Article Discusses Two Los Angels-area Medical Home Practices
A recent article discusses two Los Angeles-area patient-centered medical home (PCMH) practices and offers some background on the model.
Riverside County Working on Public Health Medical Home
The Riverside County Public Health Department plans to implement a patient centered medical home at its primary care clinics. The initiative is intended to reduce the number of patients who fall through the cracks, and help lower preventable disease rates. Several Southern California counties have begun similar projects. Ventura County's Medi-Cal beneficiaries are expected to be assigned to medical homes through Gold Coast Health Plan, and 11 Los Angeles County community clinics will be transformed into PCMHs through L.A. Care Health Plan
(Back to Top)
Medical Home Chapter Champions Program on Asthma (MHCCPA)
Through the support of the Merck Childhood Asthma Network, Inc. (MCAN), the MHCCPA facilitates the dissemination of best practices and advocacy related to the implementation of the National Heart, Lung, and Blood Institute (NHLBI) asthma guidelines within the medical home framework. Program goals include identifying a champion at the AAP chapter and/or state level(s) to educate/mentor providers in their communities, in addition to increasing advocacy efforts, for implementation of the NHLBI guidelines within the context of a medical home. If you would like more information about the project, would like to be connected with your chapter/state's champion 
, or are interested in serving as a chapter champion if your chapter/state does not currently have one, contact Suzi Montasir, MPH, Program Manager at 847/434-4311 or fill out the Contact Us form.
Children's Health Insurance Program Reauthorization Act (CHIPRA) Grants—Cycle II
California is one of 23 states that received CHIPRA Cycle II grants to for efforts to identify and enroll children eligible for Medicaid and CHIP. The grants will build upon the HHS Connecting Kids to Coverage Challenge to find and enroll children and support outreach strategies that have proven successful.
LEND Programs Receive Funding to Improve the Health of Children with Special Health Care Needs
The Health Resources and Services Administration (HRSA) has awarded $28.3 million to 43 Leadership Education in Neurodevelopmental and Other Related Disabilities (LEND) programs, including the program at the Children’s Hospital of Los Angeles-School of Physical Therapy, to help improve the health of infants, children, adolescents and young adults with neurodevelopmental and other related disabilities, including autism spectrum disorders. LEND programs prepare trainees from a wide variety of professional disciplines to assume leadership roles, ensure high levels of interdisciplinary clinical competence, and enhance the ability of clinicians to diagnose, treat, and manage complex disabilities in youth and adolescents.
Aligning Forces for Quality (AF4Q) Initiative—California
The AF4Q initiative in Humboldt County is led by the Community Health Alliances of Humboldt-Del Norte (CHA). The Humboldt County-AF4Q initiative is a collaborative project of many local organizations and individuals interested in improving the quality of health care. The effort fosters a high-quality, integrated, patient-centered system of care that is accessible to all North Coast residents. The project has three aims—provider measurement and public reporting, patient involvement, and medical care improvement activities—to improve the medical care and self-care of patients, particularly those with diabetes.
Pediatric Wellness Project - Family Service Association of Western Riverside County, Moreno Valley, CA
Healthy Tomorrows Partnership for Children Grant (2010-2015)
Primary
Contact: Maria Murillo, LMFT | E-mail: mmurillo@fsaca.org
The federal Maternal and Child Health Bureau (MCHB) awarded this 5-year grant to provide approximately $50,000 per year to improve child health through community-based initiatives on prevention and access to health service for vulnerable populations. This project is part of the Mead Valley Wellness Center that is under development to provide comprehensive health and mental health services to an underserved, disenfranchised, low-income, minority area of Riverside County. The overall goal of the project is to identify and provide mental health treatment for minority children, ages 3-5 and their families who are experiencing behavior problems that impact school readiness. The project will provide assessment, treatment (counseling) and innovative parenting education for the early identification of behavior problems for children and families. Additionally, community education workshops will provide valuable information to help minorities understand the issues of good mental health.
University of California, San Diego Department of Pediatrics and the Naval Medical Center, Pediatrics: Pediatric Residency Program
Through The Dyson Initiative, the Pediatric Residency Program provides educational experiences for residents to acquire the skills and motivation to interact in a culturally competent manner with families, community organizations, health and social service providers, churches, governmental agencies, and key policy-makers to improve the health of all children as an integral part of their pediatric practice. In experiential learning spanning three years, residents actively participate in population-based practices, needs and resource mapping, advocacy and consultant roles. The learning environments are the community-based organizations, churches, and school and public health systems affiliated with four unique populations in the San Diego area (rural/Native American, urban/immigrant, homeless, and international border). The ultimate goal of the Dyson Initiative is the development of pediatric professionals with greater skills and interest in community-based medicine, advocacy, and the capacity to improve the health of children in their communities.
