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Central American Consortium for Pediatric
BurnsOctober 18-21, 2006
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Contents
Review of Days 1 and 2……………………………….
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Vision, Mission and Values……………..…………….
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Goals and Objectives…………………………………
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Burn Prevention………………………………………
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Training/Education…………………………………..
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Research Evaluation/Outcomes………………………
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Communication/Leadership………………………….
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Funding……………………………………………….
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Provisional Task Force….…………………………….
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Review of Day 1Argument for Partnership (Asociación de Hermandad)
Success stories from Nicaragua and Dominican Republic
Group Exercise #1: Developing a Framework for Success Vision Mission Values Goals/Objectives Challenges
Group Exercise #2: Definition and methods: Burn Prevention Burn Training/Education Partnership Communication and Leadership Ongoing Research & Analysis (Evaluation of Outcomes)
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Review of Day 2Recap of Day 1 – Review of Asociación’s Mission, Vision and Values
Presentation – Methods to Evaluate Burn Care Programs
Group Exercise #3: Measuring outcomes and sharing results Burn Prevention Burn Training/Education Partnership Communication and Leadership Ongoing Research & Analysis (Evaluation of Outcomes) Funding
Establishing Goals and Objectives
Developing Next Steps
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Vision
An image or word picture that describes a desired future:An international “asociación de
hermandad” that significantly improves the quality and
availability of burn treatment, education and prevention for all children, specifically in Central
America and the Caribbean
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Mission
A brief statement that describes what the partnership does or why the partnership exists (purpose):
We strive to continuously improve the quality of education and treatment for pediatric burn victims as well as promote
awareness of burn prevention throughout Central America and
the Caribbean.
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Values1. We have a passion to undertake the challenge of burn care
and prevention2. We are committed to effective leadership, ongoing initiative
and continuous improvement of burn care and prevention3. We strive to maintain unity and sensitivity for all members of
the association; we value integration, cooperation and collaboration in pursuit of common goals
4. We pursue ongoing education and continuous improvement of our technical skills
5. We are committed to ongoing research and evaluation of outcomes
7. We maintain a high standard of ethics8. We value integrity, equitable treatment and respect for burn
victims and their families9. We value the holistic and collaborative approach to patients
(body, mind and spirit)10. We have a high value for cultural diversity
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Goals/Objectives1. Establish association leadership that is committed to the
vision, mission and values and will work with PFP to accomplish the stated goals/objectives
a. Establish and maintain focus on vision, mission and values in a manner that impacts our daily activities
2. Increase collaboration between all members3. Promote awareness of the association
a. Develop active campaigns to educate and preventb. Develop successful fundraising strategies and activities
4. Define standards/protocols for burn carea. Research and evaluation
5. Improve communication between all members of the association
6. Develop programs that support and build incentives for burn nurses
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Proposed Strategy - Burn Prevention
Through a sustainable prevention program based on hard facts, we are looking for a cultural change in attitude that leads to a change in conduct, consciousness and awareness, education and practices.
1. Identify and research causes/risk factors by age group related to accidental and intentional burns
2. Prevention campaigns are costly, it will be important to establish the following:
a. Continuity until we reach our goalsb. Legal measures or strong regulationsc. Knowledge of real statisticsd. National and international alliances
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Proposed Strategy - Burn Prevention
3. Measuring the effectiveness of burn campaigns is based on the number of diminished severe burn victims
a. Requires measuring the number of severe burn victims before and after the campaigns
b. It could take five years before measurable improvement is evident
4. Data and information is shared on an annual basis and would include:
a. Database that tracks burns that have taken place on a daily basis
b. Information from all countries in the associationc. Tracking of new laws that the government has
implemented regarding burn care and their effectiveness
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Proposed Strategy - Training/Education
Training/education for Doctors1. Provide better training in their country2. Establish resident rotations (possible post-grad fellowships)3. Distinguish between general practitioners versus
specialists
Training/education for Nurses1. Establish basic training with opportunity to advance to
more expert training (teaching programs)2. Make it easier for nurses to visit other units (in other
countries) for knowledge and training3. Nursing leadership is needed
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Proposed Strategy - Training/EducationTraining/education for burn rehabilitation
Training/education for nutrition
Training/education for social work training and education
Evaluation of Training/Education Effectiveness1. Measurements on training education and effectiveness to
include:a. Retained knowledge through verbal feedback measurement,
interactive scenarios and testing; determine what training is being retained and what is not being learned)
b. Performance measurement on subjects/techniques taughtc. Measurement of medical incidences (e.g., infections, surgical
techniques)
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Proposed Strategy - Training/Education
Information, shared through email and telemedicine, includes:
• Work experience and medical techniques• Facts and knowledge• Opportunities for internships and other methods of
training/education (specific types of training for specific countries)
• Protocols and standards of care across burn units• Legal advances in all participating countries• Stories and words of humor, morale-building,
empathy/sympathy
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Proposed Strategy - Research Evaluation/Outcomes
Includes: needs assessment, collection of data and standards of acceptance
1. Establish a research culture2. Develop a common system for collecting data3. Create a web-based data system/database4. Offer awards of excellence as incentive5. Develop standardized system of evaluation (by unit?)
