May 2003

Grant Results

SUMMARY

The Models That Work Campaign — a collaboration between the Bureau of Primary Health Care at the Health Resources and Services Administration and a wide range of cosponsors — seeks to improve access to health care for vulnerable and underserved populations by showcasing successful models through a national competition.

In 1996, the Robert Wood Johnson Foundation (RWJF) provided a grant to the Health Resources and Services Administration to support the second cycle of the competition.

In 1999, RWJF provided another grant to the U.S. Public Health Service, Bureau of Primary Health Care to develop a helpline to provide information about the winning models.

Key Results

  • In 1996, the Bureau of Primary Health Care and cosponsors conducted the second cycle of the Models That Work Campaign competition.
  • The Bureau of Primary Health Care created and implemented a helpline to provide information and technical assistance to community-based organizations, state and local health agencies, faith-based organizations and other safety-net health providers interested in adapting strategies from a winning model.

Funding
RWJF supported these projects through two grants totaling $75,000:

  • A $25,000 grant (ID# 029385) to the Department of Health and Human Services/Health Resources and Services Administration/Bureau of Primary Health Care.
  • A $50,000 grant (ID# 037129) to the U.S. Public Health Service, Bureau of Primary Health Care.

 See Grant Detail & Contact Information
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THE PROBLEM

Some 44 million Americans lack adequate access to quality primary and preventive health care. Increasingly, these vulnerable individuals must depend on community-based health care providers, which have assumed responsibility for a number of support programs formally administered at the federal level.

Communities have developed many successful strategies to increase access, and community leaders want to know how to apply them in their own settings. The idea of showcasing successful models through a national competition emerged from a 1990 conference, sponsored by the Health Resources and Services Administration) and funded by RWJF (ID# 016800).

The Models That Work Campaign began formally in 1994 in partnership with 26 national organizations, including the federal Centers for Disease Control and Prevention and the Maternal and Child Health Bureau. The campaign gives recognition and visibility to effective strategies for delivering primary health care to underserved and vulnerable populations in local communities. Since 1995, the campaign has sponsored national competitions to identify and showcase innovative projects. Staff of winning projects then provide training to workers in other communities who wish to replicate their effective service delivery models.

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THE PROJECT

In 1996, The Robert Wood Johnson Foundation (RWJF) provided a $25,000 grant (ID# 029385; see Grant Results on ID# 029569) to the Health Resources And Services Administration to support the second cycle of the competition. The campaign conducted the second national competition in 1996 with the assistance of a Steering Committee (see Appendix 1 for a list of members). Winning programs were selected using the following criteria:

  1. Measurable health-related outcomes.
  2. Quality, primary health and culturally sensitive care.
  3. Responsiveness to the needs of the community served.
  4. Collaboration and coordination among partners.
  5. Potential for replication or adaptation.
  6. Potential for sustainability.

To win, projects also had to demonstrate that through them, the people they served had increased access to care, decreased health disparities or both. More than 270 community-based projects applied; from these the campaign selected five winners and 10 special honorees (see Appendix 2 for a list of the winners). The campaign produced "Strategy Transfer Guides" for 14 of the 15 1996 winners; the guides contain information about winners' strategies, including first steps and how to find partners and resources (see the Bibliography).

RWJF used a 1996 winner, the Hillsborough Country Health Care Plan, as a model for its national program, Communities in Charge: Financing and Delivering Health Care to the Uninsured. At least five other organizations around the country adapted a strategy from one of the 1996 winning models to build a primary health care delivery system.

Major additional funders for cycle two of the competition included the Bureau of Primary Health Care ($400,000), Maternal and Child Health Bureau ($35,000), Office of Rural Health Policy ($25,000) and the W.K. Kellogg Foundation ($50,000).

In 1999, RWJF provided the current $50,000 grant (ID# 037129) to the U.S. Public Health Service to develop a helpline to provide information about the winning models. From 1999 to 2001, the U.S. Public Health Service, Bureau of Primary Health Care created and implemented a helpline to provide information and technical assistance to community-based organizations, state and local health agencies, faith-based organizations and other safety-net health providers interested in adapting strategies from a winning model.

