1 / 12

Transition for Youth with Special Health Care Needs: How Do We Get this Done?

Transition for Youth with Special Health Care Needs: How Do We Get this Done?. Richard C. Antonelli, MD, MS Medical Home Advisor Healthy & Ready to Work National Resource Center Topical Call: May, 2008. What Are The Issues?. Capacity Training Communication Changing Roles of Youth

nituna
Download Presentation

Transition for Youth with Special Health Care Needs: How Do We Get this Done?

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. Transition for Youth with Special Health Care Needs: How Do We Get this Done? Richard C. Antonelli, MD, MS Medical Home Advisor Healthy & Ready to Work National Resource Center Topical Call: May, 2008

  2. What Are The Issues? • Capacity • Training • Communication • Changing Roles of Youth • Financing Mechanisms • Professional Culture and “Traditions”

  3. Pediatric Model for YSHCN Family National Family to Family KASA Youth Pediatric PCP Community Based Partners Title V Vocational Rehabilitation Avocation Education (K-12 & post secondary) Pediatric SP Medical Dental Behavioral

  4. Pediatric to Adult Systems of Care: Current Family Family to Family KASA Youth Pediatric PCP Adult PCP Pediatric SP Medical Dental Behavioral Adult SP Medical Dental Behavioral Community Based Partners Title V Vocation Avocation Education

  5. Pediatric to Adult Systems of Care: Possibilities Family Family to Family KASA Youth Pediatric PCP Co-Management Adult PCP Pediatric SP Medical Dental Behavioral Adult SP Medical Dental Behavioral Community Based Partners Title V Vocation Avocation Education

  6. Strategies • Outreach and Education • Youth, families, pediatric, and adult providers • Primary Care and Subspecialty • Advocacy - Title V and Other Policy Makers - Link with payers (incentives including P4P)

  7. Remember These Strategies!!!!! • Encourage use of Care Plan Oversight CPT Codes • You can use administrative data to track progress and may lead to reimbursement • Remove Administrative and Financing Barriers for cross-specialty co-management • This will support education, capacity-building, and sustainability

  8. The Ultimate Outcome: Transition to Adulthood Richard C. Antonelli, MD, MS, FAAP Medical Home & Transition HRTW Medical Advisor Chief, Division of Primary Care Dept of General Pediatrics Connecticut Children's Medical Center Head, Division of Academic General Pediatrics Univ of Conn, School of Medicine richantonelli@hrtw.org

  9. HRSA/MCHB funded National Centers (6) HEALTH & TRANSITION www.hrtw.org Healthy & Ready to Work National Resource Center 2. MEDICAL HOME www.medicalhomeinfo.org National Center on Medical Home Initiatives 3. FAMILY PARTNERSHIP www.familyvoices.org National Center on Family and Professional Partnerships Resources-01

  10. HRSA/MCHB funded National Centers (6) 4. CULTURAL COMPETENCEhttp://www11.georgetown.edu/research/gucchd/nccc/ National Center for Cultural Competence 5. HEALTH INSURANCE http://www.hdwg.org/cc/ Catalyst Center – for Improving Financing of Care for CYSHCN 6. DATAwww.cshcndata.org Data Resource Center National Survey for CSHCN Resources-02

  11. HEALTHY & READY TO WORKwww.hrtw.org HRTW Portable Medical Summary - One page summary of health needs that youth or others can carry. Information contains medical history, current medication, name of health surrogate, health insurance numbers, contact information for treating doctors, pharmacy, home health and other vendors. Understanding Health Insurance - Web links to Choosing a Plan, Paying for Care, Public Insurance, Private Insurance, Policy / Advocacy Centers and Insurance Regulations, Laws and Statutes. Decisions & Making Choices - Web section contains information of Informed Decision Making, Assent-Consent, Guardianship, Living Wills and Advance Directives. Resources - 03

  12. Resources - 04 HRTW Portal - Laws that Affect CYSHCN http://www.hrtw.org/tools/laws_leg.html • The Term Special Health Care Needs or Disability • Disability Rights Portals • Education Issues • Employment & Disability • Equal Opportunity Access (504, 508 & ADA) • Family Medical Leave Act • HRSA/MCHB – Title V Legislation • Health Insurance Benefits • SSI/SSDI

More Related