Aetna Foundation Awards Grants to Study PCMH
Aetna Foundation awarded $250,000 to the University of California, San Francisco (UCSF) for a two-year study to create a rigorously tested survey tool to assess integrated care around the country. The research will be among the first to develop metrics of integrated care based on the needs, experiences and expectations of patients with chronic conditions. By focusing on the patient experience to create measurements of integrated care practices, the researchers expect their measurement tools to assess these concepts more systematically among diverse patient populations and in a wide range of practice settings. Based at San Francisco General Hospital and Trauma Center (SFGH), the research is being co-led by Kevin Grumbach, MD, chair of the UCSF Department of Family and Community Medicine and Chief of Family and Community Medicine at SFGH, and Kara Odom Walker, MD, MPH, assistant professor at UCSF and a physician at SFGH Family Health Center.
National Asthma Control Initiative (NACI) Demonstration Projects (2012-2013)
The National Heart, Lung, and Blood Institute’s NACI has announced funding of 13 demonstration projects across the US, including a project in California, aimed to develop, implement, and test science-based approaches to improve asthma control using evidence-based national guidelines for diagnosis and managing asthma. Additionally, the NACI Web site hosts a variety of tools for health care professionals related to diagnosis and treatment of asthma.
The Assuring Better Child Health and Development (ABCD) Program
The ABCD Program is funded by the Commonwealth Fund, administered by National Academy for State Health Policy (NASHP), and designed to assist states in improving the delivery of early child development services for low-income children and their families by strengthening primary health care services and systems that support the healthy development of young children, ages 0-3. The program focuses particularly on preventive care of children whose health care is covered by state health care programs, especially Medicaid. Since 2000, the ABCD program has helped twenty-seven states create models of service delivery and financing through a laboratory for program development and innovation.
Rural Health Information Technology Grants
Funded through HRSA, rural health networks across the nation will receive more than $11.9 million to support their adoption of HIT and certified Electronic Health Records (EHRs). Each of 40 grantee organizations will receive about $300,000 to purchase equipment, install broadband networks and provide training for staff. In California, the grantees include the Tahoe Institute for Rural Health Research and Livingston Community Health Services. The pilot program was developed as a result of the President's Rural Health Initiative.
Health Resources and Services Administration (HRSA) in Your State
HRSA in Your State offers overviews of HRSA programs and current information, such as the number and amount of grants awarded down to the County level. It also provides state-specific information about health centers, National Health Service Corps members and the communities they serve, and the number of participating providers through the 340B program.
Early Childhood Comprehensive Systems (ECCS) State Contacts
The Maternal and Child Health Bureau (MCHB) launched the State Maternal and Child Health Early Childhood Comprehensive Systems (ECCS) Initiative to implement the MCHB Strategic Plan for Early Childhood Health. The purpose of ECCS is to support states and communities in their efforts to build and integrate early childhood service systems that address the critical components of access to comprehensive health services and medical homes; social-emotional development and mental health of young children; early care and education; parenting education, and family support. For additional information, you can look up your state's ECCS Grantee Contact or Grantee Web site.
AAP: Community Pediatrics Grant Database
The Community Pediatrics Grant Database archives previously funded Community Pediatrics grant projects, including those funded through the CATCH Program, the Healthy Tomorrows Partnership for Children Program, the Community Pediatrics Training Initiative, and the Healthy People 2010 Chapter Grants. The database is searchable by seven major categories: target population; health topic; state/territory; project activity; AAP program; AAP district; and project year. Members of the AAP can obtain grantee contact information by searching through the Member Center. If you are not an AAP member, but have questions please contact docbi@aap.org.
Funding Opportunities
This page houses information on funding opportunities from the AAP and other organizations, as well as links to other key funding contacts and resources.
(Back to Top)
This section provides information on state organizations that play a role in implementing various aspects of medical home, and includes links to their Web sites and contact information.
American Academy of Pediatrics (AAP) Chapters—California
AAP chapters are organized groups of pediatrician members and other health care professionals working to achieve AAP goals in their communities. Please contact your local chapter for additional state resources.
American Academy of Family Physicians (AAFP) Chapter—California
AAFP represents more than 94,000 family physicians, family medicine residents, and medical students.
Family Voices Chapter—California
Family Voices aims to achieve family-centered care for all children and youth with special health care needs and/or disabilities. Through a national network of chapters, they provide families with tools to advocate for improved public and private policies, and build partnerships among professionals and families.
