 Medical
Homes in Minnesota
This page is designed to keep you informed about events
and activities happening in Minnesota that will help improve
access to medical homes for children with special health care
needs (CSHCN).
Click on a topic below to learn more about what's
going on in Minnesota
Click
here for state funding opportunities
Medical Home Initiatives
This section
provides information on state medical home initiatives/programs.
States that are a part of the mentorship
network will have a "Promise to the State"
which outlines how they will achieve ensuring that all children
have a medical home by 2010. This is based on the Healthy
People 2010 goals which is a 10 year action plan to
achieve and
measure
success for all CSHCN.
Minnesota Medical
Home Contact:
Name: John Hurley, Minnesota Children
with Special Health Needs
Phone: 651-201-3643 | Email:
john.hurley@health.state.mn.us
State Team Roster
MN Medical Home Web site: www.health.state.mn.us/divs/fh/mcshn/medhome.htm
Minnesota Statewide Medical Home Implementation Plan- Promise
to the State
 The
Minnesota Department of Health’s MCSHN program
has been awarded an MCHB State Implementation Grant for
Integrated Community Systems of Services for CSHCN
- Abstract
Duration of Program:
Project
period May 1, 2005- April 30, 2008.
Contact Person: Carolyn J. Allshouse, Sr. Program Planner
Phone Numbers: 651-201-3653 FAX: 651-201-3655
| Email: Carolyn.Allshouse@state.mn.us.
Purpose: Through this project, primary care providers
for children with special health needs will understand the
benefits of having a medical home and more specifically
identify their own role as a medical home provider and possess
the resources needed to implement a medical home approach
within their clinical practices. Families will have the
tools needed to identify a medical home and participate
more fully in the medical home partnership between parent
and provider. The Objectives of Minnesota's Medical Home
Development Project are:
- The number of primary care practitioners who implement
medical home practices with children with special health
needs will increase by seventy-five percent as reported
by surveyed families by the completion of the project.
- All parents of CSHCN enrolled in the various MCSHN programs
will have identified a medical home provider for their
child as a measure after one year of program enrollment
- Current practices within the MCSHN specialty clinics,
information and assessment, and treatment programs that
impede the medical home relationship for children enrolled
in the program will be eliminated.
- Parents throughout the state, who access information
or assistance through any of the partner organizations,
will have access to meaningful information (as measured
by follow-up interview) regarding the importance of and
their role in the medical home relationship.
In order to realize the goals and objectives of the project,
the Minnesota Department of Health through its Minnesota
Children with Special Health Needs Section is partnering
with the Minnesota Chapter of the American Academy of Pediatrics
and PACER Center/Family Voices of Minnesota. Together, the
partners have determined to build on the work that has been
done in other states. Therefore, Minnesota is launching
its own "medical home learning collaborative."
This work will be based on the work of the Center for Medical
Home Improvement's Building a Medical Home, and the national
Medical Home Learning Collaborative - which was conducted
by the National Initiative for Children's Healthcare Quality(NICHQ),
and involved the Center for Medical Home Improvement (CMHI),
the National Center for Medical Home Initiatives at the
American Academy of Pediatrics, and the MCHB.
MCHB Medical Home Grant: The Minnesota Medical Home
Development Project Abstract
Project Period: 03/31/03 to 03/30/04
Project Web site: www.health.state.mn.us/divs/fh/mcshn/mdhmproj.htm
Purpose: Through the Minnesota’s
Medical Home Development Project, primary care providers
for children with special health needs will understand the
benefits of having a medical home and more specifically
identify their own role as a medical home provider and possess
the resources needed to implement a medical home approach
within their clinical practices. Families will have the
tools needed to identify a medical home and participate
more fully in the medical home partnership between parent
and provider. Specialty care providers contracted through
the MCSHN specialty clinic program will implement practices
that support the medical home provider / parent relationship.
