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Resolution Writing for the Annual Leadership Forum��AAP California Chapter 1�Chapter Chat on Feb 21, 2024�John I. Takayama, MD, MPH, FAAP�District IX Representative �AAP Chapter Forum Management Committee

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Agenda

What is a resolution?

District IX resolutions in 2023

Road to writing a resolution

My example of a resolution

What resolution would you like to write?

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What is a resolution?

Who can write resolutions?

What are resolutions about?

What should resolutions relate to?

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Who can write resolutions?

Any AAP member can advise AAP leadership about what the AAP can do to address important child health issues

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Who can write resolutions?

Any AAP member can advise AAP leadership about what the AAP can do to address important child health issues

Who can write resolutions?

  • You (one of the authors should be a FAAP or Voting Fellow)
  • Chapters (AAP CA Chapter 1)
  • Committees, Councils, Sections
  • Districts (AAP District IX)

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What are resolutions about?

Any AAP member can advise AAP leadership about what the AAP can do to address important child health issues

Resolutions ask the Academy to�act on an issue not already�addressed in AAP policy or to�start a new program or activity

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What are resolutions about?

Any AAP member can advise AAP leadership about what the AAP can do to address important child health issues

Resolutions ask the Academy to�act on an issue not already�addressed in AAP policy or to�start a new program or activity

Resolutions are advisory and not binding

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Resolutions should resolutions relate to?

Resolutions should relate to the AAP’s mission:

  • To attain optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults.
  • To accomplish this mission, the AAP shall support the professional needs of its members.

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Agenda

What is a resolution?

District IX resolutions in 2023

Road to writing a resolution

My example of a resolution

What resolution would you like to write?

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Titles of District IX Resolutions

5. Keeping Families with Transgender Children and Supportive Parents Together

6. Federal Protections of Gender-Affirming Care for Both Patients and Their Doctors

8. Ban on Youth-Oriented Gun Advertising

14. Recognition of Advocacy as an Essential Skill for Pediatricians by Creation and Distribution of a Toolkit to Support the Advancement of Advocacy-Focused Pediatricians

17. Increased Access to Mental Health Services for Youth by Restructuring Medicaid Payment

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Titles of District IX Resolutions

5. Keeping Families with Transgender Children and Supportive Parents Together

6. Federal Protections of Gender-Affirming Care for Both Patients and Their Doctors

8. Ban on Youth-Oriented Gun Advertising

14. Recognition of Advocacy as an Essential Skill for Pediatricians by Creation and Distribution of a Toolkit to Support the Advancement of Advocacy-Focused Pediatricians

17. Increased Access to Mental Health Services for Youth by Restructuring Medicaid Payment

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Titles of District IX Resolutions

20. Electric Double Pump Coverage by Insurance Including Medicaid for Lactating Individuals if Needed

34. Decreased Needle Stick Pain During Vaccinations with a Non-Pharmacologic Intervention to Improve Vaccination Compliance

47. Promoting Trainee Education on Gun Violence Prevention

57. Avoiding Scheduling Conflicts Between Leadership Conference and Other Large Pediatric Conferences

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17. Increased Access to Mental Health Services for Youth by Restructuring Medicaid Payment

  • RESOLVED, that Academy prioritize supporting systems of care such as integrated mental healthcare models working to increase access to mental health services for youth, and be it further
  • RESOLVED, that the Academy advocate for Medicaid in each state to pay multiple visits in one day to facilitate warm hand-offs between disciplines and reduce barriers to accessing mental health care

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17. Increased Access to Mental Health Services for Youth by Restructuring Medicaid Payment

  • RESOLVED, that Academy prioritize supporting systems of care such as integrated mental healthcare models working to increase access to mental health services for youth, and be it further
  • RESOLVED, that the Academy advocate for Medicaid in each state to pay multiple visits in one day to facilitate warm hand-offs between disciplines and reduce barriers to accessing mental health care

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34. Decreased Needle Stick Pain During Vaccinations with a Non-Pharmacologic Intervention to Improve Vaccination Compliance

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  • Resolved, that the Academy educate pediatricians on the Comfort, Ask, Relax, Distract (CARD) system which would include evidence-based research regarding its usefulness, and disseminate information regarding the availability of the CARD system, and be it further
  • Resolved, that the Academy encourage all pediatricians and their teams to use the Comfort, Ask, Relax, Distract (CARD) system to decrease needle stick pain and anxiety/fear.

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34. Decreased Needle Stick Pain During Vaccinations with a Non-Pharmacologic Intervention to Improve Vaccination Compliance

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  • Resolved, that the Academy educate pediatricians on the Comfort, Ask, Relax, Distract (CARD) system which would include evidence-based research regarding its usefulness, and disseminate information regarding the availability of the CARD system, and be it further
  • Resolved, that the Academy encourage all pediatricians and their teams to use the Comfort, Ask, Relax, Distract (CARD) system to decrease needle stick pain and anxiety/fear.

