Community Activities – Central
Benton-Franklin County
Team contact list
| County CSHCN Data (Benton)  |
County CSHCN Data (Franklin) Recent and Upcoming Activities
- Community Medical Home Leadership Network team members and advocates for children and youth with autism and other special health needs are participating in a state Community Asset Mapping (CAM) pilot to improve early identification and diagnosis of children with special needs. A group of community leaders met Feb 11, 2011 to explore how families, health care providers, public health, early intervention, early childhood education and the schools are identifying children at risk for autism and other developmental disabilities. Participants looked at what resources were available in the community to further screen and evaluate these children and where the gaps were.
- An outcome of the February CAM meeting, is that the Benton-Franklin Children and Youth with Special Health Care Needs (BF_CYSHCN) listserv has been set up to facilitate conversation and resource sharing among interested families, health care providers, school personnel, early childhood providers and other interested professionals. The focus of the listserv is all children and youth who may have medical or developmental concerns, including autism, in Benton and Franklin Counties. To subscribe, please email Carla Prock at the Benton-Franklin Health District
(carlap@bfhd.wa.gov)
or Kate Orville (orville@uw.edu) at the University of Washington.
- Public Health nurses share medical home website bookmarks and brochures with families who have children with special needs to help them get the most out of their partnerships with their primary care providers.
Past Activities
- Developed a laminated resource guide for doctors with information on how to access services for children with special needs with just one phone call.
- Presentations to physicians over lunch or breakfast.
- Individual members on the team are part of a behavioral health network looking at children’s behavioral health. Developed a child resource team so when there is a child with behavioral issues that no one knows what to do with, child resource team meest as a group, discusses all the options and comes up with a plan. Also involved with the Three Rivers Wrap-around Project patterned after the Milwaukee Wrap Around. Funded by agencies who are blending existing funding to support flexible wrap around services for children with behavioral needs and their families.
Other Medical Home-related Activities
- The Benton-Franklin Community Health Alliance has an innovative approach to healthy systems and has been a force for general health improvement in the community, working in fields including Access to Health Care, Oral Health, Domestic Violence, Work Force, Mental health, Food and Fitness and Tobacco Use. The Alliance has had a particular focus on children.
- One branch of the Alliance, the Benton-Franklin Access to Care Program, is addressing the shortage of primary care, mental health care and dental care through a coordinated approach to providing the uninsured with access to health care. Uninsured residents are put in touch with a "primary care home", case management services, and free or low-cost medications and resources.
- The Washington Health Foundation honored the accomplishments of the BF Community Health Alliance by giving it the 2006 Healthy Systems Heroes of Health Care Award. The Award is reserved for an entity that is making strides at the systemic level to improve health for large segments of the population.
Chelan-Douglas County
Team contact list
| County CSHCN Data (Chelan)
|
County CSHCN Data (Douglas)
- Dr. Phil Milnes is the regional trustee for the Washington Academy of Pediatrics and active in this organization.
Douglas County (see Chelan-Douglas)
Franklin County (see Benton-Franklin)
Grant County
Team contact list
| County CSHCN Data Recent and Upcoming Activities
- Parent to Parent Coordinator for Grant and Adams County joined team
- Parent to Parent Coordinator and Adams County MHLN team parent gave a medical home presentation to the local parent support group for Spanish-speaking families
Past Activities
- Shared medical home tool kit; working on individualizing
it for the county
- Worked on updated list of resources and referrals
- Meetings with schools and physicians to coordinate care
- Shortages of pediatric physical therapy and speech therapy
services. Provided training to adult physical therapists to enable them to take
pediatric clients.
Other Medical Home-related Activities
- Grant County was one of the WISE grant integrated services pilot sites and addressed care coordination for young children with special health care needs. This activity blended well with medical home activities.
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Kittitas County
Team contact list
| County CSHCN Data Recent and Upcoming Activities
- Team in transition with personnel changes
Past Activities
- Distributing Child Health Notes- Notes are distributed as part of the health department bimonthly newsletter. (www.co.kittitas.wa.us/health/CommunityHealth.PDF)
- Interested in promoting using of EPSDT Medicaid well child forms.
- Interested in oral health outreach
- Put together Medical Home Tool Kits for local doctors.
CSHCN Coordinator developed a list of what supplies you need to
put together your own tool kit which could save time for others
who want to do the same thing.
- Wrote successful grant to Ronald McDonald house charities
in Spokane to purchase hearing and screening equipment.
- Lead FRC team member also works for Head Start. This team
member received successfully applied for a grant from Washington
State Bright Futures to promote medical home among Head Start parents.
- Collaboration with the state Early Hearing Loss Detection, Diagnosis and Intervention (EHDDI) program.
