MICHIGAN MEDICAL HOME INFO
Announcements

Radio Show Examines Primary Care Transformation (March 2012)
The WJR Healthier Michigan radio program featured collaborations and new models of care. The host spoke with several experts, including Jean Malouin, MD, co-chair of the Michigan Primary Care Transformation project, on how the project is helping improve health in the state and make care more affordable.

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Medical Advantage Group Launches New Corporation
Medical Advantage Group Care Management (MAG CM) is a new corporation and service that places qualified Care Managers (CMs) in provider offices with the ultimate goal of reducing the incidence of costly health care events. The initial MAG CM premise is that CMs will be hired into regions that will support patient-centered medical home practices that are participating in the Michigan Primary Care Transformation Project (MiPCT). 

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Projects and Grant Initiatives

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 PDF, 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.

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Children's Health Insurance Program Reauthorization Act (CHIPRA) Grants—Cycle II PDF
Michigan 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.

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Aligning Forces for Quality (AF4Q) Initiative—Michigan

  • Alliance for Health
    The AF4Q initiative in West Michigan is led by The Alliance for Health (the Alliance). The AF4Q work of the Alliance focuses on improving quality and efficiency, reducing disparities and using information as a foundation for provider quality improvement and consumer engagement.
  • Greater Detroit Area Health Council (GDAHC)
    The AF4Q initiative in Detroit is led by the GDAHC. As the region's foremost health care coalition, GDAHC provides a forum for multi-stakeholder collaboration and partnerships to develop, facilitate and execute promising solutions aimed at improving cost, quality and access to health care. As GDAHC enters the second phase of AF4Q, its mission is to continue to lead improvement in the quality, cost-effectiveness and accessibility of health care.

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Consortium to Advance Medical Homes for Medicaid and CHIP Participants PDF
National Academy for State Health Policy (NASHP)—January 2011 
Fifteen state teams were brought together by the NASHP to form a Consortium to Advance Medical Homes for Medicaid and Children's Health Insurance Program (CHIP) Participants. These states will work together to develop and implement policies that increase Medicaid and CHIP program participants' access to high performing medical homes. This past spring, the kick-off meeting was held for the 15 participating states (Alabama, Colorado,  Maryland, Massachusetts, Michigan, Minnesota, New Mexico, New York, North Carolina, Oklahoma, Oregon, Pennsylvania, Rhode Island, Vermont and Washington); the blog post—Constructive Ideas from Medical Home Builders—features an interview with NASHP policy analyst Jason Buxbaum about the Consortium states' medical homes projects.

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The Region 4 Genetic Collaborative
(Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin)
The mission of the Region 4 Genetics Collaborative is to:

  • Increase access to information about newborn screening and genetic resources, services and family support systems
  • Facilitate data collection and analysis to guide decision-making regarding screening cut-offs, diagnosis and long term treatment of heritable disorders
  • Support state public health agencies in improving infrastructure for genetic service delivery to children with heritable disorders
  • Provide a forum for families, public health, and clinical providers to share best practices and models for improving newborn screening, follow-up and genetic care coordination
  • Link Region 4 states with regional and national initiatives for improving the quality of newborn screening and genetic service delivery.

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Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration PDF
Michigan will participate in the MAPCP Demonstration that will include up to approximately 1,200 medical homes across eight states serving up to one million Medicare beneficiaries. All major payers in the states or proposed regions (Medicare, Medicaid, as well as a significant representation of the large private insurers/managed care organizations) will be participating, thereby assuring the availability of sufficient resources to the primary care practice for implementation of the advanced primary care model.

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Michigan State University (MSU) to Research to Evaluate Medical Home Pilots
Researchers at MSU will evaluate the effectiveness of different medical home initiatives from two insurance companies, under a $1.2 million federal grant. The funds come from the $1.1 billion appropriated in the HITECH Act to conduct "comparative effectiveness" research to develop and disseminate best practices and evidence-based treatment guidelines. Researchers will evaluate the effectiveness of medical home pilot programs of Grand Rapids, MI based Priority Health and Buffalo, NY based Independent Health. Both plans are community-based and started their pilots in 2009 with common data elements, but the plans have different payment methodologies. Under the three-year grant, researchers at MSU's Primary Care Research and Evaluation Program will analyze claims data from the pilot projects from 2009 through 2011.

