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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Eileen M. McDonald, MS1, Lara B. Trifiletti, MA1, David Bishai, MDMPHPhD2, Jeanne McCauley, MD, MPH3, Ruth Ashman, MD3, and Andrea C. Gielen, ScD, ScM1. (1) Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Center for Injury Research and Policy, Baltimore, MD 21205, 410/614-0224, emcdonal@jhsph.edu, (2) Department of Population and Family Health Sciences, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD 21205, (3) Johns Hopkins Medical Institutions, 3100 Wyman Park Drive, Baltimore, MD 21211
Access to large numbers of patients, comprehensive patient information systems, and a focus on health, are characteristics of managed care organizations (MCO) that make them conducive to planning health promotion initiatives. This setting was identified as an appropriate venue to test the effectiveness of the Johns Hopkins Children’s Safety Center, an injury prevention resource center which demonstrated success in improving parents’ home safety practices1 when located in a hospital setting. To garner support from the parent MCO, three needs assessment activities were undertaken in five of their city clinics. Claims data were analyzed to determine the injury rate and costs. Focus groups were conducted with parents of enrolled patients to better understand their injury prevention needs and to solicit feedback about the intervention. Interviews were conducted with MCO clinic staff to identify current injury prevention activities and to solicit their opinions about the interventions. Claims data identified an injury rate of 36.5% among children less than 72 months old, nearly twice the national average, and medical costs of injuries totaled $863,552, or about $396 per child2. Results of focus groups and clinic staff interviews identified strong support for a comprehensive injury prevention program, the centerpiece of which would be a mobile safety center to provide child safety education and to increase access to safety products. We will describe the multi-faceted program that was developed based on these needs assessment activities, and describe the strategies that were used to obtain funding for the program from multiple partners, including the MCO.
Learning Objectives:
Keywords: Needs Assessment, Managed Care
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.