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Grantee Spotlight and Digital Stories

Children’s Hospital Boston Community Asthma Initiative - Boston, MA

photo of Elizabeth R. Woods, MD, MPH

Elizabeth R. Woods, MD, MPH

Q: What is the name of your project?
Children’s Hospital Boston Community Asthma Initiative

Q: What is your project trying to achieve?
To address health disparities and improve asthma health outcomes by providing asthma education, case management, home visits, and environmental assessment and remediation.

Q: What are the next steps for your project?
CAI and some of our other partners are working with Massachusetts Medicaid to develop an asthma bundled payment pilot. CAI is also collaborating with other community agencies to develop efficient/effective asthma case management and home visiting programs that can be replicated nationally and can explore novel reimbursement systems with payers to ultimately address social determinants of health and improve outcomes.

 

Q: What community partners are involved in your CAI Project?

  • Parents and families of children served by CAI
  • Boston Y’s (previously called YMCA’s/YWCA’s)
  • Action for Boston Community Development (ABCD), Inc.’s Head Start programs
  • Community health centers including Martha Eliot Health Center
  • ESAC/Boston Asthma Initiative (BAI)
  • Boston Public Health Commission
  • Asthma Regional Council
  • Boston Healthy Homes and Schools Collaborative (formerly called BUAC)
  • Boston Public Schools
  • Brigham and Women’s Hospital Community Programs
  • Children’s Office of Child Advocacy, Asthma Quality Program and primary care programs

Q: Please describe the most important changes that have occurred within your local community as a result of having a HTPCP project in that community.
Group photo of project staffAs of September 30, 2011, from parental reports at 12 months compared to pre‐enrollment, there were significant reductions in any ED visits (62% reduction, p<0.001), hospitalizations (81% reduction, p<0.001), days of limited physical activity (31% reduction, p<0.001), missed school days (43% reduction, p<0.001), missed work days for parents (47% reduction, p<0.001), and an increase in current asthma action plans (48% increase, p<0.001).

Q: Has the project experienced challenges/anything that was not anticipated?
One of the barriers to progress continues to be the difficultly connecting to families for follow‐up, especially the 12‐month questionnaire. Because cell phone numbers often change or are disconnected, reaching families is always challenging. To overcome this barrier, CAI sent reminder letters to families. Another barrier is that some families were resistant to initial outreach and/or denied services offered by the program. To combat this challenge, the clinical director or nurse case manager monitored inpatient and emergency department computer logs to try to meet the families in person. They also connected to patients through primary care or subspecialty clinics. Barriers to home visits included overwhelming demands on parents’ time, as well as work and school schedules that did not allow for visits during regular work hours. CAI accommodated parents’ schedules by offering evening and weekend visit times. Having bilingual (Spanish‐ speaking)/bicultural staff who were from the communities served also had a positive impact.

Q: What is your plan for evaluating the project?
CAI is evaluated through parent‐completed interviews at enrollment as well as 6‐months and 12‐ months post‐enrollment. Data evaluated included ED visits, hospitalizations, missed school and work days, days with limitation in physical activity, and having an up‐to‐date asthma action plan.

Young african american girl and mother in a medical settingQ: Overall, what would you say about your HTPCP experience?
We are grateful for funding from HTPCP and the connection to local, regional and national collaborations.

Q: Any last words?
CAI has remarkably improved health outcomes and the return on investment indicates that it is a cost‐ effective intervention. This model of asthma care has generated information to develop policy advocacy efforts to improve services and financing of enhanced asthma care. Health care reform offers an opportunity to develop bundled or global payment approaches for care that improves quality measures and reduces cost with potential for shared savings for providers and payers.



Well Care and Adolescent Immunizations in Rochester (WECAIR) - Rochester, NY

photo of Peter Szilagyi, MD, MPH, FAAP

Peter Szilagyi, MD, MPH, FAAP

Q: What is your project name?
Well Care and Adolescent Immunizations in Rochester (WECAIR)

Q: What is your project trying to achieve?
Improve receipt of preventive care services (immunizations, preventive visits, screening tests, anticipatory guidance) among inner‐city adolescents.

Q: How do you define community pediatrics?
A comprehensive approach to pediatric care that encompasses the family, primary care medical home, and a variety of community‐based organizations and services.

