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CAPStone Newsletter   

April 2003

To submit information, update, or ask questions, please contact: Diana Der Koorkanian at (301)594-4113 or by e-mail at: dderkoorkanian@hrsa.gov

 

Greetings!

FLORIDA STATEWIDE CAP FORUM: Many CAP communities have recognized the importance of coordination with existing public insurance programs as a part of the integrated systems of care they are developing for uninsured and underinsured populations. In November 2002, Florida CAP grantees held a successful statewide CAP forum, which included participation from the Florida Medicaid program. The following letter from Summer Knight, MD, Chief Medical Officer of the Florida Agency for Health Care Administration shares her reflections on the value of these partnerships and the work being done through CAP.

Across the nation the uninsured are facing increasing difficulty in finding access to the health care services they need to maintain and improve their health, prevent bad health outcomes or receive access to lifesaving treatment and drugs. The Florida Healthy Community Access Program (HCAP) is designed to address this crucial need in individual communities by encouraging local health care entities to collaborate in the care of our most vulnerable citizens. Florida is fortunate to now have eight CAP communities, which include: Leon, Broward, Miami-Dade, Hillsborough, Jacksonville-Duval, St. John's, Orange and Osceola Counties.

As Chief Medical Officer for the Agency for Health Care Administration, I had the pleasure to attend the Florida Healthy Community Access Program Forum in Fort Lauderdale in November 2002. The energy, inquiry, and interest in improving health care quality and accessibility was exhilarating and infectious. The atmosphere was optimistic with ideas of what communities can do when members pull together to improve health care for their local citizens. The compassion for human life was evident as participants listened intently and engaged in thoughtful, and at times critical conversation about improving access to care and creating an integrated network to provide care at a community level.

I was very encouraged after attending the meeting. As Chief Medical Officer, I am tasked with meeting the mission of our Agency, which is to champion accessible, affordable, quality health care for all Floridians. This is a monumental task and everyday the Medicaid program, administered by the Agency, struggles to find innovative ways to bring together community partners to reach out to and provide health care services to our most vulnerable citizens. Listening to the many presentations and participants I was encouraged by our mutual goals. Working together we can solve problems. I must thank the HRSA Office of Performance Review staff for inviting me to attend this group and John Werner and Michael DeLucca of the Broward Regional Health Planning Council for hosting such a momentous meeting of kindred spirits. I am proud that such grants as the Community Access Program are available from HRSA in promoting our communities to pull their resources together to coordinate entities as they move forward in providing quality medical access to our fellow Floridians.

COVER THE UNINSURED WEEK :A number of CAP grantees participated in National Cover the Uninsured Week (March 10-March 16) and many received media coverage of their innovative and comprehensive initiatives to cover their uninsured and underinsured populations. Several of these are featured in the Grantee News section below! If your CAP community would like to share their activities for Cover the Uninsured Week, please contact Diana at dderkoorkanian@hrsa.gov.

CAP MONITORING REPORTS: Please note that the automated monitoring system will be available to accept monitoring data between May 1, 2003 and May 30, 2003. During that time each CAP community will be required to enter monitoring data for the reference period including September 1, 2002 to February 28, 2003. Communities are strongly encouraged to organize and document their data prior to May 1, 2003. Please visit the home page of the grantee website for additional information and to download copies of the report template.

Thanks!

Diana


INSIDE
LATE BREAKING NEWS
TECHNICAL ASSISTANCE CALLS SCHEDULE
GRANTEE NEWS
GRANT OPPORTUNITIES
AND AWARDS
CONFERENCES,PROGRAMS,
AND OTHER NEWS
REPORTS AND ISSUE BRIEFS
WEB RESOURCES
Technical Assistance Calls

Technical assistance calls for grantees are held every other Thursday from 2 to 3 PM EST. The schedule for April appears above. To register, search for summaries or materials from prior calls, or download materials for upcoming calls, please go to the CAP Website: www.capcommunity.hrsa.gov. Please remember that the site is password protected. Grantees should contact their primary contact to receive the password. Once you register for the call, please be sure to download the materials that will be used during the call. You should immediately receive a confirmation note by email that includes the call-in number for the call. If you have difficulty registering or do not receive the call-in number, please contact Shandy at scampbell@mac1988.com or call 301-468-6006 x437. 

