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The National Center has compiled and organized
all of the articles, policy statements and reports that have
been developed on the Medical Home and the 7 elements that
ensure that care is accessible, family-centered, continuous,
comprehensive, coordinated , compassionate and culturally
competent.
General
Medical Home Information
Impact on Care Givers and
Families
- Kuhlthau KA, Perrin, JM. Child
health status and parental employment. Arch Pediatrics
Adolescent Medicine. 2001;155:1346-1350
- Witt WP, Riley AW, Coiro MJ. Childhood
functional status, family stressors, and psychological
adjustments among school-aged children with disabilities
in the United States. Arch Pediatrics Adolescent Medicine.
2003;157:687-695
- Thyen U, Kuhlthau K, Perrin JM.
Employment, child care, and mental health of mothers caring
for children assisted by technology. Pediatrics. 1999;103:1235-1242
- Results
from a National Survey in 2000. Brandeis University
and Family Voices. Family Partners Project: The Health
Care Experiences of Families of Children with Special
Health Care Needs
- Chernoff RG, Ireys HT, DeVet KA, Kim YJ.
A
randomized, controlled trial of a community-based support
program for families of children with chronic illness:
pediatric outcomes. Arch Pediatrics Adolescent Medicine.
2002;156:533-539
- Katz S. When the child's illness
is life threatening: impact on the parents. Pediatric
Nursing. 2002;28
Policy Statements
- The American Association of American Colleges Medical Home Position Statement. March 2008
- Edwards S. E. Foreword.
Pediatrics. 2004;113(suppl):1471
- Tonniges TF, Palfrey JS, Mitchell M.. Introduction.
Pediatrics. 2004:113(suppl):1472
- Sia C, Tonniges TF, Osterhus E, Taba S. History
of the Medical Home Concept. Pediatrics. 2004;113(suppl):1473-1478
- Moore B, Tonniges TF. The
"Every Child Deserves a Medical Home" Training
Program: More Than a Traditional Continuing Medical
Education Course. Pediatrics. 2004:113(suppl):1479-1484
- Strickland B, McPherson M, Weissma G,, van Dyck P,
Huang Z, Newacheck, P. Access
to the Medical Home: Results of the National Survey
of Children With Special Health Care Needs. Pediatrics.
2004:113(suppl):1485-1492
- Starfield B, Shi L. The
Medical Home, Access to Care, and Insurance: A Review
of Evidence. Pediatrics. 2004:113(suppl):1493-1498
- Cooley WC, McAllister, JW. Building
Medical Homes:Improvement Strategies in Primary Care
for Children With Special Health Care Needs. Pediatrics.
2004;113(suppl) 1499-1506
- Palfrey J, Sofis L, Davidson E, Liu J, Freeman L,
Ganz M. The
Pediatric Alliance for Coordinated Care: Evaluation
of a Medical Home. Pediatrics. 2004:113(suppl):1507-1516
- Gupta V. O’Connor K, Quezada-Gomez C. Care
Coordination Services in Pediatric Practices. Pediatrics.
2004;113(suppl):1517-1521
- Antonelli R, Antonelli D. Providing
a Medical Home: The Cost of Care Coordination Services
in a Community-Based, General Pediatric Practice. Pediatrics.
2004;113(suppl):1522-1528
- Bethell C. Read D, Brockwood, K. Using
Existing Population-Based Data Sets to Measure the American
Academy of Pediatrics Definition of Medical Home for
All Children and Children With Special Health Care Needs.
Pediatrics. 2004:113(suppl): 1529-1537
- McPherson M, Weissman G, Strickland B, van Dyck P,
Blumberg S, Newacheck P.
Implementing Community-Based Services For Children and
Youths With Special Health Care Needs: How Well Are
We Doing? Pediatrics. 2004:113(suppl): 1538-1544
- Medical Home Initiatives for Children With Special
Needs Project Advisory Committee. Policy Statement:
Organizational
Principles to Guide and Define the Child Health Care
System and/or Improve the Health of All Children.
Pediatrics. 2004;113(suppl):1545-1547
- Medical
Home Helpful Web Sites. Pediatrics. 2004;113(suppl):1548
Periodicals/Articles
Homer C. , Perrin J, et al. A Review of the Evidency for the Medical Home for Children with Special Health Care Needs. Pediatrics. 2008;122;e922-e937
Overhauling the Delivery System . Supplement of Medical Home Articles. Health Affairs; September/October 2008 - Volume 27, Number 5
Fisher, E. Building a Medical Neighborhood for a Medical Home. The New England Journal of Medicine; September 18, 2008
Iglehart, J. No Place Like Home- Testing a New Model of Care Delivery. The New England Journal of Medicine; September 18, 2008
Rosenthal, M. Beyond Pay for Performance- Emerging Models for Provider-Payment Reform. The New England Journal of Medicine; September 18, 2008
- Appleby, J. Old Fashioned docs inspire new medical homes. USA Today; July 13, 2008.
- Ginsburg, S. Colocating Health Services: a Way to Improve Coordination of Children's Health.
The Commonwealth Fund; July 9, 2008; volume 41
- Loxeterkamp D, Kazal L. Changing Horses Midstream: The Promise and Prudence of Practice Redesign. Annals of Family Medicine 6:167-170; 2008
- Medical Homes: The Prescription to Save Primary Care. America's Health Insurance Plans Coverage Magazine. January/February 2008
- State
Policy Options to Establish Medical Homes for Children
and Youth - Issue Report from the Association of State
and Territorial Health Officials / January 2005
- Cooley WC; American Academy of Pediatrics Committee
on Children with Disabilities. Providing
a Primary Care Medical Home For Children and Youth with
Cerebral Palsy. Elk Grove Village, IL: American Academy
of Pediatrics; 2004
- Cooley, CW. Redefining
Primary Pediatric Care for Children with Special Health
Care Needs: The Primary Care Medical Home Current
Opinion in Pediatrics. December 2004;16(6):689-692
- Cooley WC, McAllister JW, Sherrieb K, Clark RE.
