Keeps Kids Healthy!Keeps Kids Healthy!
““PREVENTIVE”PREVENTIVE”HEALTHHEALTH
CARECARE
What is Preventive Healthcare?What is Preventive Healthcare?
“Going to a health care provider on a regular basis when you are well in order to identify early or prevent problems and also to promote health by providing information on safety, nutrition, exercise, emotional health, physical health, etc.”
(well child care)
What is Child & Teen Checkups?What is Child & Teen Checkups?
• Preventive Healthcare benefit of Medical Assistance and MinnesotaCare for kids under 21 years old.
Children eligible in 2008
MN – 410,610
SLC- 15,971
Brief HistoryBrief History
Federal program EPSDT established in 1967 as preventive component of Medicaid
State Program MN DHS responsibility to oversee all
counties
County Program SLCPHHS (as part of a 4 county CHB)
has an administrative contract with MN DHS
Primary Goal of C&TC:Primary Goal of C&TC:
Prevent disease and detect treatable condition EARLY to avoid further serious health problems and more costly health services for children at higher risk than the general pediatric population.
Win-Win Situation:
Keep Kids Healthier & Keeps healthcare costs down.
Uses Public Health Model ~ Primary Prevention
Cornell U Study 2007Cornell U Study 2007
First longitudinal study on physiological effects of poverty in young children
The longer 13-year-olds live in poverty, the less efficient their bodies become in handling environmental demands.
Kids in poverty have a steeper life trajectory of premature health problems than other kids, regardless of their socioeconomic status in adulthood.
Ethnic/Racial Health DisparitiesEthnic/Racial Health Disparities
Populations of Color and American Indians continue to experience poorer health and disproportionately higher rates of illness and death in MN despite the health of the state.
Populations of Color in Minnesota – Health Status Report
Update Summary, Spring 2007
Center for Health Statistics, MDH
Common Well Child Common Well Child GuidelinesGuidelines in MN in MN
1) American Academy of Pediatrics- recommended for all children
2) Institute for Clinical Systems Improvement (ICSI)-recommended for children covered by private insurance
3) C&TC- recommended for children under 21
on MA/MNCare (established for kids at higher risk than general pediatric
population)
What is Included in a CTC?
Complete unclothed physical exam
Immunizations
Developmental and Social-Emotional evaluation
Vision & Hearing Screening
Growth Measurements
Labwork-
Oral Exam and verbal Dental Referral
Public Health RolePublic Health Role
• Assure the Quality and Accessibility of Health Services
• Essential local public health activities– Identify gaps in quality & accessibility of health care
services– Reduce barriers to health care access– Link people to needed services
• Statewide outcome– Increase the participation rate of MA / MinnesotaCare
enrolled children aged 0 to 21 in the C&TC Program
Child & Teen Check ups
• Help is available to find a provider, make appointments, find transportation, get an interpreter.
• Call your local Child & Teen Checkups Coordinator at your Local Public Health
Remember This…Remember This…
• Integrate C&TC Outreach in all appropriate contacts.• Remember preventive care concept for the entire
family • Help clients understand the importance of a primary
provider/medical home• Help parents find insurance if they are uninsured• Refer uninsurable to “free or sliding fee” health care• Incentives available from Health Plans
http://www.health.state.mn.us/divs/fh/mch/webcourse/