With the exception of calls related to legal issues, TA calls are summarized and posted on the CAP website (www.capcommunity.hrsa.gov). Legal issue briefs are posted on the site under legal issues. You may also request an audiotape copy of any previous calls (up to one month after the call) by contacting Shandy Campbell at the email above.

 

CAP TA Calls

Date

 

Topic

April 3

Evaluation Issues, Methods and Strategies    
CAP grantees are faced with decisions about how to best use resources to manage and improve their programs. While informal professional judgment can result in beneficial changes, a more systematic and structured approach helps reduce subjectivity and bias. Evaluation techniques provide this structure and help in decision-making. This call will begin with Gary Golembiewski, Ph.D., who will provide an overview of different types of evaluation and how they can be used to better monitor and manage programs. The overview will be followed by presentations and discussions by the Panhandle Partnership for Health & Human Services of Chadron, NE. The presentations will focus on specific examples of issues they have faced in monitoring their progress and results they have obtained by incorporating ongoing data collection and evaluation into their programs. Note: To allow sufficient time for discussion and Q&A, this call will last 90 minutes. 

April 17

A CAP Business Plan    
This call will focus on the development of business plans as a tool to plot long-term strategic vision for CAP projects. CAP grantee, Health Federation of Philadelphia, PA will share lessons learned and outcomes from their experience in the development of their CAP business plan. Our featured speakers will be Linnette Black, CAP Project Director of HealthRight Inc., and Alan Zuckerman, business plan consultant and Director of Health Strategies and Solutions.

   
Griffin Health Services Corporation 
Derby, Connecticut

An appearance by Congresswoman Rosa DeLauro at a reception for Griffin Hospital's designation as a National Community Center of Excellence in Women's Health ushered in the Connecticut CAP project's weeklong series of activities (March 10-13) highlighting National "Cover the Uninsured Week." Griffin sponsored the event through the Valley Women's Health Access Program (VWHAP), which is dedicated to improving the health and well being of women and their families by increasing access to a network of health and human service providers.

Activities included: 115 free health screenings by Griffin Hospital Parish Nurses and Griffin medical staff and residents; Information and resources shared with over 300 individuals about programs in the Valley that assist the uninsured/underserved; Dialogue between the community and (health care/insurance providers) VWHAP's eligibility specialist; An advocacy workshop for health care consumers; Assistance from insurance eligibility specialists; and an inter-faith breakfast.

If you would like more information about Valley Women's Health Access Program or this event, please contact Susan Rosen at srosen@griffinhealth.org  or visit the Griffin website at: www.valleyhealthaccess.org.

Gilead Outreach and Referral Center
Chicago, Illinois

The Gilead Outreach and Referral Center recently released a detailed analysis of their state's uninsured populations conducted by the University of Illinois-Chicago. The report, entitled "Illinois' Uninsured: Who They Are, Where They Live," was featured on the front page of the February 28th Chicago Sun-Times and received other widespread print and radio coverage. The report is available on the Gilead website: www.gileadcenter.org. For more information about the Gilead CAP project, contact: Margaret Schmid at mschmid@gileadcenter.org.

East Central District Health Department
Columbus, Nebraska

Nebraska CAP grantee, East Central District Health Department (ECDHD), raised awareness of the issue of the uninsured by adapting a national "Cover the Uninsured Week" information piece for publication in their local newspaper. The piece noted that six thousand uninsured individuals live in the four-county area serviced by the ECDHD and also provided information on services offered by ECDHD and other organizations for the uninsured.

ECDHD CAP Project Director, Rebecca Rayman, also appeared on Nebraska Educational Television in the "Statewide" program, a weekly news journal. The program focused on Nebraska district health departments and used the ECDHD as an example department that is well underway. To view a video or read a transcript of the piece visit http://netdb.unl.edu/statewide/. For more information about ECDHD, please contact Rebecca Rayman at rrayman@ecdhd.com.

Southwest Texas Network Community Access Program (STNcap)
Uvalde, Texas

Community Health Development's STNcap coalition has partnered with the Mental Health Association of Greater San Antonio and hundreds of community partners in launching a searchable database for mental health resources. The Healthy Mind ConnectionSM website, http://www.healthymindconnection.org/, is designed to provide online referral and access information to professionals and the general public throughout a 10-county region. The service is expanding daily and upon completion of the provider database in late Spring 2003, the service will offer the largest Internet-based, regional mental health professional referral resource of its kind in South Texas.

