Lessons Learned

1
Lessons Learned

• Strategic Tips for Development of a Successful
  CATCH Initiative
• Colleen Kraft, M.D., FAAP

2
Lessons Learned

• Introduction
• Strategic Tips
• Medical Home Plus
• Accomplishments
• Challenges
• Future Plans

3
Medical Home Plus

• Richmond Pediatric Associates, Inc.
• Community based pediatric practice
• Eleven physicians, 2 PNPs, 1PA, Two offices
• 20,000 Families, 25 patients meet MCHB
  definition of CSHCN

4
Medical Home Plus

• One specialist in Pediatric Rheumatology
• Adjunct clinical faculty at Virginia Commonwealth
  University School of Medicine
• Large geographic area served

5
CATCH 2001 Idea

• Expertise of parents of CSHCN regarding community
  resources
• Organization and Structure
• Database of community resources
• Information and support

6
1. Develop a Clear Vision

• Executive Summary
• Project Abstract
• Brochure
• Goals and Objectives
• Program Components

7
Medical Home Plus

• Parent/Professional Resources
• Parent Consultant Pool
• Community Outreach and Education
• Resource Director
• Support in Office
• Direction to Community Resources

8
Develop a Core Team

• Shared Vision
• Complimentary Skills
• Support and Motivation

9
MHP Team

• Fran Gallagher, M.Ed.
• Project Director
• Structure/Organization, Grant Writing
• Work Scope
• Goals and Objectives
• Community Collaboration at directors level
• CSHCN parent

10
MHP Team

• Joanna Frank
• Resource Director
• Family Support
• Community Collaboration at the service provider
  level
• CSHCN parent

11
MHP Team

• Sandy McArthur, M.D.
• Pediatric Resident
• Experience in Health Policy
• Research and Needs Assessment
• Survey Design

12
MHP Team

• Dawn Coffelt, R.N.
• Brenda Peyton, R.N.
• After Hours Phone Triage
• Vicki Hardy-Murrell, R.N.
• Care Coordination
• CSHCN parent

13
3. Collaborate and Connect with Established
Community Partners

• Listen
• Observe
• Share
• Offer
• Ask

14
Collaborate and Connect

• Developed a Database
• United Way
• Local Community Service Boards
• State and Local Part C Councils
• Care Connection of Virginia (Title V)
• Family Voices
• More than 100 community resources

15
Funding Opportunities

• Chances improve with collaboration with
  established community organizations
• Pediatric Practice Community Organization
  Innovative, Interesting, Fresh Funded

16
Virginia Tobacco Settlement Fund

• RPA Medical Home Plus and United Way Success by
  Six
• Sponsored Violence Prevention Training in 13 Day
  Care Centers
• Wingspan, L.L.C.
• Research/Outcome based
• Parent Component

17
VTSF

• 100,000 total award
• Start up funds
• Physical Center
• Resource Director salary
• Office Supplies, broadband connection, office
  furniture and brochures

18
Funding Opportunities

• Established Non-profit organizations open up many
  funding sources
• State Chapter AAP Non-profit

19
4. Take Advantage of Technical Assistance
Resources

• AAP Technical Assistance
• Successful models
• Information on previous proposals
• Similar ideas and projects
• Stone Soup

20
Challenges and Roadblocks

• Physician Partners and Project Support
• Initial Funding and Investment
• Private Volunteerism vs. Practice/Corporate
  Support for Medical Home Plus

21
5. Enlist Patients to Talk it Up.

• Patients/Parents who have been helped by your
  initiative will be enthusiastic
• Talk it up with
• Partners
• Specialist Physicians
• Community Organizations

22
Challenges Funding

• Grants not awarded
• Foundations
• RWJ Center for Healthcare Strategies
• Medical Society of Virginia Foundation
• Community Foundation
• CATCH Implementation Funds

23
Challenges Funding

• Healthy Tomorrows Project
• Approved for funding but no funds available

24
Follow Up and Recycle Non-funded Projects

• Identify projects strengths and weaknesses from
  a reviewers perspective
• Your projects rank/top proposals
• May be right for a different funding opportunity
• Try resubmitting once your program is well
  established

25
Creative Uses for Non-funded proposals

• Healthy Tomorrows Proposal
• Anthem/Mental Health Collaboration

26
Future MHP Plans

• VA-AAP Pediatric Education Foundation, Department
  of Education
• VTSF Continuation Funds
• Medical Home Learning Collaborative
• NICHQ and CMHI
• Title V Collaboration and development of a care
  coordination team
• Replication in other practices

27
Future MHP Plans

• Bridge Title V, Family Voices, Parent to Parent,
  PEAT-C, other organizations
• Funding Opportunities utilizing non-profit
  foundation of state AAP chapter

28
7. Become the Highway

• Connect families to organizations created to help
  them
• Encourage organizations to be collaborative
  partners
• Personal and professional satisfaction