Other Medical Home-related Activities
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Walla Walla County
Team contact list
| County CSHCN Data Recent and Upcoming Activities
- Very active team that meets every other month.
- Focus for 2009-11 has been on improved early identification of children with autism and other developmental disabilities. The team sponsored Walla Walla participation as a Community Asset Mapping pilot site to identify how the community is identifying children who may have autism or other developmental disabilities and how they receive additional screening and evaluation if necessary.
- In July 2010, Cindy Carroll and Jackie McPhee, both Yakima MHLN team members, presented MCHAT training to 80 local providers. This focused screener is now being used widely in the community.
- Dr Glenn Tripp,
Medical Director, Developmental Services at
Mary Bridge Children's Hospital and Health Center in Tacoma gave a series of talks to medical providers, school personnel, and parents in Walla Walla on October 7-8th. As a result of these talks, Walla Walla has much improved dialogue between the medical providers and the local school district. They are actively working on various different ‘road maps’ for their community including:
-One page summery document being created by the school district of the testing that has been done with a child so the PCP has that information in a concise way
-Developing an algorithm to show how a child with a suspected delay progresses through the community systems to a diagnosis
-Road map’ for parents using the Road Map to Services brochure created by the WA State Division of Developmental Disabilities as a template.
- Dr. Linda Ivy, a licensed clinical psychologist has joined the Walla Walla MHLN team and is heading the formation of a diagnostic team locally. The Walla Walla School District is negotiating a contract with Dr. Ivy to work with local school personnel to provide team autism evaluations to children in the Walla Walla School District.
- MHLN team work on CAM has also led to interest in exploring whether Walla Walla could develop a Children’s Village similar to the Yakima Children’s Village to provide a coordinated service approach to meeting the needs of all children with special needs in the area. A broad-based workgroup is now meeting monthly to explore this option. Parents have been an integral part of all these efforts.
- The MHLN team is also supporting the Eastern Washington ASD support group with some of the team members attending these meetings.
Past Activities
- Collaborated with Seattle Children's Hospital and the UW Center on Human Development and Disability on the development and distribution of a new Child Health Note on newborn hearing screening.
- Newborn hearing screening awareness and follow up activities in the
community in collaboration with state Early Hearing Loss Detection, Diagnosis and Intervention (EHDDI) program
- Identified community needs- what works well and what we need to work on next
- DistributedChild Health Notes to community providers.
Other Medical Home-related Activities
- The Family Medical Clinic in Walla Walla (affiliated with the the Yakima Valley Farmworkers' Clinic network) participated in the 2003-04 Children's Preventive Healthcare Initiative (CHPI). The CPHI was sponsored by the WA State Medical Assistance Administration, in collaboration with 5 health care plans participating in Medicaid Healthy Options. Family Medical Clinic used the state well child form to increase their Well Child Care (WCC) visit rates. In addition, they determined the most successful outreach method for scheduling immunization appointments for children 0-35 month.
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Yakima County
Team contact list
| County CSHCN Data Community Description (Champions for Inclusive Communities)
Current and Upcoming Activities
- Yakima MHLN team members have been very involved as members of the WA State Combating Autism Advisory Council (CAAC).
- The team and community colleagues have been using elements of the CAAC's Community Asset Mapping (CAM) pilot process on their own. The purpose of CAM is to help communities outline how local children who have autism and other developmental concerns currently get identified and how the community can work together to help children get screened and diagnosed earlier. Yakima has a multidisciplinary diagnostic team for Autism at Children’s Village. Dr. Diane Liebe, Jackie McPhee and other medical home partners have used the CAM Tiers to Autism Diagnosis pyramid model to do key informant interviews throughout the Yakima community. The group interviewed representatives from many organizations including: Childfind (ESD 105), Foster Care, primary care, public health nurse home visitors, Early Headstart/Headstart/Migrant Headstart, child care providers, Children’s Village Early Intervention Program, Yakama Nation, and Project Launch. Based on the findings, trainings covering child development, autism screening and how to refer for further evaluation are being provided spring 2011 to early learning providers, the Yakama Nation Head Start and tribal members, and professionals associated with Children’s Village.
- Dr. Diane Liebe, Medical Director for the Children’s Village applied for and received a 2010 American Academy of Pediatrics CATCH Planning grant entitled “Promoting Universal Developmental Screening”. Yakima MHLN team members Dr. Liebe and Jackie McPhee have met monthly with an active local workgroup and State Dept of Health and UW Medical Home Project partners as they carried out a number of activities to explore the barriers and possible solutions to universal developmental screening for young children in Yakima.
Dr. Liebe, who has received several CATCH planning grants, reflected at the last official CATCH meeting March 1 that this has been the most successful CATCH planning grant she has experienced. Final documents and products for this activity include: Provider Developmental Screening Survey and Results, Child Care Provider and Parent Developmental Screening Focus Group Findings, Community Asset Mapping and Key Informant Interviews and Summary.