A unique feature of this website is its use of a business model for self-financing beyond grant support. The website will charge providers to list on the website and proceeds from these listings, banner ads and other listings will be used to perpetuate the project. Developed to ease the frustration and difficulty of searching for psychiatrists, psychologists, behavioral health services, psychotherapy, and support groups, users can use the site's database to locate mental health providers in 10 counties. Similar to physician referral models, users can complete an online preference questionnaire that helps match them to select service providers, or users may also query the database by personal preferences for gender, city or county location, language spoken, cultural expertise, service need, and the provider's willingness to accept sliding fees or health plan reimbursement.

Persons anticipating the need for mental health services can use the website to access self-assessment questions and guidelines to help them find the right services. They can also find practical information about the location of mental health providers; how to select a mental health professional; types of treatment; regional pricing for therapy; guides for assessing the service quality of mental health professionals; how to participate in self-help groups; and how to file a complaint when there is suspicion of wrongdoing. Additionally, there are over 35 mental health Internet sites listed to assist with additional questions or topics not otherwise covered on the website. For more information on STNcap contact, Debra Williams at arbedw@aol.com.

Pathways to Collaboration Community Partnership Funds

Letters of Intent Deadline: May 9, 2003  Application Deadline: September 12, 2003

The Pathways to Collaboration workgroup, funded by the W. K. Kellogg Foundation, will give up to 12 community partnerships from across the United States a unique opportunity to explore exactly what makes a collaborative problem-solving process successful. Letters of Intent are being accepted from partnerships that have a record of success in using collaboration to address problems (in any area) and have an interest in participating in a rigorous and provocative learning experience. Selected applicants will participate in a series of meetings and other activities over a three-year period to develop a proven road map of collaborative problem solving that can support practice, training, and evaluation. Each selected partnership will receive $50,000 per year for three years (beginning in January 2004) to support its participation in the workgroup. In addition to receiving funding, participating partnerships will benefit from the services of the workgroup's technical support team. For more information and to download the application, visit: http://www.pathwaystocollaboration.net/.

Kaiser Permanente Cares: National Community Benefit Fund
Application Deadline: Rolling

Kaiser Permanente Cares is awarding national community benefit grants to nonprofit organizations and agencies with national reach. Kaiser seeks long-term, high-impact partnerships -- programs that give individuals and groups the background, knowledge and skills to develop responsibility for their own well-being and are interested in involving Kaiser Permanente employees and physicians as volunteers.

Organizations whose focus falls within the following four areas will receive highest priority: Vulnerable Populations, Evidence Base, Education, and Public Policy. There are no limits on funding requests. For more information on guidelines, visit www.kaiserpermanente.org/about/community/brochure.pdf or contact Community Relations, Kaiser Permanente, by phone at (510) 271-5685.

Local Initiative Funding Partners Program, 2004

Application deadline: July15, 2003

The Local Initiative Funding Partners program is a partnership between the Robert Wood Johnson Foundation (RWJF) and local grant makers that supports innovative, community-based projects to improve health and health care for the underserved and at-risk populations. Under LIFP, local grantmakers (such as community foundations, family foundations, corporate grantmakers, and others) propose a partnership with RWJF to fund a new initiative. Grants may be made to community nonprofit organizations or institutions. A local funder must nominate your project for this grant. Local Initiative Funding Partners provides grants of $100,000 to $500,000 per project over a three or four-year period which must be matched by local grantmakers. Up to $8 million will be awarded in 2004. For more information visit: http://rwjf.org/applying/cfpDetail.jsp?cfpCode=LFP&type=open.

HHS Bilingual Health Hispanic Helpline

Department of Health and Human Services Secretary Tommy Thompson recently announced the creation of the "Su Familia" National Hispanic Family Health Helpline (866-783-2645/ 866-SU-FAMILIA). Su Familia will help Hispanic families get basic health information to help them prevent and manage chronic conditions, and will refer them to local health providers and federally supported programs including the State Children's Health Insurance Program. Su Familia bilingual information specialists refer callers to one of more than 16,000 local health providers, including community and migrant health centers. Callers can also request basic health information, referrals to information sources, or receive consumer-friendly, bilingual Su Familia fact sheets. Fact sheets are currently available for a wide variety of topics including: asthma, cancer screening, cardiovascular disease, child and adult immunizations, diabetes, domestic violence and HIV/AIDS. The toll-free helpline is open Monday through Friday, 9 a.m. to 6 p.m. Eastern Time.

