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Tools for State to Increase Access to Medical Homes
Only by working together at the Federal, State and local
levels, public and private sectors can we achieve the goals
of Healthy People 2010.
Getting Started:
A Plan for Your State
The mission to states:
to develop a strategic plan that will allow every child
with special health care needs (CSHCN) to have access to
a medical home by the year 2010. State mentor teams have
demonstrated that success with this mission relies on the
efforts of collaboration between public and private entities;
strong commitments to partnerships between physicians, families,
and state agencies; and the pursuit of stated goals beyond
that which "typical" funding mechanisms allow.
The core medical home team: Pediatricians,
family physicians, families, youth with special health care
needs, Title V Children with Special Health Care Needs programs,
Medicaid programs, key community stakeholders and other
state and public agencies.
Setting the Stage for
your Medical Home State Action Plan
Promise to the State: Template
This document outlines the
steps that will be taken to make the provision of medical
homes for children with special health care needs a reality
by the year 2010
Tools for Building a System
of Care to Achieve the Performance Measures - Champions
for Progress Center
Presentations, resources,
links, and organizations related to each step of the systems
building process are available by clicking
here.
Assessment to Action: a resource to help states in data-based
decision making as they work toward building a system
of care. Assessment to Action is a field-tested process
for state CSHCN leaders that provides guidance in engaging
key stakeholders, reviewing existing data, improving measurement
strategies, and using data for program planning. Assessment
to Action features stakeholder-developed indicators for
the 6 CSHCN outcomes along with potential tools for assisting
states in measuring their progress. Available by clicking
here.
Setting the Stage for your Medical Home State Action Plan
Presentation
This presentation can
be used to help launch and inspire your medical home team
on the path to building systems of care to support medical
homes throughout your state.
Learning Objectives:
Define the Medical Home Approach
Describe your state’s CSHCN Goals
Identify State-Level Strategies
Identify Key Players
Review Keys to Collaboration
Work Groups: Identify Opportunities & Limitations
Medical Home Spread Planner: Self-assessment tool and strategic guide for teams seeking to promote Medical Home model implementation on a statewide basis. From the 2005 NICHQ National Medical Home Learning Collaborative Final Report. Spread Planner
How to use the Spread Planner
This Spread Planner can be used as a self-assessment tool and strategic guide for teams seeking to promote Medical Home model implementation on a statewide basis. Section I identifies and parses out key elements that must be in place as the foundation for a spread strategy. The specific elements reflect the experience of state teams that participated in two national Medical Home Learning Collaboratives, but the framework derives from the from the experience of the Institute for Health Improvement (IHI) and National Initiative for Children’s Healthcare Quality (NICHQ) promoting uptake and dissemination of effective healthcare practices. It builds directly on the work of Everett Rogers (Diffusion of Innovation). You can use this framework to assess strengths and weaknesses of your own state and your state team and to develop a robust spread plan. It will help you identify the areas on which you need to focus for an effective spread effort.
Section II revisits the framework, incorporating specific suggestions from Learning Collaborative state teams in each framework area. Some are practical suggestions: action steps for moving forward on one or another of the elements of the framework. Some are conceptual suggestions: ways of approaching or characterizing an element of the framework that helped one or more of the Learning Collaborative states overcome a roadblock in team members’ thinking about medical home or about spread. Both types of suggestions are intended to help you address the areas that you feel are holding back progress in your state.
Medical Home State Information
and Models
Medical Home State
Pages
This section provides information on state medical home
initiatives/programs. It is designed to keep you informed
about events and activities happening in each state that
will help improve access to medical homes for CYSHCN.
Medical Home Mentorship
Map
A mentorship map is available
to provide information on what states have a medical home
state team, a quality improvement plan to assist practices
in increasing their medical homeness (this can include
a learning collaborative strategy or an EPIC model), and
a "Promise to the State" (This document outlines
the steps that will be taken to make the provision of
medical homes for children with special health care needs
a reality by the year 2010.)