The medical home index: development and validation
of a new practice-level measure of implementation of the
medical home model. Ambul Pediat. 2003; 3(4)
- Exceptional
Parent, PO Box 2078, Marion, OH 43306-2178; Telephone:
877/372-7368
- Kaczorowski J (ed.). Community
pediatrics: Making child health at the community level
an integral part of pediatric training and practice.
Pediatrics 115(4, Suppl.):1119-1212
- Kretzmann JP, McKnight JL. Building Communities From
the Inside Out: A Path Toward Finding and Mobilizing A
Communitys Assets. Chicago, IL: ACTA Publications;
1993. (Distributed exclusively by: ACTA Publications,
4848 N Clark St, Chicago, IL; 60640; 800/397-2282).
- Mahoney, D. Medical Home Model Thrives at UCLA. E
Pediatric News; 2004:38:9
- Martin JC, Avant RF, Bowman MA, Bucholtz JR, Dickinson
JR, Evans KL, Green LA, Henley DE, Jones WA, Matheny SC,
Nevin JE, Panther SL, Puffer JC, Roberts RG, Rodgers DV,
Sherwood RA, Stange KC, Weber CW; Future of Family Medicine
Project Leadership Committee. The
Future of Family Medicine: A Collaborative Project of
the Family Medicine Community. Annals of Family Medicine
2:S3-S32; 2004
- McBurney PG, Simpson KN and Darden PM. Potential
Cost Savings of Decreased Emergency Department Visits
Through Increased Continuity in a Pediatric Medical Home.
Ambulatory Pediatrics: Vol. 4, No. 3, pp. 204–208;
2004
- Nelson, CS, Higman, S, Sia, C, McFarlane, E, Fuddy,
L, Duggan, A: Medical
Homes for At-Risk Children: Parental Reports of Clinician-
Parent Relationships,
Anticipatory Guidance, and Behavior Changes. Pediatrics
115:48-56, January
2005.
- Nickel RE, Desch LW. The Physicians Guide to
Caring for Children with Disabilities and Chronic Conditions.
Baltimore, MD: Paul H. Brookes Publishing Co; In press
- Nyman R, Ireys H.
Children with Special Health Care Needs: Building a Quality-of-Care
Initiative. Washington, DC: Mathematica Policy Research,
Inc. 2004.
"A more comprehensive approach is needed to care
for all CSHCN," state the authors of Children with
Special Health Care Needs: Building a Quality-of-Care
Initiative. The issue brief, published by Mathematica
Policy Research, Inc., with support from the Maternal
and Child Health Bureau, summarizes recent studies investigating
utilization and cost patterns among a large sample of
CSHCN enrolled in two commercial managed care plans.
The authors identified CSHCN ages 18 and younger enrolled
in two commercial open-access managed care plans from
1999 to 2001. The analysis examined the spectrum of services
and costs (including pharmacy and ancillary services)
and explored potential implications for health plans.
The authors found that:
- Twelve percent of the enrolled children (N=26,949)
had special health care needs in 2001. The cost of
care -- $99.4 million -- represented 47% of the total
costs for all children in the two plans. Among CSHCN,
those with more complex and severe conditions had
considerably higher average costs than other CSHCN.
- The number of prescriptions written for CSHCN increased
by only 8% from 1999 to 2001, but their pharmaceutical
costs increased by 56% during this period. Prescription
drugs accounted for 14% of total costs for all covered
services for CSHCN in 2001. Inpatient care, specialty
physician visits, and primary care visits accounted
for 28%, 10%, and 9% of total costs, respectively.
- Thirty-seven percent of the children in the study
had an emotional or behavioral condition in 2001.
Outpatient mental health services accounted for 11%
of total costs of care for CSHCN with emotional or
behavioral conditions; prescription drugs accounted
for 22%. The most commonly prescribed drugs for CSHCN
with emotional or behavioral disorders were stimulants,
prescribed for 64% of children ages 6 to 12 and 35%
of adolescents age 13 and over in this group. Antidepressants
were prescribed for 17% of those ages 6 to 12 and
40% of those ages 13 and over.
The authors conclude that "an effective quality
improvement project will need a team of health plan
staff with experience in pediatrics, quality assessment,
and data management who can work together to identify,
implement, and evaluate the impact and cost of an appropriate
strategy."
- Smith PJ, Santoli JM, Chu SY, Ochoa DQ, Rodewald LE.
. Pediatrics. 2005;116 130-139
- Spector ND, Kelly SF. Medical
Home, Obesity, Acute Otitis Media, and Otitis Media with
Effusion. Current Opinion in Pediatrics December 2004;16(6):706-722
Accessibility
Policy Statements
Periodicals/Articles
- Boushey H, Wright J.
Improving Access to Health Insurance. Center for Economic
and Policy Research. Washington, DC 2004
- Callahan ST, Cooper WO. Pediatrics.
2005;116 88-95
- Cunningham P, Hadley J. Expanding
care vs. expanding coverage: How to improve access to
care. Health Affairs. 2004;23(4):234-244
- Davidoff AJ. Insurance
for children with special health care needs. Pediatrics.
2004;114(2, Part 1):394-403
- Hanson K. Neuman, T. and Voris M.
