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Coordination/Communication Between Primary Care and Other Medical Home Partners

Communication and Marketing

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Medical Home Articles

Coordination/Communication Between Primary Care and Other Medical Home Partners

Communication and Marketing

Quality Improvement Tools

 

State Resources


Other pages on this website with tools to help MHLN team and community outreach to improve medical homes for children and youth with special health care needs and their families include:

Brochures, sample presentations, Child Health Notes on a variety of topics, and contacting MHLN staff or individual county teams to discuss in more detail particular community activities.

Medical Home Materials

Promoting Medical Homes for Children and Youth with Special Health Care Needs and their Families: September 2005. 

Results from interviews with 11 Medical Home Leadership Network team physicians. 

Washington Chapter American Academy of Pediatrics Spring 2006 "AFAAP's Fables"

Several articles on medical home. To see the full issue go to: http://wcaap.org/openSection/WCAAP_Fables_Apr2006.pdf adobe icon

Washington State Medical Home Plan pages

Coordination/Communication Between Primary Care and Other Medical Home Partners

NEW! Decision Tool – Child with Special Needs Referral Process

The Decision Tree is an easy-to-use diagram to help primary care providers, and other community health, education, and social service providers, quickly identify the key contact person(s) in their County who can help families of children with special needs access:

  • further developmental assessment and diagnosis
  • intervention services
  • and/or Care Coordination.

It is a template you can customize for your community. More info...

Medical Homes and

Communication and Marketing

H.E.R.E. in Washington (Health Education Resource Exchange)

Clearinghouse of public health education and health promotion projects, materials and resources in the State of Washington. This web site is designed to help community health professionals share their experience with colleagues around the state. http://www3.doh.wa.gov/here/

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National Resources

Medical Home Articles

Medical Home endorsements and policy statements from national organizations. (link)

The Safety Net Medical Home Initiative

The Commonwealth Fund, Qualis Health and the MacColl Institute for Healthcare Innovation at the Group Health Research Institute have launched an initiative to help primary care safety net clinics become high-performing patient-centered medical homes. The goal of the Safety Net Medical Home Initiative is to develop a replicable and sustainable implementation model for medical home transformation.  Visit the website information about what a medical home is and how to transform your clinic into a medical home.
www.qhmedicalhome.org/safety-net/index.cfm

The American Academy of Pediatrics' National Center of Medical Home Initiatives for Children with Special Needs

"Key 'Medical Home' Model Elements Hit the Market: More insurers are putting new money on the table to cut costs and improve care".  (article)

American College of Physicans, April 2006.
www.acponline.org/journals/news/apr06/medhome.htm

"No Place Like Home"

Guest written by Stephen C. Schoenbaum, M.D., M.P.H., Executive Vice President for Programs and Melinda Abrams, M.S., Senior Program Officer, Child Development and Preventive Care and Patient-Centered Care.   Commonwealth Fund Website.  Originally posted December 19, 2006.  Includes link to a Medscape General Medicine video editorial on medical homes by Steve Schoenbaum and links to selected reader comments.
www.commonwealthfund.org/aboutus/aboutus_show.htm?doc_id=434064


"Do You Have a Medical Home? Making Certain Your Child and Family Receive Coordinated, Comprehensive, Quality Health Care within a Medical Home." 

Dillon, A and McAllister, J W. EP (Exceptional Parent) Magazine, August 2006.  pp. 2228.

"Medical Homes for Children with Special Health Care Needs: Focus group discussions with families of children enrolled in a Title V Program" (Abstract)

Read D, Bryant J, Shrock R, Chaudry R, Bethell C. Abstract from the AcademyHealth Meet. 2003; 20: abstract no. 292.

http://gateway.nlm.nih.gov/MeetingAbstracts/102275272.html

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adobe acrobat icon = Adobe Acrobat file format. Help with PDF

Coordination/Communication Between Primary Care and Other Medical Home Partners

Strengthening the Community System of Care for Children and Youth with Special Health Care Needs and Their Families:  Collaboration Between Health Care and Community Service Systems

by Suzanne Bronheim, Phd.D. Georgetown University Center for Child and Human Development & Thomas Tonniges, MD, American Academy of Pediatrics. Summer 2004.  27 pages.

http://gucchd.georgetown.edu/72800.html

Focus:  Medical homes and organizing services for children and youth with special needs and their families so families can access them easily.