Q: Describe your community pediatrics work in the area where you live and/or practice.
In collaboration with other community pediatricians, human service providers, insurers, policy makers and parents we are working together to promote and strengthen access to and utilization of quality preventive health care for underserved and vulnerable teens in our community. The program model relies on patient navigators (outreach workers) based in large urban practices that serve low‐income adolescents. The navigators follow an evidenced based, tiered approach to systematically track patients receipt of immunizations and preventive services, perform reminders, recall, and if needed home visits to engage families in primary care and connect families to other needed community services. We are serving several thousand urban adolescents.

Q: What are the next steps for your project?
This upcoming year we will work with primary care practices and one of our community partners (Metro Council for Teen Potential) to develop and implement quality improvement initiatives to reduce high‐risk behaviors among youth.

Q: What community partners are involved in your project?

  • Metro Council for Teen Potential (a consortium of organizations all focused on improving health and social services for high‐risk youth)
  • The Monroe Plan and Mohawk Valley Plan (MVP)—the two dominant insurers for Medicaid and CHIP (and commercial) Primary care practices
  • Three hospital systems
  • NYSDOH (Title V) and District II AAP chapter
  • And of course the families and adolescents receiving our services

Q: Please describe the most important changes that have occurred within your local community as a result of having a HTPCP project in that community.
Our preliminary work, funded by the Greater Rochester Health Foundation, demonstrated that the navigator (outreach) program improved both immunization rates and preventive care visits by more than 10% across the city of Rochester.

Q: Has the project experienced challenges that were not anticipated?
Several practices are implementing electronic medical records at the same time as the Healthy Tomorrows Program, requiring revision to work flow and provider communication processes. Although the transition is initially slowing project progress, ultimately the EMR’s should create greater efficiency for the navigators.

Q: What is your plan for evaluating the project?
We will evaluate, on an annual basis, (a) immunization rates, (b) receipt of preventive services among the population and also across the city of Rochester and Monroe County, using medical chart reviews, insurer claims, and NYS immunization registry data).

Q: Overall, what would you say about your HTPCP experience?
The HTPCP program is inspiring! The HTPCP encourages us to focus on important Bright Futures components, vulnerable populations, and evidence‐based methods. When you consider that we are but one program, and there are many analogous programs across the US, we are inspired!

Q: Any last words?
Strong community collaboration that includes data exchanges with Medicaid Managed Care Plans, guidance from parents and grass roots organizations , and engagement of community pediatric programs in the initiative have been critical to the successful implementation of the project.



AAP Ohio Chapter Receives Healthy Tomorrows Grant to Support Quality Improvement Initiative

From the Ohio Chapter, American Academy of Pediatrics

Ohio Healthy Tomorrow Grant

The Ohio Chapter, American Academy of Pediatrics has a history of using quality improvement methodology to address important issues in child health, such as asthma, childhood obesity, and autism. Now, with the support of a Healthy Tomorrows Partnership for Children grant, the Chapter is expanding the reach of one quality improvement program focused on the prevention of infant mortality. This project uses an innovative combination of providing anticipatory guidance and products, and has shown improvements in pediatric practitioner injury counseling and self-reported changes by parents to practice safer behaviors.

The Injury Prevention Learning Collaborative, which launched a pilot wave in 2012, incorporated a specific focus on safe sleep. The program uses age-appropriate screening tools (birth-4 months and 6 months-1year) to determine areas where parents may be unaware of injury risks such as co-sleeping or items in cribs, and offers clinicians standard injury prevention advice to discuss with families based on their screened responses. During the second wave of the project, from October 2013 to May 2014, nearly 2,500 sleep sacks were distributed, with injury anticipatory guidance, through participating practices at well-child visits because research has shown that families tend to practice safer behaviors if given the information along with specific products.1,2

Additional questions on the age-appropriate screening tools addressing other safety topics include:

  • Car Safety
  • Choking
  • Fall Prevention
  • Family Interactions
  • Fire/Burn
  • Home Safety
  • Play Safety
  • Unintentional Ingestions
  • Water Safety

Participating practices saw an increase in discussions with families on all age-appropriate injury prevention topics from about 15% at baseline to 84% by the close of the project only 7 months later. Safe sleep discussions in the newborn to 4-month well-child visits increased from 18% to almost 90%. The project also measured self-reported changes in behavior by parents following anticipatory guidance provided at each well-child visit. In the newborn to 4-month visits, 52% of families made at least one change to improve safety practices for their child based on counseling they received from the primary care provider. For 6-month to 12-month visits, 62% of families made a change to at least one-parenting practice , reported at subsequent visits.