Understanding The Health-Care Needs and Experiences of
People with Disabilities - Findings from a 2003 Survey
The Henry J. Kaiser Family Foundation, December 2003
- Honberg L, McPherson M, Strickland B, et al. 2005. Assuring
adequate health insurance: Results of the National Survey
of Children with Special Health Care Needs. Pediatrics.
115(5):1233-1239.
Abstract available at: http://pediatrics.aappublications.org/cgi/content/abstract/115/5/1233
- Huang ZJ, Kogan MD, Yu SM, et al. Delayed or forgone
care among children with special health care needs. Ambulatory
Pediatrics. 2005:5(1):60-67 Abstract available at: www.ambulatorypediatrics.org/article/PIIS1530156705600081/abstract
- Kogan MD, Newacheck PW, Honberg L, et al. Association
between underinsurance and access to care among children
with special health care needs in the United States. Pediatrics.
2005;116(5):1162-1169 Abstract available at: http://pediatrics.aappublications.org/cgi/content/abstract/116/5/1162?etoc
- Mayer ML, Skinner AC, and Slifkin RT. Unmet
Need for Routine and Specialty Care: Data From the National
Survey of Children With Special Health Care Needs. Pediatrics.
2004;113:e109-115
- Mitchell JB, Khatutsky G, and Swigonski N.
Impact of the Oregon Health Plan on Children With Special
Health Care Needs. Pediatrics. 2001;107:736-743
- Mouradian WE, Wehr E, and Crall JJ. Disparities
in Children's Oral Health and Access to Dental Care JAMA.
2000;284(20):2625-2631
- Newacheck PW, McManus M, Fox HB, Hung Y, and Halfon
N. Access
to Health Care for Children With Special Health Care Needs.
Pediatrics. 2000;105: 760-766
- The Future of Pediatric Education II: Organizing
Pediatric Education to Meet the Needs of Infants, Children,
Adolescents, and Young Adults in the 21st Century.
Pediatrics. 2000;105: 163-212
- Randolph GD, Murray M, Swanson JA, and Margolis PA.
Behind
Schedule: Improving Access to Care for Children One Practice
at a Time. Pediatrics. 2004;113:e230-237
- Seid M, Sobo EJ, Gelhard LR, et al. Parents’ reports
of barriers to care for children with special health care
needs: Development and validation of the Barriers to Care
Questionnaire. Ambulatory
Pediatrics. 2004;4(4):323-331
- S. Todd Callahan, MD, MPH; William O. Cooper, MD, MPH
Arch
Pediatr Adolesc Med. 2006;160:178-182
- Shone LP, Dick AW, Brach C, Kimminau KS, LaClair BJ,
Shenkman E, Col JF, Schaffer VA, Mulvihill F, Szilagyi
PG, Klein JD, VanLandeghem K, and Bronstein J. The
Role of Race and Ethnicity in the State Children’s
Health Insurance Program (SCHIP) in Four States: Are There
Baseline Disparities, and What Do They Mean for SCHIP?
Pediatrics. Dec 2003;112: e521 - 532
- Szilagyi PG, Shenkman E, Brach C, LaClair BJ, Swigonski
N, Dick A, Shone LP, Schaffer VA, Col JF, Eckert G, Klein
JD, and Lewit EM. Children
With Special Health Care Needs Enrolled in the State Children’s
Health Insurance Program (SCHIP): Patient Characteristics
and Health Care Needs. Pediatrics. Dec 2003;112 e508
- 520
- Taylor EF, Cunningham P, McKenzie K. Community approaches
to providing care for the uninsured. Health Affairs Web
Exclusive. 2006. 2006:25:w173-w182.
- Abstract available at
http://content.healthaffairs.org/cgi/content/abstract/hlthaff.25.w173
- Van Dyck P, Kogan MD, McPherson MG, et al. Prevalence
and characteristics of children with special health care
needs. Archives
of Pediatrics and Adolescent Medicine. 2004;158(9):884-890
- Warfield ME, Gulley S. Unmet needs and problems accessing
specialty medical and related services among children
with special health care needs. Maternal and Child Health
Journal 2006;10(2):201-216. Abstract
- Weller WE, Minkovitz CS, and Anderson GF.
Utilization of Medical and Health-Related Services Among
School-Age Children and Adolescents With Special Health
Care Needs (1994 National Health Interview Survey
on Disability [NHIS-D] Baseline Data). Pediatrics. 2003;112(3):593-603
- Wise PH, Wampler NS, Chavkin W, and Romero D. Chronic
Illness Among Poor Children Enrolled in the Temporary
Assistance for Needy Families Program. Am J Public
Health. 2002;92(9):1458-1461
- Yu SM, Nyman RM, Kogan MD, et al.
Parent's Language of Interview and Access to Care for
Children with Special Health Care Needs. Ambulatory
Pediatrics. 2004;4(2):181-187
- Zhihuan J, Yu SM, Ledsky R. Health status and health
service access and use among children in U.S. immigrant
families. American Journal of Public Health. 2006;96(4):634-640.
Abstract available at: www.ajph.org/cgi/content/abstract/96/4/634
Reports/Documents
Health Care
Financing
Policy Statements
- American Academy of Pediatrics, Committee on Child Health
Financing Guiding
Principles for Managed Care Arrangements for the Health
Care of Newborns, Infants, Children, Adolescents, and
Young Adults (RE9932). Pediatrics. 2000;105(1):132-135
- American Academy of Pediatrics, Committee on Children
With Disabilities Managed
Care and Children with Special Health Care Needs: A Subject
Review (RE9814). Pediatrics. 1997;102(3) 657-66
- American Academy of Pediatrics, Committee on Child Health
Financing Medicaid
Policy Statement Pediatrics. 2005; 116(1):274-280
- American Academy of Pediatrics, Committee on Child Health
Financing
- Principles
of Child Health Care Financing . Pediatrics. 2003;112(4):997-999
- American Academy of Pediatrics, Committee on Child Health
Financing Scope
of Health Care Benefits for Newborns, Infants, Children,
Adolescents, and Young Adults Through Age 21 Years (RE9730).
