Tag Archives: Medical Home

Strong Connections for Strong Kids: Webinar on the Models of Collaboration Between Medical Homes and Head Start and Early Head Start Programs

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5/9/2014
Noon – 1 p.m. ET

Register Online Now!

Join the Head Start National Center on Health (NCH) for the first in a new webinar series for health care providers and Head Start and Early Head Start program staff. The series will provide the information they need to strengthen their collaborative efforts to support the health of children.

In this webinar, panelists will discuss different models of collaboration. They will highlight both challenges and successes for each. Participants will gain valuable insight regardless of where they are in the collaboration process, as well as explore active supervision strategies. Discover how you can transform child supervision in your program.

Topics for the webinar include:

  • Identifying three models of collaboration between Head Start and Early Head Start programs and health care systems, particularly the medical home
  • Recognizing key components to successful collaboration as well as challenges that can occur

Who Should Participate?

This webinar will benefit an array of audience members, including: Head Start and Early Head Start health mangers and program directors; pediatricians, pediatric nursing staff, clinic directors, and other health care professionals; Health Services Advisory Committee (HSAC) members; and those working to increase collaboration between Head Start programs and health care.

How to Register

Participation is free. Select this link to register: https://citrix.webcasts.com/starthere.jsp?ei=1033833

After registering, participants will receive a confirmation email with information on how to join the webinar on Friday, May 9. This presentation will be recorded and archived on the Early Childhood Learning and Knowledge Center (ECLKC) for later viewing.

Certificate of Participation

Participants will receive a certificate of participation upon completion of an online evaluation. A link to the evaluation will be available when the webinar closes. Participants must complete the online evaluation in order to receive a certificate. Only participants in the live presentation will be eligible.

Questions?

For more information, contact NCH at nchinfo@aap.org or (toll-free) 1-888-227-5125.

Source: National Center on Health

Available at: https://citrix.webcasts.com/starthere.jsp?ei=1033833

Positive Parenting: Coaching Families and Modeling Positive Parenting in the Medical Home

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2/26/2014
12:00 PM – 1:00 PM CST

A nurturing relationship between a parent and child is an important buffer against toxic stress related to  exposure to violence. Health care providers can encourage positive parenting skills that foster nurturing relationships.  This webinar will enable listeners to identify parenting practices that can build resilience in children exposed to violence, identify ways to model positive parenting practices in the medical home, and provide specific and practice guidance on parenting to families in the medical home setting.With support from the Department of Justice, The AAP Medical Home for Children Exposed to Violence is proud to present Kimberly Randell, MD, MSc, FAAP and Lisa Spector, MD, FAAP. Dr. Randell is a past co-chair and current member of Children’s Mercy Hospital’s Council on Violence Prevention and co-chairs the Intimate Partner Violence (IPV) Work Group. Dr. Spector is the Medical Director of the Safe and Healthy Families (SAHF) Trauma Prevention and Treatment Program and Medical Director of the Sexual Assault Nurse Examiner (SANE) Program at Children’s Mercy Hospital.

Source: Medical Home for Children Exposed to Violence

Available at: https://www3.gotomeeting.com/register/935090078

Early Intervention, IDEA Part C Services, and the Medical Home: Collaboration for Best Practice and Best Outcomes

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10/2013

The medical home and the Individuals With Disabilities Education Act Part C Early Intervention Program share many common purposes for infants and children ages 0 to 3 years, not the least of which is a family-centered focus. Professionals in pediatric medical home practices see substantial numbers of infants and toddlers with developmental delays and/or complex chronic conditions. Economic, health, and family-focused data each underscore the critical role of timely referral for relationship-based, individualized, accessible early intervention services and the need for collaborative partnerships in care. The medical home process and Individuals With Disabilities Education Act Part C policy both support nurturing relationships and family-centered care; both offer clear value in terms of economic and health outcomes. Best practice models for early intervention services incorporate learning in the natural environment and coaching models. Proactive medical homes provide strategies for effective developmental surveillance, family-centered resources, and tools to support high-risk groups, and comanagement of infants with special health care needs, including the monitoring of services provided and outcomes achieved.

Source: PEDATRICS, American Academy of Pediatrics

Available at: http://pediatrics.aappublications.org/content/132/4/e1073.abstract?rss=1

Medical Home & Patient-Centered Care

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2013

A medical home is an enhanced model of primary care that provides whole person, accessible, comprehensive, ongoing and coordinated patient-centered care. First advanced by the American Academy of Pediatrics in the 1960’s, the concept gained momentum in 2007 when four major physician groups agreed to a common view of the patient-centered medical home (PCMH) model defined by seven “Joint Principles.” (For more information on the “Joint Principles” please go to www.pcpcc.net.) Since 2007, NASHP has been tracking and supporting state efforts to advance medical homes for Medicaid and CHIP participants. NASHP’s medical home map allows you to click on a state to learn about its efforts. Our work is supported by The Commonwealth Fund.

