1. University of Florida Pediatric Pulmonary Center MCHB/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.

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

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

6. MCHB emphasizes:InterdisciplinaryFamily-CenteredCommunity-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. Vision A 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 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

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

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

13. Home of the Gators

14. Home of the PPC

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

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

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

18. Locations of the PPCs

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

23. UF PPC Goals 2005-2010: 1.Recruit and retain 1.Recruit and retain diverse graduate-level trainees and fellows who demonstrate a high potential for MCH leadership 2.Educate leaders 2.Educate fellows and trainees to be leaders in the interdisciplinary care of children with chronic respiratory conditions. interdisciplinary education programs 3.Provide interdisciplinary education programs at the local, state, regional and national levels to address key MCH issues and the Healthy People 2010 objectives. 4.Collaborate 4.Collaborate with, and provide technical assistance to, Title V and other MCH agencies at the local, state, regional and national levels. cultural competence/diversity, family involvement and faculty development 5.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 DietitiansNurses Physicians (Fellows) Respiratory Therapists Social Workers FAMILY PARTNERS Physicians (Residents) Pharmacists Psychologists Public Health students

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

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

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

30. Public Health/Population Based TopicsClinical Topics MCH/Title V Overview/Healthy People 2010Normal Respiratory Function Service Provision Models & Systems of CareAssessment 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 PromotionCF POSE*: An Interdisciplinary Approach to Problem Based Learning About Cystic Fibrosis Advocacy: Grassroots, Media and LegislativeRespiratory 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 CarePrevention and Treatment of Feeding Problems in Children with Chronic Respiratory Conditions Ethics/ProfessionalismPsychosocial Issues in Management of Chronic Respiratory Conditions Leadership of the Interdisciplinary TeamCultural 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 CareCare of Technology Dependent Children Genetics of Chronic Respiratory ConditionsTransitioning 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

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 12045 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 Health Careers Opportunity Grant CMS Distance Learning ADA Evidence Analysis Sleep Fellowship Cross Cultural Cases

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