monitoring healthy people 2010 outcome objectives illinois perspective on medical home national...

Monitoring Healthy People 2010 Outcome

Objectives

Illinois Perspective on Medical HomeNational Survey

Children With Special Health Care Needs

University of Illinois

Outcome Objectives

6 Core outcomes 5 outcomes measured on survey…except

screening of all children for special health care needs.

Basis for monitoring progress over the coming decade

Criteria developed to meet each outcome Questions on survey chosen to correlate with

criteria

Outcome ObjectivesAll children with special health care

needs will receive coordinated ongoing comprehensive care within a medical home.

Medical Home

Criteria… 1. Child has a usual source of care for sick

care and routine preventive care (Q37 and Q40/41).

 2. Child has a personal doctor or nurse (Q42). 3. Family experiences no problems in obtaining

referrals from specialists when needed (Q64). 

Medical Home

Criteria… 4 When needed, child's doctors and other health

care providers do an excellent or very good job of communicating with each other (Q69).

 5. When needed, child's doctors and other health

care providers do an excellent or very good job of communicating with child's early intervention program, school, child care providers, or vocational rehabilitation program (Q70).

Medical Home

Criteria…

 6. Child's doctors and other health care providers usually or always spend enough time with the child (Q75), listen carefully (Q76), are sensitive to family's values and customs (Q77), provide needed information about child's care (Q78), and make family feel like a partner in child's care (Q79).

Medical Home

How will Illinois interpret…

The Medical Home?

Spectrum of Care

Some A lot

25 200

Degree of “Medical Homeness”

W. Carl Cooley, M.D. – Medical Home Index – Nat’l Data

Mean score for pediatric practices

…not an all or none phenomenon

Medical Home

Spectrum of Care

Some A lot

25 200

Degree of “Medical Homeness”

W. Carl Cooley, M.D. – Medical Home Index – Nat’l Data

…not an all or none phenomenon

Medical Home

Median score for pediatric practices

Degree ofMedical Homeness

Low Priority

High Priority Foundation

Pillars

Elements

Family-Professional Partnership – The primary care provider (PCP) and medical subspecialists share a trusting, collaborative relationship with the family. Parents are comfortable sharing concerns and questions with the PCP. The parents routinely communicate their child's needs and family priorities to the PCP, who facilitates communication between family and subspecialists when necessary. This relationship forms the foundation for the PCP's written Care Plan that is jointly developed and shared with the family. Short term and long-term goals are set, with detailed plans for follow-up and reassessment.

Foundation

• Will use this tier to report on the annual Block Grant • Qualitative measure

• DSCC will reimburse MHPs for care coordination activities related to this tier of the pyramid

Foundation

Medical Home Structure“Treatment Team”

Cardiologist

ENT

Orthopedist

Neurologist

Urologist

OT

PT

Speech

IEP-RelatedServices

Pillars

Critical SupportingElements

Care that is: Accessible Family-Centered Comprehensive Continuous Coordinated Compassionate Culturally-

competent

Shares Responsibility

and for which the PCP:

Pillars

Foundation…taken from W. Carl Cooley’sMedical Home Index tools.

Other Essential Elements

Database designator

Senior volunteer program

Valet parking Pre-visit survey Bulletin board Lending library

Special addition newsletter

Telephone consult

Review of care plan

Access to internet DSCC referral Additional

reimbursement

Medical Home involves the whole office staff

Additional ideas and suggestions

Develop a mission statement for the office

Chart identification Designate staff to

act as care coordinator

Use of email for information exchange

Contact person within the office

Build a team w/ parent input

Written materials are available in languages that rep. the comm.

Parents teach at brown bag lunch seminars

www.uic.edu/hsc/dsccwww.uic.edu/hsc/dscc

Charles N. Onufer, M.D.Charles N. Onufer, M.D.cnonufer@uic.educnonufer@uic.edu

Robert J. CookRobert J. CookFamily Liaison SpecialistFamily Liaison Specialist

rjcook@uic.edurjcook@uic.eduAngela PittsAngela Pitts

ampitts@uic.eduampitts@uic.eduShelly RoatShelly Roat

sgroat@uic.edusgroat@uic.edu

University of Illinois