amchp association of maternal & child health programs maintaining a focus on maternal and child...
TRANSCRIPT
![Page 1: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/1.jpg)
AMCHP Association of Maternal & Child Health Programs
Maintaining a Focus on Maternal and Child Health
Jeffrey G. Lobas, MD
![Page 2: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/2.jpg)
AMCHP Association of Maternal & Child Health ProgramsChallenges for MCH• Resources• Competition between Priorities• Evidence-Based Approaches• Attitude/Culture• Silos/Isolationism• Leadership• Workforce
![Page 3: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/3.jpg)
AMCHP Association of Maternal & Child Health Programs
MCH Block Grant Funding 1985-2006
$0
$100,000,000
$200,000,000
$300,000,000
$400,000,000
$500,000,000
$600,000,000
$700,000,000
$800,000,000
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
Inmillions
![Page 4: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/4.jpg)
AMCHP Association of Maternal & Child Health Programs
Services # of
States Affected
Family Planning 14
Children’s Services14
Adolescent Health13
CSHCN 8 Program Development
17
Impact of Title V Reductions
Impact of Title V Reductions
![Page 5: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/5.jpg)
AMCHP Association of Maternal & Child Health ProgramsProblem-solving during
Cutbacks: I Reduction of
administrative expenses Consolidation Less expensive
alternatives
Changing the way services are delivered Contracts Resource
sharing Service
integration
Negotiating better Contracts
Improving Contract Administration
Better employee oversight
Use “carry forward” funds for short-term problems
![Page 6: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/6.jpg)
AMCHP Association of Maternal & Child Health Programs Problem-solving during
Cutbacks: II Cost-Shifting– Medicaid– Insurance– Partners– Families
Seek funds from reductions in other programs.
Replace lost funds with new state funds
Cut back lower priority services– Administrativ
e services usually first for reductions
– Geographic locations
– Services delivered
– Populations covered
Eliminate lower priority services
![Page 7: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/7.jpg)
AMCHP Association of Maternal & Child Health Programs Competition
• “Disease of the Month”• Individual Health vs. Population
Medicine• Bioterrorism/Disaster Preparedness• “Health Coverage”• Pet Projects• Lack of Focus• Consolidation
![Page 8: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/8.jpg)
AMCHP Association of Maternal & Child Health Programs
Evidence-Based Practice• Science of Maternal and Child
Health• Research Orientation• Performance Measures• Outcomes• Evaluation which is Rigorous
![Page 9: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/9.jpg)
AMCHP Association of Maternal & Child Health Programs
Attitude/Culture
“ I’m mad as hell and I am notgoing to take it anymore.”
Network-Peter Falk
![Page 10: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/10.jpg)
AMCHP Association of Maternal & Child Health Programs Silos/Isolation• Public/Private Relationships• Separate View of the world• Disenfranchised view of public
health
![Page 11: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/11.jpg)
AMCHP Association of Maternal & Child Health ProgramsLeadership and Workforce
• Cultivating new leaders• Mentoring and Maintaining leaders• Valuing leadership
![Page 12: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/12.jpg)
AMCHP Association of Maternal & Child Health ProgramsAccepting the Challenge• Advocacy• Partnerships• “Just say no!”• Science/Outcomes• Innovation• Leadership Development
![Page 13: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/13.jpg)
AMCHP Association of Maternal & Child Health Programs Partnerships
• AMCHP• CityMatCH• AAP/AAFP/ACOG• CDC• MCHB• ASTHO• Family Voices• Others!-SAMHSA, etc.
![Page 14: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/14.jpg)
AMCHP Association of Maternal & Child Health Programs Advocacy• National Advocacy• State Level• Professional Organizations
![Page 15: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/15.jpg)
AMCHP Association of Maternal & Child Health Programs
“Just Say No”
![Page 16: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/16.jpg)
AMCHP Association of Maternal & Child Health ProgramsScience/Outcomes• Projects should include some
research question• Rigorous evaluation is a valid
research approach• “if we don’t publish, we didn’t do it”• We owe it to move the body of
knowledge forward• University’s think about research
differently
![Page 17: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/17.jpg)
AMCHP Association of Maternal & Child Health Programs
Innovation• Adapt new approaches and try
them on a small scale• Develop new approaches and
study it• Plan/Do/Study/Act cycle
![Page 18: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/18.jpg)
AMCHP Association of Maternal & Child Health Programs
Leadership Development• Partner• Individualize• Develop a strategy• Competencies
![Page 19: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/19.jpg)
AMCHP Association of Maternal & Child Health ProgramsStop the
Madness!!!!!
![Page 20: AMCHP Association of Maternal & Child Health Programs Maintaining a Focus on Maternal and Child Health Jeffrey G. Lobas, MD](https://reader030.vdocuments.us/reader030/viewer/2022032705/56649dba5503460f94aaa646/html5/thumbnails/20.jpg)
AMCHP Association of Maternal & Child Health Programs
Our Vision is our Legacy