the new Ohio Department ofHealth Director, Mary Apple-gate, MD, medical director forMedicaid, and Lisa Simpson,MD, director of the Child PolicyResearch Center at CincinnatiChildren’s Hospital Medical Cen-ter. Attendees learned about re-cent public policy decisions andtheir affects on pediatrics. Parti-cipants had an opportunity todiscuss with presenters how theycan be more proactive in areas ofpublic health.

An awards luncheon followedthe workshops. The CommitteeCo-Chairs of the Year Awardwent to Roberta Bauer, MD, andJames Bryant, MD, of the Chil-

dren with Disabilities Commit-tee. This committee was respon-sible for the Behavioral Healthworkshops at last year’s AnnualMeeting and the Chapter’s in-volvement with the Autism TaskForce, which resulted in a $800KAutism grant for Ohio AAP. Thecommittee also spent time andeffort on advocating for in-creased funding for the Bureaufor Children with Handicaps andincreased Medicaid coverage forchildren with disabilities.

The Arnold Friedman Com-munity Pediatrician Award wasgiven to Louis Goorey, MD.

Dr. Goorey has been an advo-

Newsmagazine of the Ohio Chapter, American Academy of Pediatrics Fall 2007

Foundation golf outing/fundraiserkicks off 2007 Annual Meeting

Blue skies and temperatures inthe 70s were perfect for golfers atthe first Ohio AAP Foundation’sgolf outing/fundraiser at Gran-ville Golf Course in Newark. Thegolf scramble was a kickoff toOhio AAP’s 2007 Annual Meetingheld Sept. 14 and 15 at CherryValley Lodge in Newark, Ohio.

Prior to the opening receptionon Friday evening, several OhioAAP members and their practicemanagers attended a codingworkshop presented by RichardTuck, MD.

At the reception, members wereable to network with colleaguesand exhibitors. A record 22 ex-hibitors were on hand to share thelatest medical information.

At the breakfast meeting Sat-urday morning attendees wereupdated on the accomplishmentsof the Ohio Chapter for the pastyear and learned about futureplans for the organization.

Michael Brady, MD, andRobert Frenck, MD, both mem-bers of the Red Book Committee,gave participants a review andupdate of the newest informationon infections and immunizationsfound in the AAP Red Book.

The second workshop, HowHealth Policy Effects You and HowYou Can Influence Health Policy,was presented by three dynamicspeakers – Alvin Jackson, MD,

Jo Ann Rohyans, MD, received Ohio AAPʼs Elizabeth Spencer RuppertOutstanding Pediatrician of the Year Award at the 2007 Ohio AAP AnnualMeeting Sept. 15 at Cherry Valley Lodge. Ohio AAP President WilliamCotton, MD, presented her with the award. More photos on Pages 4&5.

See Annual Meeting...on page 10

Ohio Pediatrics • Fall 20072

Ohio Pediatrics

A Publication of the Ohio Chapter,American Academy of Pediatrics

OfficersPresident....William H. Cotton, MD

President-Elect..... Terry P. Barber, MD

Treasurer....Gerald Tiberio, MD

Delegates at large:Robert Frenck, MDJames Duffee, MDJudith Romano, MD

Executive Director:Melissa Wervey Arnold450 W. Wilson Bridge Road, Suite 215Worthington, OH 43085(614) 846-6258, (614) 846-4025 (fax)

Lobbyist:Dan Jones Capitol Consulting Group37 West Broad Street, Suite 820Columbus, OH 43215(614) 224-3855, (614) 224-3872 (fax)

Editor:Karen Kirk, (614) 846-6258 or (614) 486-3750

www.ohioaap.org

would likely center on public/private partnerships and incen-tives for small businesses to coveremployees.

"The reform package will lookat wellness and prevention, infor-mation technology, and how tocover more of the uninsured," hesaid.

A special thank you to the fol-lowing Ohio AAP members whoprovided written comments ortestified at the regional hearings:David Krol, MD, Toledo, Mich-ael Farrell, MD, Cincinnati, RonLevin, MD, Cincinnati, RobertWiess, MD, Cleveland, LolitaMcDavid, MD, Cleveland.

- Dan JonesOhio AAP Lobbyist

Legislative Update

Update from the StatehouseAfter wrapping up work on the

state’s biennial budget at the endof June, legislators began theirtraditional post-budget summerbreak. Ohio lawmakers arescheduled to return in late Sep-tember for a number of fall com-mittee hearings/voting sessions.

