Problem Statement:
The 2001 Current Population Survey revealed that 9.1 million
US children less than 19 years of age—or 11.8% of the
76,616,883 total child population—do not have health
insurance (This number is increasing with our current
economic down turn).
» Uninsured children are less likely to receive preventive care,
are less likely to use needed health care services, and are
more vulnerable to health problems.
» This is alarming, because it is well documented that
availability of, and access to, quality health care has a direct
impact on the health of families and children.
»
American Academy of Pediatrics Division of Health Policy Research
analysis of March Demographic File, 2001 Current Population Survey.
Newacheck PW, Stoddard JJ, Huges DC, Pearl M. Health insurance and
access to primary care for children. New England Journal of Medicine.
1998; 338(8):513-9
TO ADDRESS THIS PROBLEM:
The American Academy of Pediatrics began:
 the Health Tomorrows Partnership for
Children Program in 1989 with funding from
MCHB.
 the CATCH Program in 1991 under a grant
from the Robert Wood Johnson Foundation.
 the Reaching Children: Building Systems of
Care in 1999 with funding from MCHB.
Barriers to access

Lack of providers/services

Clinic hours

Transportation

No medical benefits

Cultural barriers such as language
differences

Parental lack of understanding

The examples go on and on…..
“ Inferior doctors treat the patient’s disease;
Mediocre doctors treat the patient as a person;
Superior doctors treat the community as a
whole ”
Huang Lee, 2600 BC
Community Pediatrics is...

A perspective that enlarges the
pediatrician's focus from one child to all
children in the community.
Community Needs Assessments
» Community Resources
» Community Assets
»
Community Pediatrics is ...

A recognition that family, educational, social,
cultural, spiritual, economic, environmental,
and political forces act favorably or
unfavorably, but always significantly, on the
health and functioning of children.
Community Pediatrics is...

A synthesis of clinical practice and public
health principles directed toward providing
health care to a given child and promoting
the health of all children within the context
of the family, school, and the community.
Community Pediatrics is...

A commitment to use a community's
resources in collaboration with other
professionals, agencies, and parents to
achieve optimal:
–
access
– quality of services for all children
– advocacy
Community Pediatrics is...

An integral part of the role and duty of all
health care professionals who care for
children.
The CATCH Mission
The mission of CATCH is to support
pediatricians who work with communities
to assure that all children have medical
homes and have access to any other
needed health care services.
The CATCH mission is built upon
several key concepts

The medical home, more commonly defined as
the point of access to all needed health services

Local people can solve local problems using
local resources

Communities have both assets and needs
The CATCH mission is built upon
several key concepts

Communities are different and will often
approach similar problems in different ways.

Pediatricians can make a difference in their
communities.

Experiences and successes can be shared. We
need to help and support each other.
This is done by:

providing pediatricians with tools and resources needed to
put ideas into action (TA).

providing them with support and model programs
(networking, peer support, VP, CQ).

motivating pediatricians with fiscal support (funding
opportunities).

getting pediatricians involved with their communities.
Components of the
CATCH Program:
1.
2.
3.
4.
5.
Training
Technical assistance
Peer support
Networking opportunities
Funding Opportunities
Training and Technical Assistance
Provides opportunities to learn about and
develop skills necessary in doing communitybased projects:
Needs and asset assessment
 Showing what does and doesn’t work
 Resource development
 Coalition building
 Program evaluation

Peer Support and Networking:

District/Chapter CATCH Facilitators

CATCH sponsored training, programs and
events

Technical Assistance given by peers

CATCH Visiting Professorships

CATCH Quarterly newsletter
The CATCH Program
acts as a mentoring matrix
for pediatric residents
to accomplish the mission
The CATCH Network
Learning from and meeting other
pediatricians who are interested in
community-based activities expands the
CATCH network of pediatricians and
improves the individualized assistance
available for improving children’s access to
health care at the community level.
The CATCH Network
consists of:

over 80 District and Chapter CATCH facilitators
 a database of 16,000 pediatricians and other
child health advocates
 over 500 Past CATCH grant recipients
 accessible CATCH staff
CATCH Facilitators:
provide technical assistance visits.
 assist projects in linking to local
resources.
 assist projects in recruiting pediatricians.
 highlight/promote CATCH/HTPCP projects in
their community.
 provide technical assistance to potential
applicants and grantees.
 reviews and scores grant applications.

The Resident District CATCH
Liaison

Resident District CATCH Liaisons are pediatric
residents with a special interest in community
pediatrics and children’s access to medical homes and
other needed services.

Resident District CATCH Liaisons work with the
Resident Section Leadership.

Resident District CATCH Liaisons are part of the
Nation wide CATCH Network.
Dist VI
WA




OR

MT
ID


Dist IX


CO


CA

AZ
IA

KS


OK
NM
LA
TX
AK

AR



Dist VIII
IL



 OH
 TN
 
MI

AL

HI



WV





SC
MA

CT 
NJ
Dist III

Dist IV


FL
Dist X




DE  
MD 
DC 
VA
NC
RI
GA
Dist VII

Dist I

PA
IN

KY
MO




ME


MI

WY

NY
WI
NE
UT
Dist II
SD
NV


ND
MN


 NH
  VT
Dist V
PR
FUNDING OPPORTUNITIES:
CATCH Funds
The concept of CATCH Funds emerged in
1993 from the recognition that many
pediatricians and communities have ideas
for improving the health care of children in
their local areas but do not have the time,
expertise, or money to plan and implement the
projects.
Funding Opportunities (Due Date):






Residency CATCH Planning Funds Program (July
and January)
CATCH Planning Funds Program (July)
CATCH Implementation Funds Program (January)
Visiting Professorship (Awarded)
Healthy Tomorrows Partnership for Children (Oct. Nov.)
Reaching Children: Building Systems of Care (Not
accepting applications at this time)
CATCH Grants

Resident Grants $3,000

Planning Grants $10,000

Implementation Grants $10,000
*Note: Residents may apply for
planning and implementation
grants
CATCH Visiting Professorships
Year
Total #
1994-96
10
1996-98
12
1998-00
11
2000-02
9
CATCH Planning Funds
Year
# Grants
1993-95
56
1996
26
1997
40
1998
33
1999
75
2000
62
2001
73
2002
59
Resident CATCH Planning Funds
Year
# Grants
2000
20
2001
28
2002
34
CPF-Awarded by Year
80
75
70
73
62
59
60
50
40
40
28
26
30
20
34
33
20
17
19
20
10
0
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
TT
Remember, you do not have to have
a CATCH Planning Funds grant to
be considered a CATCH program.
The CATCH Vision
The vision of CATCH is that every
child in every community has a
medical home and other needed
services to reach optimal health and
well-being.
Be a CATCH Pediatrician.
If not you, then who?
“ I don’t know what your destiny will be,
but one thing I know: the only ones
among you who will be truly happy are
those who will have sought and found
how to serve.”
Albert Schweitzer
Pediatricians remain instrumental in
efforts to create, organize, and
implement changes in communities,
efforts that can substantially improve the
health of children.