1 / 59

Workshop E-6

Workshop E-6. Building Momentum For Family-Centered Medical Homes Moderator: Jeffrey Lobas, MD, FAAP. AMCHP Conference 2006. Workshop E-6. Session Objectives. 1) Increase understanding of Medical Home concept 2) Examine how the Medical Home applies to ECCS components

libby
Download Presentation

Workshop E-6

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Workshop E-6 Building Momentum For Family-Centered Medical Homes Moderator: Jeffrey Lobas, MD, FAAP AMCHP Conference 2006

  2. Workshop E-6 Session Objectives 1) Increase understanding of Medical Home concept 2) Examine how the Medical Home applies to ECCS components 3) Identify steps for integrating Medical Home and ECCS activities AMCHP Conference 2006

  3. Workshop E-6 Session Objectives 3) Assess how use of Medical Home Family Story Videos can build capacity in implementing Medical Homes in communities 4) Discuss ways that health professionals and families can support improved outcomes for young children AMCHP Conference 2006

  4. Workshop E-6 ECCS Purpose: To support State Maternal and Child Health Agencies and their partner organizations in collaborative efforts to strengthen the State's early childhood systems of services for young children and their families. • Access to medical homes for all children • Mental health and social-emotional development • Early care and education services • Parent education • Family support services AMCHP Conference 2006

  5. Workshop E-6 Medical Home ...“a headquarters for care” that includes • a person as the usual source of care as well as • a place AND a process for the anticipation, coordination, and provision of care that is: • accessible • family-centered • continuous • comprehensive • coordinated • compassionate and • culturally-effective Cooley, et al. The Medical Home Index: Development and Validation of a New Practice-level Measure of Implementation of the Medical Home Model. Ambulatory Pads 2003;3:173-180. AMCHP Conference 2006

  6. Workshop E-6 With a Medical Home Medical Specialists Community Resources and Agencies Religious/ Spiritual Support Child and Family Parent Support Services Mental Health Services Financial Assistance AMCHP Conference 2006

  7. Workshop E-6 Without a Medical Home Medical Specialists Community Resources and Agencies Religious/ Spiritual Support Child and Family Parent Support Services Mental Health Services Financial Assistance AMCHP Conference 2006

  8. Workshop E-6 AMCHP Conference 2006

  9. Medical Home Works! Hawaii Medical Home Family Stories Hawaii Medical Home Implementation Project Sharon C. Taba, MEd Lynn B. Wilson, PhD AMCHP Conference 2006

  10. Medical Home Works! Hawaii Genesis of Medical Home Family Stories • Identified need for family-centered Medical Home curriculum • Offered community-based ‘picture’ of Medical Home partnerships: families, physicians, and community agencies working together • Interviewed physicians & families of children who are medically fragile for 3 video stories • Created 15 minute template AMCHP Conference 2006

  11. Medical Home Works! Hawaii Hawaii State Department of Health ECCS Goals for Medical Home • Promote Medical Home • Promote timely developmental screening • Strengthen parent/family support to keep “keiki” safe • Apply Medical Home in piloting transitional housing AMCHP Conference 2006

  12. Medical Home Works! Hawaii Introduction to DVD Videos & Bryan’s Story • DVD contents: videos, 3 inserts, evaluation, additional materials accessed by computer • Insert contents: MH partners, Dr’s notes, learning points • Bryan’s Story: child & family, physician, Head Start, inter-professional team AMCHP Conference 2006

  13. Medical Home Works! Hawaii Questions for Viewing • What worked well, what didn’t work well in the Medical Home? • What are issues and barriers to making Medical Home partnerships work? • How can we advocate for Medical Home within our state programs, e.g., MCH, ECCS? AMCHP Conference 2006

  14. Medical Home Works! Hawaii Bryan’s Story AMCHP Conference 2006

  15. Medical Home Works! Hawaii Producing Medical Home Family Stories • GOAL: create ‘learner centered’ process- oriented curriculum • GOAL: create videos to focus on what Medical Home partnerships look like • Criteria for selecting families and physicians • Criteria for selecting Medical Home issues in each video AMCHP Conference 2006

  16. Medical Home Works! Hawaii Medical Home Family Stories Evaluation Results • Focus groups & written evaluation strategies- local, national, international • Very positive responses from families and trainers • Luke-warm responses from community pediatricians and pediatric training faculty • Need for broader family-centered stories focused on the Medical Home concept AMCHP Conference 2006

  17. Medical Home Works! Hawaii Recommendations for Use of Videos from Evaluations • Train new professionals • Increase families’ understanding of the possibilities of Medical Home at the service level • Build capacity among community professionals • Provide inter-professional training environments AMCHP Conference 2006

  18. Medical Home Works! Hawaii Mahalo & Aloha! sharontab@kapiolani.org lynn@webfishpacific.com AMCHP Conference 2006

  19. Workshop E-6 Virginia Early Childhood Comprehensive Systems Grant Colleen Kraft, M.D., FAAP AMCHP Conference 2006

  20. Workshop E-6 Learning Objectives • Functional explanation of Medical Home to our state collaborative partners • Promotion of Medical Home principals, values, and components within a state plan • Integration of child health with other child values and responsibilities within our state AMCHP Conference 2006

  21. Workshop E-6 Early Childhood Success • Nationally it has been estimated that 25-40% of children are not ready to be successful in kindergarten AMCHP Conference 2006

