Medical Homes in Michigan
This page is designed to keep you informed about events and activities
happening in Michigan that will help improve access to medical homes for
children with special health care needs (CSHCN).
Medical Home Initiatives
This section provides
information on state medical home initiatives/programs. States that are
a part of the mentorship network will have a "Promise to
the State" which outlines how they will achieve ensuring that all
children have a medical home by 2010. This is based on the Healthy
People 2010 goals which is a 10 year action plan to achieve and measure
success for all CSHCN.
Michigan Medical Home Team Contact:
Name: Kathy Stiffler - Children's Special Health Care Services
Contact: Phone: 517-241-7186 | Email: stifflerk@michigan.gov
State Team Roster available at: www.medicalhomeinfo.org/model/downloads/State Teams/Michigan Medical Home Team.doc
Michigan was selected to be part of the 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 Michigan's CSHCS and other
health department programs to support and extend this approach after the
completion of the project period.
Henry Ford Pediatrics Medical Home Project: "Medical
Homes for Urban, Minority CYSHCN" 
This presentation is from the CATCH and Medical Home National Conference
- July 16, 2004. Henry Ford Pediatrics Medical Home Objectives: Identify
95% of the CSHCN in our practice, Create an electronic IHCP, 95% of the
families with CSHCN will be given a copy of their child’s care plan
and understand its use, 30% improvement scores of the Medical Home Index.
(www.aap.org/catch/WS
69 - FINAL.PPT)
Related Grant Initiatives
This section provides information on current
state grants that are working on medical home initiatives. This includes
the grant abstract as well as key contacts for the grant.
Genetics Grant
Principal Investigator: Janice Bach, MS, CGC | Phone:
517- 335-8887 | Email: bachj@michigan.gov
Project Period: 4 years From: June 1, 2002 to May 31,
2006
Purpose: The purpose of this project is to improve genetic
health outcomes of Michigan residents by 1) increasing genetic literacy
in general and improving access to information about services and resources
for children with special health care needs; 2) promoting early identification
and treatment of children with genetic conditions and linkage with systems
of care; and 3) improving the integration and use of newborn screening
information systems within public health programs. The project will play
a key role in aligning the Michigan Newborn Screening (NBS) System with
National Task Force Recommendations, and serve to implement portions of
the state genetics plan developed as part of a MCHB planning grant
Hemophilia Grant
Project Period: June 1, 2002 through May 31, 2005
Goals: Assure Access to Care for All Persons in Region
V-East with Bleeding Disorders. Region V-East will reduce morbidity and
complications related to hereditary bleeding disorders by improving access
to early intervention and comprehensive care for all persons with bleeding
disorders, including women, racial and ethnic minorities, and the poor
an uninsured, Assure Quality Comprehensive Care for all Persons in Region
V-East with Bleeding Disorders. HTCs will reduce morbidity and complications
related bleeding disorders by complying with the NHF Standards and Criteria
to provide the highest quality comprehensive care and referral systems;
Assure Local, Regional and National Collaboration and Coordination of
Care. Region V-East HTCs will assure that state of the art care is provided
through a commitment to continuing education and the maintenance of a
collaborative and coordinated system of care with consumer educational
programs and mechanisms for input and participation at all levels by consumers.
Partners in the State
This section provides information on who in
the state (individuals and agencies) are working together to create medical
homes for children.
American Academy of Pediatrics (AAP) Chapter:
www.miaap.org
American Academy of Family Physicians (AAFP) Chapter: www.mafp.com
Title V CSHCN Program: www.mdch.state.mi.us/msa/mdch_msa/cshcs.htm
Title V Block Grant to States
Title V of the Social Security Act is one of the largest Federal block grant programs. It leads the nation in ensuring the health of all mothers, infants, children, adolescents, and children with special health care needs (CSHCN). Title V is administered by the Maternal and Child Health Bureau (MCHB) as part of the Health Resources and Services Administration, U.S. Department of Health and Human Services.Title V and Children with Special Health Care Needs
MCHB Objective: Support development and implementation of comprehensive, culturally competent, coordinated systems of care for the estimated 18 million U.S. children who have or are at risk for chronic physical, developmental, behavioral or emotional conditions and who also require health and related services of a type or amount beyond that required by children generally.
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 the hearing loss, prompt enrollment in appropriate
Early Intervention, link newborns to a medical home and
strive to eliminate geographic and financial barriers to service access.
Name: Yasmina Bouraoui, MPH
Contact: Phone: 517-335-9398/ Fax (517) 335-8036
E-mail: bouraouiy@michigan.gov
Web site: www.michigan.gov/ehdi
State Genetics Program: www.michigan.gov/mdch/0,1607,7-132-2942_4911_4916-64851--,00.html
Early On - Early Intervention/Part C Coordinator:
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.