Although the halls of the State-house have been quiet over thesummer months, Ohio AAP hasbeen involved in a number ofissues impacting pediatriciansand health care.

INCREASE IN MEDICAIDREIMBURSEMENT RATESPLANNED

As part of the state budget,Gov. Ted Strickland and the OhioLegislature included a three per-cent increase for Medicaid feespaid to non-institutional health-care providers, effective January1, 2008. An additional three per-cent boost will also be addedagain January 1, 2009.

Instead of applying the in-crease across the board to allhealth procedural codes, Medi-caid focused the money on in-creasing the codes related to pri-mary care, neonatal care andemergency department services.Significant increases were in-cluded in the following areas:preventive medicine, primarycare office visits, deliveries andprenatal visits, consultations,hospital inpatient services, emer-gency department visits, psychi-atry, and psychology.

The vaccine administration feereceived a 100% increase, withreimbursement increasing from

$5 to $10. Developmental tests(limited) received a 21.6% in-crease and developmental tests(extended) received a 97.6% in-crease.

While Ohio AAP appreciatesthe long overdue increase in thestate reimbursement, we did takethe opportunity to voice our con-cern about the need to mandatethat managed-care organizations– that now manage the majorityof Medicaid patients’ care – passon a portion of the annual rateincreases they receive from thestate to the providers in their net-works offering the care.

STATE HEALTH CAREHEARINGS HIT THE ROAD

With a focus on improvinghealth-care access and afforda-bility, witnesses from around thestate joined lawmakers to shareinsights, ideas, and personalstories during committee fieldhearings in Cleveland, Toledo,Zanesville, Springfield and Cin-cinnati.

The joint hearings of the HouseHealthcare Access & Afforda-bility Committee and the SenateHealth, Human Services andAging Committee were held inlate July and August to offer anopportunity for a broader seg-ment of the state's population toweigh in on barriers to qualityhealth care for Ohioans.

Rep. Jim Raussen (R-Spring-dale) said the field hearings weredesigned to provide input for ahealth-care reform package to beintroduced in the fall. Measuresto increase access to health care

zation. Although still not enoughto cover costs, it is a big increase.

These increases are for theMedicaid fee-for-service patients.Most Ohio Medicaid recipientsnow are covered by MedicaidHMOs. Many of the pediatri-cians’ contracts are based on theMedicaid fee-for-service ratesand will get an increase in theirpayments as the fee-for-servicerates increase. You should checkto see how your contracts read.

This summer I have met withall of the committee chairs andreviewed their goals, plans, andbudgets. One focus of thesemeetings was to encourage allchairs to expand membershipinvolvement. I encourage allOhio AAP members to go to ourWeb site (www.ohioaap.org) andlook at our lists of committees. Ifthere is a committee that interests

you, please feel free to contactthe chair to offer your help. I amsure that we have experts in ourmidst who could really add tothe already successful commit-tees. I also want to encouragepart-time pediatricians to con-sider participation on commit-tees. Your committee involve-ment doesn’t have to take a lot oftime, but the time spent will ben-efit the Ohio AAP and the chil-dren of Ohio.

The Chapter is also working onupdating our Web site. We hopethe new design will be more ap-pealing and user-friendly. Weplan to include a members-onlysection as well as sites for ourcommittees to share their activ-ities.

– William Cotton, MDPresident, Ohio AAP

A little over a year ago the OhioAAP developed its 100%/100%document. This document statedour goal of hav-ing 100% of allchildren in Ohiocovered by in-surance, and ourgoal of havingMedicaid paypediatricians at100% of Medi-care reimburse-ment levels.

We shared our 100%/100%paper with the Ohio governorcandidates last summer. Weshared our paper with other Ohiochildren’s advocacy groups, andwe shared our paper with OhioMedicaid. In fact we shared ourpaper with anyone who wouldlisten.

