Advisory Boards: The ABCs

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Advisory Boards The ABCs

• Frances S. Margolin
• Veronica Lopez-Wells
• Thomas Klitzner
• American Academy of Pediatrics
• Healthy Tomorrows Grantee Meeting
• September 15, 2005

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What Will We Do Here Today?

• Overview Advisory Boards
• Two different examples
• Facilitated discussion A challenge
• Report outs Lessons learned

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CCN Demonstration

• 25 community-based partnerships
• Funded 1997-2003
• Goal of improving health of the community local
  system redesign
• Hospitals, public health, local government,
  schools, business, social services, CBOs
• Each had at least one community advisory board

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What Is an Advisory Board?

• Contrasts with a governing board
• No final decision-making authority
• No fiduciary responsibility
• May answer to a person, a department, or an
  entire organization
• Represents a range of stakeholders
• May have one or more Advisory Boards

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What Does an Advisory Board Do?

• Recommend program details
• Nontechnical
• Can help create materials
• Tailor to specific audiences
• Review programs, materials
• Point out pitfalls, misunderstandings
• Assist in marketing, implementation
• Be a champion for your work!

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What Do You Do?

• Liaison to organizational leadership, program
  staff, and community
• Organize and manage Advisory Board
• Monitor not just program results but process to
  identify and resolve problems

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Whats Important?

• Get the right people at the table
• Include the people affected by the program
• Build a broad membership base
• Encourage diversity
• Ensure commitment on the part of the members
• Membership should be dynamic
• Add new, let people leave

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What Else?

• Manage and channel conflict
• Anticipate problems and trouble spots
• Build and maintain trust
• Develop a fair decision-making process
• Provide lots of updated information

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What Are Some Concerns?

• Balance of power between professionals and
  community members
• Community members may need support
• Usual suspects
• Sometimes have their own agenda
• Maintaining commitment / attendance
• Food!
• Support such as transportation, child care

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What Are the Benefits?

• Better program design uptake
• More likely to meet perceived needs of target
  audience
• Community trust and buy-in
• External support
• Easier program evaluation

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UCSD Pediatrician Education Project (PEP)

• Working with the community for better family
  health
• Veronica Lopez-Wells

A project of the University of California San
Diego Division of Community Pediatrics
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PEP Project Objectives

• The goals of the PEP Project are
• Expand the availability of low-cost/no cost
  health insurance and PEP targeted preventive
  child health messages through partnerships to
  CBOs, Schools, Child Care Centers, Family
  Resource Centers, and local employers.
• Provide parents with a range of preventive child
  health information messages
• Increase childrens access to a medical and
  dental home

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PEP Project Overview

• The PEP Project Offers
• Educational classes on various childrens health
  topics given by a child health professional
• Presentations, handouts, and other materials
• A free service that works around the availability
  of program/employer site schedule
• Information and assistance about applying for
  health insurance

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PEP Project Overview Cont.

• Who is PEP for?
• Parents
• School Staff
• Employers Employees
• Childcare providers
• Community organizations serving children and
  families

• Current Topics Include
• Child Nutrition
• Oral Health
• Injury Prevention
• Using your HMO/Health Insurance
• Illness and school/childcare attendance
• Alternate topics can be provided, upon request

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PEP Project Current Activities

• Current activities include
• Educational presentations on various childrens
  health topics in collaboration with Family
  Resource Centers, schools, businesses, community
  based organizations, and parent groups
• A parent forum which provides two hours of
  information on a childrens health topic,
  affordable childrens health coverage programs of
  California, health literacy, and community
  resources

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Who makes up the PEP Advisory Board
The advisory board is composed of people with
diverse backgrounds in relation to childrens
health. Currently the advisory board consists of

• Representatives of
• S-CHIP Enrollment Program
• Government (local/state)
• Family Resource Center
• Representatives from County Health and Human
  Services programs
• Community based programs (3)
• A local health plan
• A Child Care resource center

• 2 Pediatricians
• 2 Parents (Consumers)
• Coordinator of a university pediatric training
  program
• Coordinator of an oral health program

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Advisory Board Requirements

• a vested interest in improving the lives of
  children and families in San Diego County
• recommendation by Principal Investigator, Project
  Manager, or Project Partners

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Role of Advisory Board

• Provide guidance and support for Project
  implementation
• Regularly attend quarterly board meetings
• Monitor and ensure comprehensive culturally
  sensitive services for children families
• Provide guidance and development of preventive
  child health materials and presentations
• Community Linkages

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Advisory Board Activities

• Defined target population
• Refined outreach strategies
• Volunteered time to present child health classes
• Recruited other pediatricians and child health
  professionals

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The Pediatric Medical Home Project at UCLA

• Funded by the Healthy Tomorrows Partnership for
  Children
• Thomas Klitzner

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Target Patient Population

• Children with Special Health
• Care Needs (CSHCN)
• Children who have or are at
  increased risk for chronic conditions.
• Require health and related services of a type or
  amount beyond those required by children
  generally.
• (Maternal and Child Health 1995)

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Medical Home Principles

• Accessible
• Family-centered
• Comprehensive
• Continuous
• Coordinated
• Compassionate
• Culturally effective

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Goals and Objectives

• A working Medical Home care delivery model
  through Pediatric Continuity Clinic
• Pediatric Medical Home Resident Physician
  Training Curriculum
• Pediatric Medical Home Health Services Research
• Community Awareness and Involvement

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Committee Organization
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Medical Home Oversight Committee

• Stakeholders
• Nurses
• Social Workers
• Residents
• Education Director
• Primary Care Faculty
• Parents

Composition

• Meets twice a month
• Oversees operations
• Sets goals and priorities
• Establishes policies
• Directs process improvement

Role
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Medical Home Executive Committee

• Project Director
• Project Manager
• Medical Director
• Family Liaison

Composition

• Meets twice a month
• Manages operations

Role
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Parent Advisory Board

• Parents and older siblings of patients cared
  for in the UCLA Medical Home

Composition

• Meets once a month
• Workshops for parents
• Advisory meetings

Role
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Parent Advisory Board

• Initial meeting was a parent Open House at
  which the basic structure was determined by the
  group

Recruitment

• Meetings on IEPs, CCS, Medicaid
• Day in the Life Video
• Resource identification

Projects
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Community Advisory Board
Community Leaders in Los Angeles County

• Director of Public Health
• CCS Director
• Regional Center Director
• Educators

Composition

• Meets once a year
• Access to community leadership

Role
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Community Advisory Board

• Recruited upon submission of grant proposal

Recruitment

• Networking
• Advocacy
• Informational conduit

Projects
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Discussion group activityProblem solving
Group 2 Our advisory board meetings consist of
staff presenting project updates to the board.
Group 1 Our advisory board has 20 members, but
only 10 show up consistently.
Group 3 We cant seem to get parents involved in
our board. When parents do come, they are quiet
and seem uncertain of their role.
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Group Reports

• Group 1
• Group 2
• Group 3
• Final thoughts
• The Collaboration Primer (Handout)
  http//www.hospitalconnect.com/hret/programs/conte
  nt/colpri.pdf
• THANK YOU!