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 impact on the health of families and children.

American Academy of Pediatrics Division of Health Policy Research analysis of March Demographic File, 2001 Current Population Survey. Newacheck PW, Stoddard JJ, Huges DC, Pearl M. Health insurance and 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 accessLack of providers/servicesClinic hoursTransportation No medical benefitsCultural barriers such as language

differencesParental lack of understandingThe 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 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

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

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.

The CATCH mission is built upon several key concepts

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 assessmentShowing what does and doesn’t workResource developmentCoalition buildingProgram 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 Programacts 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 facilitatorsa database of 16,000 pediatricians and other

child health advocatesover 500 Past CATCH grant recipientsaccessible 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.

WA

OR

CA

NV

ID

UT

AZ

MT

WY

CO

NM

TX

OK

KS

NE

IA

AR

KY

LA

MO

MI

NCTN

SC

AL GA

FL

MN

WI

IL INOH

WV VA

ME

NY

PA

ND

SD

NJ

CT

RI

MA

NHVT

DEMD

DC

HI PR

AK

MI

Dist IDist II

Dist III

Dist IV

Dist VII

Dist V Dist VI

Dist VIII

Dist IX

Dist X

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 timetime, , expertiseexpertise, , or moneymoney to planplan 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 Total #

1994-96 10

1996-98 12

1998-00 11

2000-02 9

CATCH Planning Funds

Year # Grants1993-95 56

1996 26

1997 40

1998 33

1999 75

2000 62

2001 73

2002 59

Resident CATCH Planning Funds

Year # Grants2000 20

2001 28

2002 34

CPF-Awarded by Year

2017 19

26

4033

75

62

73

59

20

2834

0

10

20

30

40

50

60

70

80

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 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.

The CATCH Vision

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.