With the approval of the newstate budget we are beginning tosee some benefits of our hardwork. The budget has a 3% in-crease in Medicaid fee-for-service.Although this is only a beginning,this is still the first increase inMedicaid that pediatricians haveseen in more than seven years.Several weeks ago we met withOhio Medicaid. We were particu-larly pleased to see that the 3% in-crease will be focused on the pri-mary care codes that pediatri-cians use most often. This makesthe increases in these codes to begreater than just a flat 3%. Wewere also glad to hear that Medi-caid plans to increase the reim-bursement for immunizationsfrom $5 per immunization ad-ministered to $10 per immuni-

Ohio Pediatrics • Fall 2007 3

Ohio Pediatrics

www.ohioaap.org

President’s Message

Benefits of hard work beginning to show

William Cotton, MD

Chapter seeks members for taskforce on adoption, foster care

At a recent retreat of theOhio AAP there was interestexpressed in developing chap-ter activities around foster careand adoption issues perhapsthrough a task force.

The National Committee onEarly Childhood, Adoptionand Dependent Care and theSection on Adoption and Fos-ter Care of the AAP have call-ed for the addition of “im-proving the care of children infoster care” to the AAP strate-

gic plan. The National TaskForce on Foster Care was ap-proved by the AAP Board ofDirectors and will move into aplanning period.

If you are interested in parti-cipating in development of anOhio task force on Foster Careand Adoption, or have otherideas you’d like to share, con-tact Judy Romano, MD, atdrjudithromano.1@comcast.net, or the Chapter office at(614) 846-6258.

Ohio Pediatrics • Fall 20074

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www.ohioaap.org

The Chapter renamed its Outstanding Pedia-trician Award the Elizabeth Spencer RuppertOutstanding Pediatrician Award in honor ofLibby Ruppert, MD, for her years of service tothe Chapter as well as national AAP.

Ed Cox, MD, right, District Vice Chair of District V,presented William Cotton, MD, and the OhioChapter with the AAP 2006 Outstanding VeryLarge Chapter of the Year Award.

Jon Price, MD, right, received an AchievementAward from National AAP for his work on the OhioAAPʼs Pediatric Care Council.

The Arnold Friedman Community Pediatrician Awardwas given to Louis Goorey, MD, right. Dr. Goorey hasbeen an advocate for children during his years as apracticing pediatrician, during his retirement years, andin his various roles in the political arena.

Roberta Bauer, MD, accepts theaward for the Committee Co-

chair of the Year from Ohio AAPPresident William Cotton, MD.

James Bryant, MD, is Dr.Bauerʼs co-chair on the

Children with DisabilitiesCommittee. The committee

advocated for an increase inMedicaid coverage for children

with disabilities.

Ohio Pediatrics • Fall 2007 5

Ohio Pediatrics

www.ohioaap.org

State Rep. Jon Peterson received theAntoinette Parisi Eaton Advocacy Award forhis support of Ohioʼs childrenʼs healthissues.

Last place finishers in the Ohio AAP Founda-tion golf outing Marilee Gallagher, MD, JohnDuby, MD, and Bill Cotton, MD, received a copyof “Golf For Dummies.” Rounding out theirfoursome was Bob Murray, MD (not pictured).

Winners of the first annual Ohio AAP Foundation golf out-ing/fundraiser were: from left, Michael Wood; David Rich, MD;Terry Barber, Sr., MD; Todd Holman, MD.

Past President John Duby, MD,(right) received the Leonard P.Rome Award in recognition of

his leadership and commitmentto the Chapter. Dr. Duby hasbeen the driving force behind

further advancement of theOhio AAP Foundation and

strongly supports the OhioReach Out and Read program.

Annual Meeting attendees line up to ask questions ofMary Applegate, MD, (center) medical director forMedicaid, following her presentation on how health policyaffects Ohio pediatricians and how pediatricians caninfluence health policy.

This summer both houses ofCongress have passed renewalsfor the StateChildren'sHealth Insurance(SCHIP). Sincethe bipartisancreation in 1997,the State Chil-dren's HealthInsurance Pro-gram (SCHIP)has providedhealth coverageto millions of children whose par-ents cannot afford private healthinsurance but who do not qualifyfor Medicaid because they areworking. This program is calledHealthy Start in Ohio. SinceSCHIP legislation was passed in1997, uninsured children havedecreased in Ohio by 30 percent.

In Ohio there are 249,019 un-insured children. Of these chil-dren 66% are eligible but not en-rolled in Medicaid or the StateChildren's Health Insurance Pro-gram. If passed the federal re-newal for SCHIP will cover allthese children.