Pediatrics. 1997;100(6):1040-1041
Periodicals/Articles
The Cover Memo from the American Academy of Pediatrics on the PCPCC Guide and Patient Centered Primary Care Collaborative (PCPCC) Purchaser's Guide
- Spencer, A. The Medical Home Gets Updated Improving Outcomes While Reducing Costs. National Conference of State Legislatures, State Health Notes. Volume 29, Issue 511; March 17, 2008
- American Academy of Pediatrics. A
Pediatrician’s Guide to Managed Care - 2nd Edition.
Elk Grove Village, IL: American Academy of Pediatrics;
2001
- American Academy of Pediatrics. Coding
for Pediatrics - 7th Edition. Elk Grove Village, IL:
American Academy of Pediatrics; October, 2001
- David and Lucille Packard Foundation. The
Future of Children: Children and Managed Care - Volume
8. Los Altos, CA: David and Lucille Packard Foundation;
1998
- David and Lucille Packard Foundation. The
Future of Children: Health Insurance for Children.
Volume 13. Los Altos, CA: David and Lucille Packard Foundation;
Spring 2003
- Marcin JP, Ellis J, Mawis R, Nagrampa E, Nesbit TSt,
and Dimand RJ. Using
Telemedicine to Provide Pediatric Subspecialty Care to
Children With Special Health Care Needs in an Underserved
Rural Community. Pediatrics. 2004;113:1-6
- Newacheck PW, Kim SE.
A national profile of health care utilization and expenditures
for children with special health care needs. Archives
of Pediatrics and Adolescent Medicine. 2005;159(1):10-17
- Newacheck PW, Inkelas M, and Kim WE. Health
Services Use and Health Care Expenditures for Children
With Disabilities. Pediatrics. 2004;114:79-85
- Randolph GD, Murray M, Swanson JA, and Margolis PA.
Behind
Schedule: Improving Access to Care for Children One Practice
at a Time. Pediatrics. 2004;113:e230-237
- Rosenbach ML, Irvin C, and Coulam RF. Access
for Low-income Children: Is Health Insurance Enough?
Pediatrics. 1999;103:1167-1174
- Shone LP, Dick AW, Brach C, Kimminau KS, LaClair BJ,
Shenkman E, Col JF, Schaffer VA, Mulvihill F, Szilagyi
PG, Klein JD, VanLandeghem K, and Bronstein J. The
Role of Race and Ethnicity in the State Children’s
Health Insurance Program (SCHIP) in Four States: Are There
Baseline Disparities, and What Do They Mean for SCHIP?
Pediatrics. 2003;112:e521-532
- Szilagyi PG, Dick AW, Klein JD, et al. 2004. Improved
access and quality of care after enrollment in the New
York State Children's Health Insurance Program (SCHIP).
Pediatrics. 2004;113: e395-404
- Szilagyi PG, Shenkman E, Brach C, LaClair BJ, Swigonski
N, Dick A, Shone LP, Schaffer VA, Col JF, Eckert G, Klein
JD, and Lewit EM. Children
With Special Health Care Needs Enrolled in the State Children’s
Health Insurance Program (SCHIP): Patient Characteristics
and Health Care Needs. Pediatrics. 2003; 112: e508-520
- Thompson, J. MD, MPH; Ryan, K. JD; Pinidiya, S. MEd;
Bost, J. PhD. Quality
of Care for Children in Commercial and Medicaid Managed
Care. JAMA. 2003;290:1486-1493.
Other Publications
- HRSA
Center for Health Services Financing and Managed Care
Publications
- Medicaid, SCHIP, and Medicare Publications and articles
available on line through the
Center for Health Services Research and Policy (CHSRP).
Reports/Documents
National Committee for Quality Assurance (NCQA) 2007 Report Coming Home To Better Healthcare. The report looks at the promise that the Patient-Centered Medical Home, a promising approach that seeks to strengthen the patient-physician relationship by replacing episodic care with coordinated care and a long-term healing relationship.
Health Resources and Services Administration (HRSA) Primary Care Safety Net Health Centers: Reflections on Success, 2002-2007. The report describes the history of safety net health center programs; safety net health centers' role in providing a medical home; the model of care usediscusses the unprecedented growth of the health center program during the period 2002-2007 and outlines issues related to the program's future in the following areas: work force, health information technology, emergency management, quality, and performance measurement, and how connections are sustained between primary care associations, offices, and other partners.
- AAP Reports
2001
Medicaid Reimbursement Reports (National & State).
- The Center for Health Care Strategies (CHCS) offers
resources for designing, purchasing, and monitoring publicly
funded managed care. These include resources for CHCS'
Purchasing Institutes.
CHCS
Informed Purchasing resources are housed under the
following categories. The following tools/reports/information
are available.
- Assessment Tools
- Behavioral Health
- Informed Purchasing Publication Series
- State Medicaid Agencies
- CHCS Purchasing Institute
- Children's Health Care
- Enrollment/Plan Exits
- Finance
- Oral Health
- Performance Measurement and Quality Assurance
- Pharmacy
- State Medicaid/SCHIP Program Design -- General
- Strategic Uses of Data
- MCH
Policy Research Center Publications.
- The
Strengths and Weaknesses of Private Health Insurance for
Children with Special Health Care Needs.