Excellent, practical resource with suggestions for how health care system representatives and representatives from the broader system of community services can:

  • become more aware of each other,
  • learn about the specifics of the other system
  • and communicate successfully to improve services for children and youth. 

Additional resources are given for the more complex steps of improving collaboration and developing shared leadership.

 

Enhancing Collaboration Between Primary and Subspeciality Care Providers for Children and Youth with Special Health Care Needs

by Richard Antonelli, M.D., Christorper Stille, M.D. and Linda Freeman, M.S. (2005)

This guide discusses the complementary roles of generalist and subspecialist physicians in providing coordinated and effective care for CYSHCN through a Medical Home. It emphasizes the centrality of family-professional partnerships and describes various models for collaboration among generalist and subspecialist physicians and families.  This guide can serve as a framework for discussion about how primary and subspecialty care physicians can work collaboratively to enhance the quality of care that CYSHCN and their families receive.

www.medicalhomeinfo.org/Publications/Downloads/Primary_Speciality_Collaboration.pdf

Tracking, Referral and Assessment Center for Excellence (TRACE)

Excellent resource. The major goal of TRACE is to identify and promote the use of evidence-based practices and models for improving child find, referral, early identification, and eligibility determination for infants, toddlers, and young children with developmental delays or disabilities who are eligible for early intervention or preschool special education.

Endpoints are are non-technical, user-friendly summaries of research syntheses. Recent articles include:

  • "Providing regular feedback to primary referral sources is more likely to result in sustained referrals"
  • "Formalizing informed clinical opinion assessment procedures is more likely to yield accurate results"
  • "Tailoring printed materials can help improve child find and increase referrals from primary referral sources"
  • " Keeping Physician Contact Simple and Focused Increases Referrals to Early   Intervention" (upcoming article)

TRACE Practice Guides include descriptions of methods and procedures for implementing evidence-based child find, referral, early identification, and eligibility determination practices.  Recent articles include:

  • "Improving Outreach to Primary Referral Sources"
  • "Providing Feedback to Primary Referral Sources"
 

Strategies for Integrating Developmental Services and Promoting Medical Homes

Addresses how the medical home concept contributes to the child health policy and practice improvement agenda of the MCHB/SECCS initiative. From the National Center for Infant and Early Childhood Health Policy. Report adobe acrobat (July 2005, 32 pages)

 

Communication and Marketing

Made to Stick: Why Some Ideas Survive and Others Die (2007)

by Chip Heath and Dan Heath. Random House.  Visit www.madetostick.com

Why Bad Presentations Happen to Good Causes: And How to Ensure They Won’t Happen to Yours.  

by Andy Goodman & Cause Communications

Free, practical, easy-to- read guide to understanding your audience and building a presentation that will engage your audience. funded and supported by multiple foundations including the Robert Wood Johnson Foundation. To order, or download copies of the book please visit www.agoodmanonline.com

Also available:

  • Why Bad Ads Happen to Good Causes

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Quality Improvement Tools

NICHQ Medical Home Learning Collaboratives


The National Initiative for Children’s Healthcare Quality, Inc. (NICHQ) with support from the US Maternal and Child Health Bureau ran two National Medical Home Learning Collaboratives. These fifteen-month programs helped facilitate the improvement of care for the growing population of children and youth with special health care needs by:

  • Implementing and disseminating the Medical Home concept in a significant number of practices (3 practices in each of 10 States) and
  • Building capacity for state Title V programs to promote, sustain, and spread improvements after the completion of the project period.

NICHQ produced a Final Report (2006) (57 pages, PDF adobe acrobat icon ) summarizing their lessons learned in the most effective ways to increase the degree of "medical homeness" within individual medical practices as well as strategies to promote Medical Home model implementation on a statewide basis. 

Tools and forms developed or highlighted during the collaboratives include:

More information about the Medical Home Learning Collaboratives

Medical Home Tools from the Center for Medical Home Improvement: The Medical Home Index and The Family Index

www.medicalhomeimprovement.org/pdf/Benchmark-MHI_Family-MHI.pdf adobe acrobat reader

For more information about these tools and the work of the Center for Medical Home Improvement, please go to the CMHI's website

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More QI Medical Home tools

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