- More information on the CATCH grant and Provider Developmental Screening Survey results are in the 2010-11 MHLN Newsletter.
Past Activities
- The MHLN team provided many presentations to community providers on the Medical Home and resources available to support families and providers.
- Team received a small grant from the Washington State Early Hearing Loss Detection, Diagnosis and Intervention (EHDDI) programto do follow up for early screening for hearing loss.
- Team developed local autism diagnostic team to address gaps in the community for families of children with suspected autism spectrum disorders. Autism diagnostic team includes a local pediatrician, a physical therapist, an occupational therapist and a behavioral specialist. for children with pervasive developmental disorders.
- Held focus groups with Spanish-speaking families in Yakima who had children with special needs exploring what works with medical homes for them, what could be better, how to share information about medical homes, and barriers to accessing a medical home.
- MHLN team collaborated with state MHLN staff on the development and printing of a medical home brochure for families in both English and Spanish.
- Team physician received a AAP CATCH Planning grant in 2001 for "The Learning Clinic." The Clinic helps children underachieving in school, through comprehensive assessments, to determine reasonable and effective strategies to aid the child in the classroom setting.
- The team physician also used a 1996 AAP CATCH Planning grant - "Behavioral Assessment Team" - to put together a behavioral assessment team, which is still in place and functioning at Children’s Village. The Behavioral Assessment/Treatment Clinic provides comprehensive evaluations of challenging behaviors in children ages birth to twelve. Evaluations are followed by an intervention plan for home, school and community.
- Interested in collaborative approaches to treatment for childhood obesity
Other Medical Home-related Activities
- Yakima is one of two early learning demonstration communities in WA chosen by Thrive By Five. Key components of the pilots include: 1) Expansion of home-based support services such as home visiting programs for newborns and their families, promotion of early literacy and strong attachments at home, and family support programs.
2) Expansion of parent and community education, including building a greater awareness of children's development, positive parenting, and the importance of quality early learning. 3)
A model child care center.
- Current Foundation for Early Learning grants in Yakima:
1) "Strengthening evidence-based practice at Children's Village." Focus on strengthening an Early Learning Continuum of Care to: a) Plan and develop a continuum of care to facilitate, identify, coordinate, and fund current and new services around Early Learning for families at risk in Yakima County and 2)
Provide innovative mental health, Early intervention and Nurse Family Partnership and other services that fill acute needs of families at risk.
2) " Yakima Parent Child Home Program" PCHP Home Visitors are being trained to do screenings and provide family support services that are not presently available. Home Visitors will provide basic health status screenings (vision and hearing, developmental screening, etc.) as well as provide families with immunization reviews and encourage parents to obtain physical and dental examinations for their children.
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Yakima was one of the WISE grant integrated services pilot sites, and through work at the Children’s Village is addressing the issue of blended funding for young children with special health care needs.
- Four county primary care clinics participated in the 2003-04 Children's Preventive Healthcare Initiative sponsored by the WA State Medical Assistance Administration, in collaboration with 5 health care plans participating in Medicaid Healthy Options. Yakima Pediatric Associates focused on successful outreach methods for scheduling well child visits and Body Mass Index (BMI) as a way for providers to discuss obesity issues with parents and make appropriate referrals. Three medical/dental clinics in the Yakima Valley Farmworkers network participated. All 3 used the state well child form to increase Well Child Care (WCC) visits rates. In addition, the Grandview YVFW Clinic looked at testing advance advanced access scheduling to increase the number of WCC visits, the Toppenish YVFW Clinic verified the accuracy of data entered into ChildProfile and also determined the most successful outreach method for scheduling immunization appointments for children 0-35 months; and the Yakima YVFW Clinic looked at how to identify and schedule children due for immunizations.
- The Children's Village was created by local organizations as a regional integrated care center for children with special health care needs and their families, with multiple service providers all under one roof. Children's Village opened the Yakima, WA site in 1997 and a satellite site in Sunnyside, WA in 1999. The integration of education, medical, dental, mental health, and family support services for children with special health care or developmental needs has streamlined services for many families in the region. Thirteen agencies' programs and services are now co-located, coordinating services for children. Children's Village serves as a national model for service integration and has inspired similar projects in other parts of the state.
- In 2000 Yakima was honored as one of five Communities Can! winners nationally. The 1999 and 2000 Communities of Excellence Monograph (in PDF format) describes Yakima's activities to successfully serve all their communities' children, including those with disabilities, and their families (see pages 46-49 of the monograph for Yakima)
- Selected for a Communities Can! special medical home grant to provide more information about medical home activities in the county. Funding from the US Maternal and Child Health Bureau.
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