We know that when childrenhave health insurance they aremore likely to be healthy, thecosts for medical care decreases,and children go to school ready tolearn. When children receive pre-ventative asthma care, hospitaladmissions for asthma exacerba-tions are reduced by 70%. Pedia-tricians provide a majority of alloffice visits to children on Medi-

Ohio Pediatrics

6 www.ohioaap.org

District V Report

Ellen Buerk, MD

Ohio Pediatrics • Fall 2007

caid and SCHIP including routinecheckups, immunizations andtreatment for problems found inhealth screenings. Receiving pre-ventative health care is whatkeeps kids healthy.

In Ohio, as well as many otherstates, fewer private pediatriciansare accepting Medicaid andSCHIP to limit the numbers ofchildren they see. The reason theylimit the access of children onSCHIP and Medicaid is that com-munity-based physicians are notmeeting the office costs necessaryto break even when they see chil-dren who have Medicaid andSCHIP insurance. The number ofproviders willing to see childrenwho have SCHIP and Medicaidinsurance has decreased in thelast several years.

As we pass this very effectivelegislation that gives health in-surance to children of parentswho work but do not qualify forMedicaid, pediatricians must con-tinue to advocate for fair physi-cian reimbursement. The AAP hasbeen instrumental in leading thenational coalition of partners torenew this legislation.

The Academy and its chaptersmust make legislators aware that“having insurance” doesn't neces-sarily mean “having access” toproviders. States that administerSCHIP must realize that access tohealth care involves having theinsurance and making sure thereimbursement to the providers isfair.

Pediatricians must advocate forhealth care for children whoseparents are poor or near poor. Wemust also advocate for fair pay-ment for physicians who care forthese children.

Preventative health visits andchronic care in a medical home isthe most economic way for chil-dren to be physically and men-tally healthy. Children are ourstates most precious resource andour shining future.

– Ellen Buerk, MDDistrict V Chairperson

Pediatricians must continue to advocatefor fair physician reimbursement

Members of the Ohio AAPare eligible to take advantageof the Frank Gates ServiceCompany group ratingprogram and reduce theirWorkers’ Compensationpremiums. By doing so,members, on average, saved$13.80 for every $1 invested.

This program offers thehighest savings and the bestprotection against changes thatcould increase your costs.

To learn how much youcould save, call (800) 395-4119,or submit an online AC-3 Format www.frankgates.com.

Reduce yourWorkers’ CompPremiums

Jonna McRury, MD, is the newCATCH co-facilitator and co-chair of the Ohio AAP HealthEquity Committee.

Dr. McRury works for Toledo’sNeighborhood Health Associa-tion a community-based Feder-ally Qualified Health Center. Shehas served in a leading role withLibby Ruppert, MD, in the de-velopment of the Lucas CountyInitiative to Improve Birth Out-comes (LCITIBO).

As part of this initiative a largecommunity collaborative hasbeen developed to focus care co-

ordination on pregnant womenwho are most at risk for adversebirth outcomes such as low birthweight and infant mortality. The“at risk” expectant mothers arebeing identified through geocod-ing of specific neighborhoodsand the development of riskscoring strategies supported bythe local health department.Consistent with the Ohio AAPEquity Principals* this initiativeis engaging multiple commu-nity-based care coordinationgroups to reach out to pregnant

See CATCH...on page 10

The Ohio Department ofHealth’s Impact Statewide Immu-nization Information System(SIIS) has launched the “SchoolNurse Access to Impact” pilotprogram for the 2007-2008 schoolyear. This program will allowschool nurses licensed by theOhio Board of Nursing “view-only” access to Impact SIIS.Thirty-eight schools, representinga broad spectrum of private andpublic schools, will be able to re-trieve patient immunization his-tories directly from Impact SIIS.By giving schools access, we hopeto decrease the time and expensemedical practices and parents in-cur retrieving immunizationrecords.

Currently, Impact SIIS has morethan 5.4 million patients andmore than 25.9 million shot his-tories. This Web-based applicationis a valuable tool for public andprivate immunization providers.Currently, Impact SIIS partnerswith managed-care organizationsas well as various immunizationcoalitions throughout the state.Impact SIIS is currently workingwith EPIC, an electronic medicalrecords software provider to pro-vide easy access to Impact SIIS forend users that use EPIC. The Im-pact SIIS team looks forward topartnering with all electronicmedical record companies tobring added value to all stake-holders.

