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Madison Children's Hospital

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Madison Children’s Hospital: Chronic Health Illness Program HSM 270

Abstract

Madison Children’s Hospital has been serving the multi-cultural rich county of Orange, California since 1960. For more than 50 years, Madison Children’s hospital (MCH) has been steadfastly committed to providing the highest quality medical care to children. MCH has provided medical care to over 1 million children in the county of Orange. Our regional pediatric healthcare network includes a state-of-the-art main hospital facility in the City of Orange. Madison Children’s Clinic also offers many primary and specialty care services to the community. Madison Children’s hospital has recorded an increase in the amount of children and adolescents ages 0-21 with chronic illnesses. This has brought a concern to the community as well as Madison Children’s Hospital.

MCH is dedicated to assisting and enriching health services, as well as developing programs to benefit the families of Orange County. MCH is proposing a funding opportunity to become a leader in research and discover, educated future generations, and enhance the health and well being of not only the children in the county of Orange, but worldwide. Madison Children’s Hospital is proposing funding for the Chronic Health Illness Program (CHIP).

The CHIP program will provide all its services in a family-centered in-patient and out-patient facility to ensure continuity and cost effective care. The program serves infants to young adults in need of stabilization of chronic conditions such as diabetes, pain management, antibiotic therapy, and insulin management. The CHIP program will consist of 3 services. A chronic illness treatment center, a research and discovery program, an early education program that will inform our future of how to deal with chronic illness, all which will be established in the East wing of the Hospital.

Grant Proposal Outline: Madison Children’s Hospital

Table of Contents 1. Application for federal Assistance (Form 424) 2. Abstract 3. Table of Contents 4. Narrative A. Specific Aims B. Target Population C. Approach and Methods D. Evaluation Plan E. Agency capacity and Project Management F. Budget and Budget Justification

Specific Aims Statement As stated before, Madison Children’s Hospital has fond that in the last 5 years there has been an overwhelming amount of children with a chronic illness. A survey of parents and children living in Orange County, who have been diagnosed of a chronic illness or currently have a chronic illness reveals that these children are being affected by their illness with lack of school attendance, hence lowering their academic success rate and increasing the rate of children dropping out or failing their fiscal school year. As well, many of these children are already low-income families, with limited financial resources and low career advancement opportunities. Research shows that lack of health education, proper health assistance, and treatment increase the percentage of children with this concern. The Center for Disease control and prevention (2011) state that, “7 out of 10 deaths among Americans each year are from chronic diseases. Heart disease, diabetes, cancer and stroke account for more than 50% of all deaths each year”. The CDC (2011) also states that “Chronic illness and diseases are such as heart disease, stroke, cancer, diabetes and arthritis – are among the most common, costly, and preventable of all health problems in the U.S” (Chronic Diseases and Health Promotion). By Informing and educating all children and young adults of how to prevent or control their issues with chronic disease may help in providing longer productive lives in the community, which can provide for stronger leaders in our community.

Target Population According to a report prepared for Madison Children’s Hospital by CASRO (Council of American Survey Research Organizations): * the highest rate for hospitalization of epilepsy due to chronic neurological disorders was ages 0- 4, and 15-19. * Asthma was the principal cause of chronic disease hospitalization for ages 0-24. * Asthma was greater for males than females. * In 2011 there were 2,450 asthma hospitalizations and 33 asthma related deaths. This means that the rate of Asthma hospitalizations since 2006 has arose by 13% -------------------------------------------------
ASTHMA HOSPITALIZATION 2011
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ASTHMA HOSPITALIZATION 2011

* Diabetes was the second principal cause of chronic disease hospitalization for ages 0-24. * The diabetes hospitalization rate was higher for males than females, however there was no significant difference in death risk for both male and female.

------------------------------------------------- DIABETES HOSPITALIZATION 2011

Project Goals

The mission of Madison Children’s Hospital is to be the worldwide leader in improving childrens health by providing the highest quality health cared. The mission can be achieved by accomplishing the following goals: 1. In partnership with the school, parents and community, develop 3 services that will assist in giving awareness to children in the Orange County. The goal is to then become a nation and world wide commodity for childrens health. 2. Increase the awareness of how to deal with chronic diseases from a young age to help produce stronger more aware adults of chronic diseases, hence providing less students failing or dropping out of school due to their academic standings with school. 3. In producing programs to help inform the community, it will reduce the need of hospitalizations, and financial hardship of parents whom have children with chronic illnesses. 4. Improve the health and safety of vulnerable households by reducing the financial burden of hospital visits, in-patient stays, and medication.

Time line Implentantation Activities | Year 1 | Year 2 | Request approval via resolution to accept grant | xx | | Hire education specialists to design health awareness program | xx | | Design public media campaign | xx | | Meet with targeted schools and community to develop schedule | xx | xx | Modify or refine curriculum to correct message | | xx | Identify other county communities with a high chronic illness rise to plan and implement school based programs | | xx | Continue to monitor education impact of community and hospitalization visits. | xx | xx |

Evaluation Plan

Evaluation is a data-driven process. Our Hospital and the school district of Orange county has instituded a way in which our staff will collect and analyze data that will help in making decisions about which elements of our program are working and which need to be improved. The data will consist of both quqntitative and qualitative. They will consist of evaluations, surveys, needs assessment and monitoring analysis. Qualitative data will come from informal conversations, meeting and discussions.

School Program Evaluation Format Components | Progression | Progress toward goals | Need of improvement | Date gathered | Curriculum | | | | | Collaboration | | | | | Professional development | | | | | communications | | | | |

REFERENCES:
Centers for Disease Control and Prevention. (2011). Retrieved from http://www.cdc.gov/chronicdisease/overview/index.htm

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