School-Based Health Centers

1. School-Based Health Centers Patient-Centered Medical Homes – A True Community Partnership

2. Objectives for today… • The Participant will be able to describe seven basic attributes of a patient-centered medical home. • The Participant will be able to evaluate their SBHC’s readiness to participate in a medical home model of care. 1 2 3 • The Participant will be able to define at least three short-term actions SBHCs must take to become integral member of their student’s health care delivery team.

3. Workshop Agenda • PART ONE • What is a Patient-Centered Medical Home & Why Do I Care? • Participant Exercise • PART TWO • Can my SBHC participate as a Medical Home? • Participant Exercise • PART THREE • What are the critical success factors for SBHCs to participate in Patient-Centered Medical Homes?

4. medical homes –why should an SBHC care?

5. Why should an SBHC care about medical homes? • The Medical Home Model is being adopted by both public and private payors as a means of providing cost-effective quality care • Accountable Care Organizations are forming to provide comprehensive care to communities through a variety of medical homes • SBHCs have focused on cost effective quality and PREVENTIVE health services for a long time • If an SBHC is not participating within their community’s health care delivery system, they will be limited to a first-aide/urgent care model of care

6. Evolution of Medical Home Handout Pages 2 - 5

7. Participant Exercise & Discussion • Is your State implementing a medical home model? • How does an SBHC find out how to participate in a medical home model in their state?

8. What Actions Should You Take To Find Out About Medical Homes? • Audience responses

9. Is there a State mandate for medical home? NO YES Is there a State initiative focused on implementation of Health Care Reform? YES • Participate in state meetings to assist in the development of state-specific medical home standards or requirements • Conduct a Gap Assessment of any proposed medical home standards to the SBHC models in your state • Analyze any steps necessary for SBHCs to participate in the state medical home model. • Provide technical assistance to SBHCs regarding key actions they must take to participate in the medical home model. Medical Home Implementation Monitoring NO Is the State Medicaid program considering implementing a medical home pilot? YES NO Are any SBHC Payors (Medicaid Managed Care or Others) considering implementing a medical home model? YES NO KEEP THE MEDICAL HOME MODEL ON YOUR RADAR BY MONITORING NATIONAL TRENDS AND/OR STATE INITIATIVES BUT NO IMMEDIATE ACTION IS NECESSARY

10. How Do I know if my sbhc can participate in the medical home model?

11. Core Principles of Patient-Centered Medical Home • Access • Continuity • Care Coordination • Population Health • Evidence-based • Process Improvement Handout Pages 6 & 7

12. Participant Exercise • Conduct a “Gap” Assessment of your SBHC’s ability to meet the Medical Home standards – See, Handout • Do you see opportunities? • Do you see challenges?

13. What Actions Should You Take To Position Your SBHC to Participate in Your State’s Medical Home Initiative? OPPORTUNITIES CHALLENGES Audience Responses • Audience responses

14. Critical Success Factor: Community Partnerships

15. Critical Success Factor: Electronic Health Records

16. Critical Success Factor: Data Collection & Analysis

17. Managed Care vs. Medical Home Managed Care Medical Home Prevention Whole person Community Physician is “navigator” and “coordinator” • Disease-state management • Episodic • Manage chronic conditions • Physician as “gatekeeper”

18. For more information… • Oregon SBHC State Program Office http://www.oregon.gov/DHS/ph/ah/sbhc/ sbhc.program@state.or.us 971-673-0249 • Oregon School-Based Health Care Network http://www.osbhcn.org 503-813-6400