Steps to a HealthierUS: Putting Prevention First
April 15-16, 2003, Baltimore, MD

At this summit, Secretary of Health and Human Services Tommy G. Thompson will lay out the priorities and programs for Steps to a HealthierUS, the Department's initiative to advance President Bush's HealthierUS program. National summit presentations will highlight policies that promote healthy environments and model programs from communities across the country that use Healthy People 2010 as the basis for planning efforts. Join national, state, and local policy makers, health agencies, business and education communities, and leading health stakeholders at this pioneering national conference. For conference and registration information, visit: http://www.healthypeople.gov/summit/.

National Disease Management Summit
May 11-13, 2003, Baltimore, MD

The Third National Disease Management Summit seeks to better educate government agencies, the health care industry (including health plans and providers), employers, and the general public about the important role disease management programs play in improving health care quality and outcomes for persons subject to chronic conditions and will feature over 75 national experts and regulators. For conference/registration information, visit: http://www.DMConferences.com or call 1- 800-546-3750 or email: registration@rmpinc.com.

Compendium of Cultural Competence Initiatives in Health Care

Public and private sector organizations are involved in a number of activities that seek to reduce cultural and communication barriers to health care. These activities are often described as cultural competency and/or cross-cultural education. A recent Institute of Medicine report recommended that the health care system pursue several of these techniques as part of a multi-level strategy to reduce racial and ethnic disparities in medical care. The Henry J. Kaiser Family Foundation has developed a compendium, as a first attempt to describe these activities in a single document. The initiatives included in the compendium are from 1990 to the present and are divided into two categories: Public Sector Initiatives (Federal/state/local) and Private Sector Initiatives (health care institutions or professional organizations, foundations, academic institutions/policy research organizations, and other). This resource also includes brief definitions for the major terms, organizational descriptions of initiatives, and a list of experts in the field. To view the compendium visit: http://www.kff.org/content/2003/6067/.

Community Effects of Uninsured Populations

A Shared Destiny: Community Effects of Uninsurance, a new report from the Institute of Medicine (IOM), is the fourth of a series of six reports on uninsurance in the United States and examines the issue from a community perspective.

The report shows how having a large or growing uninsured population can adversely affect the quality, quantity, and scope of health services within the community. It explores the overlapping financial and organizational basis of health services delivery to uninsured and insured populations; the demonstrated and hypothesized effects of community uninsurance on access to health care locally; and the potential spillover effects of uninsurance on a community's economy and the health of its citizens.

The report is available online or for ordering from the National Academies Press at http://www.nap.edu/catalog/10602.html?onpi_webextra_030603.

Language Services Action Kit

The Access Project and the National Health Law Program have developed a Language Services Action Kit for advocates and others, working to ensure that people with limited English proficiency in their state get appropriate language assistance services in medical settings.

The action kit includes materials that explain relevant federal policies; describe how states secure federal funds to help pay for language services in their Medicaid and SCHIP programs; provide information to demonstrate the need for language services; and offer resources and suggestions for undertaking advocacy efforts. The action kit will be available in May 2003. If you would like to be notified about obtaining a copy, please send your contact information to LEPactionkit@accessproject.org.

The Uninsured: Updated National and State Data

A new report from the Kaiser Commission on Medicaid and the Uninsured, "Health Insurance Coverage in America: A 2001 Data Update," offers data from 2001 on health insurance coverage, including trends and major shifts in coverage, as well as a profile of the uninsured population.

The 2001 data have also been added to the commission's recent fact sheet called "The Uninsured and Their Access to Care" and to the foundation's "State Health Facts Online" Web site: http://www.statehealthfacts.kff.org/cgi-bin/healthfacts.cgi?action=profile  , which provides health insurance and demographic characteristics for every state. To access all of these resources, visit: http://www.kff.org/sections.cgi?section=kcmu


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