The Impact SIIS recruitmentteam is diligently seeking newusers. There is a cost benefit andtime savings to using Impact SIIS.Each time a provider site accessesthe registry, the site is saving

What’s up with Impact SIIS?$14.67. Due to use of the registry,a nurse is not required to man-ually pull each chart to manuallywrite out a school/camp/day-care for families.

The Impact SIIS team is cur-rently providing up-to-datenews, information and skills re-freshers for members by provid-ing ‘end-user’ meetings through-out Ohio. There have been meet-ings in Columbus, Cincinnatiand Cleveland. There will bemore to come throughout thefall. The SIIS team is requestingall participating providers to en-courage their staff to attend theend user meeting in their area.

Impact SIIS is free, includingfree reminder/recall notices thatare sent to children who are duefor immunizations. “The Na-tional Vaccine Advisory Commit-

tee (NVAC) in 1993 recommend-ed a set of standards to improveimmunization practices forhealth-care professionals servingchildren and revised the stan-dards in 2002. The standardsrecommend the use of trackingsystems to provide reminder/recall notices to parents/guar-dians and physicians when im-munizations are due or over-due,” (American Academy ofPediatrics, Record Keeping andImmunization InformationSystems Red Book.; 2006: 37-39).

If you are interested in hearingmore about Impact SIIS, pleasecontact Robyn Taylor at the OhioDepartment of Health at (614)752-4488.

– Robyn TaylorOhio Department of Health

7

Ohio Pediatrics

www.ohioaap.org Ohio Pediatrics • Fall 2007

Dr. McRury named newCATCH co-facilitator

Ohio Pediatrics • Fall 2007 8

Ohio Pediatrics

www.ohioaap.org

Become a Pediatrician On CallAs pediatricians, we make

medical decisions that impactthe lives of children every day.Our interventions have bothimmediate and long-term effectfor improved health care. Weapply our knowledge, skills, andexperience to influence decisionsand behavior.

As pediatric advocates, we ap-ply the same principles to affecthealth-care policy for the benefitof children and the profession ofpediatrics.

The Ohio Chapter has increas-ed its involvement in legislativeaffairs over the past five years.Through the efforts of our mem-bers and the guidance of Danand Belinda Jones and TracyIntihar, our lobbyists and legisla-tive consultants, we have repre-sentation at many levels in ourstate government. We have re-lationships with key coalitionsand dialogue with leadership ingovernment agencies. We havebeen consultants to the gover-nor’s health-care advisory staffand currently serve on variouscommittees and commissions.

We have priority initiativesand a strategy to achieve ourgoals. Now we need you to beour voice.

We are creating “PediatriciansOn Call.” It is a network of pedi-atricians like you who interactwith their state representative orsenator on behalf of pediatrics.Pediatricians enjoy a favorablereputation with legislators, andas constituents can influencepolicy. You just need to knowhow.

Our plan is to connect pediatri-cians with key legislative leadersthroughout the state. We willteach you how to establish a re-lationship with your representa-tive and equip you with theknowledge and skills to interacteffectively. Your efforts will beguided and coordinated throughthe Committee on Legislative Af-fairs and our consultants.

We plan to have video onlinetraining for those who cannottravel, and use teleconferencingto maintain and develop yourskills. You will receive communi-cations through e-news, per-

sonal e-mail, and a newslettersummarizing important bills,potential testimony opportu-nities, or requests for contactwith your legislator.

Legislative involvement is anexciting and rewarding activity.It provides a forum for you as apediatric expert to weigh-inwhere your opinion could makea difference. Learning the basicskills and acquiring the confi-dence to interface with your leg-islator is fun and quickly mas-tered. We are equipped to guideand assist you every step of theway.

If you have ever felt frustratedabout our public health policyfor children and want to dosomething about it, now’s yourchance. Fill out the accompany-ing information, e-mail the OhioChapter (chapter@ohioaap.org),or call us (614) 846-6258 to be a“Pediatrician On Call.”

Your strongest qualificationsare that you are a pediatricianand that you care.

– Terry Barber, MDPresident-Elect

Yes, I would like to be a Pediatrician On CallName________________________________________________________________________Address ______________________________________________________________________City ___________________________State_________________ ZIP_____________________

Office Phone #____________________________________________________________Home Phone #____________________________________________________________Cell Phone #______________________________________________________________E-mail address______________________________________________________________

Fax back form to Ohio AAP Chapter office 614-846-4025; or mail back to Ohio AAP,450 West Wilson Bridge Road, Suite 215, Worthington, OH 43085

Editor’s Note: CATCH Grantrecipient Sarah Corathers, MD,describes her project that has in-creased awareness of overweightchildren in the Cincinnati area. Hergoal is to enhance child activity andnutrition thus reducing obesity.