-
An Analysis of States' Capitation Methods and Pediatric
Rates, 1997-2003
-
A March 2005 report of the Kaiser Commission on Medicaid
and the Uninsured examines the policy implications of
Medicaid Section 1115 waiver activity that has taken place
in recent years. Since January 2001, 17 states have received
approval for Section 1115 waivers, including Health Insurance
Flexibility and Accountability (HIFA) waivers.
- State
Health Facts Online- Kaiser Family Foundation
This new resource contains the latest state-level data
on demographics, health, and health policy, including
health coverage, access, financing, and state legislation.
You can compare data for all states or look up an individual
state profile.
Rural Initiatives
Articles/Reports
Policy Statements
Continuous,
Comprehensive, Coordinated Care
Policy Statements
Periodicals/Articles
- Antonelli R, Stile, C, Antonelli D. Care Coordination for Children and Youth With Special Health Care Needs: A Descriptive, Multisite Study of Activities, Personnel Costs, and Outcomes. Pediatrics. 2008;122 e209-e216
- Bodenheimer, T. Coordinating Care-A Perilous Journey Through the Health Care System. New England Journal of Medicine. 358; 10: March 6, 2008
- Broyles RS, Tyson JE, Heyne E, et al. Comprehensive
follow-up care and life threatening illness among high-risk
infants. JAMA. 2000;284:2070-2076
- Bradford R. Promoting inter-agency collaboration in
child services. Child: Care, Health and Development; 1993:355-367
- Christakis DA, Wright J, Zimmerman F, Bassett A, Connell
F.
Continuity of care is associated with high-quality care
by parental report. Pediatrics. 2002;109:1-6
- Christakis DA, Mel L, Koepsell T, Zimmerman F, Connell
F. Association
of lower continuity of care with greater risk of emergency
department use and hospitalization in children. Pediatrics.
2001;103:524-529
- Christakis DA, Wright J, Koepsell T, Emerson S, Connell
F.
Is greater continuity of care associated with less emergency
department utilization? Pediatrics. 1999;103:738-742
- Desch LW, Nickel RE. The Physician’s Guide to
Caring for Children with Disabilities and Chronic Conditions.
Baltimore, MD: Pal H. Brookes Publishing Co; 2000: (800/638-3775)
In press
- Feeney D, Kaufman J. Caring for children with special
health care needs. Caring Magazine; Dec 1994:12-16
- Hack, C. Paradigms of care for children with special
health care needs. Pediatric Annals. 1997;26:674-678
- Hartman AF. Parent-to-parent support: a critical component
of health care services for families. Issues in Comprehensive
Pediatric Nursing. 1992;15:55-67
- Kee CC, Borchers L. Reducing Readmission Rates Through
Discharge Interventions. Clinical Nurse Specialist.
1998;12(5):205
- Johnson C, Blasco P. Community resources for children
with special needs. Pediatric Annals. 1997;26:679-686
- Liptak, G. Consultation
with the specialist: home care for children who have chronic
conditions. Pediatrics in Review. 1997;18:271-273.
- Liptak G, Burns C, Davidson P, McAnarney E.
Effects of providing comprehensive ambulatory services
to children with chronic conditions. Archives of Pediatrics
and Adolescent Medicine. 1998;152:1003-1008
- Perrin J, Ireys H. The organization of services for
chronically ill children and their families. Pediatric
Clinics of North America. 1984;31:235-257
- Porter S, Haynie M, Biecle T, Caldwell T, Palfrey J.
Children and Youth Assisted by Medical Technology
in Education Settings: Guidelines for Care. 2nd ed.
Baltimore, MD: Paul H. Brookes Publishing Co; 1997 (800/638-3775)
- Presler, B. Care coordination for children with special
health care needs. Orthopaedic Nursing. 1998;March/April
Supplement:45-51
- Rosenthal MS, Lannon CM, Stuart JM, et al. A randomized
trial of practice-based education to improve delivery
systems for anticipatory guidance. Archives of Pediatrics
and Adolescent Medicine. 2005;159(5):456-463 Abstract
available at: http://archpedi.ama-assn.org/cgi/content/abstract/159/5/456
- Smith K, Layne M, Garell D. The impact of care coordination
on children with special health care needs. Children’s
Health Care. 1994;23:251-266
- Stille, CJ; Antonelli, RC. Coordination
of Care for Children with Special Health Care Needs Current
Opinion in Pediatrics. December 2004;16(6):700-705
- Wertz E. Children with special health care needs.
In: Emergency Care for Children. Albany, NY:
Delmar Thomson Learning; 2001:97-150
- Wertz E. Children with special health care needs
assisted by technology. In: Emergency Care for Children.
Albany, NY: Delmar Thomson Learning; 2001:151-175
- Wertz E. Interacting with parents and caregivers.
In: Emergency Care for Children. Albany, NY: Delmar
Thomson Learning; 2001:243-253
- Zuckerman B, Stevens G, Inkelas M, et al. Prevalence
and correlates of high-quality basic pediatric preventive
care. Pediatrics. 2004;114(6): 1522-1529
Reports/Documents
-
Innovative Approaches for Improving Referral, Consultation, and Shared Management in Primary and Specialty Pediatric Care
Washington, DC -- A new report from the Federal Expert Work Group on Pediatric Subspecialty Capacity and the MCH Policy Research Center profiles promising approaches to strengthen collaboration between primary and specialty pediatric care. The report, Promising Approaches for Improving the Interface between Primary and Specialty Pediatric Care, describes 10 real-world strategies to address referral, consultation, and shared management that can improve the availability of pediatric subspecialty care and enhance health outcomes for children.
