Advocating for children is a top priority for Children’s Hospital Colorado and the Department of Pediatrics at the University of Colorado Denver School of Medicine. A key component of the mission is to “enhance the health and well-being of the children and families in our community.”
To this end, Department of Pediatrics’ faculty and trainees actively collaborate with the Department of Public Affairs at Children’s and colleagues at CU SOM, the Colorado School of Public Health, and the Colorado Chapter of the American Academy of Pediatrics to effect comprehensive and strategic advocacy and legislative efforts on the local, state, and national levels.
The Department of Pediatrics has also formalized its ongoing commitment to advocacy by providing educational opportunities to develop the child health advocates of the future.
A legislative advocacy elective has been designed for pediatric residents to provide an overview of Children’s Colorado’s legislative advocacy efforts on behalf of children. Elective participants gain an understanding of the legislative process and the variety and scope of legislative issues introduced each year that have the potential to impact the health and well-being of Colorado’s children; and they are able to learn how physicians and advocates can influence public policy decisions related to children’s health and the provision of pediatric health care.
Our faculty also has been instrumental in developing an interdisciplinary elective on leadership and advocacy. Initially designed for medical students, the Leadership Education Advocacy Development and Scholarship (LEADS) curriculum has been adapted for resident use as well. The premise is to teach young physicians the skill set that will empower them as physician advocates.
In July 1962, C. Henry Kempe, MD, and University of Colorado School of Medicine colleagues broke the silence on child abuse and neglect with their publication of “THE BATTERED CHILD SYNDROME“ in the Journal of the American Medical Association (181:17-24). Not surprisingly, the landmark work faced serious criticism from many inside the medical community. No less surprising, for those who knew Kempe well, the fourth Chair of the Department of Pediatrics gave no ground. His relentless efforts to change policies and practices to protect children later earned him a Nobel Prize nomination and led to creation of the internationally regarded Kempe Center.
That same spirit guides the advocacy actions of today’s Departmental faculty and their associates at Children’s Hospital Colorado. In recent years, they have collaborated on health policies and programs addressing access to care, immunizations, injury prevention, newborn screening, healthy eating, oral health, cannabis usage and substance abuse prevention, gun safety, tobacco control, and more. In 2018, alone, they provided expert testimony at 17 Colorado Legislature committee hearings to guide pending legislation.
For well over three decades, The University of Colorado School of Medicine Department of Pediatrics (DOP) has played a pivotal role in improving children’s health care access and coverage. Programs created, legislative action guided, and alliances formed by the Department have built a firm foundation for continued action. Key events and contributions include:
Todd recaps, “Subsequently, Medical Home standards were adopted by the Colorado Department of Health Care Policy and Financing (HCPF) and the Colorado Department of Public Health and Environment (CDPHE). CCHAP has been successful in enrolling all pediatric practices in the care of Medicaid and SCHIP children. The strong, ongoing interaction between pediatricians and HCPF continues today.”
Child advocacy has always been an important component of practicing pediatrics. The creation of the American Academy of Pediatrics (AAP) was the result of advocacy for the Infancy Protection Act, also called the Sheppard-Towner Act, in 1922. This act provided matching federal funds to states to establish child health and welfare bureaus to improve the health of mothers and children. When the American Medical Association (AMA) opposed this bill, pediatricians left the organization to start a new professional society to more forcefully advocate for America’s children. This new organization became the AAP.”
— Stephen Berman, MD, FAAP,
Getting It Right for Children (2008)
It’s important to recognize that, for pediatricians, being advocates is naturally part of our DNA. That’s one of my first points whenever I talk with residents and students about our work on behalf of underserved and marginalized children.”
— Shale Wong, MD, MPH
Director, Farley Health Policy Center