Given the increasing preva-lence of obesity in childen andthe health risks that being over-weight confers it is imperativethat peditricians be trained tocalculate BMI as part of eachhealth maintenance visit after theage of 3, plot values on thegrowth curve to monitor overtime and provide indicatedcounseling, treatment and re-ferrals for families. Surveys ofresident and faculty providers atthe University of Cincinnati par-allel findings throughout thecountry that suggest perceivedparental resistance, lack of treat-ment options and lack of know-ledge to provide counseling asmajor barriers to addressing ped-iatric overweight.

My CATCH project was de-signed in collaboration withanother resident, Jennifer Hill-man, MD (currently an adoles-cent fellow at Cincinnati Chil-dren’s Medical Center). We arerecruiting patients ages 5-11with a BMI for age >85% (at riskfor overweight) from the com-bined faculty/resident practicefor MedPeds at University ofCincinnati to participate in free

monthly meetings held at thelocal community recreation cen-ter. The meeting curriculum isbased upon materials from theNational Institute of Health, WECAN program. WE CAN standsfor Ways to Enhance Child Acti-vity and Nutrition. The Web site:www.nhlbi.nih.gov/health/public/heart/obesity/wecan is agreat resource for pediatriciansand families. Many of the ma-terials are available at no chargein both English and Spanish.

The meetings are led by amultidisciplinary group of facili-tators including pediatric resi-dents, faculty, nutritionists andexercise specialist. The grantfunds have been used for meet-ing supplies, resource foldersand to pay for annual mem-berships to all of the recreationcenters within the city of Cin-cinnati for the children partici-pating in the program. Each ses-sion offers a variety of nutritiontips as well as an opportunity forphysical activity in the gym.

Recent sessions have includedan interactive portion distortionquiz, packing healthy lunches totake to school the following dayand creating an activity wheelfull of ideas to stay active evenduring the winter. It is a greatbenefit to have parents and care-givers involved in the groupmeetings and many times theyshare valuable tips with eachother, such as measure out a por-

tion of a snack into a plastic bag-gie to take on an outing ratherthan the entire bag or sharingrecipes for tasty low-caloriesnacks. One of the girls in theprogram has joined the basket-ball league at the recreationcenter where we meet.

Currently, we have recruitednine families to participate. Theavailability of the programthough has increased awarenessof pediatric overweight and obe-sity amongst providers in ourpractice. Even for the childrenwho do not attend the monthlymeetings, the CATCH grant hasallowed us to give educationaltalks to the residents, training inmotivational interviewing andinvestment in more counselingmaterials for our clinic. The pro-gram is designed for more juniorresidents to take on the role ofprogram leader each year withongoing revolving recruitmentfrom our clinic so that it willcontinue into the future.

– Sarah Corathers, MDCincinnati Children’s Hospital

(This article was reprinted from theAmerican Academy of PediatricsResident Section - District VNewsletter.)

9

Ohio Pediatrics

www.ohioaap.org Ohio Pediatrics • Fall 2007

WE CAN makes a difference in nutritional habits of children

CATCH Grant

10 Ohio Pediatrics • Fall 2007 www.ohioaap.org

Ohio Pediatrics

Annual Meeting... from page 1

CATCH...from page 7

women most at risk, and ensurethey connect to critical prenatalcare services.

LCITIBO is operated by theHospital Council of NorthwestOhio under the leadership of JanRuma. The Hospital Council hasdeveloped contracting whichwill link financial support direct-ly to specific-care coordinationbenchmarks. These financiallyaccountable benchmarks willwork to help ensure that the “at-risk” individuals enrolled truly

connect to service. Central regis-tration of all individuals enrolledwill help the initiative begin toeliminate care coordination ser-vice duplication.

The LCITIBO has received sup-port and interest from FederalHealth Resources and ServicesAdministration. Substantialfunding support has been devel-oped through the Toledo Com-munity Foundation, The Strana-han Foundation and other localfunders. Communities in Cincin-

nati, Richland County, Lincoln,Nebraska and Oklahoma Cityare engaged in similar modelprograms.