Family-to-Family Health Information Centers (F2F HICs)
F2F HICs are non-profit organizations that help families of children and youth with special health care needs (CYSHCN) and the professionals who serve them. F2F HICs are typically staffed by parents of CYSHCN who understand the issues that families face, provide advice, offer resources, and tap into a network of other families and professionals for support and information.
Family Voices of California, Support for Families of Children with Disabilities
Address: 1663 Mission St. 7th Floor, San Francisco, CA 94103
Phone: 415/282-7494 | Fax: 415/282-1226
Primary Contact: Juno Duenas at jduenas@supportforfamilies.org or Sally Brammell at sbrammell@familyvoicesofca.org
Title V Maternal and Child Health (MCH) Director & Children with Special Health Care Needs (CSHCN) Director
Title V of the Social Security Act is the nation's oldest federal program to improve the health of all mothers, infants, children, adolescents, and CSHCN. Title V is administered by the Federal Maternal and Child Health Bureau (MCHB) as a block grant to states to support core public health functions, such as care coordination and rehabilitation services.
Early Hearing Detection & Intervention (EHDI) Contact(s)
State EHDI programs promote universal newborn hearing screening, develop effective tracking and follow-up as a part of the public health system, promote appropriate and timely diagnosis of hearing loss, prompt enrollment in appropriate early intervention, ensure a medical home for all newborns, and strive to eliminate geographic and financial barriers to service access.
State Newborn Screening & Genetics Programs
Early Intervention/Part C Coordinators
The Program for Infants and Toddlers with Disabilities (Part C of IDEA) is a federal grant program that assists states in operating a comprehensive statewide program of early intervention services for infants and toddlers with disabilities, ages birth through 2 years, and their families.
State Section 619/Special Education for ages 3-5 Coordinators
This program provides free appropriate public education (FAPE) for children, ages 3 through 5 years, with disabilities.
State Interagency Coordinating Council (ICC) Chairs
This program advises appropriate agencies on the unmet needs in early childhood special education and early intervention programs for children with disabilities, assists in the development and implementation of policies that constitute a statewide system, and assists all appropriate agencies in achieving full participation, coordination, and cooperation for implementation of statewide system.
Children's Health Insurance Program (CHIP)
CHIP is Title XXI of the Social Security Act and is a state and federal partnership that targets uninsured children and pregnant women in families with incomes too high to qualify for most state Medicaid programs, but often too low to afford private coverage. Within federal guidelines, each state determines the design of its individual CHIP program, including eligibility parameters, benefit packages, and administrative procedures. The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 re-authorized the program through FY 2013, and includes many incentives for states to find and enroll more eligible children in both Medicaid and CHIP. CHIPRA also includes quality provisions that aim to monitor and improve care delivered through the Medicaid and CHIP programs. Each state does have a CHIP program, and the names of these programs differ from state to state. To find information on health coverage programs in your state, visit the InsureKidsNow.gov Web site.
Medicaid State Directors
Medicaid is Title XIX of the Social Security Act and is a federal/state entitlement program that provides medical assistance to certain individuals and families with low incomes and/or special health care needs. Medicaid is of unique importance to children; together with the CHIP, Medicaid insures more than one in four children in the United States, with millions more eligible but currently unenrolled. The Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program is a critical component of Medicaid, which guarantees that children enrolled in Medicaid are screened for medical or developmental problems early, and that necessary treatments and services are provided. To find information on health coverage programs in your state, visit the InsureKidsNow.gov Web site.
- Medicaid State Reports—2011
The American Academy of Pediatrics, in partnership with the National Association of Children's Hospitals, has created fact sheets that explain the importance of the Medicaid program, and how children in every state rely on it for their health care.
Community Health Centers in the State
HRSA provides a searchable database of federally-funded health centers. Health centers provide care to those with or without health insurance including well-care check ups, treatment when sick, complete care during pregnancy, immunizations and checkups for children, dental care, prescription drugs, and mental health and substance abuse care.
Regional Extension Centers (RECs)
Health Information Technology RECs support and serve health care providers to help them quickly become adept and meaningful users of electronic health records (EHRs). RECs are designed to make sure that primary care clinicians get the help they need to use EHRs by providing training in adopting EHRs, guidance with implementation, and technical assistance as needed.
(Back to Top)
Association of Maternal and Child Health Programs (AMCHP)—California State Profile
These state profiles provide a snapshot of how the Maternal and Child Health Block Grant (Title V) works in specific states. The profiles detail the Federal funds appropriated to each state, state match, specific programs funded, numbers of people receiving services and state health needs.
Early Childhood State Policy Profiles
National Center for Children in Poverty (NCCP)
NCCP’s Early Childhood Profiles were produced as part of the Improving the Odds for Young Children project. These comprehensive profiles highlight states’ policy choices that promote health, education, and strong families alongside other contextual data related to the well-being of young children.