Other Resources
Child Health Care Quality Toolbox Toolbox
Measuring Performance in Child Health Programs: Access,
Quality, and Health Service Delivery
Concepts, tips, and tools for evaluating Medicaid, the
State Children's Health Insurance Program (SCHIP), Title
V, and other health care service programs for children.
Developed by The Agency for Healthcare Research and Quality
(AHRQ)
Knowledge Path: Children
and Adolescents with Special Health Care Needs
This knowledge path points to recent, high-quality resources
for health professionals and families about caring for
children and adolescents with special health care needs.
The volume of materials for and about children and adolescents
with special health care needs and their families is vast.
In this knowledge path, the aim is to identify the best
resources for each topic. The criteria for evaluating
resources include the accuracy and currency of the information,
the authority of the creator of the resource, the objectivity
of the material, how well the resource covers the topic,
and how easy the resource is to access or obtain.
Working with Other Related Programs
- Medical Home Mentorship
Network
The National Center can facilitate information sharing
among those who are involved in medical home initiatives
through the national Mentorship Network. Examples include:
- Facilitate the development of state medical home
teams and support state team activities related to
medical home and outcomes of the President’s
New Freedom Initiative.
- Connect medical home teams from states with similar
challenges and/or systems of care to share solutions
and accomplishments related to improving access to
medical homes.
- Assist state medical home teams in identifying key
stakeholders who can assist in the implementation
of medical home initiatives.
- Identify potential sources of funding for state
medical home initiatives.
- State
Early Childhood Comprehensive Systems (SECCS)
The goal of this initiative is the implementation of a
comprehensive early childhood system that promotes health
and well being in young children, enabling them to enter
school ready and able to learn. Five focus areas exist
in this effort: access to medical homes; mental health
and social-emotional development; early care and education
services; parent education and family support services.
- Technical
support and resources for SECCS Initiatives
- Strategies
for Integrating Developmental Services and Promoting
Medical Homes: This report defines specific gaps
in care for young children, based on findings from
several new national surveys. It address the health
sector’s ability to meet the needs of parents
from a medical home perspective and identify barriers
to optimal health sector performance in the delivery
of developmental services. It concludes by discussing
strategies to address these service gaps and deficiencies
through planning and implementation within the SECCS
Initiative.
- Early
Intervention (Part C of IDEA)
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.
- EHDI
Network
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, ensure a medical home
for all newborns and strive to eliminate geographic and
financial barriers to service access.
- Interagency
Coordinating Council (ICC)
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.
- Section
619 (Part B of IDEA)
Special Education for ages 3-5 Coordinators: This program
provides free appropriate public education (FAPE) for
children, ages 3 through 5 years, with disabilities.
- Title
V/ CSHCN Programs
Title V Agencies Can:
- Foster policies that improve reimbursement for real
Medical Homes/practice-based care coordination
- Look for ways to support the efforts of practices:
- Identification and data management
- Celebrating/recognizing Medical Homes
- Facilitation of quality improvement efforts
- Sponsor a learning
collaborative
- Facilitate information and resource access
Working
with Families to Improve the State System of Services
Families are the core of this nation's health
system, their children's most important health providers
and caregivers.
Strong family-professional partnerships improve
decision-making, enhance outcomes, and assure quality.
-From Family Voices: Principles
Making it Work: When Families That Represent A Service
Population Become Employees. A manual for recruiting,
hiring and retaining family representatives. From the Consortium
for the Employment of Parent Representative. Manual
Title V Toolbox for Family Participation!
To encourage the active participation of families within
Title V programs, Family Voices has collected materials
developed by states that support family involvement in MCH
(Maternal and Child Health) and CSHCN programs to be shared
on this web site. By building upon existing materials and
models, families and states can strengthen family involvement
in their own programs.
Examples of what is available in the toolbox: Materials
created by states to develop family advisory committees
or councils including descriptions, guidelines, by-laws,
and information forms Information on contracts or examples
of contract language that states use to encourage family
participation; Examples of materials to help family members
understand the Block Grant process; Resources to educate
families about Title V.
www.familyvoices.org/toolbox/
Last Updated
July 18, 2008
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