Shirley Girouard, PhD, RN, FAAN
Professor & Director
San Francisco State University School of Nursing
AcademyHealth
June 2009
SOME KEY PLAYERS
PLAYER
 AAP
 NACHRI
 RWJF
 CAHMI
ROLES
 Setting the stage
 Creating the
change
 Sustaining the
change
KEYS TO SCHIP SUCCESS:
 Mobilization & focus
 Shared values
 Collaboration, consensus
 Timing
 Responsiveness
 Content expertise
 Political/advocacy expertise
SCHIP & Information
Technology:
 Basic/crude
 Communication
 Means not end for: planning,
implementation & evaluation
MISSING IN 1997?
 All provider disciplines
 Provider educators
 Others?
LESSONS from SCHIP:
 Values: focused & shared
 Passion
 Leadership & partnership
 Communication (IT)
 Timing
 Advocacy
 Content & process experts
 Engage actual and potential stakeholders
PRESENT & FUTURE PROVIDERS:
AN UNTAPPED RESOURCE
 PROVIDERS:
physicians, nurses, social
workers, child care advocates, hospital
administrators, public health, health educators,
teachers, etc.
 OTHERS: HIT /computer science,
communication science, library/resource experts,
community service, etc.
 FACULTY & PROFESSIONAL
ORGANIZATIONS
EDUCATION & TRAINING:
structures, processes & outcomes
 All students at all levels
(professional & consumers):
content, advocacy & HIT
 Practicing (and retired) providers
 Policy makers (public, private,
elected, appointed, academic,
bureaucrats)
PEOPLE/RELATIONSHIPS (IT)
PLANNING/PROCESSES (IT)
PASSION/POLITICAL ACTION (IT)