The Federal Expert Work Group on Pediatric Subspecialty Capacity was formed by the Maternal and Child Health Bureau in response to growing evidence that access to pediatric subspecialty care in many parts of the U.S. is worsening. The group has 3 main objectives: 1) define the scope of current and projected pediatric subspecialty capacity problems and their consequences; 2) identify promising approaches for improving shared management between pediatric subspecialists and medical homes, reimbursement, continuing education and training, and state/regional delivery system networks; and 3) develop recommendations and a tactical plan to improve access to subspecialty care.
-
MCHB
and JSI Release Review of Care Coordination Activities of
DSCSHN State Implementation Grantees
Several of the health insurance
and financing implementation grantees funded by the Division
of Services for Children with Special Healthcare Needs (DSCSHN)
of the Maternal Child Health Bureau (MCHB), had expressed
an interest in examining care coordination models. An initial
recommendation to review care coordination activities among
these grantees sparked an interest to expand this review
to all state implementation grantees. While a previous study
had focused on the role of Title V in care coordination,
there had never been a review of the role of state implementation
grantees in this critical aspect of developing a system
of care for CYSHCN.
As part of their current contract with DSCSHN, John Snow,
Inc. (JSI) was asked to develop a survey to capture the
range of activities among the state implementation grantees.
This report addresses all 6 of the Healthy People 2010 outcomes,
through a survey of all MCHB State Implementation grantees.
The survey focused on the care coordination activities of
the grantees, such as methods of care coordination program
development and implementation, methods of financing, and
effectiveness of care coordination.
-
2006 Medicare Care Management Demonstration Project
This 3 year demonstration was mandated under Section 649 of the MMA to promote the use of health information technology and improve the quality of care for beneficiaries. Doctors in small to medium sized practices who meet clinical performance measure standards will receive a bonus payment for managing the care of eligible Medicare beneficiaries. The demonstration will be implemented in California, Arkansas, Massachusetts and Utah.
- 2001 Medicare
Coordinated Care Demonstration
This project tests whether providing coordinated care services
to Medicare beneficiaries with complex chronic conditions
can yield better patient outcomes without increasing program
costs. Medicare will test the cost-effectiveness of paying
for case management and disease management services under
the Medicare Coordinated Care Demonstration. These coordinated
care interventions will supplement routine care for chronically
ill beneficiaries.
Historically, a small proportion of Medicare fee-for-service
beneficiaries has accounted for a disproportionate share
of Medicare expenditures. These beneficiaries often suffer
from one or more chronic illnesses and require repeated
costly hospitalizations. They typically receive fragmented
health care across multiple health care providers and multiple
sites of care. Moreover, providers may not follow evidence-based
guidelines, and patients may not know how to care best for
themselves. As the population ages, the number of chronically
ill beneficiaries is expected to grow dramatically, with
serious implications for Medicare program costs.
The Medicare Coordinated Care Demonstration, authorized
by the Balanced Budget Act of 1997, will target beneficiaries
with chronic conditions that represent high costs to the
Medicare program, such as asthma, diabetes, congestive heart
failure and related cardiac conditions, hypertension, coronary
artery disease, cardiovascular and cerebrovascular conditions,
chronic lung disease, cancer and other chronic conditions.
Beneficiaries will receive comprehensive care planning,
patient education, and ongoing monitoring between doctor
visits to improve self-care, identify complications early,
avoid costly hospitalizations, and better coordinate treatments
and medications for multiple illnesses and conditions. In
addition, some of the projects will offer participating
beneficiaries additional benefits aimed at removing barriers
to prompt medical care, such as coordinating with community-based
services, transportation, assistance with medications, non-covered
home visits, and medical equipment. Beneficiaries will not
have out-of-pocket costs for the demonstration services.
Fifty-eight applicants submitted proposals by the October
11, 2000 application deadline. CMS announced the selection
of 15 demonstration sites in January 2001.
The demonstration was implemented on a rolling basis starting
April 1, 2002. All 15 demonstration sites are now in operation.
Screening
and Surveillance
General
Information
Policy Statements
Reports/Documents
Hearing Screening
Policy Statements
Periodicals/Articles
Vision Screening
Policy Statements
Periodicals/Articles
- Hartmann EE, Dobson V, Hainline L, et al. Preschool
Vision Screening: Summary of a Task Force Report. Pediatrics.
2000,106(5):1105-1116
Newborn
Metabolic/Genetic Screening
Policy Statements
Periodicals/Articles
- Bryant AG, Horns HM, Longo N, Schiefelbein J. A
primer on newborn screening. Adv Neonatal Care. 2004;4:306-31
- Desposito F, Lloyd-Puryear MA, Tonniges TF, et al. Survey
of pediatrician practices in retrieving state authorized
newborn screening results. Pediatrics. 2001;108(2):e22
- Kenner C, Moran M. Newborn
screening and genetic testing. Journal of Midwifery
& Women's Health. 2005;50(3):219-226
- Kim S, Lloyd-Puryear MA, and Tonniges
TF. Examination
of the Communication Practices Between State Newborn Screening
Programs and the Medical Home
Pediatrics. 2003;111:e120-126
- Waisbren SE, Rones M, Read CY, Marsden D, Levy HL. Brief
report: Predictors of parenting stress among parents of
children with biochemical genetic disorders.
J Pediatr Psychol. Oct 2004;29(7):565-70
- Mandl KD, Feit S, Larson C, Kohane IS. Newborn
screening program practices in the United States: notification,
research, and consent. Pediatrics. 2002;109:269-273
- Therrell BL. US
newborn screening policy dilemnas for the twenty-first
century. Molecular Genetics and Metabolism. 2001;74:64-74
- Millington DS. Newborn
screening for metabolic diseases. American Scientist.
2002;90:40-47
Reports/Documents
- Newborn Screening Task Force Report. Supplement
to Pediatrics. Elk Grove Village, IL. American Academy
of Pediatrics; 2000.
