CDPHP Pilot Program Shows Good Results
This article in The Business Review discusses how the Capital District Physicians' Health Plan, based in Albany, NY, is saving $32 per member, per month, at the three primary care practices that made up the first phase of its medical home pilot. The health insurer is working with 21 other area practices for the second phase, and it will select the third-phase practices by the end of May 2011.
The Patient-Centered Medical Home: Taking a Model to Scale in New York State
United Hospital Fund
This report describes the PCMH model and how it has being adopted, implemented and multiplied in communities across the state over the last four years. It also addresses policy and logistical challenges for providers and payers. New York state health officials' goal is to involve every primary care doctor in the state in PCMHs, not just the nearly 20 percent currently certified.
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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
New York 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 programs at the University of Rochester, Albert Einstein College of Medicine, and New York Medical College, 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—New York
The P² Collaborative of Western New York (P² Collaborative) leads the area's AF4Q initiative. The P² Collaborative facilitates the development of a community-wide standard for the promotion of wellness and initiates dialogue with government leadership to promote policy change.
Consortium to Advance Medical Homes for Medicaid and CHIP Participants
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.
New York Hudson Valley p4p/Medical Home Project
The Hudson Valley is implementing innovative programs to potentially improve quality and reduce the cost of health care. First, THINC RHIO is facilitating diffusion of electronic health record (EHR) implementation in offices practices of the Hudson Valley. Second, THINC RHIO is also offering a strategic approach to pay for performance (P4P) among payers and providers across the Hudson Valley that will serve as a model for New York State. The THINC P4P project brings together multiple health plans that service the Hudson Valley region. Using standardized measures agreed upon by providers and payers, the project will provide performance incentives from multiple payers to providers. Third, an additional component of the THINC P4P project will be an added financial incentive for private practice physicians who implement and reach Level II of Physician Practice Connections-Patient-Centered Medical Home (PCMH)™, NCQA’s new national recognition system for physician practices.
Convening Entity/Project Contacts
Susan Stuard | Phone: 845/896-4726 x.3018 | E-mail: sstuard@thincrhio.org
John Blair | Phone: 845/897-6359 | E-mail: jblair@medallies.com
Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration
New York 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.
Dyson Community Pediatrics Training Grants—University of Rochester School of Medicine: Pediatric Links with the Community / Child Advocacy Resident Education (PLC/CARE) Program
Through the Pediatric Links with the Community (PLC) Program and Child Advocacy Resident Education (CARE) Program, the Initiative at the University of Rochester will create a residency training program that inspires and empowers future pediatricians to become leaders in improving the health of children in their communities. The program will also develop a model of community pediatrics in which pediatricians collaborate with community-based organizations, work to assure the health of all children in the community, and advocate for their community to be more child-responsive and child-oriented.
Columbia University Community Pediatric Training Program at Children's Hospital of New York—Presbyterian and Harlem Hospital Center (HHC)
Through The Initiative, the Community Pediatric Training Program broadens residency education by ensuring that all residents have acquired the knowledge, skills, and attitudes that will enable them to work effectively as life-long advocates in partnership with the community to define the health problems of its children, provide curative and preventive services, and evaluate the effectiveness of those services. It also enhances the service to the community by strengthening and building new partnerships with community-based organizations. The program strengthens and expands the core pediatric faculty in community pediatrics and collaborations with other academic disciplines. 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. Here you can learn how diverse programs around the country are educating residents about community pediatrics and fostering practical community experiences.
The Adirondack Region Medical Home Pilot
This pilot offers a new, patient-centered model for the delivery of health care services that emphasizes the role of primary care. It is expected to increase access to services, improve quality of care, and lower costs over the long-term. Health care organizations participating in the pilot include more than 40 primary care practices (representing some 120 physicians and 100 physician assistants and nurse practitioners), five hospitals, seven commercial health plans and Medicaid, the New York State Department of Health, the Medical Society of the State of New York, and the New York State Association of Counties. In all, the pilot covers a multi-county area roughly the size of Connecticut, with about 200,000 people. Under the terms of the pilot, primary care providers receive increased payment for services in exchange for expanded responsibility for coordinating care, providing preventive services and managing chronic disease. Disease management will focus on chronic diseases that account for nearly 80% of health care spending, including diabetes, hypertension, coronary artery disease, asthma and obesity (in children and adults). Participating health care providers are required to meet standards for care set forth by the National Committee on Quality Assurance. The pilot, which began in January 2010, has a five-year time frame to demonstrate that its changes in the delivery of care have improved patient health and contained costs.
New York-based HMO to Expand Medical Home Pilot
CDPHP® recently announced the second phase of its patient-centered medical home (PCMH) pilot, which was originally launched in May 2008. Developed to achieve improvements in the quality and efficiency of health care through transformation of the way primary care is practiced and reimbursed, the second phase of the pilot is expected to encompass 100 area practitioners serving nearly 100K members in the Capital Region.
