communication Service Integration. History of Coalition.
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Philadelphia Allies Against Asthma Michael Schaffer, Coalition Co-Chair
Overview • Background • Collaboration, Coordination & Communication • Service Integration
History of Coalition 1996 - Two coalitions formed--ALA Attack Asthma & Philadelphia’s Department of Public Health’s Asthma Taskforce 1999 - development of Philly AAA designed for pediatric asthma with 2 target areas & many of the same coalition partners as above.
Health care systems Primary Care Providers Schools Insurers Community organizations Nursing centers State and Local Health Departments Parents/caregivers Media Foundations 40 groups-102 individuals-60% active in committee Introduction - Coalition Stakeholders
Collaboration, Coordination & Communication • Analysis of existing system revealed all necessary resources already exist • A desire to not duplicate efforts • Network existing resources (i.e. coalition partners) to maximize services to those in need • Centralized vehicle created to open communication channels between service providers and patients (Asthma CALL Center)
Service Integration • Definition - Coordination of access to comprehensive asthma related services for the target audience population • Goal - To facilitate linkages among systems that deliver and monitor healthcare to children with asthma
Coordination - Service Integration • Ensure elimination of barriers to care • Addresses access, quality, education, environment • Identified through ED, schools, and community organizations • Coordination allows for measurable outcomes
Challenges - Collaboration, Coordination & Communication • Collaboration • Competition, opposing interests within the city • Coordination • Developing procedures among partner organizations • Communication • We kill a lot of trees • Time & Resource intensive to gain consensus • Timeliness of decision making
Challenges - Service Integration • HIPAA -consent issues • Subcontracting • IRBs • Protocols and Procedures • Timelines • Internal structural changes within large institutions • Pulling it all together