Specific objectives of this project include: 1) Increase
the number of primary care practitioners who implement medical
home practices with CSHCN. 2) All parents of CSHCN enrolled
in the various Title V programs will have identified a medical
home provider for their child. 3) Current practices within
the MCSHN specialty clinic and information and assessment
programs that impede the medical home relationship for children
enrolled in the program will be eliminated. 4) Parents throughout
the state who access information or assistance through any
of the partner organizations, will have access to meaningful
information regarding the importance of and their role in
the medical home relationship.
The Project: www.health.state.mn.us/divs/fh/mcshn/mdhmproj.htm
The Minnesota Chapter of the American Academy of
Pediatrics and PACER Center/Family Voices of Minnesota are
partnered in 2004 with the Minnesota Department of Health
through its Minnesota Children with Special Health Needs
Section (MCSHN) on an exciting project funded by the federal
Maternal and Child Health Bureau (MCHB) -– the “Minnesota
Medical Home Development Project.”
The partners in Minnesota’s Medical Home Project were
determined to build on the work that has been done in other
states. Minnesota thus launched its own “medical home
learning collaborative.” The work was based on the
national Medical Home Learning Collaborative – which
was conducted by the National Initiative for Children’s
Healthcare Quality (NICHQ) and involved CMHI, the National
Center for Medical Home Initiatives at the American Academy
of Pediatrics, and the MCHB.
The Minnesota Medical Home Learning Collaborative went “live”
on March 18-19, 2004, with Learning Session I. Eleven teams
came together on those two days to be immersed in the medical
home care model, the change process, and steps for their
first Action Period. The project concluded on
Each practice team was composed of a physician and care
coordinator from the practice and two parents.
- 2005 Medical Home Project Update
(This article appeared in the Fall/2004 issue of Minnesota
Pediatrician)
Knowing only that they were participating in “an
exciting endeavor to continue to develop their practices
as a medical home,” 11 teams - each comprised of
a physician, two parents and a care coordinator/ nurse
- came together in mid-March to start a year long collaborative
learning process to realize medical home improvements.
Medical Home Announcements
Minnesota Children with Special Health Needs (MCSHN) Section
invites you to learn about the Minnesota Medical Home Project
through the Winter 2005 Special Connections newsletter.
The newsletter is available at: www.health.state.mn.us/divs/fh/mcshn/mdhmspec.htm
Related Grant Initiatives
This section provides information on
current state grants that are working on medical home initiatives.
This includes the grant abstract as well as key contacts
for the grant.
The Region 4 Collaborative (IL, IN, KY, MI, MN, OH, & WI)) was awarded a Medical Home Visting Professorship (2008)
Medical Home Visiting Professorship Pilot Program
The American Academy of Pediatrics National Center for Medical Home Initiatives for Children with Special Needs and the American College of Medical Genetics' National Coordinating Center for the Regional Genetics and Newborn Screening Service Collaboratives (NCC) in partnership with the ACMG and MCHB recently developed a pilot visiting professorship program. This program focuses on the specific topic areas of genetics and medical home and also establishing linkages between Regional Genetics and Newborn Screening Services Collaboratives (RCs) and AAP Chapters.
Genetics Grant: Abstract
GOALS AND OBJECTIVES: The goal of this
project is to attain the best health outcomes possible for
children identified by newborn screening, through development
and implementation of a State Genetics Plan that will guide
optimal functioning of relevant services.
Partners in the State
This section provides information
on who in the state (individuals and agencies) are working
together to create medical homes for children.
American Academy of Pediatrics (AAP) Chapter:www.mnaap.org/
American Academy of Family Physicians (AAFP) Chapter:
www.mafp.org/
Title V Block Grant to States
Title V of the Social Security Act is one of the largest
Federal block grant programs. It leads the nation in ensuring
the health of all mothers, infants, children, adolescents,
and children with special health care needs (CSHCN). Title
V is administered by the Maternal and Child Health Bureau
(MCHB) as part of the Health Resources and Services Administration,
U.S. Department of Health and Human Services.