Called Replication Action Network, the 24-hour toll-free helpline (1-800-859-2386) provides resource information from the Campaign's extensive database, linking callers with individuals in appropriate projects whenever possible, and supplying information on campaign partners who might give callers information or funding. Professional Scientific Associates (McLean, Va.) developed and continues to implement the helpline through a contract with the campaign. Spanish and English-speaking health care professionals field about 50 calls a month.

Additional major funders for the campaign during this grant period included the Bureau of Public Health Care ($440,000), Bristol-Myers Squibb ($50,000 over a three-year period) and the Public Health Service Women's Health Office ($15,000).

Evaluation

In May 1999, the campaign subcontracted with the Washington-based consulting firm Health Evaluation Research Services (now defunct) to conduct an initial evaluation focused on a 1995 model winner, the Southern Illinois Healthcare System, East St. Louis, Ill., and three projects that had replicated or adapted parts of the model.

The evaluation report found that the 1995 model winner did indeed provide technical assistance that helped replicators create successful programs. The evaluators noted, however, that by disseminating information solely about the model winners, the campaign fails to capture the unique strategies replicators develop on their own.

The evaluation recommended that Models that Work capture the experience of those groups that replicate or adapt successful models by:

  1. Including them in the campaign database.
  2. Using them as part of the technical assistance pool that the campaign provides to interested communities.
  3. Encouraging them to participate in the campaign's future competitions.

The project director noted that a more in-depth evaluation would require additional funding.

Communications

Project abstracts on winners and applicants from each of the competitions are compiled in directories called "Compendium," available through the Bureau of Public Health Care. "Strategy Transfer Guides" for all winning models can be downloaded from the campaign's Web site. The site also provides a database directory on specific topics and an online newsletter, "MTW Forum."

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AFTER THE GRANT

The campaign conducted two more national competitions dependent of the RWJF grant, in 1998 and 2000, bringing total numbers to 20 winning models and 12 special honorees from the four cycles. Now with 44 national partners, the campaign plans to continue operating the helpline and to sponsor a 2003 competition; however, budget constraints make these plans uncertain.

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GRANT DETAILS & CONTACT INFORMATION

Project

Stimulating Community-Based Models of Primary Care

Campaign to Stimulate Community-Based Primary Care Models

Department of Health and Human Services/Health Resources and Services Administration/Bureau of Primary Health Care (Bethesda,  MD)

  • Amount: $ 25,000
    Dates: July 1996 to June 1997
    ID#:  029385

Contact

Regan L. Crump, R.N., M.S.N., Dr.P.H.

Campaign to Stimulate Replication of Successful Community-Based Primary Care Models

U.S. Public Health Service, Bureau of Primary Health Care (Bethesda,  MD)

  • Amount: $ 50,000
    Dates: November 1999 to June 2001
    ID#:  037129

Contact

Tracy D. McClintock, M.B.A.
(301) 594-4312
tmcclintock@hrsa.gov

Web Site

http://bphc.hrsa.gov

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APPENDICES


Appendix 1

(Current as of the time of the grant; provided by the grantee organization; not verified by RWJF.)

Members of the Advisory Committee 1996-1997

Models That Work Campaign Leadership:
Regan Crump, Dr.P.H.
Co-Chair, Steering Committee

Federal Models That Work Steering Committee Members:
Thomas Coughlin
Chief, Special Initiative, Policy and Evaluation Branch
Division of Programs for Special Populations
Health Resources and Services Administration
Bureau of Primary Health Care
Bethesda, Md.

Cleo Hancock
Program Analyst, Office of Program Development
Maternal and Child Health Bureau
Rockville, Md.

Joan Holloway
HIV/AIDS Bureau
Rockville, Md.

Louisiana Jones
Program Analyst, Division of Medicine
Bureau of Health Professions
Rockville, Md.

Private Sector MTW Steering Committee Members:
Roslyn McCallister-Brock
Co-Chair
W.K. Kellogg Foundation
Battle Creek, Mich.

Ron Geiser
Director, Managed Health Care Policy
Pharmacia and Upjohn
Washington, D.C.