Implementing Patient-Centered Medical Home Pilot Projects, Lessons from AF4Q Communities
This brief is the first in a series of updates from the Aligning Forces for Quality (AF4Q) Ambulatory Quality Network. AF4Q is a peer learning network designed help communities build the infrastructure for ongoing improvement in primary care that includes the P2 Collaborative of Western New York. Launched in early 2010, the Network consists of peer-to-peer learning groups, online resources, and direct technical assistance from local and national experts.
State Initiatives in Patient-Centered Medical Homes
The Council of State Governments
The majority of state Medicaid programs are testing models of coordinated medical care to improve quality and reduce costs, particularly for patients wit h multiple chronic illnesses. This brief includes descriptions of eleven states' pilot programs or authorizing legislation including New York.
HHS Awards Millions to Support Patient-Centered Medical Home Research
The Department of Health and Human Services (HHS) has announced more than $14.2 million to develop, implement, and test strategies to increase the adoption and dissemination of interventions based on patient-centered outcomes research among racial and ethnic minority populations. The National Institutes of Health (NIH), National Institute for Minority Health and Health Disparities (NIMHD) awarded grants to Centers of Excellence at universities and medical schools in Florida, Hawaii, Illinois, New Mexico, and New York, and the HHS Office of Minority Health awarded a contract to Westat, Inc. of Rockville, MD. The funds will be used to help ensure those Americans have the needed tools to make informed decisions about their health care options. The HHS press release states that those tools should fit individual patient needs and preferences with the long-term goal of improving health outcomes.
$1.2 Million to Evaluate PCMH Effectiveness
The HHS Agency for Healthcare Research and Quality has awarded a $1.2 million grant to Michigan State University to evaluate the effectiveness of primary care transformation efforts at Michigan-based Priority Health and New York state-based Independent Health. The research will compare the effectiveness of two different PCMH strategies on improvement in outcomes including cost, quality and experience in pilot practices. The three-year grant will analyze claims data from the pilot practices of each plan from 2009, when the pilots were launched, through 2011.
Linking Pediatricians and Early Child Care Services to Improve Early Childhood Development
Healthy People 2020—Early Brain and Child Development Grantee
Primary Contact: Dina Lieser, MD, FAAP | didijoy@yahoo.com
Secondary Contact: Jack Levine, MD, FAAP | jmlevine@optonline.net
By linking pediatricians with childcare resource and referral agencies (CCR&Rs), the New York Chapter 2 of the AAP plans to enhance their capacity to promote quality early learning experiences for their patients as well as to promote the concept of the pediatric medical home in early learning and care venues. The pediatric primary care venue offers unparalleled access to our nation’s youngest children and their families, and this project seeks to capitalize on this potential by promoting early learning and care through meaningful collaboration with and referrals to local CCR&Rs. CCR&Rs and pediatricians can work together to promote the importance and benefits of the medical home for families. This project will link pediatricians with the early learning and care community through strategic educational, collaborative and outreach activities and by providing opportunities to share and exchange ideas as well as technical support.
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 New York, the grantees include the Fort Drum Regional Health Planning Organization and the Mary Imogene Bassett Hospital. 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.
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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—New York
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—New York
AAFP represents more than 94,000 family physicians, family medicine residents, and medical students.
Family Voices Chapter—New York
Family Voices aims to achieve family-centered care for all children and youth with special health care needs (CYSHCN) 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 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.
Parent to Parent of NYS
500 Balltown Rd., Schenectady, NY 12304
Phone: 518/359-3006 | Toll free: 800/305-8817
Primary Contacts: Michele Juda
Title V Maternal and Child Health (MCH) Director
Title V 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 age 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) Directors
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.
National Association of State Health Policy (NASHP)—New York CHIP Fact Sheet
This fact sheet provides a baseline snapshot of state CHIP programs before the enactment of the CHIPRA and the Patient Protection and Affordable Care Act (ACA).
Medicaid State Directors
(Select the SMD Directory on the left side of the site for the current list of 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 over 1 in 4 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.
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Association of Maternal and Child Health Programs (AMCHP)—New York 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.
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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 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.
2010 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.
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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.
HealthyTransitionsNY.org
This Web site is for youth with developmental disabilities ages 14-25 years, family caregivers, service coordinators, and health care providers. The site teaches skills and provides tools for care coordination, keeping a health summary, and setting priorities during the transition process. The site features video vignettes that demonstrate health transition skills and interactive tools that foster self determination and collaboration.
Resources for Children with Special Needs (RCSN)'s Resource Database
An
online resource to find services for children and youth with disabilities and other special needs that features items such as maps to show you what resources are closest to you and the ability to update/add your organization's listing in the directory.
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