1. 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

2. 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.

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

4. 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)

6. 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.

7. 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?

8. 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

9. 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.

10. 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

11. 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

12. 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

14. 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

15. Questions? Contact? Referral!
Your local HCP team!
In JeffCo:
Jessy Perz, RN, BSN
Paulina Erices, BS, IBCLC, RLC
(303)
for-special-needs-children/ OR
Colorado: Angie Goodger, MPH, MHA
Children, Youth and Families Branch
(303)