John Cafazza
Executive Director
Virginia Primary Care Association (PCA/PCO)
Richmond, Va.

MTW Cosponsor Representatives:
G. Brockwel Heylin
Director, Government Affairs
American Association of Colleges of Nursing
Washington, D.C.

Annette Ferebee
Director, Public Health Innovations Project
American Public Health Association
Washington, D.C.

Grace Gorenflo
Director, Personal Health Programs and Policy
National Association of County and City Health Officials
Washington, D.C.

Karen Van Langdenham
Association of Maternal and Child Health Programs
Washington, D.C.

MTW Staff in Attendance:
Tracy McClintock
Programs Analyst
Community Health Services Branch
Division of Community and Migrant Health
Bureau of Primary Health Care
Bethesda, Md.

Mechelle Abernathy
Program Analyst
Division of Community and Migrant Health
Bureau of Primary Health Care
Bethesda, Md.

Don Carlos Bland
Project Director
Professional and Scientific Associates
McLean, Va.


Appendix 2

(Current as of the time of the grant; provided by the grantee organization; not verified by RWJF.)

Winners of the 1996 Models That Work Competition

Abbottsford and Schuylkill Falls Community Health Centers
Resources for Human Development
(A nurse-managed community health center)
Philadelphia, Pa.

Camp Health Aide Program
Midwest Migrant Health Information Office
(A culturally attuned community outreach)
Salin, Mich.

Hillsborough County Health Care Plan
Health and Social Services
(Countywide managed care for indigent residents)
Tampa, Fla.

The Los Angeles Free Clinic Hollywood Center
The Los Angeles Free Clinic
(Peer outreach and access for high-risk youth)
Los Angeles, Calif.

Special Honorees
RotaCare Free Clinics
(Business participation)
Morgan Hill, Calif.

Marion County Child Health Initiative
(City- or county-level participation)
Salem, Ore.

Chicago Health Corps
(Health professionals program participation)
Chicago, Ill.

Children's FACES
(HIV/AIDS)
Columbus, Ohio

St. Agnes Hospital Domestic Violence Program
(Hospital participation)
Fond du Lac, Wis.

Independent Care
(Managed care)
Milwaukee, Wis.

Growing Into Life Task Force
(Maternal and child health)
Aiken, S.C.

Accomack County School-Based Dental Program
(Oral health)
Accomac, Va.

The Rural Prevention Network
(Rural health)
Lincoln, Mich.

MOM's Project
(Substance abuse prevention and treatment)
Boston, Mass.

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BIBLIOGRAPHY

(Current as of date of this report; as provided by grantee organization; not verified by RWJF; items not available from RWJF.)

Reports

Models That Work Compendium of Innovative Primary Health Care Programs for Underserved and Vulnerable Populations. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for Abbotsford & Schuylkill Falls Community Health Centers. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for Camp Health Aide Program. Bethesda, Md.: Health Resources and Services Administration, 1996.

Strategy Transfer Guide for Community Health & Services Program of Project Vida. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for Hillsborough Country Health Care Plan. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for The Los Angeles Free Clinic Hollywood Center. Bethesda, Md.: Health Resources and Services Administration, 1996.

Strategy Transfer Guide for Marion Country Child Health Initiative. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for Chicago Health Corps. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for Children's FACES. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for St. Agnes Hospital Domestic Violence Program. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for Independent Care. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for Growing Into Life Task Force. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for Accomack Country School-Based Dental Program. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for The Rural Prevention Network. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

Strategy Transfer Guide for MOM'S Project. Bethesda, Md.: Health Resources and Services Administration, Bureau of Primary Health Care, 1996.

World Wide Web Sites

http://bphc.hrsa.gov provides information about Models That Work Campaign, the winning models, a database directory of programs that allows search and downloads based on specific topics, access to all of the Strategy Transfer Guides and an on-line newsletter, "MTW Forum." Bethesda, Md.: Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care.

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Report prepared by: Janet Spencer King
Reviewed by: Kelsey Menehan
Reviewed by: Marian Bass
Program Officer: Nancy J. Kaufman
Program Officer: Susan B. Hassmiller

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