2010s The Laying the groundwork for the future, AAP tackles challenges of 2010-’20 by Alyson Sulaski Wyckoff , Associate Editor Copyright © 2020 American Academy of Pediatrics Editor’s note: Th is is the tenth of a series of articles on the AAP’s 90th anniversary published by AAP News, (October, 2020). In the last decade leading up to its 100th anniversary, the AAP faced new and old challenges as it marked milestones. Th e Aff ordable Care Act (ACA), a central priority, signifi - cantly boosted health coverage for children, although its future remained in peril. Bright Futures guidelines were the bench- mark for preventive care in the ACA. Th e Children’s Health Insurance Program was reauthorized in 2015, aft er lapsing for months funding expired again in 2017 but was extended in 2018 through 2023. Medicaid expansion in some states also helped bring more health services to underserved children. A new Headquarters of the Future in Itasca, Ill., took shape, and AAP staff moved into the facility (https://bit.ly/3hQL9or), which was designed to enable growth, foster innovation and better serve the Academy for years to come. Helping to shep- herd development of the new home for pediatrics was then- CEO/Executive Vice President Karen Remley, M.D., M.B.A., M.P.H., FAAP. Crises spur AAP efforts A host of events tested the country: terrorist attacks, school shootings, the COVID-19 pandemic and measles outbreaks, separation and detention of immigrant children, racial strife and a divided nation. Hurricanes, fl oods and wildfi res fl ared in certain regions. As it has since its 1930 founding, the AAP responded with advocacy and resources. Policy statements and reports addressed toxic stress, gun violence, e-cigarettes/vaping, opioids, media use, abusive head trauma, drowning and inequities. Guidance was issued regularly on aspects of COVID-19. Th e AAP launched or improved the following: a child health data registry, revamped Neonatal Resuscitation Pro- gram, a FamilY Partnerships Network, member access to the latest news and research via Gateway, digital transformation, interactive Periodicity Schedule, AAP Mentorship program, HealthyChildren.org en Español, virtual meetings, pediatrician wellness eff orts, the Institute for Healthy Childhood Weight and new AAP books, educational programs and other products and services. Th e Academy received a grant to operate the Head Start National Center on Health, which provides training and tech- nical assistance to help some of the nation’s neediest children. Advocacy and legislative efforts When the National Institutes of Health fi nally took steps to require inclusion of children in research via the 21st Century Cures Act, it marked the culmination of decades of AAP advo- cacy. Among other successes, the AAP led eff orts to improve payment to pediatricians, counsel about fi rearms, promote gun violence prevention research, implement policies to cut e-cigarette use, improve funding to strengthen the pediatric workforce, and gain emergency funding to support practices during the pandemic. It successfully pushed for a recall of deadly infant inclined sleepers. Th e AAP spoke out against family separation and detention of immigrant children at the border. In 2018-’19, AAP leaders, including President Colleen A. Kraft , M.D., M.B.A., FAAP, spoke out extensively and made several visits to see detained children and families at the border. A 2017 policy statement drew attention to the care needed for children in immigrant families. Photo courtesy of Dipesh Navsaria, M.D., M.P.H., FAAP Designed as a Headquarters of the Future, the spacious new AAP building opened in 2018 in Itasca, Ill. two.begin2two.end2
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