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Agenda

What is a resolution?

District IX resolutions in 2023

Road to writing a resolution

My example of a resolution

What resolution would you like to write?

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Agenda

What is a resolution?

District IX resolutions in 2023

Road to writing a resolution

My example of a resolution

What resolution would you like to write?

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1. My idea for a resolution (in 2016) …

  • Resolve… current shortage of home care nurses…
  • Problem: Families of children with medical complexity and technology dependence cannot access home nursing services
  • Why me? I see a disproportionate number of children with medical complexity who have technology dependence
  • What next? Home care agencies tell me that the “pay” is not high enough so that home care nurses are leaving for “private industry” in droves; Medicaid reimbursement too low (equity issue)

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2. Research the topic…

  • 2011: that the Academy advocate that home care services such as bilirubin measurement, vital sign monitoring and weight checks be available seven days a week
  • 2017: that the Academy champion efforts for trainees and pediatricians who will be providing care for this growing population of children; and promote care models that address the need for integrated coordinated services which may include interdisciplinary clinics and telehealth models that minimize the transportation burden for families…

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2. Further research (collaboration)…

  • Academic Pediatric Association Complex Care SIG, AAP Section on Home Care, AAP Council on Children with Disabilities: many PICU’s have trouble discharging patients because of lack of home care nursing
  • Families have to “fill in” because even if they have home care nursing, when home care nurses “cancel” visits, there are no “replacements”
  • Insurance does not necessarily cover for the appropriate number of hours of home care nursing
  • Some researchers believe that reduced quantity/quality of home care nursing may result in more frequent ED visits and return hospitalizations

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3. Draft resolution using Resolution Template

Title: short and accurate

Whereas: reason why you wrote this resolution (i.e., gap, problem)

Resolved: what you are asking the Academy to do (i.e., advocate, educate, collaborate)

Lead author: you

Email and chapter:

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3. Draft resolution using Resolution Template

Title: short and accurate

Whereas: reason why you wrote this resolution (i.e., gap, problem)

Resolved: what you are asking the Academy to do (i.e., advocate, educate, collaborate)

Lead author: you

Email and chapter:

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Example: AAP CA Chapter 1

Leave Blank

Only if you know…

Date submitted to AAP

One author = FAAP (voting)

Expound on your reasons, experiences, significance

Leave

Blank

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3. Draft resolution

TITLE: Home Care Nursing Shortage for Children with Complex Health Care Needs

Whereas, children with medical complexity … especially those who are technology dependent … may require home care nursing support; and

Whereas, there is … shortage of skilled home care nurses in the U.S., resulting in poor access by families to … skilled home care nursing, leading to increased family burden …

Whereas, high quality home care nursing may prevent adverse outcomes, such as hospitalizations, emergency visits …

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3. Draft resolution

TITLE: Home Care Nursing Shortage for Children with Complex Health Care Needs

Resolved, that the Academy collaborate with professional and advocacy organizations as well as families of children with complex health care needs to address the current shortage of home care nurses and to assure timely access to quality home health care nursing.

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Agenda

What is a resolution?

District IX resolutions in 2023

Road to writing a resolution

My example of a resolution

What resolution would you like to write?

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Breakout�Rooms

What resolution would you like to write?

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We will now go to breakout rooms:

• about 5-6 people per breakout room

• spend 10-15 min on ideas (go around the table)

• spend 10-15 min on writing the ”resolution” – “be it resolved…”

• you can use jam board to do this; information on jam board in next slide; first jam board slide has last year’s discussion; advance jam board to the appropriate breakout group number!

• have fun! We will not re-assemble in the big room but will finish with breakout room discussions

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https://jamboard.google.com/d/1dCuTdD7WxL5Sashw8mkhf1T0bfcjKJd73Or7lpNFtXk/edit?usp=sharing

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Go to

Break Out Rooms

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District IX or any Chapter

APRIL 1, 2023

August 2023

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Wrap Up

  • Resources:
  • Deadlines:
    • TBD: AAP California District IX; AAP California Chapter 1
    • Monday, April 1, 2024, 11:59 pm CDT (9:59 pm PDT): Deadline for Submission
    • Submit: resolutions@aap.org
  • Contact Information:
    • John I. Takayama, AAP District IX Representative to CFMC (Chapter Forum Management Committee): takayamaj@gmail.com

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Thank you

John I. Takayama, MD, MPH, FAAP

District IX Representative

Chapter Forum Management Committee

Email: takayamaj@gmail.com

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https://jamboard.google.com/d/1dCuTdD7WxL5Sashw8mkhf1T0bfcjKJd73Or7lpNFtXk/edit?usp=sharing

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Go to

Break Out Rooms