TEXAS MEDICAL HOME INFO
Announcements

Early and Periodic Screening, Diagnostic, and Treatment Benefit: Texas 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 Texas.

content divider

Texas Children's Hospital Awarded Visiting Professorship
The American Academy of Pediatrics (AAP) Medical Home for Children Exposed to Violence has selected Texas Children's Hospital as one of the five centers awarded visiting professorships to improve healthcare providers’ understanding and skills to assess and care for children exposed to multiple types of violence. The professorships are supported by a grant on behalf of the Department of Justice. Find more information here.

(Back to Top)

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 to be connected with your chapter champion or are interested in more information about the project, fill out the Contact Us form.

content divider

Medicaid-Safety Net Learning Collaborative (2012-2013) PDF
The National Academy for State Health Policy (NASHP), through a cooperative agreement with the Health Resources and Services Administration (HRSA), has launched the Medicaid-Safety Net Learning Collaborative to support innovative delivery system models to support vulnerable populations. This initiative provides a structured opportunity to integrate safety net providers into evolving health systems through statewide partnerships with the Medicaid agency, safety net providers and other stakeholders. Medicaid-Safety Net Learning Collaborative states will have access to expert consultation, implementation resources, and networking opportunities for peer-to-peer learning over the course of 13-months to develop strategies to achieve value and high performance. "The Texas team, led by the Texas Health and Human Services Commission (the state’s Medicaid agency), the Department of State Health Services, and Harris County Public Health and Environmental Services, is focusing on care for people living with HIV (PLWH). Data indicate that PLWH who receive care from the state’s Ryan White
providers are far more likely than other PLWH to receive vitally important medical care. Texas will build on and sustain this success by making sure that Ryan White providers are able to navigate changes in funding streams, expanded Medicaid eligibility, and the spread of Medicaid managed care. Texas also plans to develop materials and tools to support other providers that serve PLWH."

content divider

Building Medical Homes: Lessons from Eight States with Emerging Programs
The Commonwealth Fund—December 2011
This report discusses the progress and experiences of eight states (Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia) that are at various stages of implementing a medical home program.

content divider

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

content divider

LEND Programs Receive Funding to Improve the Health of Children with Special Health Care Needs
The Health Resources and Services Administration (HRSA) has awarded $28.3 million to 43 Leadership Education in Neurodevelopmental and Other Related Disabilities (LEND) programs, including the program at the The University of Texas Health Science Center at Houston, 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.

content divider

Texas Medical Home Initiative
Texas Chapter of the American College of Physicians (ACP)
The project attempts to facilitate increased clinical quality and efficiency, improved patient and physician experience of care, and overall care coordination and integration within and among the participating practices. The project will begin with a small scale implementation. Based upon “lessons learned” during the first 12-18 months of this implementation, the project will be expanded. During Stage One, the focus will be primarily on adults; however, the project will also include patients younger than 18 with severe asthma.

dotted line

Aetna Foundation Awards Grants to Study PCMH
Aetna Foundation provided $250,000 to Baylor College of Medicine in Houston, Texas, to study how primary care medical homes can lower the cost of care and improve the health of children with chronic physical, developmental or behavioral conditions. To obtain the patient perspective, the researchers will survey the children's parents about their satisfaction with their youngster's care. Additionally, the researchers will analyze claims data to see if the children treated by doctors who identify their practice as a primary care medical home have fewer emergency room visits, hospitalizations and other potentially avoidable treatments than children who receive their care from other types of medical practices.

dotted line

Blue Cross and Blue Shield of Texas Introduces the Largest Medical Home Pilot Project in Texas to Five North Texas Counties
Blue Cross and Blue Shield of Texas is implementing a medical home pilot program, beginning February 1, 2010, which will include over 90 primary care physicians (PCPs) in Dallas, Denton, Tarrant, Collin and Johnson Counties.

dotted line

Interprofessional Leadership Learning Collaborative
The Association of University Centers on Disabilities (AUCD) has announced the selection of 6 teams to participate in the Maternal and Child Health Bureau (MCHB)/AUCD Interprofessional Leadership Learning Collaborative. The purpose of the Learning Collaborative is to engage MCHB-funded interdisciplinary leadership training programs in an experiential, skill-based "community of practice" related to the University of North Carolina (UNC) Maternal and Child Health (MCH) Leadership Consortium model. The Texas Team is comprised of:

  • LoneStar LEND
  • Baylor College of Medicine LEAH

dotted line

Consortium to Advance Medical Homes for Medicaid and CHIP Participants PDF
Texas is one of eight state teams brought together in 2009 by the National Academy for State Health Policy (NASHP) to form a Consortium to Advance Medical Homes for Medicaid and Children's Health Insurance Program (CHIP) Participants. These states will work together during this one-year program, to develop and implement policies that increase Medicaid and CHIP program participants' access to high performing medical homes.

  • New Tactics for Building Medical Homes in State Medicaid and CHIP Programs Webcast
    Over the past 12 months the Medical Homes II Consortium states have made strides toward the goal of developing medical home programs. This webcast, featuring policymakers from the eight states, highlights a variety of their achievements in the areas of forming partnerships, defining and recognizing medical homes, reforming payment, supporting practices, and measuring progress.

content divider

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 Texas, the grantee is Texas A&M University-Kingsville. The pilot program was developed as a result of the President's Rural Health Initiative.

content divider

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.

content divider

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.

dotted line

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.

dotted line

Funding Opportunities
This page houses information on funding opportunities from the AAP and other organizations, as well as links to other key funding contacts and resources.

(Back to Top)

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—Texas
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.

dotted line

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

dotted line

Family Voices Chapter—Texas
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.

dotted line

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.

Texas Parent-to-Parent
Address: 3710 Cedar St. Box 12, Austin, TX 78705
Phone: 512/458-8600 | Toll free in TX: 866/896-6001
Primary Contact: Laura Warren

dotted line

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.

dotted line

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.

dotted line

State Newborn Screening & Genetics Programs

dotted line

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.

dotted line

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.

dotted line

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.

dotted line

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.

dotted line

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.

dotted line

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.

dotted line

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.

dotted line

Texas Department of State Health Services Medical Home Information
This site explains what makes up a medical home, where families and providers can find helpful information to create or improve a medical home, and ways that Texas is making it easier to have a medical home.

(Back to Top)

Public Policy/Legislation

Association of Maternal and Child Health Programs (AMCHP)—Texas 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.

line

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.

line

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.

(Back to Top)

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.

line

Child Health USA 2013 pdf download
US Department of Health and Human Services, Health Resources and Services Administration

This annual statistical report 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.

line

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.

line

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.

line

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.

line

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

line

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.

line

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.

line

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.

line

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.

(Back to Top)

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.

line

Texas Health Steps
Texas Health Steps' award-winning online program offers FREE CE Courses to enhance your ability to provide preventive health, mental health, oral health & case management services to Medicaid eligible children in Texas.

dotted line

Texas Department of State Health Services—Medical Home Resources

dotted line

Project DOCC Houston—Delivery of Chronic Care Medical Home
Project DOCC is a national training program involving families of children with chronic illness/disabilities as faculty to transfer their knowledge and life experiences to first year pediatric resident physicians in over twenty medical center in the United States as well as in Australia. Created in 1994 by three parents, Project DOCC's philosophy is that, by understanding how families deal with illness and or disabilities out side the hospital setting, pediatric resident physicians become better and more compassionate physicians.

(Back to Top)


Share |


Facebook

Subscribe to me on YouTube