1. HCP: A Program for Children and Youth with Special Health Care Needs

2. Funding Maternal Child Health Block Grant 30% dedicated to Children & Youth with Special Health Care Needs (CYSHCN) Used to fund HCP

3. HCP Care Coordination & Specialty Care Clinic Locations, October 1, 2014 – September 30, 2015

4. How did we become HCP?

5. Who do we serve? “those who have, or are at increased risk for having, a chronic physical, developmental, behavioral or emotional condition and who also require health and related services of a type or amount beyond that required by children [and youth] generally”

6. 225,000 children and youth with special health care needs in Colorado

7. HCP care coordination Individualized, need based activity HCP works with the family to: Identify and prioritize needs Develop a plan to achieve goals Advocate for the child

8. Medical & social complexities

9. Areas Requiring Intervention Referral Service Areas This Child’s/Family’s Assessed Needs Assessed Needs Interventions Referrals Adapted from Tri-County Health Department Wheel of Care Coordination The Wheel of Care Coordination was created as an example to demonstrate the care coordination we offer to families.

10. Adapted from Tri-County Health Department Assessed needs Interventions Referrals Wheel of Care Coordination Language Culture Hx of trauma Low income Transportation CO Language Connection ESL classes VOLAGS SNAP LEAP First Transit Social (demographics)

11. Adapted from Tri-County Health Department Assessed needs Interventions Referrals Wheel of Care Coordination Social (demographics) Language Culture Hx of trauma Low income Transportation CO Language Connection ESL classes VOLAGS SNAP LEAP First Transit DME Dental Health insurance Specialty providers PCP Medical Health care transition Healthy communities YBIC FQHC Family Voices Foundations/ grants Medicaid Kid’s Mobility Network

12. Adapted from Tri-County Health Department Assessed needs Interventions Referrals Wheel of Care Coordination Social (demographics) Language Culture Hx of trauma Low income Transportation CO Language Connection ESL classes VOLAGS SNAP LEAP First Transit DME Dental Health insurance Specialty providers PCP Medical Health care transition Healthy communities YBIC FQHC Family Voices Foundations/ grants Medicaid Kid’s Mobility Network Community MH center Neuro-psych evaluation Behavior management School MH services Safety Plan Aurora Mental Health Support groups Children’s Hospital Medical (mental health)

13. Adapted from Tri-County Health Department Assessed needs Interventions Referrals Wheel of Care Coordination Social (demographics) Language Culture Hx of trauma Low income Transportation CO Language Connection ESL classes VOLAGS SNAP LEAP First Transit DME Dental Health insurance Specialty providers PCP Medical Health care transition Healthy communities YBIC FQHC Family Voices Foundations/ grants Medicaid Kid’s Mobility Network Community MH center Neuro-psych evaluation Behavior management School MH services Safety Plan Aurora Mental Health Support groups Children’s Hospital Medical (mental health) Medical (developmental) School services Community centered board Recreation Adam’s Camp Transition Discovery Club BIRT IEP ARC Brain Stars Developmental Pathways

14. Medical home components Care is… Accessible Patient/Family-centered Continuous Comprehensive Coordinated Compassionate Culturally responsive

15. HCP Care Coordination & Specialty Care Clinic Locations, October 1, 2014 – September 30, 2015

16. How families benefit from HCP Receive information, resources and referrals Specific to the community support in their area HCP promotes communication between: Families Providers Community resources May gain a greater understanding of their child’s medical condition and coordinating their child’s care. All leading to a more successful and fulfilling experience at home, at school and in the community.

17. HCP’s Ultimate Goal: Families and children/youth become confident & self-sufficient in Accessing resources in their community Navigating health systems Advocating for themselves, their family, or on behalf of the child/youth

18. How to contact HCP HCP is easy to reach. Contact the HCP program in the county health or human services office where the child lives. Visit our website at: www.hcpcolorado.org www.hcpcolorado.org

19. Thank you!