  22. Workshop E-6 Challenges for Parents/Families in Virginia • 31% percent of births are to single mothers • 17 of 1000 births are to a 15-17 year old mother • 13% of children live in poverty AMCHP Conference 2006

  23. Workshop E-6 Challenges for Families • 62% with both parents working • 68% women and 85% men working AMCHP Conference 2006

  24. Workshop E-6 Factors Predicting Child Success • Family psycho-social factors (depression, domestic violence) • Quality of early education experiences • Parent-child attachment AMCHP Conference 2006

  25. Workshop E-6 Factors Predicting Child Success • Prenatal-Postnatal health • Parents promoting early learning • Family economic security AMCHP Conference 2006

  26. Workshop E-6 Research and scientific evidence supports the following six points: • Learning begins at birth • Children need to be healthy in order to be ready to learn • School readiness is multidimensional AMCHP Conference 2006

  27. Workshop E-6 Research • Failure to start school healthy and ready to learn is expensive • Quality out of home care matters • Investment in early years pays off AMCHP Conference 2006

  28. Workshop E-6 Virginia’s Response to the Issues • Five year planning and implementation initiative from the federal Maternal and Child Health Bureau • Goal: Build a comprehensive state early childhood system AMCHP Conference 2006

  29. Workshop E-6 Virginia’s Goal • Coordinate • Integrate • Improve access and quality • Health • Early Education and Child Care • Parent Support and Education • Behavioral Health AMCHP Conference 2006

  30. Workshop E-6 Medical Home • Structure and Process of Care • Headquarters for care • Primary prevention/immunizations/well care • Care for routine and chronic illness • Coordination • Families feel welcomed and engaged • Link to community resources AMCHP Conference 2006

  31. Workshop E-6 Medical Home • Access • Family-Centered • Continuous • Comprehensive AMCHP Conference 2006

  32. Workshop E-6 Medical Home • Coordinated • Compassionate • Culturally Effective AMCHP Conference 2006

  33. Workshop E-6 Medical Home • Continuity as children move from Early Intervention to School, between schools • Promotion of: • State Regulation • Skill Mastery • Positive Emotional Tone • Assistance with Negative Affect • Pro-social skills AMCHP Conference 2006

  34. Workshop E-6 Medical Home Workgroup • American Academy of Pediatrics as lead • Title V • Early Childhood, VDH • Voices for Virginia’s Children • Children’s Hospital • Community non-profit organizations AMCHP Conference 2006

  35. Workshop E-6 Medical Home Workplan • Access to primary care • Insurance • Medicaid • Many areas of the state without care for children • Access to subspecialty care • Coordination of care with non-clinical needs • Inclusion of behavioral health AMCHP Conference 2006

  36. Workshop E-6 Approach to the issue • Build a system of support • State and Local levels • Strategic Fiscal Planning • Reduce Risks • Early Intervention for problems • Integrate services AMCHP Conference 2006

  37. Workshop E-6 Approach to the issues • Integrate issues as they relate • Economic security as a health risk • Poor health as an education risk AMCHP Conference 2006

  38. Workshop E-6 How This Guided the VECCS Process AMCHP Conference 2006

  39. Workshop E-6 VECCS Grant Goals Support State Maternal and Child Health Agencies and their partner organizations in collaborative efforts to strengthen the State’s early childhood system of services for young children and their families. AMCHP Conference 2006

  40. Workshop E-6 VECCS goals Develop and implement a state strategic plan that includes four grant component areas: 1. Medical Home 2. Early Care and Education 3. Parent support and education 4. Behavioral Health AMCHP Conference 2006

  41. Workshop E-6 Strategic Planning Activities Planning Phase May 2004 State planning meeting to create a vision, governance structure, identify critical issues Environmental Scan 2004-2005 Work groups Develop plans around 5 components October 2005 State Meeting: Discuss Overall Plan, Integrate 5 work group plans into a single plan Fall 2005: Completed State Plan

  42. Workshop E-6 Vision: Virginia’s Early Childhood Investment: Creating a system for healthy, successful children.Mission: Implement a comprehensive early childhood system that promotes the health and well-being of young children, enabling them to enter school ready and able to learn. AMCHP Conference 2006

  43. Workshop E-6 Environmental Scan: What We Have Learned • Support more family and parent involvement within systems development efforts AMCHP Conference 2006

  44. Workshop E-6 What We Have Learned • Public information and engagement in process • Community-based systems of care • Integration looks different in different communities AMCHP Conference 2006

  45. Workshop E-6 What We Have Learned • System Oversight • Maintain momentum toward an integrated system • Data and Evaluation • Accountability for public investment • Sustainability of system AMCHP Conference 2006

  46. Workshop E-6 What have we learned? • Early Childhood Education • Quality • Access • Affordability • Funding • Child Health/Medicaid • Early Education AMCHP Conference 2006

  47. Workshop E-6 Overall Plan: Integrating the Four Work Plans Consider how individual plans fit together to create and overall plan AMCHP Conference 2006

  48. Workshop E-6 Planning Phase Workgroups: Focused on 4 Components AMCHP Conference 2006

  49. Workshop E-6 Integration • Review of common themes • Areas of collaboration between plans • Areas not addressed within plans AMCHP Conference 2006

  50. Workshop E-6 Integration • Commitments from individuals and agencies • Inclusive process AMCHP Conference 2006

More Related