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Blue Cross Blue Shield of Michigan (BCBSM)

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Reducing Disparities at the Practice Site
Center for Health Care Strategies, Inc. 2008-2011
Small provider practices play a critical role in caring for Medicaid beneficiaries, particularly those who are racially and ethnically diverse. Funded by Robert Wood Johnson Foundation, this initiative was developed by CHCS to support quality improvement in small practices serving this population.  The three-year project helped Medicaid agencies and health plans partner with small practices to reduce racial and ethnic disparities and improve overall outcomes. State-led teams in Michigan, North Carolina, Oklahoma and Pennsylvania helped practice sites implement interventions focused on tracking patients and outcomes using an electronic data management tool; adopting evidence-based guidelines for targeted chronic conditions; and incorporating team-based care into ongoing practice operations. Click here PDF to access a brief published in May 2011.

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Regional Focus on Advancing Health and the Patient-Centered Medical Home (Video)
The Michican Health Information Alliance, Inc. and the PCMH
This video, hosted by the Patient-Centered Primary Care Collaborative discusses the Michigan Health Information Alliance, a non-profit multi-stakeholder collaborative with a mission to improve the health of people in its 14-county region in central Michigan. She will share the community collaborative's efforts to advance the PCMH.

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Genetics Program—Genomics
The Genomics Unit is a multi-faceted program that provides assessment, policy development, and assurance related to birth defects, genetic disorders, and the use of genomics in public health programs. Their mission is to coordinate educational activities that increase genetic literacy; facilitate early identification and treatment of individuals with birth defects, heritable disorders and genetic susceptibilities throughout the life cycle; and foster collaboration to integrate advances in genomic science throughout public health and other systems of care. The program is responsible for implementing the State Genetics Plan PDF in collaboration with local, state and national partners. It also maintains a statewide network of genetic diagnosis and counseling services. The Genetics Resource Center includes directories of genetic service providers, state genetic support groups, and event calendar along with information on birth defects prevention, resources for families, and the role of family history in complex chronic diseases. (See full program overview PDF)

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Michigan Newborn Screening Program
Newborn Screening is a public health program required by Michigan law to find babies with rare but serious disorders that require early treatment. Printable list PDF of the disorders included in the newborn screening panel.

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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 Michigan, 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.

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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.

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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.

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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.

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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.

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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.

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Partners in State

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) Chapter—Michigan
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.

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American Academy of Family Physicians (AAFP) Chapter—Michigan
AAFP represents more than 94,000 family physicians, family medicine residents, and medical students.

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Family Voices Chapter—Michigan
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.

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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.

Michigan F2FHIEC
Address: 3056 W Grand Boulevard Suite 3-350, Detroit, MI 48202
Phone: 313/456-4387 | Fax: 313/456-4379
Primary Contact: Lisa Cook-Gordon at cook-gordonl@michigan.gov

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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.

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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.

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State Newborn Screening & Genetics Programs

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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 age 2 years, and their families.

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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.

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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.

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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.

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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.

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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.

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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.

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Michigan Hands and Voices
Michigan Hands and Voices is an organization dedicated to non-biased support to families who have children who are deaf or hard of hearing. They provide activities and information statewide to parents and professionals that may include outreach events, education seminars, advocacy, parent-to-parent networking, and newsletters.

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Michigan Primary Care Consortium
A collaborative public/private partnership created to improve the system of delivery of prevention services and the management of chronic disease and other conditions in primary care settings throughout Michigan by aligning quality improvement initiatives, addressing gaps, and engaging in problem-solving strategies to ensure a patient-centered medical home for everyone.

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Great State for Kids - Early Childhood Investment Corporation (ECIC)
Created in August of 2005 to ensure that every young child in Michigan has a Great Start and arrives at the kindergarten door healthy and ready to succeed in school, with parents who are committed to educational achievement. The ECIC is uniquely positioned as a public corporation to bring state and local leaders together on behalf of a better life for Michigan's youngest learners and their families. Medical Home initiative are being addressed by the Pediatric and Family Health Committee which is comprised of leaders in pediatric and family health in the public and private sectors.

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Family Village
A global community that integrates information, resources, and communication opportunities on the Internet for persons with cognitive and other disabilities, for their families, and for those that provide them services and support. This site offers informational resources on specific diagnoses, communication connections, adaptive products and technology,adaptive recreational activities, education, worship, health issues, disability-related media and literature, and much, much more! 

