Philadelphia Allies Against Asthma

Michael Schaffer,

Coalition Co-Chair

Overview

• Background

• Collaboration, Coordination & Communication

• Service Integration

History of Coalition

1996 - Two coalitions formed--ALA Attack Asthma & Philadelphia’s Department of Public Health’s Asthma Taskforce

1999 - development of Philly AAA designed for pediatric asthma with 2 target areas & many of the same coalition partners as above.

Introduction - Coalition Stakeholders• Health care systems

• Primary Care Providers

• Schools

• Insurers

• Community organizations

• Nursing centers

• State and Local Health Departments

• Parents/caregivers

• Media

• Foundations

• 40 groups-102 individuals-60% active in committee

Collaboration, Coordination & Communication

• Analysis of existing system revealed all necessary resources already exist

• A desire to not duplicate efforts• Network existing resources (i.e. coalition partners)

to maximize services to those in need• Centralized vehicle created to open

communication channels between service providers and patients (Asthma CALL Center)

Service Integration

• Definition - Coordination of access to comprehensive asthma related services for the target audience population

• Goal - To facilitate linkages among systems that deliver and monitor healthcare to children with asthma

Coordination - Service Integration

• Ensure elimination of barriers to care

• Addresses access, quality, education, environment

• Identified through ED, schools, and community organizations

• Coordination allows for measurable outcomes

Health Partners KMHP

Americhoice

RESOURCE/ REFERRALS Asthma Education, Insurance, Home Visits, Social Services, Smoking Cessation., ETC.

2 West Phila 2 North Phila

Schools

CHOP ED and Temple

Children’s ED

PRIMARY CARE PROVIDERS

HEALTHIER BABIES, HEALTHIER FUTURES, INC.

Challenges - Collaboration, Coordination & Communication

• Collaboration– Competition, opposing interests

within the city

• Coordination– Developing procedures among

partner organizations

• Communication– We kill a lot of trees

– Time & Resource intensive to gain consensus

– Timeliness of decision making

Challenges - Service Integration

• HIPAA -consent issues• Subcontracting• IRBs• Protocols and Procedures• Timelines• Internal structural changes

within large institutions• Pulling it all together

Questions?