Name: Jacquelyn Thompson, Acting Director
Contact: Phone: (517) 373-9433 | Email: thompjac@michigan.gov
Name: Vanessa Winborne, Acting Part C Coordinator
Contact: Phone: (517) 373-0923 | Email: winbornev@michigan.gov
Fax: (517) 373-7504
Web site: www.earlyonmichigan.org/
Section 619/ Preschool Grants Program of the Individuals with Disabilities Education Act (IDEA). This program provides free appropriate public education (FAPE) for children, ages 3 through 5 years, with disabilities:
Name: Karen Rockhold, Supervisor
Contact: Phone: (517) 373-0923 | Fax: (517) 373-7504
Email: rockholdk@michigan.gov
Name: Vanessa Winborne, Acting Section 619 Coordinator
Contact: Email: winbornev@michigan.gov
Website: www.earlyonmichigan.org/
State Interagency Coordinating Council (ICC) Chairs:The ICC 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.
Name: Mac Miller, ICC Co-Chair
Contact: Phone: (517) 546-4126 | Fax: (517) 546-1300
Email: macmiller@cmhliv.org
Resources/Documents
State Waiver Information: www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/08_WavMap.asp
Waivers are the result of a process that allows state Medicaid agencies
to apply for and receive permission from HCFA to provide services not
otherwise covered by Medicaid and/or to do so in ways not described by
the Social Security Act. Most Medicaid managed care programs require Waivers.
The Waivers, which can differ greatly, are known by their numbers (1115,
1119), or as home-and community-based, or as Katie Beckett Waivers.
Community
of Learners: www.med.wayne.edu/communitymedicine/clweb/clhome.htm
is envisaged as part of both process and end outcomes of an ongoing study
of Quality
of Managed Health Care Through the Eyes and Voices of Minority Families
It is intended to draw individuals from a range of community organizations,
MCO's and public health institutions to engage in activities that foster
mutual learnings to enhance the quality of manage health care services
for children with special health care needs(CSHCN) in particular.
Educational Initiatives
This section provides information on training initiatives on the
medical home. Some states will discuss their outreach projects in relation
to physicians, families, and the community.
No information is currently available for this category.
Screening Initiatives
This section provides information on surveillance and screening
initiatives in the state.
Developmental Surveillance and Screening Policy Implementation
Project (D-PIP)
Ypsilanti Health Center from Ypsilanti, MI is participating
in the Developmental Surveillance and Screening Policy Implementation
Project (D-PIP). The D-PIP has selected 17 practices from across the United
States to implement the AAP policy statement (scheduled for publication
in July 2006) “Identifying Infants and Young Children with Developmental
Disorders in the Medical Home: An Algorithm for Developmental Surveillance
and Screening” to 1) determine if the algorithm is efficiently and
effectively implemented into pediatric practice; 2) recognize strategies
for implementing the algorithm; and 3) examine outcomes of implementation.
Following the project, information and outcomes will be shared with pediatric
clinicians and other health care professionals who are seeking to improve
the delivery of developmental surveillance and screening.
Additional information on the D-PIP is available at: www.medicalhomeinfo.org/screening/DPIP.html
State Newborn Screening & Genetics Programs: genes-r-us.uthscsa.edu/resources.htm
- State Newborn Screening Program Links
- State Genetics Program Links
- Regional Genetics and Newborn Screening Collaborative Links
- Newborn Screening State Contact Fact Sheet
Family Corner
Family Voices: www.familyvoices.org/st/MI.htm
Partnering with professionals and families to advocate for health
care services that are family-centered, community-based, comprehensive,
coordinated and culturally competent.
NAMI of Michigan (National Voice of Mental Illness): mi.nami.org/
Education, advocacy and support for persons with
brain disorders (mental illnesses) and their families.
Family Village: www.familyvillage.wisc.edu/index.htmlx
A global community that integrates information, resources, and communication
opportunities on the Internet for persons with cognitive and other disabilities,
for their families, and for those that provide them services and support.
This site offers informational resources on specific diagnoses, communication
connections, adaptive products and technology,adaptive recreational activities,
education, worship, health issues, disability-related media and literature,
and much, much more!
The Association for Retarded
Citizen (Arc) Family Resource Guide http://www.thearc.org/familyguide/michigan.doc
This guide is written for families raising children with mental retardation
and related developmental disabilities. It tells families about benefits,
supports and services in their state that might help their child.
State Resources on the Internet:
www.medicalhomeinfo.org/states/index.html#res
Note: The information provided on the state pages was submitted by the
state medical home teams.As this is not an exhaustive list, please let
us know if you have additions for your state resource page. You can contact
us at: medical home@aap.org.
http://www.medicalhomeinfo.org/states/state
/michigan.html
Last Updated
August 15, 2006