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Learn about the history and goals of the Philadelphia Allies Against Asthma coalition, formed in 1999 to improve pediatric asthma care. Discover how collaboration, coordination, and communication among healthcare systems, schools, insurers, and other stakeholders are key to integrating services and overcoming challenges. Find out how the coalition navigates barriers and ensures quality care for children with asthma.
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Philadelphia Allies Against Asthma Michael Schaffer, Coalition Co-Chair
Overview • Background • Collaboration, Coordination & Communication • Service Integration
History of Coalition 1996 - Two coalitions formed--ALA Attack Asthma & Philadelphia’s Department of Public Health’s Asthma Taskforce 1999 - development of Philly AAA designed for pediatric asthma with 2 target areas & many of the same coalition partners as above.
Health care systems Primary Care Providers Schools Insurers Community organizations Nursing centers State and Local Health Departments Parents/caregivers Media Foundations 40 groups-102 individuals-60% active in committee Introduction - Coalition Stakeholders
Collaboration, Coordination & Communication • Analysis of existing system revealed all necessary resources already exist • A desire to not duplicate efforts • Network existing resources (i.e. coalition partners) to maximize services to those in need • Centralized vehicle created to open communication channels between service providers and patients (Asthma CALL Center)
Service Integration • Definition - Coordination of access to comprehensive asthma related services for the target audience population • Goal - To facilitate linkages among systems that deliver and monitor healthcare to children with asthma
Coordination - Service Integration • Ensure elimination of barriers to care • Addresses access, quality, education, environment • Identified through ED, schools, and community organizations • Coordination allows for measurable outcomes
Challenges - Collaboration, Coordination & Communication • Collaboration • Competition, opposing interests within the city • Coordination • Developing procedures among partner organizations • Communication • We kill a lot of trees • Time & Resource intensive to gain consensus • Timeliness of decision making
Challenges - Service Integration • HIPAA -consent issues • Subcontracting • IRBs • Protocols and Procedures • Timelines • Internal structural changes within large institutions • Pulling it all together