Equity Principals include:1. Engage those most at risk, 2. Ensure they connect to evi-

dence-based intervention, 3. Measure the result in health

impact and cost savings.

– Mark Redding, MDCATCH Coordinator

cate for children during his yearsas a practicing pediatrician, dur-ing his retirement years, and inhis various roles in the politicalarena.

After a decade of retirementhis former patients still expresstheir gratitude for his daily careand his diagnostic triumphs.Many central Ohio pediatricianswho are now active in organizedmedicine were mentored by Dr.Goorey and credit him for teach-ing them how to balance a clini-cal practice and politics.

Past president John Duby,MD, received the Leonard P.Rome Award in recognition ofhis leadership and commitmentto the Chapter. Dr. Duby receiv-ed this award based on severalprograms that he led. One suchprogram was the Ohio AAP Be-havioral Health Conference inFebruary 2005 that he organized.This program got many pediatricmental health organizations to-gether to talk and share ideas ofways to provide better coordi-nated mental health care forchildren. He has also been thedriving force behind further ad-

vancement of the Ohio AAPFoundation and strongly sup-ported and organized the OhioReach Out and Read project.

State Rep. Jon Peterson re-ceived the Antoinette ParisiEaton Advocacy Award for hissupport of Ohio’s children’shealth issues. Rep. Petersonworking with the Children’sHunger Alliance hosted a seriesof three legislative breakfaststhat were used to educate leg-islators about healthy schoolbreakfasts, quality vended foodsin schools, and the importance ofdaily activity for children. Twopieces of legislation came out ofthis effort – SB 118 and HB 254.Rep. Peterson also workedclosely with Ohio AAP on theState Autism Task Force.

The Chapter renamed its Out-standing Pediatrician Award theElizabeth Spencer Ruppert Out-standing Pediatrician Award inhonor of Elizabeth “Libby”Ruppert, MD. Dr. Ruppert hasbeen extremely active in the AAPboth on the state level – as OhioAAP president – as well as withthe national AAP espeically with

her involvement in leadershiproles with the Committee onChildren with Disabilities.

Jo Ann Rohyans, MD, receiv-ed the Elizabeth Spencer Rup-pert Outstanding PediatricianAward for her distinguishedachievements of pediatric careand education of patients andphysicians in Ohio. Dr. Rohyanshas been active in the Ohio AAPas the chair of the public rela-tions committee. She is an AAPmedia spokesperson and is onthe board of the Ohio AAP Foun-dation. She is extremely activewith Columbus Children’s Hos-pital and has served on multiplecommittees, edited the hospitalmagazine, taught medical stu-dents and residents both in thehospital and in her own practice.She is the mother of four andproud grandmother of one.

Concluding the awards cere-mony, Ed Cox, MD, District ViceChair of District V, presented theOhio Chapter with the AAP 2006Outstanding Very Large Chapterof the Year Award. The Chapterwon the award at the AnnualLeadership Forum this spring.

www.ohioaap.org

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Ohio Pediatrics • Fall 2007 11

Ohio Pediatrics

Ohio Pediatrics • Fall 200712 www.ohioaap.org

There are many important pro-grams and partnerships aroundthe state working to improve thehealth and safety of our youngchildren in and out of home set-tings and to improve their schoolreadiness.

Never before have policy-makers on all levels of govern-ment been more aware of thespecial needs of young children.

Ohio is fortunate to be a partof the Build initiative – a multi-state partnership that helpsstates construct a coordinatedsystem of programs, policies and

sevices that responds to theneeds of young children andfamilies. Build Ohio has a stra-tegic framework to create a state-wide early system and OhioAAP is at the table.

On Nov. 7, there will be ameeting of the Ohio Early Edu-cation and Child Care Commit-tee (OEECC). At this meetingcommittee members will devel-op goals and objectives.

You are invited to attend inperson or by conference call. Themeeting will be held at 3 p.m. atthe offices of Healthy Child Care

Ohio – OCCRRA, 6660 Double-tree Ave., Columbus, Ohio. Thenumber to call to get connectedto the conference call is Accessnumber 1-866-206-0240 and theParticipant PIN 475972# Whenthe PIN is entered - follow with# sign.

For more information or ques-tions, contact Judy Romano, MD,at drjudithromano.1@comcast.net, or the Chapter office atchapter@ohioaap.org or (614)846-6258.

