The Importance of PCMH Jamin Johnson Child Health Program Manager Maternal and Child Health Unit Wyoming Department of Health January 24, 2019
Children can’t dream if they are simply surviving. - Unknown
Monitor and promote appropriate developmental milestones. Bright Futures 4th edition. Wyoming's Title V Priority : Promote preventive and quality care for children and adolescents. Next two slides Adapted from ACADEMIC PEDIATRICS 5 D’s Our Priority alignment with PCMH. Promote Developmental screening Promote medical home Promote well-visits
Family Centered Care (Dependency) Children are dependent upon parents/caregivers PCMH educates and encourages shared family decision- making. Children are dependent upon others economically and are more vulnerable to poor health outcomes Again adapted from ACADEMIC PEDIATRICS 5 D’s Provides care coordination which ensures patient access all essential health and human services.
Long-Term Outcomes for Children and Families
Positive Outcomes Continuity of care over time More supportive transition to adult care Increased access to preventive care (well visits) Reduced cost of care In general these can also lead to a increase in overall health according to American Academy of Family Physicians
How does Wyoming Measure up? National Survey of Child Health *Parent completed* Five components: • Personal doctor or nurse • Usual source of sick care • Family centered care • Ability to get referrals • Effective care coordination
jamin.johnson1@wyo.gov (307)777-3733 THANK YOU! jamin.johnson1@wyo.gov (307)777-3733
REFERENCES Stille, C., Turchi, R. M., Antonelli, R., Cabana, M. D., Cheng, T. L., Laraque, D., & Perrin, J. (2010). The Family- Centered Medical Home: Specific Considerations for Child Health Research and Policy. Academic Pediatrics, 10(4), 211-217. doi:10.1016/j.acap.2010.05.002 The Patient Centered Medical Home. (2018, March 01). Retrieved from https://www.aafp.org/practice- management/transformation/pcmh.html Barrand, J. (2019). Study pinpoints costs of a Patient-Centered Medical Home. [online] Patientdaily.com. Available at: https://patientdaily.com/stories/510644573-study-pinpoints-costs-of-a-patient-centered-medical-home [Accessed 2 Jan. 2019]. Childhealthdata.org. (2019). NSCH 2016 17: NPM 11: Percent of children with special health care needs who have a medical home, Nationwide. [online] Available at: http://childhealthdata.org/browse/survey/results?q=5415&r=1 [Accessed 2 Jan. 2019]. Rmhpcommunity.org. (2019). PCMH 2017 Overview Session. [online] Available at: https://www.rmhpcommunity.org/sites/default/files/event_files/08.11.17%20PCMH%20Training%20Slides.pdf [Accessed 2 Jan. 2019].