- Compendium of Newborn Screening
Abstracts
As a companion piece to the Newborn Screening
Task Force report, a compendium of newborn screening abstracts
has been developed. This document (Updated October 2002
and available as a Word
document
or as an End
Note library includes all of the references from the
Task Force report, as well as other more up-to-date references
and abstracts. This compendium will be updated as relevant
articles on the topic of newborn screening are published.
- GAO Report on Newborn Screening: Characteristics
of State Programs (March 2003)
www.gao.gov/new.items/d03449.pdf 
- Advisory Committee on Heritable Disorders and Genetic
Diseases in Newborns and Children (ACHDGDNC) www.mchb.hrsa.gov/programs/genetics/committee/default.htm
ACHDGDNC was established to advise and guide the Secretary,
US Department of Health & Human Services regarding
the most appropriate application of universal newborn
screening tests, technologies, policies, guidelines and
programs for effectively reducing morbidity and mortality
in newborns and children having or at risk for heritable
disorders.
- Association of State and Territorial Health Officials
Issue
brief: state strategies to promote coordination of the
newborn screening system. August 2004; Washington,
DC
- 2003 GSB/MCHB Integration of Newborn Screening &
Genetic Service Systems with Other Maternal and Child
Health Systems.
Summary
of the October 15-16, 2003 conference
Transitions
Periodicals/Articles
- Freeman JT. Sexuality and Disability Webliography: The
Wellness and Disability Initiative of the British Columbia
Coalition of People with Disabilities web-based bibliography;
May 29, 2002
- Exceptional
Parent.
- Betz CL. Adolescent transitions: a nursing concern.
Pediatric Nursing. 1998;24:23-30
- Betz CL. Facilitating the transition of adolescents
with chronic conditions from pediatric to adult health
care and community settings. Pediatric Nursing.
1998;21:97-115
- Bloomquist KB, Brown G, Peersen A, and Presler EP. Transition
to Independence: Challenges for Young People with Disabilities
and their Caregivers. Orthopedic Nursing. 1998;27-35
- Blum RW. Transition to adult health care: setting the
stage. Conference Proceedings. Journal of Adolescent
Health. 1995;17:3-5
- Blum RW, Garel D, Hodgman CH, et al. Transition from
child-centered to adult health-care systems for adolescents
with chronic conditions: a position paper of the Society
for Adolescent Medicine. Journal of Adolescent Health.
1993;14:570-576
- Bowes G, Sinnema G, Suris J, Buhlmann U. Transition
health services for youth with disabilities: a global
perspective. Conference Proceedings. Journal of Adolescent
Health. 1995;171:23-31
- Davis, M. & Sondheimer, D. L. State child mental
health efforts to support youth
transition to adulthood. Journal of Behavioral Health
Services & Research. 2005;32:1:27-42 Summary
- Franzini L, Marks E, Cromwell PF. Projected economic
costs due to health consequences of teenagers' loss of
confidentiality in obtaining reproductive health care
services in Texas. Archives of Pediatrics and Adolescent
Medicine. 2004;1589(12):1140-1146
- Hallum A. Disability and the transition to adulthood:
Issues for the disabled child, the family and the pediatrician.
Current Problems in Pediatrics. 1995;25:12-50
- Johnson C. Transition into adulthood. Pediatric Annals.
1995;24:269
- McCabe M. Involving children and adolescents in medical
decision making: developmental and clinical considerations.
Journal of Pediatric Psychology. 1996;21:505-516
(Issues-oriented article that reviews the salient aspects
of medical decision making by children and adolescents.
Issues pertaining to informed consent, developmental level
and clinical issues are discussed. Case examples are provided
for illustration.)
- Newacheck PW. Adolescents with special needs: prevalence,
severity, and access to health services. Pediatrics.
1992;84:872-881
- Newacheck PW, Strickland B, Skonkoff JP, et al. An epidemiological
profile of children with special health care needs. Pediatrics.
1998;102:117-123
- Olsen DG and Swigonski NL. Transition
to Adulthood: The Important Role of the Pediatrician.
Pediatrics, 2004;113:e159-162
- Powers L, Sowers J, Stevens T. An exploratory, randomized
study of the impact of mentoring on the self-efficacy
and community-based knowledge of adolescents with severe
physical challenges. Journal of Rehabilitation.
1995; 33-41
- Reid GJ, Irvine MJ, McCrindle BW, Sananes R, Ritvo PG,
Siu SC, Webb GD. Prevalence
and Correlates of Successful Transfer from Pediatric to
Adult Health Care Among a Cohort of Young Adults with
Complex Congenital Heart Defects. Pediatrics.
2004;113(3 Pt 1):e197-205
- Rosen DS. Transition from pediatric to adult-oriented
health care for the adolescent with chronic illness or
disability. Adolescent Medicine: State of the Art
Reviews. 1994;5:241-247
- Rosen D. Between two worlds: bridging the cultures of
child health and adult medicine. Journal of Adolescent
Health. 1995;17:10-16
- S. Todd Callahan, MD, MPH; William O. Cooper, MD, MPH
Arch
Pediatr Adolesc Med. 2006;160:178-182
- Sawyer SM, Blair S, Bowes G. Chronic illness in adolescents:
transfer or transition to adult services? Journal
of Pediatric and Child Health. 1997;33:88-90
- Sawyer, SM, Aroni RA. MJA
2005;183(8):405-409
- Scal P, Evans T, Blozis S, et al. Trends in transition
from pediatric to adult health care services for young
adults with chronic conditions. Journal of Adolescent
Health. 1999;24:259-264
- Schultz A, Liptak G. Helping adolescents who have disabilities
negotiate transitions to adulthood. Issues in Comprehensive
Pediatric Nursing. 1998;21:187-201
- Transition of care: the role of the nurse practitioner:
Diabetes Spectrum. 1998;11:186
- Werner P. Primary care for persons with disabilities:
family practice perspective. American Journal of Physical
Medicine and Rehabilitation. 1997;76(suppl):S21-24
- White P. Success on the road to adulthood. Pediatric
Rheumatology. 1997;23:697-707
- Whitehouse S, Paone M. Patients in transition: bridging
the health care gap from youth to adulthood. Contemporary
Pediatrics (Canada). 1998;December:13-16
Policy Statements
Reports/Documents
-
McManus M., Fox H., O'Connor K., Chapman T., MacKinnon J.