In addition to safety behavior changes reported by families , providers who participated in the project report that having a method for determining which areas of injury prevention to discuss with a family during the office visit increased their efficiency. During the Learning Collaborative practices also take part in monthly Action Period Calls, where they share experiences and receive focused education on injury prevention topics, including safety around car seats, water, sleep and food. Medical Directors Michael Gittelman, MD, FAAP and Sarah Denny, MD, FAAP lead the project. Both work directly with patients in the emergency department, and see many of the injuries addressed in this project firsthand. They used this experience, along with their passion for childhood injury prevention, to develop the screening tool and quality improvement project with the support of the Ohio AAP. Through the 5-year funding commitment of the Healthy Tomorrows grant, Drs. Denny and Gittelman have the opportunity to refine and expand the reach of this project. This includes exploring methods to test the validity of parent responses, extending the tool to reach more practitioners nationally, and expanding the tool to screen for children of older ages.

A third wave of the Injury Prevention Learning Collaborative is scheduled to begin in early spring 2015, and will include practices in Ohio as well as possible participants from other states. Participants in the Injury Prevention Learning Collaborative are eligible to receive up to 25 Maintenance of Certification Part 4 credits from the American Board of Pediatrics. Pediatric practitioners who are interested in learning about participation opportunities for upcoming waves of the project should contact Hayley Southworth at the Ohio AAP. For more information on the Healthy Tomorrows Partnership for Children, visit: http://www2.aap.org/commpeds/htpcp/. Exit Disclaimer

(1) Christophersen ER, Sullivan MA. Increasing the protection of newborn infants in cars. Pediatrics 1982; 70: 21-25.
(2) Gittelman MA, Pomerantz WJ, Laurence, S. The effects of an Emergency Department intervention on increasing booster seat usage in a high-risk population. Academic Emergency Medicine 2006; 13 (4): 396-400.



Healthy Tomorrows Partnership for Children Program Grantee Profile

Dr. Kara Gerger and child State House Advocacy DayGrantee: National Society To Prevent Blindness
Project Leads: Kira Baldonado and Kathy Majzoub, RN, MBA
Location: Boston, Massachusetts

The objectives outlined for the Healthy Eyes Healthy Futures Massachusetts project will result in earlier identification and treatment of vision problems in young children that may lead to developmental delay. Through collaboration between Prevent Blindness America, the Children’s Vision Massachusetts Coalition, experts, and key stakeholders, the project results will elevate the role of vision health in existing developmental assessment and parent education efforts in community settings and primary care practices. The outcomes of this project will lead to a reduction of visual impairment and developmental delay in high risk young children.

Q: What is your issue of focus in community pediatrics?
Vision assessment in young children is essential for the detection and treatment of amblyopia, strabismus and other conditions which may lead to vision loss. The prognosis for these conditions is excellent if treatment is timely and supported, however, improved visual outcomes for children are often not accomplished. Children’s Vision Massachusetts (CVMA), a coalition supported by the National Center for Children’s Vision and Eye Health at Prevent Blindness, developed a set of initiatives designed to improve the visual health of children by expanding community based best practices. These initiatives are the focus of Healthy Eyes Healthy Futures Massachusetts.

Q: Please describe how you have worked to address this issue in practice, and in your community.
Twenty-five health providers, educational professionals, and parents, formed the Developmental Questionnaire Work Group and are charged with reviewing existing developmental tools, authoring new vision-related questions and piloting them in various settings. CVMA will work with the Reach Out and Read program to include vision messaging and eye health education, and the MA Department of Early Education and Care is providing education and materials to its family and community engagement network to pass on to families. Finally, CVMA is working with Live Well Springfield-Kids to design and implement a community based program for children’s eye health in Springfield, MA.

three children drawing and smiling

Q: Please describe any community partners that are involved in your work, including any involvement from patients and families.
Community partners for the Healthy Eyes Healthy Futures Massachusetts initiatives are the Boston Children’s Hospital Pediatric Physicians’ Organization, Community and Family Engagement Grantees for the MA Department of Early Education and Care, the Reach Out and Read Organization, the Live Well Springfield—KIDS Coalition, Community Catalyst and members of the Children’s Vision Massachusetts Coalition. Other partners are the National Center for Children’s Vision and Eye Health and Prevent Blindness.

