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April 2003
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To submit information, update, or ask questions, please
contact: Diana Der Koorkanian at (301)594-4113 or by e-mail at:
dderkoorkanian@hrsa.gov
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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
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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.
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CAP TA Calls
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Date
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Topic
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April 3
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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.
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April 17
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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.
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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.
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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.
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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.
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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.
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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/.
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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.
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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.
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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.
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April 15-16, 2003, Baltimore, MD
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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/.
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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.
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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/.
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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.
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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.
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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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