Pediatric Perspectives on Transitioning Adolescents with Special Health Needs to Adult Health Care
The National Alliance to Advance Adolescent Health; Factsheet No.6, October 2008
This fact sheet presents new national data on the transition support services offered in pediatric practices to adolescents with special needs and the barriers affecting their availability. We found that most pediatric practices do not initiate transition planning early in adolescence or offer the transition support services identified as critical for ensuring a smooth transition to adult health care. Gaps in transition support are due in part to limited staff training; lack of an identified staff person responsible for transition; financial barriers; and anxiety on the part of pediatricians, adolescents, and their parents about planning for their future health care.
- Roulstone A, Gradwell L, Price J, Child L.
How disabled people manage in the workplace. Published
for the Foundation by The Policy Press (ISBN 1 86134)
5224
This study explored how disabled people get by in the
workplace and looked at the nature of the support they
require and receive.
Compassionate
Care
Periodicals/ Articles
- Baumann AO, Deber RB, Silverman BE, Mallette, CM. Who
cares? Who cures? The ongoing debate in the provision
of health care. Journal of Advanced Nursing.
1998; 28(5): 1040-5
- Bensing J.
Doctor-patient communication and the quality of care.
Soc Sci Med. 1991; 32: 1301-1310
- Brock CD., Salinsky JV. Empathy: an essential skill
for understanding the physician-patient relationship in
clinical practice. Family Medicine. 1993; 25(4):
245-8
- Buller MK, Buller DB. Physicians’ communication
style and patient satisfaction. Journal of Health
and Social Behavior. 1987; 28: 375-388
- Carmel S., Glick SM. Compassionate-empathic
physicians: personality traits and social organizational
factors that enhance or inhabit this behavior pattern.
Social Science & Medicine. 1996;43(8): 1253-61
- Emanuel EJ., Dubler NN. Preserving the physician-patient
relationship in the era of managed care. JAMA.
1995;273(4): 323-9
- Farber NJ, Novack DH, O'Brien, MK.
Love, boundaries and the patient-physician relationship.
Archives of Internal Medicine. 1997;157(20):
2291-4
- Fricchione GL. Illness and the Origin of Caring. The
Journal of Medical Humanities.1993;
14:15-20
- Fishbein, RH. Scholarship,
humanism, and the young physician. Academic Medicine.
1999;74(6): 646-61
- Gianakos D. Empathy Revisited. Archives of Internal
Medicine. 1996;156:135-136
- Graber DR, Mitcham MD. Compassionate clinicians: take
patient care beyond the ordinary. Holist Nurs Pract.
2004;18(2):87-94
- Lee, S. Back, Anthony L, Block, Susan D.and Stewart,
Susan K. Enhancing
Physician-Patient Communication Hematology. 2002;464-483
- Lown, B, M.D. The
Lost Art of Healing: Practicing Compassion in Medicine.
Ballantine Books. 1999; First Ball edition.
- Martin, Randolph P. President’s message an
“A” and four “C”s American
Society of Echocardiography. 2003;16:7
- Meier DE, Back AL, Morrison RS.The
inner life of physicians and care of the seriously ill.
JAMA. 2003:286(23):3007-14
- Skotko B. Mothers
of Children With Down Syndrome Reflect on Their Postnatal
Support. Pediatrics. 2005;115(1):64-77
- Spiro H. What is empathy and can it be taught? Annals
of Internal Medicine. 1992; 116(10): 843-6
- Squier RW. A model of empathic understanding and adherence
to treatment regimens in practitioner-patient relationships.
Soc Sci Med. 1990; 30(3):325-39
- Wessel, Morris A. The
Role of the Primary Pediatrician When a Child Dies
Arch Pediatr Adolesc Med. 1998;152: 837-838
- Zinn W. The
empathic physician. Archives of Internal Medicine.
1993;153(3):306-12
Articles from the Internet
- Listen
to the patient... Real Health Daily Dose - April 4,
2003
- Teaching
Doctors to Talk - Medical Breakthroughs - Reported
by Ivanhoe - January 27, 2003
- An
Inside Look at the Role of a Pediatric Oncology Nurse
Practitioner -By Susan Wessllng, On Call Magazine
- June/July, 2004
Reports/Documents
Children's
Compassionate Care Act 2003 - In the Senate of the
United States September 17, 2003 - A Bill to improve the
palliative and end-of-life care provided to children with
life-threatening conditions, and for other purposes.
Compassionate
Care in the ICU - Practitioners witness death on a
regular basis in the intensive care unit. For that reason,
one might think that they would be comfortable talking
with patients and families about end-of-life issues. Ironically,
this is not the case. The program features interviews
with six thought leaders in compassionate care.
Defining
the Patient-Physician Relationship for the 21st Century
This document reflects the conferees’ beliefs about
what constitutes an ideal patient physician relationship.
It specifically does not address barriers to reaching
that ideal or strategies for overcoming those barriers.
That remains the continuing task for all of us.
Culturally
Effective Care
Periodicals/Articles |