Q: How has a community pediatrics approach improved children’s health in your practice, and in your community?
Challenges facing health care providers and families in efforts to detect and treat vision problems in children include: (1) Public health activities are limited due to lack of resources (2) Recommended screening protocols are not completed due to lack of training and compensation (3) Communication between pediatricians and eye doctors has not been established (4) Eye care providers are centered in urban areas and/or near tertiary care training programs making access difficult In an attempt to address these issues, the project has adopted a community pediatric approach which employs strategies designed to engage stakeholders in overcoming these challenges.

Q: What resources or tips can you provide for other pediatricians that are interested in addressing this issue in their practice or community?

  1. Establish relationships and expectations with others involved with the visual health and education of young children including health managers, public health professionals, school nurses, parent groups, pediatric eye care providers and community based early educators
  2. Provide education to staff, families, and community to raise awareness and assure appropriate screening skill set and responsibilities
  3. Create systems for communication, monitoring, and surveillance of ongoing care regarding results of eye exams, compliance with treatment plans, etc.

Q: What advice would you share with someone interested in working on a project similar to yours?
A broad based coalition, including community members, professional organizations and clinical and public health experts is essential for project design, commitment and implementation. Engage leadership with potential collaborating organizations from the top down to ensure that adequate resources are committed to the work.



LEAH Grantee Spotlight

Photo of Gregory J. Redding, MDRebecca Shlafer, Ph.D., is an Assistant Professor within the Department of Pediatrics at the University of Minnesota and a former trainee of the Leadership Education in Adolescent Health (LEAH) program. Dr. Shlafer is involved in several innovative projects addressing the issue of parental incarceration. She serves as the Research Director for Isis Rising Exit Disclaimer, a rapidly expanding community-university partnership aimed at providing pregnancy and parenting support to incarcerated women. As a result of these efforts -- after systematically providing birth support -- the cesarean section rate decreased from 63% to 3%. Highlights of these projects have been featured on Kare 11 Exit Disclaimer, the UMN homepage Exit Disclaimer, and the Star Tribune. Exit Disclaimer

Dr. Shlafer also utilized her legislative advocacy training by testifying on behalf of a bill she and her colleagues co-wrote Exit Disclaimer, which aims to better address the pregnancy and childbirth needs of incarcerated women in Minnesota. As a result of the passage of this legislation, she was asked to lead a new Legislative Advisory Committee on the reproductive health of incarcerated women.

In addition, Dr. Shlafer recently partnered with Sesame Street, using their resources for the initiative: Little Children, Big Challenges: Incarceration Exit Disclaimer, which was announced last June at the White House Exit Disclaimer. Her trip to the White House earned her another invitation in September, where she was asked to talk about mentoring children impacted by incarceration. Since then, she has helped lead the state-wide dissemination of these resources to community-based organizations, correctional facilities, schools, clinics, and families designed to support children with incarcerated parents. As part of this project, her team is also piloting an intervention with the resources in a multi-site, randomized control trial in two jails in Minnesota and two jails in Wisconsin. A separate, but related project Dr. Shlafer is working on is examining children and adolescents’ experiences visiting their jailed parents, through systematic observations of the parent-child visits at the correctional facility. Last month, her team received a proclamation from Governor Dayton. Exit Disclaimer

Dr. Shlafer’s reflections on LEAH Training:

For me, the highlight of being a LEAH fellow was the interdisciplinary training. I came to the MN LEAH program with a PhD in child psychology and without any experience working directly with physicians, social workers, nurses, or public health professionals. The LEAH program gave me the skills to learn to work within and across disciplines to improve the lives of youth impacted by a parent's incarceration. I use my LEAH training in life course and social determinants of health every day as I work to solve the complex challenges facing children and families affected by incarceration. I frequently find myself reflecting on the communication, media, and advocacy trainings I received as a LEAH fellow. Such trainings have helped me craft my messages to local reporters, legislators, MCH professionals, and other scholars. Now, as a member of the training faculty, I find it so rewarding to work with new LEAH fellows who are passionate about addressing critical public health issues.