Ohio Early Education and Child CareCommittee to meet Nov. 7 in Columbus

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www.ohioaap.org Ohio Pediatrics • Fall 2007 13

Ohio Pediatrics

14 www.ohioaap.orgOhio Pediatrics • Fall 2007

Borders’ customers donate nearly 5,000 books to RORFrom August 1 through the La-

bor Day weekend, Borders BooksStores encouraged their custo-mers to promote literacy and putbooks in the hands of low-incomechildren by hosting a book drivebenefiting Reach Out and Read(ROR) Ohio. A total of 12 BordersBook Stores in Akron/Canton,Cincinnati, Dayton, Toledo andYoungstown participated in thebook drive this year. Almost 5,000books were collected at theselocations and will stay in the localcommunities where they weredonated. Borders will also donate$1,000 to Reach Out and ReadOhio as a result of the book drive.

Customers were greeted by in-store displays full of children’sbooks which they could pick up,take to the cash register and letthe cashier know that they want-ed to donate the book to ReachOut and Read Ohio. If customerspreferred, they could choose theirfavorite children’s book to donate,even if they did not see it on thedisplay.

The books donated were avariety of age-appropriate boardbooks for infants through storybooks for preschoolers, as ap-proved by National ROR. Chil-dren are excited by books thatspeak to them and their exper-iences. They love familiar sightsand stories, but also love noveltyand challenge. With that in mind,ROR has developed guidelines forthe types of books children preferand are recommended for dona-tion.

Infants 6-12 months preferboard books with photos of ba-

Reach Out and Read

bies or familiar objects, such asballs or bottles. Younger toddlers,12-24 months, enjoy board bookswith simple rhymes, or booksthat say goodbye or hello. Oldertoddlers, 24-36 months, like

board books and books withpaper pages that have repeti-tious text so they can memorizeand repeat the story. Preschool-ers, 3-5 years old, prefer booksabout kids that look or live likethem, but also books about dif-ferent people, places and things.

For more detailed suggestionsof what to look for when choos-ing books for young children,visit www.ohioaap.org/reachoutandread and click on

“What Children Like in Books.“

ROR Welcomes New Sites Recently, four new practices

have joined the ROR Ohio Coa-lition. Welcome to:

Neighborhood Health Asso-ciation / NHA Pediatrics Clinic– Toledo

NorthEast Ohio Neighbor-hood Health Services, Inc.Southeast Health Center –Cleveland

OhioHealth Grant FamilyMedicine – Grove City

Pediatricare Associates –Toledo

For more information on be-coming a Reach Out and Readsite, please contact Heather Hall,Reach Out and Read Ohio Co-alition Leader at (614) 846-6258or hhall@ohioaap.org.

Borders BookStores encour-aged their cus-tomers to host abook drive Aug. 1through LaborDay weekend toput books in thehands of low-income childrenand to benefitROR Ohio at thesame time. Nearly5,000 books werecollected at vari-ous locationsaround the state.

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15www.ohioaap.org Ohio Pediatrics • Fall 2007

Ohio ChapterAmerican Academy of Pediatrics450 W. Wilson Bridge Rd. Suite 215Worthington, OH 43085

The Ohio AAP announces the following 2007 meetings.

Oct. 3 – First Signs CDC Autism Education ProgramColumbus, OH

Oct. 26-30 – AAP NCE MeetingSan Francisco, CA

Feb. 8, 2008 – Ohio AAP Open Forum Athens, OH

Feb. 8, 2008 – Ohio AAP Executive BoardAthens, OH

May 14, 2008 – Ohio AAP Open Forum Toledo, OH

May 14, 2008 – Ohio AAP Executive BoardToledo, OH

Calendar of Events Dues disclosurestatement

Dues remitted to the OhioChapter are not deductible asa charitable contribution, butmay be deducted as an ordi-nary and necessary businessexpense. However, $40 of thedues is not deductible as abusiness expense because ofthe chapter’s lobbying activi-ty. Please consult your taxadviser for specific informa-tion.

This statement is in refer-ence to fellows, associate fel-lows and subspecialty fel-lows.

No portion of the candi-date fellows nor post residen-cy fellows dues is used forlobbying activity.

PRESORTEDSTANDARD

Permit No. 156U.S. Postage

PAIDDUBLIN, OH