Building State Collaboratives: A Roadmap
Development
Stage
Identifying
Leadership
Organizational
Steps
Example:
Missouri
Example:
California
o
Identify a Leader(s) to steer
a statewide collaborative
Sarah Garwood MD
Katie Plax MD
Lisa Chamberlain MD
Anda Kuo MD
Gena Lewis MD
o
Learn about educational
collaboratives from CPTI
Leadership
Reviewed article (Acad
Med, Chamberlain, Mar
2013)
NA
2012 Lisa spoke at CPTI
retreat.
READINESS ASSESSMENT
Organizing and
Mapping
o
Reach out to all programs in
state.
Connected with all 4
programs in Missouri
o
Assess shared history – is
there any?
Shared history: they had all
engaged in the AAP
advocacy day and knew
each other.
3 programs (UCSF,
Stanford, Children’s
Oakland) - Reached out
to 17 programs – 13
joined, 1 declined, 3 no
response.
Shared history: they had
worked together sharing
com peds curriculum >
three years.
o
Link to AAP (if not already)
Known to AAP Chapter,
connected thru advocacy,
not training.
Known to AAP Chapter Founded AAP Chapter
Advocacy Committee.
o
Perform online Needs
Assessment of Community
Pediatrics and Advocacy
training.
We used Lisa’s needs
assessment.
Built tool: Community
Pediatrics and Advocacy
training needs
assessment.
o
Encourage 100%
participation.
Had 4/4 complete
assessment.
o
Perform asset map – What
funders are interested in
children’s health?
Identified 2:
1) Deaconess Foundation
2) MO Foundation for
Health
(Tool built in part on
published Com Peds
Competencies.
Constructed needs
assessment for
legislative/media
competencies.)
Identified 1:
The California
Endowment.
In
Assessing local
funding
environment
Updated Nov 3, 2014 - Plax
Convening
programs in person
to identify shared
needs and
resources.
Meet in person.
Building Shared Foundation
Recognized programs are at
very different places, from
not yet started to program
in place for now almost 10
years.
Recognized wide range of
capacity (novel to
experienced) but
universal interest in
participating.
Prioritized needs:
- Environmental health
- Disaster preparedness
- Media training
- Disparities education
Prioritized needs:
-Environmental health
-Disaster preparedness
-Advocacy Training
Program starting in KC so
we also collaborate to help
them start well.
Decided to write grant
together.
Scheduled 4 meetings a
year in Columbia which is
central for folks to meet.
Decided to start to meet
if funded.
Apply for visiting professorship
Sarah and Katie applied for
CATCH VP for Lisa
Chamberlain.
Lisa, Anda and Gena
applied for Rome VP for
Steve Berman.
Host Visiting Professor
1. Clarify shared goals of
better advocacy for kids
and better training for
residents.
2. Increased faculty
credibility in home
institution.
3. Invited funders and
community members to
brainstorming and grand
rounds
4. Launched commitment
to effort with monthly
emails and greater
commitment to meetings
and to each other.
Was a shared “victory”
for us – unified us.
Determine collective next steps.
Updated Nov 3, 2014 - Plax
1) Brought a handful of
programs together at
PAS. Some interest.
2) Brought 13 (now 14)
programs together In San
Francisco – reviewed
needs assessment.
Review needs assessment to
establish priorities and build
cohesion.
Uniting programs
around an initial
shared activity,
experience an early
“win”.
Brought all 4 programs
together in Columbia, MO
to discuss results of needs
assessment.
I don’t remember what
he talked about. I
remember the pride in
having done it together.
He gave talks at Stanford,
UCSF, Children’s Oakland
and UC Davis.
We got our $$ out of
him.:)
Getting Funding
Write collaborative grant.
Katie and Sarah wrote a
grant to Deaconess
Foundation ($20K), to hire
part-time coordinator for
the collaborative.
Lisa (as lead) wrote a
grant to the CA
Endowment ($1.26M) for
3 years: 1st year
planning, 2nd year
implementation grant.