Spotlight on Gregory J. Redding, MD

Photo of Gregory J. Redding, MDPediatric Pulmonary Center grantee Gregory J. Redding, MD, is the 2015 recipient of the Edwin L. Kendig Award for lifetime achievements in the field of pediatric pulmonary medicine. This award is sponsored by the American Academy of Pediatrics every other year. The award is presented to an individual for distinguished clinical service and dedication to patient care, significant contributions to clinical or basic pediatric pulmonary research, and dedication to the education of pediatric pulmonary fellows, pediatric residents, and other trainees in the health professions. He is chief of the Division of Pulmonary Medicine at Seattle Children’s Hospital and Professor of Pediatrics at the University of Washington School of Medicine. He is also the Project Director of the Maternal and Child Health Bureau’s (MCHB’s) Pediatric Pulmonary Leadership Training Center at the University of Washington.

Dr. Redding has served in leadership positions for national professional organizations, lectured nationally and internationally, and participated in planning and evaluation of training for MCHB. He has published more than 150 original research articles and reviews and currently studies the health of indigenous children in the U.S. and abroad. He has received multiple teaching awards at the University of Washington and has been one of America’s Top Doctors for more than a decade.

Dr. Redding created the Pediatric Pulmonary and Sleep Medicine Division at Seattle Children’s Hospital and has provided regional pulmonary care in the Pacific Northwest for 34 years. He earned his medical degree at Stanford University School of Medicine. He completed his pediatric residency training at Harbor General Hospital/UCLA and his pulmonary fellowship at the University of Colorado.

The Division of MCH Workforce Development congratulates Dr. Redding on this well-deserved award!



Spotlight on LEND

University of Pittsburg LEND logo

Assessment of the impact of LEND training has been challenging for 2 reasons:  (1) NIRS data tracking LEND graduates over the long-term has been inconsistent and difficult to obtain for some programs; and (2) even when the NIRS Graduate Survey is completed, there is no comparison point.  The NIRS Graduate Survey is currently used post-training at 1, 5, and 10 years and graduates are asked to fill out 14 brief questions.  The aim of this short-term project at the Pittsburgh LEND is two-fold:  (1) to develop a methodology to ensure high retention rates among core LEND long term trainees with the NIRS Graduate Survey, and (2) establish a matching design with comparison peers who are not receiving LEND training.  For each of Pittsburgh’s core LEND long term trainees, a classmate from their graduate program will be recruited.  Comparison classmates will be selected on the basis of (in priority): a) same program of study; b) interest in children/pediatrics; c) same gender; d) same starting year in the program; and e) same race.  The project is a pilot feasibility trial that has been approved by the local IRB and requires informed consent from LEND trainees and comparison peers.


Photo of Pamela C. High, MD

Pamela C. High, MD


Brown University Logo Brown University

 

Brown University Logo

HASBRO CHILDREN’S HOSPITAL

 

Download a PDF of article from Pediatrics

Spotlight on Dr. Pamela C. High, Project Director for the DBP program at Brown University and lead author of the new American Academy of Pediatrics policy statement “Literacy Promotion: An Essential Component of Primary Care Pediatric Practice”

Pamela C. High, MD, is Professor of Pediatrics at the Alpert Medical School of Brown University in Providence, RI. She directs the Division of Developmental-Behavioral Pediatrics (DBP) at Hasbro Children’s/Rhode Island Hospital where she serves as the Program Director for fellowship training in DBP and for the HRSA/MCHB sponsored Brown Leadership Education in DBP Program. Dr. High is recent Past President of the Society of Developmental and Behavioral Pediatrics (SDBP) and member of the American Academy of Pediatrics’ (AAP’s) Early Brain and Child Development Leadership Workgroup. Her local advocacy efforts have included serving on RI’s Early Learning Council and on the boards of RI Kids Count and RI Reach Out and Read.

Dr. High is the lead author on the new Policy Statement from the AAP: “Literacy Promotion: An Essential Component of Primary Care Pediatric Practice.Exit Disclaimer The statement urges the 62,000 AAP members to talk to parents about how critical reading aloud is for fostering young children's brain development and building their early language and literacy skills. Pediatricians are also encouraged to provide books during health maintenance visits for all low-income, high-risk young children. The statement also calls for literacy promotion to be included in pediatric residency training, and for federal and state funding to help manage the costs of making age-appropriate books available in pediatric medical homes.