Issue Brief: Implementing the Medical Home in Medicaid, CHIP, and Multistakeholder Demonstration Programs
American Academy of Pediatrics (Member access only)
This Issue Brief serves to provide guidance to AAP chapters working with states to implement medical home projects in Medicaid and CHIP as well as multipayer demonstration programs. It also addresses a number of the policy questions that frequently arise in creating state supports for the medical home.
(Back to Top)
Medical Home Data Portal—State Data Pages
Child and Adolescent Health Measurement Initiative
The Medical Home State Data Portal profiles provide a state’s medical home performance level for all children and children with special health care needs, based on data from the 2009/2010 National Survey on Children with Special Health Care Needs, 2007 National Survey on Children's Health and the 2005/2006 National Survey of Children with Special Health Care Needs.
Child Health USA 2010
US Department of Health and Human Services, Health Resources and Services Administration
This report is the 17th edition of the annual statistical report that highlights the health status and service needs of America's children. The report contains easy-to-access graphs and charts summarizing significant indicators of children's health status, statistics, figures, and references.
America's Children: Key National Indicators of Well-Being, 2011
Federal Interagency Forum on Child and Family Statistics
The purposes of the report are to improve Federal data on children and families and make these data available in an easy-to-use, non-technical format. It organizes well-being indicators into seven sections: family and social environment, economic circumstances, health care, physical environment and safety, behavior, education, and health.
KIDS COUNT Databook
Annie E Casey Foundation
This report is a national and state-by-state profile of the well-being of America's children available as an interactive databook, a complete PDF-format report, and on request, in print. Data and rankings on 10 key indicators of child well-being are available by state, county, and city.
State-at-a-Glance Chartbook on Coverage and Financing for Children and Youth with Special Health Care Needs
The Catalyst Center
The Online State-at-a-Glance Chartbook provides data on carefully selected indicators of health coverage and health care financing for CYSHCN. Using the online Chartbook, you can access data for your state and easily compare it with both national averages and other states' data.
National Healthcare Quality & Disparities Reports
Agency for Health Research and Quality (AHRQ)
50-State Demographics Wizard
National Center for Children in Poverty (NCCP)
This tool allows you to create custom tables of national- and state-level statistics about low-income or poor children. Choose areas of interest, such as parental education, parental employment, marital status, and race/ethnicity—among many other variables.
Adolescent Health Database
National Adolescent Health Information Center (NAHIC)
The NAHIC database includes national and state-level profiles of key measures of the health of adolescents and young adults. National-level data is available by gender and race/ethnicity and also state-by-state, with summaries, data tables, and guidance for using this data to improve the health of adolescents and young adults.
Medical Home Data Fact Sheet—January 2009
American Academy of Pediatrics
To inform key aspects of the pediatric medical home, the AAP has compiled a data fact sheet of summary statistics and facts from various AAP and public and proprietary sources. These data define the current state of pediatric care, and as the efforts surrounding the promotion and expansion of the pediatric medical home accelerate, the fact sheet will change to reflect this new picture.
Profile of Pediatric Visits—April 2010
American Academy of Pediatrics
This report is based on the most current available four years worth of NAMCS and MEPS data (2004-2007). The updated report includes annualized estimates by source of payment, patient age, physician specialty, well vs sick visit, office setting, practice ownership, physician employment status, and geographic location.
Access to Health Care for California's (CSHCN): Chartbook
California data on access to care for CSHCN. The data compares the care children in Medi-Cal receive to the care received by other children in California and in other state Medicaid programs.
(Back to Top)
AAP Child Health Informatics Center—State and Territory Specific HIT Resources
This page on the AAP AAP Child Health Informatics Center (CHIC) Web site allows you to identify pediatric specific HIT resources by state related to Meaningful Use, Regional Extension Centers, State Health Information Exchanges, and other important information.
Children's Regional Integrated Service System (CRISS) Medical Home Materials
CRISS aims to promote a seamless, integrated, cost-effective and efficient regional service system that improves service delivery and coordination of care for children with special health care needs.
Case Study: Partnership Health Plan of California Improves Managed Care for Children with Special Needs; A Best Clinical and Administrative Practices (BCAP) Pilot Project
Partnership worked to create a medical home to streamline care for children with special needs; and provide comprehensive resources for their families. The health plan believes that the level of success achieved would not have been possible without the involvement of its practice sites and the strength of its coalition. "Improving Managed Care for Children with Special Needs."
Pediatric Medical Home Program at UCLA
The goal of the Pediatric Medical Home Program at UCLA is to provide care to our pediatric patients with special health care needs that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally-effective. Our program is at the forefront of a national effort to transform primary care for children.
(Back to Top)
