VERMONT MEDICAL HOME INFO
Announcements

NEW: National Center for Medical Home Implementation Vermont State Profile
Published in collaboration with the National Academy for State Health Policy, this state profile focuses on Vermont's Blueprint for Health Program and its impact on children in the context of medical home.

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University of Vermont Awarded Visiting Professorship
The American Academy of Pediatrics (AAP) Medical Home for Children Exposed to Violence has selected the University of Vermont 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.

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National Academy for State Health Policy —Vermont 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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New Opportunities for Integrating Care for Women, Children and Their Families PDF
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 Vermont to integrate health care services for low-income women and children, especially through state Title V maternal and child health programs.

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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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Medicaid Accountable Care Organization Shared Savings Program Pilot
The Vermont Medicaid shared savings Accountable Care Organization (ACO) model is one of three ACO models on payment reform being tested by the state.  In addition to covering Medicare beneficiaries and attributed commercial enrollees, this model will cover all Medicaid costs for Medicaid beneficiaries including children and CHIP enrollees.  Responsibility for spending by the ACO will include prescription medications, dental benefits, mental health and substance abuse services,  as well as services administered through the state’s Department of Education. For more information visit the Vermont NASHP ACO information page.  

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The Vermont Blueprint for Health
This state-led initiative aims to transform the way that health care and overall health services are delivered in Vermont. In 2007, the Blueprint for Health launched a patient-centered medical home pilot that went statewide in December 2011. According to the Blueprint’s 2013 Annual Report, over 80% of Vermont’s population, including children and adults, are served by a recognized patient-centered medical home.  For more information, visit the Vermont NASHP medical home state page.  

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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 program at the University of Vermont, 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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Consortium to Advance Medical Homes for Medicaid and CHIP Participants
National Academy for State Health Policy (NASHP)—January 2011
Fifteen state teams, including Vermont, 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 worked together to develop and implement policies that increase Medicaid and CHIP program participants' access to high performing medical homes. For more information, see the blog post, Constructive Ideas from Medical Home Builders, and the report, Building Medical Homes: Lessons from Eight States with Emerging Programs.

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Children's Health Insurance Program Reauthorization Act (CHIPRA) Grants—Cycle I
Vermont is a partner on one of 10 CHIPRA grants, representing single-state projects and multi-state collaborations to improve health care quality and delivery systems for children enrolled in Medicaid and the Children's Health Insurance Program. Grants were awarded in February 2010 and the money helps states implement and evaluate provider performance measures and utilize health information technologies such as pediatric electronic health records and other quality improvement initiatives.

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Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration PDF
Vermont is one of eight states participating in the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration funded by the Centers for Medicare and Medicaid Services. Under this demonstration, Medicare is now participating in Vermont's Blueprint for Health initiative and actively making medical home payments. Major payers in Vermont and other participating states or proposed regions (Medicare, Medicaid, as well as a significant representation of the large private insurers/managed care organizations) are participating, thereby assuring the availability of sufficient resources to the primary care practice for implementation of the advanced primary care model.

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Fast Facts on Primary Care Practice Support Systems In Select States PDF
National Academy for State Health Policy (NASHP), 2012
This matrix provides an overview of six state projects, including Vermont, that help providers deliver high-powered primary care and discusses how the teams, pods, and networks support practices, draw on federal health reform resources, and much more.

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The Assuring Better Child Health and Development (ABCD) Program 
The ABCD Program was 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 focused particularly on preventive care for children enrolled in state health care programs, especially Medicaid. The ABCD program ran from 2001-2013 and helped twenty-seven states create models of service delivery and financing through a laboratory for program development and innovation.

  • The Enduring Influence of the ABCD Initiative
    In May 1999, NASHP and The Commonwealth Fund launched the ABCD project. As states continue to address issues related to early childhood development, this report offers lessons, strategies, and policies learned over the past 12 years through this initiative.

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

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Family Voices Chapter—Vermont
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 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.

