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President and Fellows of Harvard College
$800,000
The Commonwealth Fund/Harvard University Fellowship in Minority Health Policy: Support for Program Direction and Fellowships, 2006-07
Addressing pervasive racial and ethnic disparities in health and health care requires trained, dedicated physicians who can lead efforts to improve minority Americans' access to quality medical services. The Fellowship in Minority Health Policy has played an important role in addressing these needs. During the year-long program, young physicians undertake intensive study in health policy, public health, and management, all with an emphasis on minority health issues, at the Harvard School of Public Health or John F. Kennedy School of Government. Fellows also participate in special program activities. Since 1996, 46 fellows have successfully completed the program and received a master's degree in public health or public administration. In the coming year, program staff will select an 11th group of four fellows, provide current fellows with an enriched course of study and career development, and conduct ongoing evaluation activities.
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Joan Y. Reede, M.D.
Dean for Diversity and Community Partnership
Minority Faculty Development
164 Longwood Avenue, 2nd Floor
Boston, MA 02115
(617) 432-1061
joan_reede@hms.harvard.edu
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All Children's Research Institute, Inc.
$124,336
Sustaining and Promoting Developmental and Behavioral Pediatrics Online, Phase 2
Two years ago, the Fund supported the expansion of an existing Web site to provide children's primary care providers with ready access to screening tools, educational materials, and interactive support for adopting best screening practices in developmental and behavioral pediatrics. That expansion has been very successful; last year, www.dbpeds.org was ranked first for 'developmental screening' on both the Google and Yahoo search engines. This project will enhance the site, publicize it more extensively, and more closely engage the American Academy of Pediatrics in the site's long-term administration and governance. These activities will promote even greater use of the site and help ensure that it becomes self-sustaining.
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Henry L. Shapiro, M.D.
Assistiant Professor of Pediatrics
801 6th St South
Department 7825
St Petersburg, FL 33701
(727) 502-8035
shapiro@dbpeds.org
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Case Western Reserve University
$97,480
Rating Developmental Screening Instruments
Realizing that early identification of developmental delay in children requires reliable screening methods, child health care providers and policymakers are seeking help in selecting appropriate instruments. For this project, the investigators, in collaboration with leading authorities in developmental-behavioral pediatrics, will review existing screening tools for children age 3 and younger and develop recommendations for pediatric practices. Their work will include a comprehensive review of journal articles on developmental screening, discussions with key experts in the field to uncover unpublished data, and evaluation of each identified instrument's strengths and weaknesses. This research should promote the adoption of standardized approaches to providing developmental services in primary care.
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Dennis Drotar, Ph.D.
Professor and Chief, Division of Behavioral Pediatrics and Psychology
11100 Uclid Avenue, Mather 230
Crawford Hall
Cleveland, OH 44106-6038
Tel: (216) 844-3230
dxd3@case.edu
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Center for Health Policy Development
$341,212
ABCD II: Building State Medicaid Capacity to to Support Children's Healthy Mental Development, 2005-06
In January 2004, the Fund launched the second phase of the Assuring Better Child Health and Development initiative (ABCD II) to help states promote the healthy mental development of low-income, young children under age 5. Medicaid agencies in California, Illinois, Iowa, Minnesota, and Utah are working to ensure that: young children at risk of developmental or behavioral delay are identified in primary pediatric settings and referred to specialists; parents at risk of depression are referred to mental health professionals; billing and reimbursement policies facilitate use of these services; health care professionals have the training to provide developmental services; and new care models are tested in primary pediatric practice. The National Academy for State Health Policy continues to manage the collaborative to foster innovation, coordinate technical expertise, and disseminate results to all 50 states. This is the last year of funding for the four states supported by the Fund.
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Neva Kaye
Program Director
National Academy for State Health Policy
50 Monument Square, Suite 502
Portland, ME 04101
(207) 874-6545
nkaye@nashp.org
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Children's Hospital of Philadelphia (grant originally awarded to the Johns Hopkins University)
$155,723
Matching Preventive Services to Child and Family Needs
To be most effective, preventive pediatric care should be tailored to meet the particular needs of individual children and their families. One method for providing more individualized care is to offer a limited number of different service packages based on an assessment of each child's and family's risk factors and strengths. This project will develop an instrument that can help guide primary care physicians in the delivery of such care. Project staff will develop the instrument by reviewing the literature to identify items for the assessment, testing these items, and conducting a preliminary assessment of the instrument's validity.
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Christopher B. Forrest, M.D.
