W ASHINGT ON C HAPT R OF T HE A ME RICAN E A CADE MY OF P E RICS DIAT J OIN U S I N A DVOCAT ING F OR W ASHINGT ON ’ S C HIL N , T IR F S DRE HE AMIL IE AND T IR P E RICIANS HE DIAT R UPIN T HAKKAR , MD, F AAP P RE , WCAAP SIDE NT
W HO WE ARE AND WHAT WE DO ¢ About 1000 pediatricians, including general pediatricians, sub-specialists and hospitalists. Rapidly growing membership of APCs and FPs. ¢ WCAAP connects pediatric providers throughout the state to create a network of passionate experts and advocates ¢ WCAAP addresses the challenges pediatricians see every day through ongoing member education and networking with peers, anticipating and reacting to emerging public health issues, and legislative advocacy on behalf of kids and pediatric health care providers.
V ISION & M ISSION Vision: We nurture human potential. We aspire to ensure a foundation of lifetime health and improve the well-being of future generations. M ission: To optimize the health and well-being of children and their families while supporting pediatric providers in their development and practice. ¢ Empower pediatric providers to provide quality medical care ¢ Advance public policy to benefit children ¢ Advocate for communities that support children and their families ¢ Collaborate with other child health advocates ¢ Frame and lead the public discussion on child health issues
W HY S HOUL D Y OU G E I D ? T NVOL VE ¢ Engagement in professional organizations has been strongly linked to decreased burnout. Personal support from colleagues is a strong factor in preventing burnout. ¢ Advocacy allows you to impact child health on a broader scale than in your important day-to-day work. Y ou know Washington’s children. WCAAP knows Washington state. WCAAP broadens the reach of your expertise beyond your practice and puts it into action to advocate for safer, healthier children in Washington.
S COMMIT T E E ¢ Legislative Advocacy ¢ Health Care Transformation ¢ Early Learning ¢ Vaccine Outreach & Promotion ¢ Sustainability and M embership Engagement
ION H E H C ARE T AL T RANSF ORMAT NG PROVI RS F OR VAL UE - BASE D PAYME AND BE ORAL PRE PARI DE NT HAVI H I ON HE AL T NT E GRAT I 2 Pediatric Population Health Forums each year, bringing state and national ¢ expertise on social determinants of health, population health strategies, and behavioral health integration. Next: June 8, SeaTac Developed educational materials and policy recommendations for a ¢ sustainable payment system that will support pediatric-focused Value- Based Care. Convened a work group comprised of the CM Os and QI Officers of each M anaged Care Organization to work toward a unified approach to supporting providers with data needed to prepare for value- based payment. Increase collaboration and communication between primary care providers ¢ and behavioral health providers: Positioned a pediatric medical champion and behavioral health � champion in each of the nine regional Accountable Communities of Health Pediatric & Adolescent Behavioral Health Toolkit- outlines resources by � county Forged referral communication agreements between primary care � clinics and BHOs
E Y L ARNING ARL E ¢ Great M INDS (M edical Homes Include Developmental Screening). Trainings on implementing developmental & autism screening as a standard component of well child exams at 9, 18, and 24 months. Includes workflows, billing, referral process. ¢ M aternal post-partum depression. Trainings on implementing screening at all well child exams from 2 weeks to 6 months. Includes workflows, billing, referral process.
A DDIT E & N E WORKING O PPORT S IONAL DUCAT IONAL T UNIT IE ¢ Webinars: Immigrant health, Brief Parent M anagement Training for childhood disruptive behaviors, Adolescent depression, M otivational interviewing ¢ QI Initiatives. M ost recent: HPV immunization rates. ¢ Effective primary care management of ADHD and antipsychotic medications ¢ Adolescent Health in Primary Care Conference ¢ Listening sessions: M embers share concerns about child health on a local level, provide feedback to chapter leadership, and network with other pediatric health care providers from their region.
L IVE A DVOCACY C OMMIT E E GISL AT T E � Sets the legislative agenda for the year (with board approval) � Creates fact sheets for legislators and media outlets � Collects & shares patient stories � Provides testimony to the legislature � Educational forums for legislators. Recent: mental health, teen vaping � Creates electronic action alerts for our members to contact their legislators � Organizes Advocacy Day. Next: Friday, Feb 15 � Earns media to raise awareness on our issues � Partners with other organizations to affect change
2017 L E GISL AT IVE ACCOMPL ISHME NT S � Adolescent depression screening and maternal depression screening for 0-6 month old visits funded on M edicaid � Behavioral Health codes used in primary care covered by M edicaid � Family M edical Leave Insurance � Distracted Driving laws strengthened � Reach Out and Read and Home Visiting funding maintained
2018 L E GISL AT IVE ACCOMPL ISHME NT S INCREASE ACCESS TO CARE Successfully passed legislation to… ¢ Increase M edicaid payment rates for pediatric primary care and subspecialty care to 75% of M edicare rates ¢ Creation of a s ingle-source phone referral line for behavioral health referrals IM PROVE CHILD HEAL TH AND SAFETY Gained ground but didn’t pass legislation… ¢ Raise age of purchase for tobacco and nicotine products to 21 ¢ Child Access Prevention / Safe Firearm Storage But, we won this in advocating for Initiative 1639! �
2019 L IVE P RIORIT S E GISL AT IE ¢ Bring M edicaid reimbursement for pediatric care to full parity with M edicare rates ¢ Improve access to behavioral health care for kids: Increased M edicaid reimbursement for behavioral health to � M edicare rates Fund a Children’s M ental Health Workgroup to advise the � state legislature on additional measures to improve early identification and treatment ¢ Raise the age of purchase for tobacco and nicotine products to 21
P E D B ARRIE RS T O P ART ION IN RCE IVE ICIPAT IVE A DVOCACY L E GISL AT ¢ I’m not an expert Actually you are! � Pair with seasoned advocate for meetings/ advocacy day � Trainings on communicating with legislators � ¢ Need to know in advance when in-person events are Advocacy day – Friday, Feb 15, 2019 � ¢ Way too busy to travel to Olympia Advocacy from home– letters to the editor, social media, � legislative action alerts, committees meet by phone. Institutional advocacy �
Y OU CAN CONT E AT ANY L RIBUT E VE L I can give 5 minutes a week: ¢ Watch for action alerts during the legislative session to contact your legislators at key decision points to support child health. Sending an action alert can take as little as one minute. I’ve got a free few hours and want to get my feet wet: ¢ M eet your legislators. We can help arrange. I’ve got a free half day: ¢ T estify on an issue you care about. Again, we can arrange. I've got a free day: J oin us in Olympia on Friday February 15th for Advocacy Day ¢
Y OU CAN CONT E AT ANY L RIBUT E VE L I can meet monthly, or quarterly: Join one of our committees. They all meet by phone in the morning before clinic ¢ starts. Legislative committee meets weekly during session and monthly out of session. All other committees meet either monthly or quarterly. Sit in on our next board meeting to see work first-hand and join in on the discussion. ¢ I'm really passionate about a topic that I don't see listed on the WCAAP website: Great! We welcome passionate members; and want to support your efforts. ¢ Contact us.
C ONT M E ACT 1/ 21/ 2019 Rupin Thakkar, M D, FAAP President rthakkar@wcaap.org
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