Second grant to MFFH to
support faculty with
coaching and collaborative
expenses. ($300K) Still in
conversations with
foundation.
Implementation
Deaconess grant went thru
WUSM and supported the
work of the whole
collaborative.
Building capacity in
collaborative
members around
Community
Pediatrics and
Advocacy Training.
Determine collaborative
structure and meeting schedule.
Meeting four times a year
and meetings were
scheduled right after Lisa’s
visit.
Planned a train the trainer
teaching module for each
meeting with a presenter
assigned and if needed
invited.
Focused on building the
curricula at all four
programs and planning the
AAP Advocacy Day.
Grant went thru Stanford
and supported all
programs. Programs
invoiced Stanford.
KEY FOR CALIFORNIA
Met quarterly for 3 years
Divided into three
workgroups of ~7
members each:
Comm Peds training
Advocacy training
Evaluation
Focus year #1 was
building the community
pediatrics curricula using
a train the trainer model.
Year #2 focus was
building out advocacy
training. Across it all was
evaluation.
*This is where we
developed a deep
connection to one
another.*
Building capacity
with AAP Chapter in
the State.
Strengthen AAP Advocacy Day
Sarah Garwood, MD
Did this in year #1
Nancy Graff, MD (UCSD)
Did this in year #2.
Attendance at AAP
Updated Nov 3, 2014 - Plax
Advocacy day increased
from low numbers to
consistently over 100.
Establishing
communication
strategy
Evaluating impact
Evolving
Membership
Strengthen relationship with AAP
chapter
Attend Chapter meetings
Participate in Legislative
committee.
Write articles/updates for
AAP newsletter.
Continued to build
Advocacy Committee in
CA Chapters.
Establish web platform.
Used monthly email
updates and for larger
documents used Google
Docs
Used it for sharing
curricula, ppts, resources,
blast emails, etc.
Evaluate collaborative:
 Leaner impact
 Faculty impact
 AAP impact
 State Policy impact
Planning evaluation.
KC Mercy program created
a survey and obtained IRB
approval. Plans underway
for other sites to do so as
well.
All 13 sites IRB.
Qualitative interviews of
faculty.
Pre/post surveys of
curricular change of
residents.
Recruit new programs and new
faculty from established
programs.
NA – have full capture
Added Fresno program in
2012.
Maintenance
A handful of faculty have
moved on and are
replaced with new
representatives.
Building shared
activities between
programs.
Share residency advocacy
projects.
Ferguson, MO early
childhood project, Letters
to the Editor in KC Star,
Resident fact sheet on
ACA/CHIP, Resident flyer on
Gun safety.
Three programs in
southern California now
share UCSD’s very
popular cultural
immersion day.
Two LA programs share
media training with CNN
(lucky Hollywood types)
Obtaining ongoing
funding
Updated Nov 3, 2014 - Plax
Work with institution to leverage
ongoing internal/education
support.
NA
Anecdotally many faculty
were able to do this. I
should/could find out
updated numbers.
Write second grant
MFFH grant
Write third grant
NA
Susan Wu (CHLA) Lead.
Funded all local programs
in So Cal to advocate for
increased health
insurance coverage.
Janine Bruce (Stanford)
lead.
Will fund addressing
training for MDs to
screen/refer for food
insecurity/hunger – not
yet funded (submitted
once)
Dissemination
Advancing
community
pediatrics and
advocacy in the
field of pediatrics
Disseminating
model to other
states
Submit abstracts, workshops and
write peer-reviewed papers
NA
We had ?two PAS
posters, two workshops
and one article.
Perform site visits/visiting
professorships to help build
other collaboratives.
NA
Lisa Vis Prof:
Ohio
Missouri
Arizona
Texas
New Mexico
Anda Vis Prof:
New Jersey
Ensuring ongoing
core leadership and
vision.
Updated Nov 3, 2014 - Plax
Strengthen CPTI model of
educational collaboratives.
CPTI Retreat Oct 2014
Dedicate Rome visiting
professorships to
expanding model.
Retreat 2012 and 2014
Dedicate Rome visiting
professorships to
expanding model.