New Opportunities for Integrating Care for Women, Children and Their Families
Association of Maternal and Child Health Programs and The Commonwealth Fund
The Patient Protection and Affordable Care Act gives states new tools and funding to integrate public and private delivery of health care services. For example, many state Medicaid agencies and the Children’s Health Insurance Program, public health agencies, provider groups, private insurers, children’s hospitals, and family organizations are partnering to share resources including technical assistance, coordinated care, and quality improvement efforts. This issue brief highlights the efforts of Ohio to integrate health care services for low-income women and children, especially through state Title V maternal and child health programs.
Ohio to Spend $1 million to Help Facilities Transition to Medical Homes
A recent article in Healthcare Finance discusses how the Ohio Department of Public Health and the Governor’s Office of Health Transformation has announced that the state will invest $1 million to help primary care practices transition to a patient-centered medical home model. The practices also will serve as training grounds for medical and nursing students who want to learn how to deliver care in the new model.
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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 us at 847/434-4311 or fill out the Contact Us form.
CATCH Planning Grant—Medical Home for Foster Care Children (2012)
Foster Care children are an underserved group who are at-risk for increased medical, mental health, developmental, and behavioral problems. Under-recognition and under-treatment of these problems results in lasting and devastating effects, including poor adult medical and mental health and a continued cycle of abuse and neglect. This proposal is for planning funds to design a new comprehensive care clinic at Cincinnati Children's Hospital Medical Center which will serve as a medical home for children in foster care in Hamilton County.
Children's Health Insurance Program Reauthorization Act (CHIPRA) Grants—Cycle II
Ohio 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 Cincinnati and Ohio State University, 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—Ohio
- Better Health Greater Cleveland Initiative
The Better Health Greater Cleveland
consists of more than 20 organizations representing providers, patients, payers, plans and state and local governments. The collaborative was founded by the Center for Community Solutions, Health Action Council Ohio and The MetroHealth System and is led by physician leaders from large organizations and most of the region's safety-net practices. Better Health Greater Cleveland is dedicated to promoting high-quality and equitable care for people with chronic medical conditions; helping people be more active and confident in their care; and bringing patients and doctors together to make Greater Cleveland healthier.
- Cincinnati Aligning Forces for Quality (Cincinnati AF4Q)
The Health Improvement Collaborative of Greater Cincinnati leads Cincinnati Aligning Forces for Quality (Cincinnati AF4Q). Cincinnati AF4Q seeks to enhance local infrastructure and to align key drivers of overall health care improvement. The initiative has identified diabetes as its initial condition of focus, later to be followed by additional conditions. Programmatic aims include aligning diabetes care messaging among employers, health plans, providers and community-based organizations; initiating quality improvement among primary care providers; and initiating region-wide public reporting of selected primary care practices' quality-related outcomes.
TriHealth Adopts Medical Home Model as the Preferred Standard
Sparked by a $6 million, two-year grant from Bethesda Inc., TriHealth has announced it will adopt the “Patient-Centered Medical Home” model as the preferred model of care for its employed primary care practices. The TriHealth Medical Home initiative will align with principles established by the Health Improvement Collaborative of Cincinnati and the Cincinnati Aligning Forces for Quality (AF4Q).
Putting Patients First Might Really Save—Medical Practices Use New Approach in Delivering Care
An article in The Columbus Dispatch tells the story of practice transformation through a patient's eyes, depicting the positive changes experienced in the patient’s care. Central Ohio Medicine, part of Central Ohio Primary Care group, is one of nine area practices that have become medical homes. The effort is coordinated by Access HealthColumbus, a health policy group, which will collect and analyze quality and cost data.
Ohio Patient-Centered Medical Home Education Pilot Project
Ohio's Patient-Centered Medical Home Education Pilot Project launched in July 2011 and focuses on converting 44 practices (40 led by physicians, four by advanced practice nurses) to patient centered medical homes. Ten of the 44 in the pilot are affiliated with Wright State University's Boonshoft School of Medicine; one APN-led practice is affiliated with the university's college of nursing and health. In addition, the deans of the Ohio medical schools will develop a proposal to create as many as 50 scholarships each year for medical students who participate in PCMH training and agree to practice primary care for at least three years in Ohio after residency.