As of April 2013, 43 states have adopted policies and programs to advance medical homes. Medical home activity must meet the following criteria for inclusion on this map: (1) program implementation (or major expansion or improvement) in 2006 or later; (2) Medicaid or CHIP agency participation (not necessarily leadership); (3) explicitly intended to advance medical homes for Medicaid or CHIP participants; and (4) evidence of commitment, such as workgroups, legislation, executive orders, or dedicated staff.

Source: National Academy for State Health Policy

Available at: http://nashp.org/med-home-map

Medical Home Transformation in Pediatric Primary Care—What Drives Change?

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5/6 2013

PURPOSE The aim of this study was to characterize essential factors to the medical home transformation of high-performing pediatric primary care practices 6 to 7 years after their participation in a national medical home learning collaborative.

METHODS We evaluated the 12 primary care practice teams having the highest Medical Home Index (MHI) scores after participation in a national medical home learning collaborative with current MHI scores, a clinician staff questionnaire (assessing adaptive reserve), and semistructured interviews. We reviewed factors that emerged from interviews and analyzed domains and subdomains for their agreement with MHI and adaptive reserve domains and subthemes using a process of triangulation.

RESULTS At 6 to 7 years after learning collaborative participation, 4 essential medical home attributes emerged as drivers of transformation: (1) a culture of quality improvement, (2) family-centered care with parents as improvement partners, (3) team-based care, and (4) care coordination. These high-performing practices developed comprehensive, family-centered, planned care processes including flexible access options, population approaches, and shared care plans. Eleven practices evolved to employ care coordinators. Family satisfaction appeared to stem from better access, care, and safety, and having a strong relationship with their health care team. Physician and staff satisfaction was high even while leadership activities strained personal time.

CONCLUSIONS Participation in a medical home learning collaborative stimulated, but did not complete, medical home changes in 12 pediatric practices. Medical home transformation required continuous development, ongoing quality improvement, family partnership skills, an attitude of teamwork, and strong care coordination functions.

Source: Annals of Family Medicine

Available at: http://www.annfammed.org/content/11/Suppl_1/S90

Health Care for Immigrant Children is a Smart Investment: Report

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4/2013

Immigration reform is a hot topic on Capitol Hill – and Congress should seize the moment to extend health coverage to every child in America. That’s the conclusion of Children’s Health Fund’s report, “Why Immigrant Children Must Have Access to Health Care – and How to Get There.”

Most health programs exclude unauthorized immigrants. And even those who come to the U.S. legally often face barriers to care, such as five-year residency requirements. Removing those barriers isn’t just the ethical thing to do – it makes sense for our country, the report finds. When children get their health problems treated earlier, they avoid more serious illnesses – and the severe financial toll those illnesses can take on our economy. Healthy kids also do better in school and have a greater chance of reaching their full potential as adults and productive citizens.

Congress is considering amendments to remove some of these barriers to care. Unless it acts, nearly 900,000 non-citizen children will lack access to health care in 2014 – even after the Affordable Care Act takes effect. Read the report to learn more, and visit our Advocacy Action Center to contact lawmakers!

Source: Children’s Health Fund

Available at: http://www.childrenshealthfund.org/blog/health-care-immigrant-children-smart-investment-report&autologin=true

Linking Medical Home and Children’s Mental Health: Listening to Massachusetts Families

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6/2012

Mental health care is important to families. Pediatricians agree. The American Academy of Pediatrics (AAP) has made improving the mental health of children one of its top strategic priorities.1
Accessing mental health care and coordinating it with a child’s medical care can provide challenges. Insurance coverage can be less certain than coverage for medical care. Information can be hard to locate and sift through. Schools are often uninformed about mental health challenges and can blame parents for a child’s unwanted behaviors.

