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| An E-newsletter dedicated to providing medical home info and resources for children with special needs |
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| Announcements | Surveillance/Screening | Funding | Resources | Transitions |
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Building Your Medical Home Toolkit Available Now ! Brought to you by the American Academy of Pediatrics (AAP)/ Maternal and Child Health Bureau (MCHB)National Center for Medical Home Implementation, the Building Your Medical Home Toolkit is a new (and free!) resource that supports the primary care pediatrician's development and improvement of a pediatric Medical Home. It also prepares a pediatric office to apply for and potentially meet the National Committee for Quality Assurance (NCQA) Physician Practice Connections Patient Centered Medical Home (PPC-PCMH) Recognition program requirements. This Toolkit can help a practice assess and improve its medical home capacity with resources and downloadable tools organized into six building blocks that provide guidance for implementation:
The National Center for Medical Home Implementation is a cooperative agreement between the Maternal and Child Health Bureau/HRSA and the American Academy of Pediatrics. The National Center works to ensure that all children and youth, including those with special health care needs, have the services and support necessary for full community inclusion through medical homes. For more information, please visit www.medicalhomeinfo.org or contact Angela Tobin, Manager of Technical Assistance, at atobin@aap.org.
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Medical Home State Page Highlight: Illinois As a new feature to the Medical Homes @ Work e-newsletter, The National Center for Medical Home Implementation would like to highlight a particular state and its medical home initiatives/resources. This month's highlight is on Illinois. Visit the Illinois State Page at:http://www.medicalhomeinfo.org/states/state/illinois.html to learn more about their efforts in advancing medical home. For example, the medical home leaders in Illinois recently added the following highlights to their State Page:
The National Center for Medical Home Implementation Web site is the premier resource for improving the lives of all children and youth, including CYSHCN, and their families through a medical home. The information on this site is for all practices, families, states, and communities that want to advance the medical home. To view your state page, please visit: http://www.medicalhomeinfo.org/states/index.html. If you have medical home-related information or resources to update onto your 'State Page', please contact Amy Kephart, MPH, Program Coordinator of Technical Assistance, at akephart@aap.org or (847) 434-4902. The National Center for Medical Home Implementation is funded by a cooperative agreement with the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau.
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Announcing 10 New 2009 Healthy Tomorrows Grantees On March 1, 2009, ten new 2009 Healthy Tomorrows grants were awarded by the federal Maternal and Child Health Bureau. These projects will receive up to $50,000 in funding per year for five years to implement child health initiatives in their communities. These projects focus on various topics, such as medical home, mental health, and immigrant health. · The Bronx Nutrition and Fitness Initiative for Teens (B'N Fit) Family-Centered Retention Initiative in Bronx, NY To view full project descriptions, visit www.aap.org/commpeds/htpcp/index.html. The Healthy Tomorrows program currently supports 46 projects in 27 states plus Puerto Rico. To find out about other Healthy Tomorrows projects by topic, search the Grant/Project Database at www.aap.org/commpeds/grantsdatabase/grantsdb.cfm. If you would like additional information about these new projects or about Healthy Tomorrows, do not hesitate to contact Nita Patel at npatel@aap.org or 847/434-7082 or Karla Palmer at kpalmer@aap.org or 847/434-4279. |
Six States Selected for the State Implementation Grants for Integrated Community Systems for Children and Youth with Special Healthcare Needs (CYSHCN) Six states were recently selected as recipients for the State Implementation Grants for Integrated Community Systems of Services for CYSHCN. This is a three year state implementation grant beginning June 1, 2009 through May 31, 2012 and is funded by the Department of Health and Human Services (DHHS), Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). The states selected were:
The purpose of the grant is to implement the President’s New Freedom Initiative (NFI) by improving access to a quality, comprehensive, coordinated community-based system of services for CYSHCN and their families that are family-centered and culturally competent. The initiative supports grants to assist State Title V Children with Special Health Care Needs (CSHCN) programs, family organizations, providers, and other partners to implement the six core outcomes of a system of services based on evidence based practices for CYSHCN. These six core outcomes are as follows: 1) families partner in decision making and are satisfied with the services they receive; 2) CYSHCN receive coordinated ongoing comprehensive care within a medical home; 3) families of CYSHCN have adequate private and/or public insurance to pay for the services they need; 4) children are screened early and continuously for special health care needs; 5) community-based service systems are organized so families can use them easily; and 6) youth with special health care needs receive the services necessary to make transitions to adult life, including adult health care, work, and independence.
