National Asthma Forum: Thursday, June 17 and Friday, June 18, 2010

Welcome

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Janet McCabe, Deputy Assistant Administrator, Office of Air and Radiation, U.S. Environmental Protection Agency

The Roadmap for Breakthrough Improvement in Community Asthma Care

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Tracy Washington Enger, U. S. Environmental Protection Agency

The Communities in Action Campaign serves to mobilize communities to lead the nation in quality asthma care. Every community can put in place a sustainable System for Delivering High Quality Asthma Care. This session introduces the Communities in Action Campaign and what we know about the System—how and why it works—and how different communities are using this System to put key assets into action to improve community-level asthma outcomes.

Communities in Action—Assets for Delivering High Quality Asthma Care

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Dr. Peter Grevatt, Office of Children’s Health Protection and Environmental Education, U.S. Environmental Protection Agency
Dr. Anne Rossier Markus, School of Public Health and Health Services, George Washington University
Dr. Paul Garbe, Centers for Disease Control and Prevention
Dr. Seiji Hayashi, Health Resources and Services Administration
Dr. James Kiley, National Heart, Lung, and Blood Institute, National Institutes of Health
Deborah Kilstein, Association for Community Affiliated Health Plans
Dr. Floyd Malveaux, Merck Childhood Asthma Network, Inc.
David Rowson, U.S. Environmental Protection Agency
Paul Smith, Washington, DC Department of Health Care Finance

Hear critical findings from the landmark study by the George Washington University School of Public Health and Health Services, “Changing pO2licy: The Elements for Improving Childhood Asthma,” which identifies five essential elements for improving health outcomes for children with asthma. The report, commissioned by Merck Childhood Asthma Network, or MCAN, and the RCHN Community Health Foundation, will serve as a foundation as we surface and describe the assets the Communities in Action Campaign delivers to help communities improve asthma care and results. Panelists will describe how their organizations address the report’s recommendations.

Campaign Assets in Action—System Solutions for Your Community

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Tracy Washington Enger, U. S. Environmental Protection Agency

Building from the previous session, reflect on the asthma burden and the infrastructure that exists in your community today to bring asthma under control.

Communities in Action Knowledge Base—Management Tools for Your System

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Maureen Wilce, Centers for Disease Control and Prevention
Sarah Gill, Centers for Disease Control and Prevention
Rebecca Giles, Utah Department of Health

This session explores how asthma programs can use the Evaluation of Partnerships as a strategic program management tool. Assess your program’s “readiness” to comprehensively address asthma and learn how to ground that work in the Centers for Disease Control and Prevention Framework for Evaluation in Public Health. Explore how to use the Framework to ensure your program targets, serves and affects asthma outcomes in the population you want to reach; and how leading programs use evaluation as a management tool to drive continuous improvement.

Communities in Action Knowledge Base—Tailored Environmental Interventions

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Dr. Tursynbek Nurmagambetov, Centers for Disease Control and Prevention
Dr. Lani Wheeler, The Cadmus Group, Inc.

Hear from national experts about evidence-based best practices for implementing environmental interventions in home-, school- or clinic-based settings. Explore the science that demonstrates the impact and value of environmental interventions as must-have components of comprehensive asthma control systems, including findings from CDC’s systematic review of home-based environmental asthma interventions and an accompanying economic evaluation.

The Knowledge Base in Action—Building Your Community System

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Tracy Washington Enger, U. S. Environmental Protection Agency
Dr. Tyra Bryant-Stephens, Children’s Hospital of Philadelphia
Steven Conti, Seton Asthma Center
Dr. Megan Sandel, Boston Medical Center

Assess your program’s assets and needs to build, scale up, and sustain environmental interventions in home-, school- and clinic-based settings. Use this information to select a break-in session track where you will discover a range of effective approaches to implementing home-, school- or clinic- based environmental asthma programs.

Organizing Your Community Asthma Control System—Establishing Your Game Plan

Building from the previous two sessions, back-to-back break-in sessions prepared participants to deliver and evaluate environmental interventions and hear how leading programs effectively implement environmental interventions in home, school, and clinical settings. Participants:

  • Explored strategies to move forward on action plans for building, scaling up, and sustaining environmental interventions as part of a comprehensive asthma control program.
  • Focused on evaluation of intervention strategies and learned about tools and methods for integrating evaluation practice into program design.
Clinical Settings:   

Dr. Megan Sandel, Boston Medical Center
Dr. David Callahan, Centers for Disease Control and Prevention
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Home Settings:

Dr. Tyra Bryant-Stephens, Children’s Hospital of Philadelphia
Sarah Gill, Centers for Disease Control and Prevention
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School Settings:

Steven Conti, Seton Asthma Center
Rebekah Buckley, Centers for Disease Control and Prevention
Dr. Catherine Rasberry, Centers for Disease Control and Prevention
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Campaign Assets in Action—Putting Your Game Plan to Work

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Tracy Washington Enger, U. S. Environmental Protection Agency

Participants shared the plans for action that they developed in the break-ins with others from their region in a marketplace exchange of knowledge, experience, resources, mentoring, program models, and tools. Facilitators helped make matches between participants, faculty, state, federal programs and national non-profits, and broker agreements for ongoing partnerships.

Preparing for a Breakthrough—Controlling Asthma in Your Community

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Tracy Washington Enger, U. S. Environmental Protection Agency
Maria Gomez, President and CEO, Mary’s Center for Maternal and Child Care

Everyone has a role to play in community-based asthma control, and every player can meaningfully advance the quality and reach of a comprehensive community asthma control system. Sketch your community’s road map for improved asthma control and identify the areas of improvement you are personally ready to lead. Learn to identify your community’s greatest asthma control assets and needs, direct asthma programming to achieve the greatest impact, and broker the deals that will deliver and sustain breakthrough improvement in your community’s asthma care system.

Charting Your Route Forward—Knowing Where You Want to End Up and Writing the Plan to Get There

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Tracy Washington Enger, U. S. Environmental Protection Agency

Name the areas of your community’s asthma improvement journey that you can drive forward. Then create the small group working sessions, or “clinics,” you need to engage the national experts, federal, state, and local health officials, national non-profit leaders, program models, payers and funders in the room to help develop your customized plans for action.

Leading a Breakthrough—Realistic Requests and Bold Offers

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Jennifer Kosak, Kalamazoo County Health and Community Service Department
Margaret Reid, Boston Public Health Commission

Learn about how a Value Proposition, your program’s promise for performance, can help you make things happen in your community. Hear from asthma programs that have developed a Value Proposition to help build and sustain their programs and develop the irresistible offers that bring the partners, providers and payers to the planning table.

Campaign Assets in Action—Deal Making to Resource Your System

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Tracy Washington Enger, U. S. Environmental Protection Agency

Develop your own Value Proposition and action plan. Learn from people who know what funders, partners and grant makers want to hear in an asthma program Value Proposition.

The Campaign in Action—Creating Our National Impact

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Tracy Washington Enger, U. S. Environmental Protection Agency

Regional workgroups reported on the action plans and collaborations developed in the room that offered the most promise for breakthrough asthma care improvement. Participants celebrated community health care systems they created and discussed how to extend the impact of our asthma work to affect health care change at a national level.

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