University of Florida Pediatric Pulmonary Center MCHB/Training Program Overview

1. University of FloridaPediatric Pulmonary CenterMCHB/Training Program Overview

2. 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 in this talk, but you may want to get more information on these from the internet.

3. The Maternal and Child Health Bureau

4. United States Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau Pediatric Pulmonary Center

5. The Health Resources and Services Administration's mission is to improve and expand access to quality health care for all.

6. MCHB emphasizes: Interdisciplinary Family-Centered Community-Based Culturally Competent Care

7. Mission To 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.

8. MCHB History • 1912: Development of the Children’s Health Bureau • 1935: Title V of the Social Security Act • 1998: Strategic Plan • Eliminate Health Disparities • Assure highest quality of care • Develop health infrastructure and questions

9. Block vs. SPRANS grants To States for Health Department Use To Academic Health Programs: PPCs LEAHs LENDs SPH SSWs Nutrition Programs CE Distance Education

10. Direct Health Services Enabling Services Population Based Services Infrastructure Services MCHB provides funding for these services Training is considered infrastructure building

11. Other MCHB Programs: Children’s EMS Bright Futures Healthy Start Family Voices National Adolescent Health Info Center National Newborn Screening and Genetic Resource Center WIC

12. The Pediatric Pulmonary Center Training Program

13. Home of the Gators

14. Home of the PPC

15. University of Florida College of Engineering College of Arts & Sciences Other Colleges Health Science Center Pharm PHHP Dentistry Medicine Dean Good Nursing Vet Med Internal Med Adult Ortho Other Adult Pediatrics: Chairman Dr. Bucciarelli Peds ENT Peds GI Peds Ortho Pediatric Pulmonary Peds Surg Gen’l peds

16. Cystic Fibrosis Center CMS MCHB-funded Pediatric Pulmonary Center Training Program Pediatric Pulmonary Division

17. The Pediatric Pulmonary Center Training Program is funded by a training grant from the US Maternal and Child Health Bureau. Cystic Fibrosis Center CMS MCHB Funded Pediatric Pulmonary Center Training Program Pediatric Pulmonary Division

18. Locations of the PPCs

19. MISSION of the PPCs To recruit and train graduate level health care professionals who will be future leaders in the culturally competent, community base, family centered care of children with respiratory disorders

20. 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.

21. 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

22. Who we are Cindy Capen, Nurse Faculty Dr. Wagner, PPC Director Ellen Bowser, Nutrition Faculty Susan Horky, SW Faculty Dave Yonutas, Respiratory Faculty and Educ. Consultant Angela Miney, Family Partner Leonile Kitnurse Respiratory Faculty

23. UF PPC Goals 2005-2010: • Recruit and retaindiverse graduate-level trainees and fellows who demonstrate a high potential for MCH leadership • Educatefellows and trainees to beleadersin the interdisciplinary care of children with chronic respiratory conditions. • Provideinterdisciplinary education programsat the local, state, regional and national levels to address key MCH issues and the Healthy People 2010 objectives. • Collaboratewith, and provide technical assistance to, Title V and other MCH agencies at the local, state, regional and national levels. • Expand programs in key MCH/Healthy People 2010 areas including cultural competence/diversity, family involvement and faculty development.

24. 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

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

26. Goal 1: Leadership Training TRAINEE DISCIPLINES Dietitians Nurses Physicians (Fellows) Respiratory Therapists Social Workers FAMILY PARTNERS Physicians (Residents) Pharmacists Psychologists Public Health students

27. Goal 1: Leadership Training Medium term = 40-299 hours Short term = < 40 hours Long term = >299 hours 299 40

28. Goal 1: Leadership Training Clinical Care Research Teaching Policy/ Advocacy

29. Methods of Education • Classroom (Core Curriculum) • Clinical (In clinic or hospital) • Self Directed Learning Activities (SDLAs) • Division activities • With Faculty Mentor

30. PPC Core Curriculum

31. 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

32. Goal 3: Interdisciplinary Education • Distance and in-person talks given to: • Children’s Medical Services • Local Schools • Shands, University of Florida • Local, Regional and National Conferences • Professional organizations 2008: 237 programs provided to a total of 3261 participants

33. Goal 4: Collaboration and TA 2008: 120 TA Sessions to 45 groups Including…. …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…

34. Sample TA Projects Asthma Summit CMS Distance Learning Cross Cultural Cases Sleep Fellowship Health Careers Opportunity Grant ADA Evidence Analysis

35. 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

36. Thank You! Questions?