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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, [email protected]@uic.edu
Robert J. CookRobert J. CookFamily Liaison SpecialistFamily Liaison Specialist
[email protected]@uic.eduAngela PittsAngela Pitts
[email protected]@uic.eduShelly RoatShelly Roat
[email protected]@uic.edu
University of Illinois