Senior Vice President
Joseph Stokes, Jr. Research Institute
34th & Civic Center Boulevard, ARC 13th Floor
Philadelphia, PA 19104-4318
(267) 426-6917
forrestc@email.chop.edu
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Trustees of Columbia University in the City of New York
$217,147
Intervention Services in Early Childhood: A State by State Picture
To be worthwhile, the screening of young children for developmental problems must be linked to follow-up assessments and early intervention services. States vary greatly in how well they identify and treat children with developmental problems, presumably because eligibility and service delivery differ. This project will catalogue for all 50 states existing policies, programs, services, and collaborations related to developmental services and early intervention for children from birth to age 5. The research team will highlight differences and promising approaches. Results will be directed toward policymakers to stimulate policy action that can improve children's developmental outcomes.
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Jane Knitzer, Ed.D.
Executive Director, National Center for Children in Poverty
215 West 125 Street, Room 302
New York, NY 10027
(646) 284-9600
jk340@columbia.edu
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Guilford Child Health, Inc
$143,413
Diffusion of the North Carolina ABCD Developmental Screening and Services Model
As a result of its Fund-supported Assuring Better Child Health and Development (ABCD) project, North Carolina Medicaid has produced a successful model for integrating standardized developmental screening into well-child care visits. In July 2004, the agency decided to expand the model statewide. Officials from around the country have requested guidance from North Carolina in replicating the model in their own states. This grant will enable the North Carolina ABCD team to assist pediatric practices and state health policy officials in five states and to revise resource materials for a national audience.
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Marian Earls, M.D.
Developmental and Behavioral Pediatrician
1046 East Wendover Avenue
Greensboro, NC 27405
(336) 272-1050
mearls@gchinc.com
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Mathematica Policy Research, Inc.
$136,648
Enhance Preventive and Developmental Services for Public/Action Low-Income Children, Phase 2
State Medicaid agencies, by law, must contract with external quality review organizations (EQROs) to monitor the quality of care provided to beneficiaries enrolled in managed care plans. But in a study released in June of this year, the investigators found that only a few states use EQROs to assess and improve children's preventive and developmental services delivered by Medicaid plans. To help them expand the role of EQROs in improving well-child care, states need guidance and practical tools. In the project's second phase, the investigative team will develop these resources, including model requests for proposals, detailed specifications for contracts with EQROs, and companion materials that explain how these tools can be used. An advisory committee will review the materials and provide guidance for their dissemination.
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Henry Ireys, Ph.D.
Senior Researcher
600 Maryland Ave., SW
Room 550
Washington, DC 20024
(202) 554-7536
hireys@mathematica-mpr.com
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Medscape, LLC
$100,000
Continuing Medical Education Webcasts to Promote Better Developmental Services for Young Children
Checking for developmental problems in young children through use of standardized screening instruments is an integral part of comprehensive and efficient preventive care. But using these instruments, and acting on the information they provide, is a new skill for many clinicians. An effective way to reach large numbers of clinicians at minimal cost is through webcasts. This project will produce two new webcasts, one on behavioral screening and another on screening for maternal depression, that will be available to child health care providers at no cost. Viewers will also be eligible to receive continuing education credit. If past experience is any guide, substantial numbers of clinicians watching the webcasts are likely to introduce the depicted screening procedures into their practices.
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Peggy D. Keen, Ph.D.
Editorial Director, Pediatrics and Public Health & Prevntion
134 West 29th Street
(941) 639-7002
pkeen@medscape.net
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President and Fellows of Harvard College
$285,963
Developing and Testing a Pediatric Patient-Centered Care Survey for Ambulatory Care
This project will help fill a gap in data on the quality of well-child care provided in ambulatory care settings. A team led by Harvard Medical School's Paul Cleary will enhance the ambulatory care version of the Consumer Assessment of Health Plans Survey (CAHPS)-the nation's most widely used and well-respected family of surveys measuring patients' experience with care-to include questions on the preventive and developmental services delivered to children and parents by group practices and individual clinicians. The Harvard team, which will work with the American Board of Pediatrics, the American Academy of Pediatrics, and other leading organizations, will develop and field the instrument in English and Spanish.
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Paul D. Cleary, Ph.D.
