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MASSACHUSETTS SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN

1. Project Identifier Information
   
   
   1. Project Title: MASSACHUSETTS SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
   2. Project Number: H17MC00303
   3. Email address: mmcguirk@mspcc.org
   
   
2. Budget
   
   

   1. MCHB Grant Award Amount: (Line 1, Form 1)	$49,999
   2. Unobligated Balance: (Line 2, Form 1)	$0
   3. Matching Funds: (if applicable) (Line 3, Form 1)	$0
   4. Other Project Funds: (Line 4, Form 1)	$0
   5. Total Project Funds: (Line 5, Form 1)	$49,999
   The MCHB Grant Award Amount may differ from the total budget amount displayed on the Snapshots page due to grant actions that occurred after this report was submitted. These grant actions would include supplemental funding such as carryovers and extensions.

   
   
3. Type(s) of Service Provided
   
   
   • Enabling Service
   
   
4. Project Description on Experience to Date
   
   
   1. Project Description
      
      
      1. Problem:
         
         Worcester’s children need comprehensive and coordinated health care. The WMHI plans to improve child and family health and well being by ensuring connection to and utilization of coordinated community resources within a medical home model of care
         
         
      2. Goals and Objectives: List up to 5 major goals and time-framed objectives per goal for the project.
         
         

         Goal 1:	Primary Care Practices participating in the WMHI will improve their ability to serve Children with Special Health Care Needs (CSHCN) and their families significantly.
         Objective 1:	By 2/28/07 all three primary care practices will evidence significant improvement in their ability to serve CSHCN as evidenced by the medical home index.
         Goal 2:	CSHCN participating in the WMHI will have adequate public or private health insurance to pay for services they need and deserve.
         Objective 1:	By 2/28/07 all children served in all three primary care practices will be linked to adequate private or public insurances that they need.
         Goal 3:	All children participating in the WMHI will be screened early and continuously for special health care needs.
         Objective 1:	By 2/28/07, all CSHCN participating in the project will receive ongoing screening and assessment until age 22.
         Goal 4:	Families of children participating in the WMHI with special health care needs will participate in decision making at all levels and will be satisfied with the services they receive.
         Objective 1:	By 2/28/07, all families of CSHCN will have participated in a care plan with the PCP and Care Coordinator and services will be identified by the family. All families will be sent an MSPCC consumer satisfaction survey and evidence of satisfaction with services provided.
         Goal 5:	Community based support systems will be made available to all families who participate in the project to improve access to CSHCN and their families and strengthen child and family functioning.
         Objective 1:	All children and families participating in the WMHI will evidence increased child and family functioning as evidenced by MSPCC evaluation tools.

      3. Activities/Methodology undertaken to meet project goals:
         
         Re-evaluation of the identified goals delayed in FY05 by a staff vacancy. August 2005, new staff hired. Re-evaluation of goals has begun. Focus on QI interventions and increasing family participation. See narrative for details. Practices to being participation in the Central Massachusetts Medical Home Network
         
         
      4. The first three Healthy People 2010 objectives which this project addresses are listed below.
         
         
         1. Related to Objective 16.23. Increase the proportion of Territories and States that have service systems for Children with Special Health Care Needs to 100 percent.
         2. Related to Objective 16.23: Increase the proportion of States and jurisdictions that have service systems for children with or at risk for chronic and disabling conditions as required by Public Law 101-239.
         3. Related to Objective 23.11 (Developmental) Increase the proportion of State and local public health agencies that meet national performance standards for essential public health services.
         
         
      5. Coordination: List the State, local health agencies or other organizations involved project and their roles.
         
         Central Massachusetts Medical Home Network New England Serve Family Ties/Family Voices UMASS Medical School Quality Kids Care Dr. Babu Pedicatrics
         
         
      6. Evaluation : briefly describe the methods which will be used to determine whether process and outcome objectives are met.
         
         Practices will complete a pre and post program Medical Home Index which will be scored to reveal progress. Participating families will complete Family Medical Home Indexes which will be scored to reveal progress. Key stakeholder interviews will be conducted to examine program fidelity.
         
         
   2. Continuing Grants ONLY
      
      
      1. Experience to Date :
         
         In the last year, the (WMHI) has received a total of 112 referrals of families from the associated physicians. The services requested by families continue to be mental health referrals and educational advocacy. Of the 112 referrals, 42 children (or 38%) received a referral to mental health services. In 2003 the care coordinator was trained as an educational advocate. In the last year, approximately, 40-50% of the referred children required some form of educational intervention. The care coordinator assists families in filing appropriate requests for special education evaluations, assists in interpreting evaluation reports and attending student support meetings and provides support for mediation services if needed. In FY05, the project replaced one of the original participating practices with a specialized program through UMASS Memorial, the FaCES Clinic. Under the leadership of Dr. Linda Sagor, the FaCES clinic provides complete medical evaluations to children who are placed in foster homes by the Worcester Department of Social Services. The WMHI care coordinator assists foster families and children in connecting to dental, mental health, psychosocial support services and coordination with the child’s primary care physician. Because of the influx of referrals from the FaCES clinic, the WMHI increased the care coordinator’s position from .8 FTE to 1.0 FTE.
         
         
      2. Website URL and annual number of hits:
         
         URL: N/A
         
         Number of hits: 0
         
         
5. Key Words
   
   
   • Children with special health care needs
   • Medical home
   • Mental health
     
     
6. Annotation:
   
   The Worcester Medical Home Initiative provides services to the unprecedented numbers of children with special health care needs that are overwhelming primary care practices in the Worcester area. MSPCC will provides care coordination to 500 children and their families during a five-year period by creating a team of social service workers, primary care providers, and a Community Advisory Board to implement a medical home model that is accessible, continuous, family centered, coordinated, compassionate, and culturally effective.
   
   

Are the Data Reported on this Form Provisional or Final?

Final

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