Title V and Children with Special Health Care
Needs
MCHB Objective: Support development and
implementation of comprehensive, culturally competent,
coordinated systems of care for the estimated 18 million
U.S. children who have or are at risk for chronic physical,
developmental, behavioral or emotional conditions and
who also require health and related services of a type
or amount beyond that required by children generally.
MCH Contact:
Maggie Diebel
Division Director
Address: P.O. Box 64882
St Paul, Minnesota 55164-0882
Phone: 651-201-3594 Fax: 651-201-3590
Email: maggie.diebel@health.state.mn.us
For the CSHCN Contact please view the Medical Home Contact at the top of the page.
Early Hearing Detection & Intervention (EHDI) Contact(s):
State EHDI programs promote universal
newborn hearing screening, develop effective tracking and
follow-up as a part of the public health system, promote
appropriate and timely diagnosis of the hearing loss, prompt
enrollment in appropriate Early Intervention,
link newborns to a medical home and strive to eliminate
geographic and financial barriers to service access.
Name: Yaoli Li
Phone: 651-281-9943; Fax 651-215-8953
E-mail: yaoli.li@health.state.mn.us
Early Intervention/Part C Coordinator:
The Program for Infants and Toddlers
with Disabilities (Part C of IDEA) is a federal grant program
that assists states in operating a comprehensive statewide
program of early intervention services for infants and toddlers
with disabilities, ages birth through age 2 years, and their
families.
Name: Marty Smith, Part C Coordinator
Contact: Phone: (651) 582-8883 | Fax:
(651) 582-8494 | Email: marty.smith@state.mn.us
Web
Site
Section 619/ Preschool Grants
Program of the Individuals with Disabilities Education Act
(IDEA). This program
provides free appropriate public education (FAPE) for children,
ages 3 through 5 years, with disabilities:
Name: Lisa Backer, 619 Coordinator
Contact: Phone: (651) 582-8473 | Email:
lisa.backer@state.mn.us
Name: Michael Eastman, Early Childhood
Ed Specialist
Contact: Phone: (651) 582-8343 | Email:
michael.eastman@state.mn.us
Fax: (651) 582-8494 Web
site
State Interagency Coordinating Council (ICC) Chairs:
The ICC advises appropriate agencies
on the unmet needs in early childhood special education
and early intervention programs for children with disabilities,
assists in the development and implementation of policies
that constitute a statewide system, and assists all appropriate
agencies in achieving full participation, coordination,
and cooperation for implementation of statewide system.
Name: Dawn Bly, ICC
Chair
Contact: Phone: (218) 435-1909
(Work) | Phone: (218) 435-6060 (Home)
Email: blyfam@gvtel.com
Resources/Documents
Healthy Ready to Work/Minnesota Collaborative
to Improve Transition Outcomes for Youth with Disabilities:
www.pacer.org/tatra/index.htm
PACER is working with the Minnesota Department of Employment
and Economic Development (DEED) Office of Youth Development,
and other key state agencies including Rehabilitation Services,
and the Department of Education to align state resources
to better serve Minnesota youth with disabilities, and to
demonstrate how partnerships with community intermediary
organizations can improve local transition services using
evidence-based best practices.
State Waiver Information:
www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/08_WavMap.asp
Waivers are the result of a process that allows state Medicaid
agencies to apply for and receive permission from HCFA to
provide services not otherwise covered by Medicaid and/or
to do so in ways not described by the Social Security Act.
Most Medicaid managed care programs require Waivers. The
Waivers, which can differ greatly, are known by their numbers
(1115, 1119), or as home-and community-based, or as Katie
Beckett Waivers.
Educational Initiatives
This section provides information
on training initiatives on the medical home. Some states
will discuss their outreach projects in relation to physicians,
families, and the community.
No information is currently available for this category.
Screening
Initiatives
This section provides information on surveillance
and screening initiatives in the state.
