partnering with school nurses in the medical home critical issues in school health may 20, 2010...
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Partnering withPartnering withSchool Nurses in the School Nurses in the
Medical Home Medical Home
Critical Issues in School HealthCritical Issues in School HealthMay 20, 2010May 20, 2010
Sandra Carbonari, M.D., FAAPSandra Carbonari, M.D., FAAPRenae Vitale, LCSWRenae Vitale, LCSWMegin Coleman, BSNMegin Coleman, BSN
American Academy of American Academy of PediatricsPediatrics
Division of Children with Special Needs
The National Center of Medical Home Initiatives for Children with Special Needs
Children and Youth with Children and Youth with Special Health Care Special Health Care NeedsNeeds
Children (0-21 yrs) who exhibit or are expected Children (0-21 yrs) who exhibit or are expected to exhibit symptoms of a chronic illness for 12 to exhibit symptoms of a chronic illness for 12 months.months.
Chronic illness is defined as a medical, Chronic illness is defined as a medical, developmental, behavioral or emotional developmental, behavioral or emotional condition that requires care and related condition that requires care and related services of a type or amount beyond that services of a type or amount beyond that required by other children of the same age.required by other children of the same age.
CT Medical Home InitiativeCT Medical Home Initiative
Funding Sources:Funding Sources:
Maternal and Child Health BureauMaternal and Child Health BureauAuthorized under Title V of the Social Security ActAuthorized under Title V of the Social Security Act
Part of the U.S. Department of Health and Human Services, Part of the U.S. Department of Health and Human Services,
Health Resources and Services AdministrationHealth Resources and Services Administration
CT State Department of Public HealthCT State Department of Public Health
Medical Home InitiativeMedical Home InitiativeNorthwest CTNorthwest CT
The Core TeamThe Core Team
Project DirectorProject Director
Care CoordinatorsCare Coordinators
Parent PartnerParent Partner
Physician ChampionPhysician Champion
PC-MHPC-MH Patient –Centered Medical HomePatient –Centered Medical Home
An approach to providing An approach to providing comprehensive primary care for comprehensive primary care for children, youth and adultschildren, youth and adults
A health care setting that facilitates A health care setting that facilitates partnerships between individual partnerships between individual patients, and their personal patients, and their personal physicians, and when appropriate, the physicians, and when appropriate, the patient’s family.patient’s family.
Medical Home Definition
Primary care Family-centered partnership Community-based, interdisciplinary,
team-based approach to care Preventive, acute and chronic care Quality improvement
Medical home care is:
Accessible Family centered Coordinated Compassionate Continuous Culturally effective
Medical Homes: Integrated Health System
Patients and Families Primary Care Physicians Specialists and subspecialists Hospitals and Healthcare Facilities Public Health Community
Joint Principles of theJoint Principles of thePatient-Centered Medical HomePatient-Centered Medical HomeMarch 2007March 2007
American Academy of Family American Academy of Family PhysiciansPhysicians
American Academy of PediatricsAmerican Academy of Pediatrics American College of PhysiciansAmerican College of Physicians American Osteopathic AssociationAmerican Osteopathic Association
Medical Home Joint Principles
Personal physician Physician directed medical practice Whole person orientation Care is coordinated and/or integrated Quality and safety are hallmarks of a medical
home Enhanced access to care Payment appropriately recognizes the added
value
www.medicalhomeinfo.org
What we know about medical home care:
Family satisfaction increases Provider satisfaction increases Reduced ED use Reduced hospital days Reduced redundancy Reduced cost of care per child (CCHAP) Increase in immunization rates and
preventive care visits (CCHAP)