Dean
Department of Health Care Policy
180 Longwood Avenue
Boston, MA 02115-5899
(617) 432-0174
cleary@hcp.med.harvard.edu
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The Commonwealth Fund
Authorization to support the ABCD II initiative for up to 4 states
In January 2004, the Fund launched the second phase of the Assuring Better Child Health and Development initiative (ABCD II) to help states promote the healthy mental development of low-income, young children under age 5. Medicaid agencies in California, Illinois, Iowa, Minnesota, and Utah are working to ensure that: young children at risk of developmental or behavioral delay are identified in primary pediatric settings and referred to specialists; parents at risk of depression are referred to mental health professionals; billing and reimbursement policies facilitate use of these services; health care professionals have the training to provide developmental services; and new care models are tested in primary pediatric practice. The National Academy for State Health Policy continues to manage the collaborative to foster innovation, coordinate technical expertise, and disseminate results to all 50 states. This is the last year of funding for the four states supported by the Fund. In the coming year, a subsequent ABCD III initiative will be explored. Federal Medicaid matching grants are being provided for each of the ABCD II projects.
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Melinda Abrams
Senior Program Officer
One East 75 Street
New York, NY
(212) 606-3831
mka@cmwf.org
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State of California Department of Health Services
$50,000
California's Behavioral, Developmental, and Emotional Screening and Treatment by Primary Care Providers in Medi-Cal Managed Care
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Stan Rosenstein
Deputy Director, Medical Care Services
Medi-Cal Managed Care Division
MS 4404, PO Box 997413
Sacramento, CA 95899-7413
(916) 440-7800
srosenst@dhs.ca.gov
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Iowa Department of Human Services
$55,000
Iowa's Care for Kids Health Mental Development Initiative, Phase 3
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Kevin W. Concannon
Commissioner
Hoover State Office Building
1305 E. Walnut Street
Des Moines, IA 50319
(515) 281-5452
kconcan@dhs.state.ia.us
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Minnesota Department of Human Services
$55,000
Great Start Minnesota, Phase 3
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Glenace Ecklund Edwall, Ph.D.
Director of Children's Mental Health
P.O. Box 64985
St. Paul, MN 55164
(651) 431-2326
glenace.edwall@state.mn.us
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Utah Department of Health
$52,979
Enhancing Utah's Capacity to Support Children's Health Mental Development, Phase 3
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Julie Olson
Director, Bureau of Managed Health Care, Division of Health Care Financing
P.O. Box 143108
Salt Lake City, UT 84114
(801) 538-6358
julieolson@utah.gov
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Small Grants—Child Development and Preventive Care
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Association of Maternal and Child Health Programs
$16,924
Improving Early Childhood Systems in States
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Lisa Cain
Director of Membership and Communication
1220 19th Street NW, Suite 801
Washington, DC 20036
(202) 775-0436
lcain@amchp.org
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Case Western Reserve University
$7,990
Establishing the Case for Screening Young Children for Developmental Problems
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Laura Sices, M.D.
Assistant Professor, Division of Behavioral Pediatrics and Psychology, Dept. of Pediatrics
10900 Uclid Avenue
Crawford Hall
Cleveland, OH 44106
laura.sices@uhhs.com
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Johns Hopkins University
$14,977
Enhancing Preventive Care for Children by Addressing Family Psychological Problems
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Janet R. Serwint, M.D.
Associate Professor of Pediatrics
600 North Wolfe Street, Houck 316
Baltimore, MD 21287-1454
(410) 614-3866
jserwint@jhmi.edu
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Johns Hopkins University
$26,317
Healthy Steps at Ages 8-10: Cohort Maintenance
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Cynthia S Minkovitz, M.D.
624 North Broadway
Room 207
Baltimore, MD 21205
(410) 614-5106
cminkovi@jhsph.edu
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National Initiative for Children's Healthcare Quality
$25,000
Fifth Annual Forum for Improving Children's Health Care
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Jennifer Powell
National Director, Special Events and Spirit
724 Tinkerbell Road
Chapel Hill, NC 27517
(919) 967-6252
jpowell@nichq.org
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New England Medical Center Hospitals, Inc.
$39,795
Evidence Standards for Child Health: Setting the Table for Discussion
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Robert Sege, M.D.
Director, Pediatric and Adolescent Health Research Center
NEMC Box 351
750 Washington Street
Boston, MA 02111
(617) 636-5241
rsege@tufts-nemc.org
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Oregon Health & Science University
$34,475
Developing a Measure to Assess if Children were Screened for Developmental Delays
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Christina Bethell, Ph.D.
Director of the CAHMI, Associate Professor of Pediatrics
Department of Pediatrics, School of Medicine
707 SW Gaines Road, Mail Code CDRCP
Portland, OR 97239-2998
(503) 528-9312
bethellc@ohsu.edu
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