End Result/Benefits:1. By reviewing data, we can determine if we were able to
meet our objectives in all burn care areas (medical care, prevention, rehabilitation)
2. Better positioned to raise funds and apply for grants3. A method of evaluation allows us to improve and to
establish priorities on where to focus resources
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Proposed Strategy - Research Evaluation/Outcomes
Outcome indicators to be measured are those valuable to patients and those that indicate the consortium’s progress in meeting its objectives.
Information sharing occurs through a HIPPA compliant website to maintain patient confidentiality and requires:
1. Password protection2. Agreed format for data/information collection (e.g., Access,
Excel)3. On-line course regarding the protection of patient
confidentiality4. Dedication to maintaining website5. External evaluators (promotes validity of information/data)6. Understanding of which information is of most interest to
potential donors
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Communication/LeadershipLeadership is a person or organization that has:1. Enthusiasm2. Responsibility3. Vision4. Integrity5. Communication skills6. Commitment
Logistics1. Strategic plans2. Human resources3. Definition of means4. Public relations5. Planning6. Organization7. Evaluation and follow-up
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Communication/Leadership
Leadership is demonstrated with:1. Vision2. Passion3. Discipline4. Negotiation skills5. Teamwork
Design plans1. Strategic plan2. Operating plan3. Financial plan4. Train personnel
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Communication/Leadership
Leadership and communication can be measured through the following methods:
1. Quantify and effectiveness of programs and services 2. The association’s progress towards meeting
goals/objectives3. Team cohesiveness4. Program costs vs. results (i.e., leadership’s ability to
manage and work within available resources)5. The image and public persona of the organization
The sharing of information from leadership provides:1. Guidance for everyone within the organization2. Empowerment to association members3. Greater ease in identifying and addressing issues through
timely communication and problem-solving4. Ability to approach, evaluate and correct those who have
not met assigned responsibilities or goals
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Funding Considerations
Funding and support can come in the form of dollars, supplies, time, logistics, government help and volunteer involvement/ commitment.
Sources for Raising Money:1. Some governments provide money for health services2. Philanthropist and business donations3. Revenue generators (e.g., Costa Rica has an amusement
park that raises proceeds for one of the country’s clinics)4. Sponsorship – businesses may sponsor clinics/rooms/beds in
exchange for publicity5. Funding from the United States (e.g., regions with large
Latin American populations), Central America (e.g., PAHO) or International Organizations (e.g., UN, WHO)
6. Obtain 501(c)(3) statues to become eligible for grants and tax-exempt status; or, have established 501(c)(3) apply for grants on behalf of the organization
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Provisional Task ForceA provisional task force was established with representation from each organization attending the consortium. Over the next eight months, the task force will work to develop strategies and infrastructure necessary for the association to achieve its goals and objectives. Physicians for Peace will serve as the primary facilitator of the provisional task force. Team members include:
OrganizationCountry
Represented Member Contact Information
Physicians for Peace United States TBD
APROQUEN Nicaragua Ivette Icaza IIcaza@[email protected]
Fundacion Ruth Paz Honduras Samia Jarufe [email protected]
CRISAQ Honduras Ramón Sanchez, JD [email protected]
Jesus with the Children Dominican Republic
Xenia Gell de Alvarez [email protected]
UNYQUEM Dominican Republic
Dr. Julio Marte Sime [email protected]
CLINIQUEMI Guatemala Dr. Jeane Fuenmayor [email protected]
Unidad de Quemados “Pearl F. Ort”
Dominican Republic
Dr. Carlos De los Santos
APROQUEMES El Salvador Dr. Manuel Antonio Bonilla
Asociación Pro Ayuda al Nino
Costa Rica Nayra Gaspar [email protected]
Children’s Hospital of Panama
Panama Dr. Marvis Corro [email protected]
Hospital Naciónal de Ninos (Burn Unit)
Costa Rica Dr. Carlos Siri [email protected]