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New Epilepsy Foundation Parent's Web site Released from The Epilepsy Foundation New web site from the Epilepsy Foundation is designed for parents with input from parents. This comprehensive web site contains information on the following topics: About Epilepsy, Just Diagnosed, Living with Epilepsy, Treatment, Raising Awareness and Resources and Connections. Visit the web site at: http://www.epilepsyandmychild.org/. For more information on epilepsy visit:http://www.epilepsyfoundation.org/projectaccess/
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Article Explores how Improved Chronic Condition Outcomes Associated with Medical Home Implementation Affect Pediatric Primary Care Published online June 29, 2009 Improved Outcomes Associated With Medical Home Implementation in Pediatric Primary CareW. Carl Cooley, MDa,b, Jeanne W. McAllister, BSN, MS, MHAa, Kathleen Sherrieb, DrPH, MSc,d and Karen Kuhlthau, PhDe,fa Center for Medical Home Improvement, Crotched Mountain Foundation, Greenfield, New Hampshire; Departments of OBJECTIVE: The medical home model with its emphasis on planned care, care coordination, family-centered approaches, and quality provides an attractive concept construct for primary care redesign. Studies of medical home components have shown increased quality and reduced costs, but the medical home model as a whole has not been studied systematically. This study tested the hypothesis that increased medical homeness in primary care practice is associated with decreased utilization of health services and increased patient satisfaction. METHODS: Forty-three primary care practices were identified through 7 health plans in 5 states. Using the Medical Home Index (MHI), each practice's implementation of medical home concepts "medical homeness" was measured. Health plans provided the previous year's utilization data for children with 6 chronic conditions. The plans identified 42 children in each practice with these chronic conditions and surveyed their families regarding satisfaction with care and burden of illness. RESULTS: Higher MHI scores and higher subdomain scores for organizational capacity, care coordination, and chronic-condition management were associated with significantly fewer hospitalizations. Higher chronic-condition management scores were associated with lower emergency department use. Family survey data yielded no recognizable trends with respect to the medical home measurement. CONCLUSIONS: Developing an evidence base for the value of the primary care medical home has importance for providers, payers, policy makers, and consumers. Reducing hospitalizations through enhanced primary care provides a potential case for new reimbursement strategies supporting medical home services such as care coordination. Larger-scale studies are needed to further develop/examine these relationships. Click here to read more.
Key Words: medical home • children with special health care needs • chronic illness • primary care • utilization of health care services • outcomes
Abbreviations: MHI—Medical Home Index • ADHD—attention-deficit/hyperactivity disorder |
Article Reports Extent to which CSHCN Have Access to a Medical Home "Qualitative aspects of the medical home model . . . remain A total of 40,843 interviews with parents of CSHCN were completed The authors found that * Among CSHCN as a whole, 47.1 percent had access to a medical home * There were substantial differences in success rates for achieving * Race and ethnicity, household language, poverty status, insurance * Controlling for confounders, children without a medical home * Having achieved the medical home core outcome was associated with a "Overall, the 2005-2006 NS-CSHCN indicates that we have not yet Strickland BB, Singh GK, Kogan MD, et al. 2009. Access to the medical Readers: More information is available from the following MCH Library resource: - Children and Adolescents with Special Health Care Needs: Knowledge Path at
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Issue Brief Examines Family Perceptions of Mental Health Needs among Children with Special Health Care Needs (CSHCN) Mental Health Needs of Low-Income Children with Special Health Care |
Maternal and Child Health Library (MCH) Creates Portal to Resources on the Electronic Exchange of Health Information Health Information Technology (Health IT) Resource Brief is an MCH Library resource briefs on other topics are available at
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Report Presents Interdisciplinary Perspective on U.S. Health Care System, from the National Academies of Practice Models of Accountable, Coordinated Health Care: A Policy Paper of the |
New National Academy for State Health Policy (NASHP) Reports on Medical Home The Role of Federally Qualified Health Centers in State-led Medical Home Collaboratives Building Medical Homes in State Medicaid and CHIP Programs
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The 4th International Institute for Family-Centered Care Conference(IFFCC), August 27-30, 2009 in Philadelphia, PA The 4th International Conference will showcase innovative health care programs that are committed to patient- and family-centered care and meaningful collaboration with patients and families. Priority consideration will be given to presentation teams that include health care professionals and patient/family leaders. For more information, visit: the IFFCC web site.
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2009 Annual Urban Maternal and Child Health (MCH) Leadership Conference, August 22-25, 2009 in New Orleans, Louisiana Highlights of the 2009 Conference include engaging plenaries focused on evidence, innovation and leadership, interactive skills-building sessions on topics such as mental health, health impact assessment, evidence-based practice and practice-based evidence, our MCH Summit on Committing to the Future, as well as a service-learning experience in the New Orleans community. |