National NICHQ Medical Home Learning Collaborative
A fifteen-month collaborative activity to improve care for the growing population of CSHCN. This initiative focuses on 3 practices in the state and assists them in completing a quality improvement process to provide medical homes to their patients with special needs. It also assists in building the capacity of Ohio's BCMH and other health department programs to support and extend this approach after the completion of the project period.
Healthy Tomorrows Partnership for Children Program Grant—Hospital to Medical Home Project (2009-2014)
St. Vincent Mercy Medical Center/Children's Hospital - Toledo, OH
The goal of the St. Vincent Mercy Children's Hospital (SVMCH) Hospital to Medical Home Project is to maximize the health status and quality of life of children with life limiting and/or life threatening special health care needs in a 17-county northwest Ohio region by implementing a model for their safe transition from the acute care hospital setting to a qualified medical home. The project will expand the SVMCH pediatric palliative care program from an exclusively hospital-based, acute care approach to a partnership between the hospital and community-based medical home. For more information on this HTPCP project, please e-mail your name, address, telephone, and fax numbers with your specific request to email@example.com.
Patient-Centered Outcomes Research Institute (PCOI) Pilot Projects Program
PCOI has approved 50 Pilot Projects Program awards, totaling $30 million over two years. The awarded projects include programs working to develop tools and techniques for improving patient-centered care and decision-making; create new patient-centered care measures; and improve delivery of patient-centered counseling and care in various health care settings. One funded pilot projects that relates to providing medical home services for all children and youth is Group Model Building to Engage Patient & Clinician Wisdom to Design Primary Care—Case Western Reserve University .
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 Health Improvement Collaborative of Greater Cincinnati. 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 Ohio.
New Opportunities for Integratingand Improving Health Care for Women, Children, and Their Families
The Commonwealth Fund and the Association of Maternal and Child Health Programs (AMCHP), 2012
This issue brief highlights “the efforts of Colorado, Florida, Ohio, and Vermont to integrate health care services for low-income women and children, especially through state Title V and maternal and child health programs.”
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.
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 firstname.lastname@example.org.
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—Ohio
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—Ohio
AAFP represents more than 94,000 family physicians, family medicine residents, and medical students.
Family Voices Chapter—Ohio
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.
Family Voices of Ohio
Address: 6555 Nusch Blvd Suite 112, Columbus, OH 43229
Phone: 419/251-8190 | Toll-Free: 877/322-2200
Primary Contacts: Carol Keltner | Diane Frazee
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 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)
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.
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Association of Maternal and Child Health Programs (AMCHP)—Ohio 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 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.
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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.
The Care Coordination Toolkit
Developed by the Cincinnati Children's Hospital Center for Infants and Children with Special Needs, this toolkit outlines billing for the care coordination through a review of individual codes, proper documentation, and an easy to follow billing slip.
Ohio Health Department Head Discusses PCMH
This video shows Dr Ted Wymyslo, director of the Ohio Department of Health, discussing the patient-centered medical home and how it will transform patient care. He discusses, among other issues, how health IT helps make it more convenient for patients to connect with clinicians.
Special Needs Resource Directory of Southwest Ohio
The Special Needs Resource Directory, created by the Center for Infants and Children with Special Needs at Cincinnati Children’s, can assist parents, caregivers, and healthcare providers identify, evaluate and access necessary services and supports. The guide aims to connect you to local, regional, and national Web sites to help you:
- Find information about your child’s diagnosis or condition.
- Identify strategies to help you advocate for your child.
- Develop community connections for resources and support.
- Locate information and resources to assist you with special education, healthcare, financial, transition, recreation, networking and future planning needs.
- Overcome barriers to access healthcare resources.
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