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The Arc
The Arc Michigan exists to empower local chapters of The Arc to assure that citizens with developmental disabilities are valued and that they and their families can participate fully in and contribute to the life of their community.

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Michigan’s Genetics Resource Center
The Genetics Resource Center is a program of the Michigan Department of Community Health, Genomics and Genetic Disorders Section.

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Center for Healthcare Research & Transformation (CHRT)
The CHRT is a non-profit partnership between the University of Michigan and Blue Cross Blue Shield of Michigan (BCBSM) to promote evidence-based care delivery, improve population health, and expand access to health care.

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Public Policy/Legislation

Association of Maternal and Child Health Programs (AMCHP)—Michigan State Profile PDF
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.

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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.

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Issue Brief: Implementing the Medical Home in Medicaid, CHIP, and Multistakeholder Demonstration Programs pdf download
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.

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Medical Home Data

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.

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Child Health USA 2010 pdf download
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.

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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.

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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.

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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.

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National Healthcare Quality & Disparities Reports
Agency for Health Research and Quality (AHRQ)

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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.

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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.

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Medical Home Data Fact Sheet—January 2009 PDF
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.

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Profile of Pediatric Visits—April 2010 PDF
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.

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Other Resources

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.

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Helping Young Adults with Disabilities Reach Their Hopes and Dreams Toolkit
This toolkit was developed through a collaborative effort by the Michigan Family-to-Family Health Information Center (F2F HIC) . The toolkit includes a video built around health and education guidelines to measure transition outcomes at the state and local school level and a companion CD with tools to help young adults make the transition from pediatric to adult health care including a transition timeline, transition worksheets for young adults and caregivers, and a transition plan of care.

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Center for Healthcare Research & Transformation (CHRT)—Symposium on the Patient Centered Medical Home—Obstacles and Opportunities
On December 2, 2010, the Center for Healthcare Research & Transformation (CHRT) sponsored a Health Care Symposium on the patient-centered medical home (PCMH). At this symposium, a panel of experts discussed national and state efforts to adopt the PCMH model—including the recently announced CMS multi-payer demonstration project in Michigan, the role of PCMH in health reform, the experience of the nation’s largest PCMH implementation (led by Blue Cross Blue Shield of Michigan (BCBSM)), and new research into PCMH barriers and accelerators that can be applied by practitioners and policy makers alike.

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Supporting “Meaningful Use” of HIT in Small, High-Volume Medicaid Practices PDF
Robert Wood Johnson Foundation
This brief describes how Oklahoma, Michigan, North Carolina and Pennsylvania are, through reducing disparities at the practice site, supporting practice improvements among Medicaid-serving providers by helping them to adopt and implement electronic registries.

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Michigan Department of Education, Office of Early Childhood Education and Family Services:
Since 2007, the Individuals with Disabilities Education Improvement Act (IDEA) of 2004 requires all states to report information on each district's performance in meeting specific early intervention and special education targets outlined in the State Performance Plan (SPP). Specifically, this Act requires each state to:

  • Have in place a State Performance Plan (SPP) that evaluates that State's efforts to implement the requirements and purposes of this part and describes how the State will improve such implementation.
  • Submit an Annual Performance Report (APR) that evaluates the state's efforts to implement IDEA 2004.
  • Report to the public on the performance of each school district and early intervention program relative to the targets specified in the SPP [§300.602 (b)(1)(i)(A)]. Some targets are set by the federal government, and some are set by the state.

This information provides local districts and communities an opportunity to see what's working well in their special education and early intervention programs and to identify what aspects of those programs are in need of improvement. This is somewhat similar to the Education YES! accountability report cards that districts receive every year. The IDEA early intervention services for infants and toddlers birth through two (2) years of age are known as Early On® in Michigan. This year Early On® is required to report the performance of each Service Area for Indicators 1, 2 and 4-8 based on data from federal fiscal year 2006 (2006-2007).  These reports for Special Education and Early On® are available at:

For additional information regarding:

  • The preschool or special education content of the Public Report, please contact the following E-mail address MDE-SPP-Public-Reporting@michigan.gov or call Patti Oates-Ulrich at 517/241-4418.
  • The Early On® or infant/toddler content of the Public Report, please contact the following E-mail address MDE-SPP-Public-Reporting@michigan.gov or call Vanessa Winborne at 517/335-4865.
  • If you are having difficulty negotiating this Public Reporting Web site, please contact the following electronic helpline nhackett@mi-iis.com.

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