On top of all this, the burden of coordinating care and information usually falls on already stressed parents. Medical home is a model with the goal of addressing and integrating quality health care promotion, acute care and disease management in a planned, coordinated, comprehensive and patient or family-­‐ centered manner. This approach holds great promise to coordinate care between physical and mental health. “The family is at the center of the medical home, and they are not well served by the fragmentation of having two homes. We have got to collaborate in such a way to provide for the needs in one home,” states Jane M. Foy, MD, chair of the AAP Task ForceonMentalHealthandamemberof its Mental Health Leadership Workgroup.1

The Central Mass Medical Home Network Initiative (CMMHNI) was a four year project funded by the Maternal and Child Health Bureau of the Health Resources and Services Administration (HRSA). CMMHNI’s project activities focused on ways to improve comprehensive, coordinated, continuous care for children and youth with special health care needs in a group of interested primary care pediatric practices (medical homes). One of its major activities centered on building and strengthening connections between medical homes and community-­‐based organizations. During the fifth year, the project was awarded additional funding to work with Parent/ Professional Advocacy League (PPAL).

Source: Parent Professional Advocacy League

Available at: http://ppal.net/wp-content/uploads/2011/01/Medical-Home-Report.pdf

SERIES: An Integrated Approach to Supporting Child Development

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Summer 2012

Developmental delays affect between 10 and 13 percent of U.S. children under the age of three; however, only two to three percent of children in this age group receive Early Intervention (EI) services.1-3 An approach that identifies concerns early and links children to services is vital. Many efforts have focused on implementing developmental screening in primary care, and have contributed valuable information about the feasibility and effectiveness of this strategy.4-8 However, few studies have evaluated the success of screening beyond the identification of a developmental concern and the initiation of a referral.9 Those studies that have looked beyond referral show significant gaps between the identification of a concern and the receipt of developmental services by children and families.10, 11 This has prompted increasing awareness of the need for better care coordination across systems involved in meeting the
developmental needs of children.12

To promote a more coordinated approach to meeting children’s developmental needs, this brief proposes the adoption of the SERIES paradigm of developmental screening in which each step—Screening, Early Identification, Referral, Intake, Evaluation, and Services—is seen not as an isolated activity, but rather an integral component of a single process. SERIES challenges all systems serving young children to broaden their focus to include practices that promote shared responsibility for ensuring that each child successfully completes the entire pathway from screening to services.13 This brief does not aim to be a comprehensive review of the evidence around developmental screening, as such reviews already exist.1, 14, 15 Instead, the brief explores barriers that may prevent children from completing the SERIES, highlights promising approaches for collaboration, and proposes practice and policy actions that may offer useful guidance for planning, financing, and delivering early childhood services.

Source: PolicyLab Center to Bridge Research, Practice, & Policy

Available at: http://policylab.us/images/pdf/policylab_e2a_summer2012_series.pdf

Pediatric Medical Homes Laying the Foundation of a Promising Model of Care

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In recent years the nation’s health care system has accelerated the development and implementation of a new model of patient care – the medical home. States, insurers, health care delivery systems, and individual practices are increasingly exploring ways to leverage medical homes to improve the quality of care and limit increases in health care costs.

This Thrive report describes the current status of the medical home concept and explains how it has been broadly defined, applied to children, and measured. It also reports on the number and characteristics of American children served by medical homes and discusses opportunities to further leverage medical homes to improve medical care and achieve better health outcomes for young children, with a particu- lar focus on the coordination of care for vulnerable children.

Source: National Center on Child Poverty

Available at: http://www.nccp.org/publications/pdf/text_1041.pdf

Pediatric Medical Homes Laying the Foundation of a Promising Model of Care

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In recent years the nation’s health care system has accelerated the development and implementation of a new model of patient care – the medical home. States, insurers, health care delivery systems, and individual practices are increasingly exploring ways to leverage medical homes to improve the quality of care and limit increases in health care costs.

This Thrive report describes the current status of the medical home concept and explains how it has been broadly defined, applied to children, and measured. It also reports on the number and characteristics of American children served by medical homes and discusses opportunities to further leverage medical homes to improve medical care and achieve better health outcomes for young children, with a particular focus on the coordination of care for vulnerable children.

The medical home concept builds on the founda- tions of primary care and managed care. Though the model is increasingly being recommended for all people, medical home implementation often prioritizes the goal of improving the quality and management of care for individuals with chronic disease or other critical health-impacting factors.

Originally conceived by pediatricians over four decades ago, the medical home concept has become much more visible recently, particularly within
the context of health care reform. The development of the medical home model of primary care can be traced back to the 1960s,1 but not until the 1990s did the advent of managed care prompt more focused exploration of potential payment models that could support broader implementation of med- ical homes. As a result, recent years have seen a high degree of activity around the definition, accreditation, and reimbursement of medical homes.

Source: National Center on Child Poverty

Available at: http://www.nccp.org/publications/pdf/text_1041.pdf