Jessy Perz, RN, BSN Paulina Erices, BS, IBCLC, RLC HCP A program for children and youth with special health care needs Jessy Perz, RN, BSN Paulina Erices, BS, IBCLC, RLC

Objectives By the end of this session, participants will be able to: Describe care coordination services. Explain the benefits of a shared plan of care. Understand privacy notices and release of information processes. Identify risk factors and red flags that grant a referral. Know how to request consultation and/or make a referral to HCP.

Takeaway HCP partners with schools, medical providers, mental health providers and FAMILIES to support children and youth with special needs in innovative ways.

About HCP Located within the Children and Youth with Special Health Care Needs (CYSHCN) Section at the Colorado Department of Public Health and Environment (CDPHE) Contracts with local public health agencies to implement the program and provide community based resources, referrals and care coordination Each HCP team must include or be supervised by one Registered Nurse - several teams include social workers, patient/family navigators, and other consultants (ie RD, PT)

Who do we serve? Coloradans, birth to 21 years of age, who have, or are at risk for having, a physical, developmental, behavioral or emotional condition. Eligibility: There are no restrictions or eligibility requirements based on income or diagnosis to receive HCP services.

Some Examples of When to Refer a child/youth and their family… they could benefit from short-term, intensive 1:1 intervention(s) with a community based care coordinator they are involved in multiple systems and could use help with health care coordination across those systems they could use specific support/intervention(s) over the summer months Other examples?

Current condition or at risk Chronic illnesses and family does not receive care coordination Diabetes Asthma Temporary or recent medical conditions Infant going home from NICU Adjustment to recent diagnoses IEP – School support Mental/Emotional/Behavioral conditions Autism Anxiety Depression Trauma Abuse

Outcome Families are equipped with the skills, resources and knowledge needed to be confident in coordinating and advocating for their child's health care needs.

working smarter, not harder Shared Plan of Care It’s a partnership … the family, HCP, and the Health Care Team, all working together working smarter, not harder

Shared Plan of Care Shared plans of care are comprehensive & designed to: include both physical and social aspects of the family and child/youth’s condition collaborate between the family and the health care team care is subsequently well coordinated across all involved organizations and systems

Children, youth and families are actively engaged in their plans of care, ensuring: strong relationships amongst members of the health care team characterized by mutual trust and respect parent and patient empowerment confidence in care improved quality of care

Communication with and among the health care team is clear, frequent, and timely, resulting in: a full understanding of child/youth and family needs, strengths, history, and preferences strengthened relationships enhanced information sharing role clarification improved quality of care

Questions? Contact? Referral! Your local HCP team! In JeffCo: Jessy Perz, RN, BSN Paulina Erices, BS, IBCLC, RLC (303)239-7006 http://jeffco.us/public-health/home-visitations/healthcare-program- for-special-needs-children/ OR Colorado: Angie Goodger, MPH, MHA Children, Youth and Families Branch (303)692-6316 angela.goodger@state.co.us  www.hcpcolorado.org