Vermont Family Network
Address: 600 Blair Park Road, Suite 240 ,Williston, VT 05495-7549
Phone: 802/876-5315 | Toll-Free: 800/800-4005
Primary Contact: Christine Kilpatrick 802/876-5315, Pam McCarthy 802/876-5315, Betty Morse 802/876-5315

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Title V Maternal and Child Health (MCH) Director & Children with Special Health Care Needs (CSHCN) Director
Title V of the Social Security Act is the nation's oldest federal program to improve the health of all mothers, infants, children, adolescents, and CSHCN. Title V is administered by the Federal Maternal and Child Health Bureau (MCHB) as a block grant to states to support core public health functions, such as care coordination and rehabilitation services.

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Early Hearing Detection & Intervention (EHDI) Contact(s)
State EHDI programs promote universal newborn hearing screening, develop effective tracking and follow-up as a part of the public health system, promote appropriate and timely diagnosis of hearing loss, prompt enrollment in appropriate early intervention, ensure a medical home for all newborns, and strive to eliminate geographic and financial barriers to service access.

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State Newborn Screening & Genetics Programs

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Early Intervention/Part C Coordinators
The Program for Infants and Toddlers with Disabilities (Part C of IDEA) is a federal grant program that assists states in operating a comprehensive statewide program of early intervention services for infants and toddlers with disabilities, ages birth through age 2 years, and their families.

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State Section 619/Special Education for ages 3-5 Coordinators
This program provides free appropriate public education (FAPE) for children, ages 3 through 5 years, with disabilities.

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State Interagency Coordinating Council (ICC) Chairs
This program advises appropriate agencies on the unmet needs in early childhood special education and early intervention programs for children with disabilities, assists in the development and implementation of policies that constitute a statewide system, and assists all appropriate agencies in achieving full participation, coordination, and cooperation for implementation of statewide system.

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Children's Health Insurance Program (CHIP)
CHIP is Title XXI of the Social Security Act and is a state and federal partnership that targets uninsured children and pregnant women in families with incomes too high to qualify for most state Medicaid programs, but often too low to afford private coverage. Within federal guidelines, each state determines the design of its individual CHIP program, including eligibility parameters, benefit packages, and administrative procedures. The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 re-authorized the program through FY 2013, and includes many incentives for states to find and enroll more eligible children in both Medicaid and CHIP. CHIPRA also includes quality provisions that aim to monitor and improve care delivered through the Medicaid and CHIP programs. Each state does have a CHIP program, and the names of these programs differ from state to state. To find information on health coverage programs in your state, visit the InsureKidsNow.gov Web site.

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Medicaid State Directors
Medicaid is Title XIX of the Social Security Act and is a federal/state entitlement program that provides medical assistance to certain individuals and families with low incomes and/or special health care needs. Medicaid is of unique importance to children; together with the CHIP, Medicaid insures more than one in four children in the United States, with millions more eligible but currently unenrolled. The Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program is a critical component of Medicaid, which guarantees that children enrolled in Medicaid are screened for medical or developmental problems early, and that necessary treatments and services are provided. To find information on health coverage programs in your state, visit the InsureKidsNow.gov Web site.

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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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Vermont Family Network (VFN)
VFN empowers parents, families, children and adults who have, or are at risk for, special needs to be effective advocates for their health, education and well-being. We provide information, support, advocacy, and promote family-centered policies and practices.

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Public Policy/Legislation

Association of Maternal and Child Health Programs (AMCHP)—Vermont 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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Financing Prevention: How States are Balancing Delivery System & Public Health Roles
This report, developed by the National Academy for State Health Policy  and produced by ChangeLab Solutions highlights leading states’ approaches to support community-based prevention initiatives by bridging the health care delivery and public health systems. It examines various mechanisms – both previously existing and created through health reform – that states can leverage to implement sustainable community-based prevention programs. They include Medicaid waivers, federal grants, accountable care and medical home models, pooled funding, and new federal requirements for nonprofit hospitals. The report includes opportunities and lessons from eight featured states, including Vermont, and uses childhood obesity as a case study for how states can implement community-based interventions.

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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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