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Monitoring Healthy People 2010 Outcome Objectives Illinois Perspective on Medical Home National Survey Children With Special Health Care Needs University.

Published byAnnabella Turner Modified over 9 years ago

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Presentation on theme: "Monitoring Healthy People 2010 Outcome Objectives Illinois Perspective on Medical Home National Survey Children With Special Health Care Needs University."— Presentation transcript:

1 Monitoring Healthy People 2010 Outcome Objectives Illinois Perspective on Medical Home National Survey Children With Special Health Care Needs University of Illinois

2 Outcome Objectives 6 Core outcomes 5 outcomes measured on survey…except screening of all children for special health care needs. Basis for monitoring progress over the coming decade Criteria developed to meet each outcome Questions on survey chosen to correlate with criteria

3 Outcome Objectives All children with special health care needs will receive coordinated ongoing comprehensive care within a medical home. Medical Home

4 Criteria… 1. Child has a usual source of care for sick care and routine preventive care (Q37 and Q40/41). 2. Child has a personal doctor or nurse (Q42). 3. Family experiences no problems in obtaining referrals from specialists when needed (Q64). Medical Home

5 Criteria… 4 When needed, child's doctors and other health care providers do an excellent or very good job of communicating with each other (Q69). 5. When needed, child's doctors and other health care providers do an excellent or very good job of communicating with child's early intervention program, school, child care providers, or vocational rehabilitation program (Q70). Medical Home

6 Criteria… 6. Child's doctors and other health care providers usually or always spend enough time with the child (Q75), listen carefully (Q76), are sensitive to family's values and customs (Q77), provide needed information about child's care (Q78), and make family feel like a partner in child's care (Q79). Medical Home

7 How will Illinois interpret… The Medical Home?

8 Spectrum of Care SomeA lot 25 200 Degree of “Medical Homeness” W. Carl Cooley, M.D. – Medical Home Index – Nat’l Data Mean score for pediatric practices …not an all or none phenomenon Medical Home

9 Spectrum of Care SomeA lot 25 200 Degree of “Medical Homeness” W. Carl Cooley, M.D. – Medical Home Index – Nat’l Data …not an all or none phenomenon Medical Home Median score for pediatric practices

10 Degree of Medical Homeness Low Priority High Priority Foundation Pillars Elements

11 Family-Professional Partnership – The primary care provider (PCP) and medical subspecialists share a trusting, collaborative relationship with the family. Parents are comfortable sharing concerns and questions with the PCP. The parents routinely communicate their child's needs and family priorities to the PCP, who facilitates communication between family and subspecialists when necessary. This relationship forms the foundation for the PCP's written Care Plan that is jointly developed and shared with the family. Short term and long-term goals are set, with detailed plans for follow-up and reassessment. Foundation

12 Will use this tier to report on the annual Block Grant Qualitative measure DSCC will reimburse MHPs for care coordination activities related to this tier of the pyramid Foundation

13 Medical Home Structure “Treatment Team” Cardiologist ENT Orthopedist Neurologist Urologist OT PT Speech IEP-Related Services

14 Pillars Critical Supporting Elements

15 Care that is: Accessible Family-Centered Comprehensive Continuous Coordinated Compassionate Culturally- competent Shares Responsibility and for which the PCP:

16 Pillars Foundation …taken from W. Carl Cooley’s Medical Home Index tools.

17 Other Essential Elements Database designator Senior volunteer program Valet parking Pre-visit survey Bulletin board Lending library Special addition newsletter Telephone consult Review of care plan Access to internet DSCC referral Additional reimbursement Medical Home involves the whole office staff

18 Additional ideas and suggestions Develop a mission statement for the office Chart identification Designate staff to act as care coordinator Use of email for information exchange Contact person within the office Build a team w/ parent input Written materials are available in languages that rep. the comm. Parents teach at brown bag lunch seminars

19 www.uic.edu/hsc/dscc Charles N. Onufer, M.D. cnonufer@uic.edu Robert J. Cook Family Liaison Specialist rjcook@uic.edu Angela Pitts ampitts@uic.edu Shelly Roat sgroat@uic.edu University of Illinois

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