In a related article in the Huffington Post (6/30/2014) entitled, “Pediatricians Call For Parents To Read Aloud To Their Children Every Day” and interviews on the Public Broadcast Station (PBS) Exit Disclaimer, Dr. High, referring to parents, said they should remember the so-called "5 Rs" of early education: reading with their children daily as fun family activity; rhyming, singing and cuddling with them throughout the day; establishing routines and regular times for meals and sleep; rewarding them for their efforts and successes to boost self-esteem; and developing relationships that are reciprocal, enduring and nurturing which are the foundation of healthy development. "Pediatricians are taking a stand to spread the news more widely that early shared reading is both fun and ultimately very rewarding," Dr. High said.




group photo of CHALK team

Spotlight on Healthy Tomorrows Grantee: CHALK

Healthy Tomorrows Grantee's CHALK program (Choosing Healthy & Active Lifestyles for Kids) received national recognition by Michelle Obama through her Let's Move! Active Schools initiative. The American Academy of Pediatrics, Division of Community-based Initiatives newsletter, Community Pediatrics E-News, features an interview with CHALK project leaders Andrea Hausel, MPH, RD, CDN and Dodi Meyer, MD, FAAP.

Read more about the CHALK program... Exit Disclaimer




group photo of CHALK team

Honoring T. Berry Brazelton, MD and his work with DBP Fellows

T. Berry Brazelton, MD, Professor of Pediatrics Emeritus at Harvard Medical School, is one of the world’s foremost authorities on pediatrics and child development. Author of over 200 scholarly papers, he has written over 40 books on pediatrics, child development, and parenting. Translated into more than 20 languages, these include the now classic Infants and Mothers, and the bestselling Touchpoints series. His groundbreaking Neonatal Behavioral Assessment Scale (NBAS) is now used... read more about Dr. Brazelton...


Photo of Dorothy Cilenti

Dorothy Cilenti, DrPH, MPH, MSW

Logo for UNC Gillings School of Global Public Health

MCH Workforce Development Center

Dorothy Cilenti is the Project Director of the new MCH Workforce Development Center, a cooperative agreement with Maternal and Child Health Bureau, Division of MCH Workforce Development. Dr. Cilenti is Clinical Assistant Professor in the Department of Maternal and Child Health and Administrator of the NC Local Health Department Accreditation Program at the UNC Gillings School of Global Public Health in Chapel Hill. Dorothy was previously the Local Health Director of Alamance and Chatham counties in North Carolina. She also served as Interim Health Director for the Orange County Health Department. Prior to working as a senior executive in local public health, she served as the Deputy Director of the NC Division of Public Health. She received her master’s in public health and social work from UNC-Chapel Hill in 1989. In 2009, she completed a doctoral program in Health Policy and Management at the Gillings School of Global Public Health.


Kennedy Krieger Institute
LEND Program

In recognition of national commitment to women, children and families, the Maternal and Child Health (MCH) Training Programs of Maryland hosted a luncheon and seminar on October 22, 2010 to commemorate Title V and the Social Security Act, and to pay special tribute to the memory of Dr. Vince Hutchins.


 

John Hopkins University
School of Public Health Program

In recognition of national commitment to women, children and families, the Maternal and Child Health (MCH) Training Programs of Maryland hosted a luncheon and seminar on October 22, 2010 to commemorate Title V and the Social Security Act, and to pay special tribute to the memory of Dr. Vince Hutchins.


University of Maryland, Baltimore
Social Work Program

In recognition of national commitment to women, children and families, the Maternal and Child Health (MCH) Training Programs of Maryland hosted a luncheon and seminar on October 22, 2010 to commemorate Title V and the Social Security Act, and to pay special tribute to the memory of Dr. Vince Hutchins.


John Hopkins University
LEAH Program

In recognition of national commitment to women, children and families, the Maternal and Child Health (MCH) Training Programs of Maryland hosted a luncheon and seminar on October 22, 2010 to commemorate Title V and the Social Security Act, and to pay special tribute to the memory of Dr. Vince Hutchins.


John Hopkins University
COR Program

In recognition of national commitment to women, children and families, the Maternal and Child Health (MCH) Training Programs of Maryland hosted a luncheon and seminar on October 22, 2010 to commemorate Title V and the Social Security Act, and to pay special tribute to the memory of Dr. Vince Hutchins.


Reflections From My DBP Fellowship Training

Neel Soares, MD, Assistant Professor of Pediatrics at the University of Kentucky, describes the rich educational experience provided by an innovated Developmental-Behavioral Pediatric Fellowship Program supported by the MCHB Training Program.


Meet the UF PPC Program

Meet the trainees and fellows of the University of Florida Pediatric Pulmonary Center MCH Training program. Their enthusiasm for training, clinical care and community involvement is truly inspiring. Watch this video. More on the UF PPC Funded Project.

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