TENNESSEE MEDICAL HOME INFO
Announcements

Early and Periodic Screening, Diagnostic, and Treatment Benefit: Tennessee State Information
This new resource page, developed by the National Academy for State Health Policy, provides state policymakers, Medicaid officials, and other interested parties with specific information about strategies for delivering this Medicaid benefit for children and adolescents in Tennessee.

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National Academy for State Health Policy —Tennessee 2014 CHIP Fact Sheet PDF
This fact sheet provides key information describing each state’s CHIP program at a time when states are both immersed in implementing the Children’s Health Insurance Program Reauthorization Act and Affordable Care Act.

 

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Projects and Grant Initiatives

Medical Home Chapter Champions Program on Asthma, Allergy and Anaphylaxis
Through the support of the Allergy & Asthma Network Mothers of Asthmatics (AANMA), the Medical Home Chapter Champions Program on Asthma, Allergy and Anaphylaxis facilitates the dissemination of best practices, evidence-based guidelines and resources in asthma and allergy care to pediatricians in their states, and supports pediatricians in serving as advocates for change at local, state and national levels. The program seeks to support a successful, national chapter champion network model, initiate a team-based, care coordination and co-management quality improvement learning community; and cultivate an enhanced focus on advocacy and policy. If you are interested in more information about the project, fill out the Contact Us form.

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Tennessee Medical Home Project
A collection of web-based and in-person training resources to support medical providers in building strong medical homes. This was developed in 2012 by the Tennessee Chapter of the American Academy of Pediatrics, the Tennessee Department of Children's Special Services, and Tennessee Voices for Children.

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Maternal, Infant, and Early Childhood Home Visiting Program (2012)
The US Department of Health and Human Services (HHS) has announced the awarding of grants to 10 states including the Tennessee Department of Health to provide early childhood supports and home visits to families. The funding has been awarded for the purpose of expanding or establishing home visiting programs that will provide for effective coordination and delivery of critical health, development, early learning, child abuse and neglect prevention, and family support services to at-risk children and families.

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Children's Health Insurance Program Reauthorization Act (CHIPRA) Grants—Cycle II PDF
Tennessee is one of 23 states that received CHIPRA Cycle II grants for efforts to identify and enroll children eligible for Medicaid and the Child Health Insurance Program. The grants build upon the United States Department of Health and Human services Connecting Kids to Coverage Challenge to find and enroll children and support outreach strategies that have proven successful.

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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 Tennessee at Knoxville and Vanderbilt University Medical Center, 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.

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Aligning Forces for Quality (AF4Q) Initiative—Tennessee
The Healthy Memphis Common Table (HMCT) leads the city's AF4Q initiative. HMCT identifies and implements results-driven, quality improvement solutions that are informed by the expertise of community partners, including schools, faith-based organizations, local governments, social agencies, hospitals, health plans, physicians, employers and corporations. Its AF4Q initiative develops a sustainable infrastructure for physician quality improvement activities, placing an emphasis on performance measurement and public reporting in its programming.

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Screening Tools And Referral Training (START) Program
Despite its relatively small size, states across the country are now turning to the Tennessee Chapter of the American Academy of Pediatrics (TNAAP) to gain insight on how to best prepare pediatric care providers for developmental and behavioral screening.  The START program (originally adapted from the AAP Illinois Chapter STEPPS Program) has been offered free of charge to pediatricians, family physicians, and nurses at regional sessions throughout the state. Content of the training program includes: importance of screening tools and need for implementation into practice; overview of the variety of screening tools available; types of screening to include developmental and behavioral, autism spectrum disorders, ADHD, substance abuse, and maternal depression; and instruction on the referral resources that are accessible to pediatric health care providers. At the conclusion of each session, participants are supplied with a Resource Manual for their continual reference in the workplace.The program, largely funded by the State of Tennessee's TennCare, includes continuing education credit for pediatricians, family physicians, and nurses. For more information, contact Deborah Usry at dusrytnaap@comcast.net.

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Summit Medical Group (SMG)
SMG has about 220 physicians in 50 office locations and 10 hospitals serving patients in 10 counties in the East Tennessee region. As the number of physicians and the size of the company have grown over the past several years, Summit has become recognized as a regional leader in medical management and innovation. SMG was Tennessee's first medical group to become certified by the National Committee for Quality Assurance (NCQA) Physician Practice Connections® Patient-Centered Medical Home™ (PPC-PCMH) Recognition Program and one of the largest NCQA PPC-PCMH groups in the United States.

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Tennessee Adolescent Health Quality Improvement Project (TN-AQIP)
Health providers who provide preventive services to adolescents (pediatricians, family physicians, public health department clinicians, and federally qualified health center providers) will be invited to participate in this project. Participants will engage in a quality improvement effort from June 1-September 30, 2010. The quality improvement project will focus on increasing the number of adolescents who receive recommended preventive care services by minimizing the number of missed opportunities to delivery preventive care. This project is a partnership between the Governor's Office of Children's Care Coordination, the TN Chapter of the American Academy of Pediatrics, the TN Academy of Family Physicians, and the TN Primary Care Association.

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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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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—Tennessee
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—Tennessee
AAFP represents more than 94,000 family physicians, family medicine residents, and medical students.

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Family Voices Chapter—Tennessee
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.

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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.

Tennessee Disability Coalition
Address: 955 Woodland Street, Nashville, TN 37206
Phone: 615/383-9442 | Toll free in TN: 888/643-7811
Primary Contact: Donna DeStefano, Julie Sullivan

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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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Tennessee Title V Maternal and Child Health Block Grant
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) Directors PDF
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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National Association of State Health Policy (NASHP)—Tennessee CHIP Fact Sheet PDF
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).

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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.

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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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Public Policy/Legislation

Association of Maternal and Child Health Programs (AMCHP)—Tennessee State Profile pdf download
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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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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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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Other Resources

AAP Child Health Informatics Center—State and Territory Specific HIT Resources
This page on the 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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