Developmental Surveillance and Screening Policy
Implementation Project (D-PIP)
New Ulm Medical Center from New Ulm, MN
is participating in the Developmental Surveillance and Screening
Policy Implementation Project (D-PIP). The D-PIP has selected
17 practices from across the United States to implement
the AAP policy statement (scheduled for publication in July
2006) “Identifying Infants and Young Children with
Developmental Disorders in the Medical Home: An Algorithm
for Developmental Surveillance and Screening” to 1)
determine if the algorithm is efficiently and effectively
implemented into pediatric practice; 2) recognize strategies
for implementing the algorithm; and 3) examine outcomes
of implementation. Following the project, information and
outcomes will be shared with pediatric clinicians and other
health care professionals who are seeking to improve the
delivery of developmental surveillance and screening.
Click
here for additional information on the D-PIP.
State Newborn Screening & Genetics Programs:
genes-r-us.uthscsa.edu/resources.htm
- State Newborn Screening Program Links
- State Genetics Program Links
- Regional Genetics and Newborn Screening Collaborative
Links
- Newborn Screening State Contact Fact Sheet
Assuring Better Health and Child Development (ABCD)
Program:
http://12.109.133.213/_docdisp_page.cfm?LID=8BA603C9-3D36-4F7A-B98FEFB0630F1B1D
The ABCD II Initiative, launched in 2003, is designed to
assist states in building the capacity of Medicaid programs
to deliver care that supports children’s healthy mental
development.
Funding
Opportunities
Deadline: July 28, 2006
The Medica Foundation (http://www.medica.com/C10/MedicaFoundation1/default.aspx),
a charitable grantmaking foundation and sister organization
to Medica Health Plans, a Minnesota-based nonprofit HMO,
is looking to fund community-based initiatives and programs
that support the needs of Medica's customers and the greater
community by improving their health and removing barriers
to healthcare services. Funding is provided to organizations
within Medica's service area in Minnesota, western Wisconsin,
North Dakota, and South Dakota.
The foundation will be accepting applications for Cycle
2 of its 2006 grantmaking program in the following four
areas:
1) Health Care Literacy:
Turning Information Into Knowledge -- a funding opportunity
designed to equip individuals with access to the information
they need to make informed decisions about their health
care. Individual grants may be awarded for amounts up to
$30,000.
2) Healthy Living -- a funding opportunity
designed to modify and enhance lifestyles to achieve maximal
health status and quality of life. Priority will be given
to programs that demonstrate behavior changes in lifestyle
involving physical activity, nutrition, and weight management.
Individual grants may be awarded for amounts up to $30,000.
3) Addressing the Health Care Needs of Greater Minnesota
Communities -- a funding opportunity for nonprofit
organizations and governmental agencies outside of the seven-county
metro area. Initiatives should establish collaborative relationships
between organizations and agencies to maximize resources
and services. This funding priority is designed to support
programs serving Minnesota Health Care Programs enrollees.
Funding is provided to organizations within Medica's State
Public Programs service area in Minnesota. Individual grants
may be awarded for amounts up to $30,000.
4) Partnership for Prevention -- a funding
opportunity designed to improve utilization and quality
of preventive care in the areas of well child screenings;
prenatal and postnatal care; asthma treatment and education;
cancer screening; diabetes screening and education; and
screening for sexually transmitted diseases. This funding
priority is designed to support programs serving the Minnesota
Health Care Programs enrollees. Funding is provided to organizations
within Medica's State Public Programs service area in Minnesota.
Individual grants may be awarded for amounts up to $75,000.
Nonprofit organizations that are 501(c)(3) legal entities
or governmental agencies are eligible to receive funding.
Applications for Cycle 2 funding priorities will be accepted
from June 1 through July 28, 2006.
Visit the Medica Foundation Web site for complete program
guidelines, funding restrictions, and application procedures
at: www.medica.com/C12/MedicaFoundation3/default.aspx#cycle2
State Resources on the Internet
Note: The information provided on the state pages was submitted
by the state medical home teams.As this is not an exhaustive
list, please let us know if you have additions for your
state resource page. You can contact us at: medical
home@aap.org.
Last Updated August 26, 2008
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