Medical Homes in Minnesota
This page is designed to keep you informed about events and activities
happening in Minnesota 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.
Minnesota Medical
Home Team Contact:
Name: John Hurley, Minnesota Children with Special Health Needs
Phone: 651-281-9970 | Email: john.hurley@health.state.mn.us
State Team Roster available at: www.medicalhomeinfo.org/model/downloads/State Teams/Minnesota Medical Home Team.doc
MN Medical Home Web site: www.health.state.mn.us/divs/fh/mcshn/medhome.htm
Minnesota Statewide Medical Home Implementation Plan - Promise
to the State
www.medicalhomeinfo.org/grant/states/Minnes~1.pdf
The Minnesota Department of Health’s MCSHN program
has been awarded an MCHB State Implementation Grant for Integrated Community
Systems of Services for CSHCN
Duration of Program:
Project period
May 1, 2005- April 30, 2008.
Contact Person: Ann Ricketts, M.S., M.P.H.
Phone Numbers: 651-281-9970 FAX: 651-281-9988 | Email:
ann.ricketts@health.state.mn.us.
Purpose: Through this project, primary care providers for children
with special health needs will understand the benefits of having a medical
home and more specifically identify their own role as a medical home provider
and possess the resources needed to implement a medical home approach
within their clinical practices. Families will have the tools needed to
identify a medical home and participate more fully in the medical home
partnership between parent and provider. The Objectives of Minnesota's
Medical Home Development Project are:
- The number of primary care practitioners who implement medical home practices with children with special health needs will increase by seventy-five percent as reported by surveyed families by the completion of the project.
- All parents of CSHCN enrolled in the various MCSHN programs will have identified a medical home provider for their child as a measure after one year of program enrollment
- Current practices within the MCSHN specialty clinics, information and assessment, and treatment programs that impede the medical home relationship for children enrolled in the program will be eliminated.
- Parents throughout the state, who access information or assistance through any of the partner organizations, will have access to meaningful information (as measured by follow-up interview) regarding the importance of and their role in the medical home relationship.
In order to realize the goals and objectives of the project, the Minnesota
Department of Health through its Minnesota Children with Special Health
Needs Section is partnering with the Minnesota Chapter of the American
Academy of Pediatrics and PACER Center/Family Voices of Minnesota. Together,
the partners have determined to build on the work that has been done in
other states. Therefore, Minnesota is launching its own "medical
home learning collaborative."
This work will be based on the work of the Center for Medical Home Improvement's
Building a Medical Home, and the national Medical Home Learning Collaborative
- which was conducted by the National Initiative for Children's Healthcare
Quality(NICHQ), and involved the Center for Medical Home Improvement (CMHI),
the National Center for Medical Home Initiatives at the American Academy
of Pediatrics, and the MCHB.
MCHB Medical Home Grant: The Minnesota Medical Home Development
Project Abstract
Project Period: 03/31/03 to 03/30/04
Project Web site: www.health.state.mn.us/divs/fh/mcshn/mdhmproj.htm
Purpose: Through the Minnesota’s Medical Home Development
Project, primary care providers for children with special health needs
will understand the benefits of having a medical home and more specifically
identify their own role as a medical home provider and possess the resources
needed to implement a medical home approach within their clinical practices.
Families will have the tools needed to identify a medical home and participate
more fully in the medical home partnership between parent and provider.
Specialty care providers contracted through the MCSHN specialty clinic
program will implement practices that support the medical home provider
/ parent relationship. Specific objectives of this project include: 1)
Increase the number of primary care practitioners who implement medical
home practices with CSHCN. 2) All parents of CSHCN enrolled in the various
Title V programs will have identified a medical home provider for their
child. 3) Current practices within the MCSHN specialty clinic and information
and assessment programs that impede the medical home relationship for
children enrolled in the program will be eliminated. 4) Parents throughout
the state who access information or assistance through any of the partner
organizations, will have access to meaningful information regarding the
importance of and their role in the medical home relationship.
The Project: www.health.state.mn.us/divs/fh/mcshn/mdhmproj.htm
The Minnesota Chapter of the American Academy of Pediatrics and
PACER Center/Family Voices of Minnesota are partnered in 2004 with the
Minnesota Department of Health through its Minnesota Children with Special
Health Needs Section (MCSHN) on an exciting project funded by the federal
Maternal and Child Health Bureau (MCHB) -– the “Minnesota
Medical Home Development Project.”
The partners in Minnesota’s Medical Home Project were determined
to build on the work that has been done in other states. Minnesota thus
launched its own “medical home learning collaborative.” The
work was based on the national Medical Home Learning Collaborative –
which was conducted by the National Initiative for Children’s Healthcare
Quality (NICHQ) and involved CMHI, the National Center for Medical Home
Initiatives at the American Academy of Pediatrics, and the MCHB.
The Minnesota Medical Home Learning Collaborative went “live”
on March 18-19, 2004, with Learning Session I. Eleven teams came together
on those two days to be immersed in the medical home care model, the change
process, and steps for their first Action Period. The project concluded
on
Each practice team was composed of a physician and care coordinator from
the practice and two parents.
- 2005 Medical Home Project Update (This article appeared
in the Fall/2004 issue of Minnesota Pediatrician)
Knowing only that they were participating in “an exciting endeavor to continue to develop their practices as a medical home,” 11 teams - each comprised of a physician, two parents and a care coordinator/ nurse - came together in mid-March to start a year long collaborative learning process to realize medical home improvements.
www.health.state.mn.us/divs/fh/mcshn/mdhmspec05wi.htm#medhm
Medical Home Announcements
Minnesota Children with Special Health Needs (MCSHN) Section invites you
to learn about the Minnesota Medical Home Project through the Winter 2005
Special Connections newsletter. The newsletter is available at: www.health.state.mn.us/divs/fh/mcshn/mdhmspec.htm
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
GOALS AND OBJECTIVES: The goal of this project is to attain
the best health outcomes possible for children identified by newborn screening,
through development and implementation of a State Genetics Plan that will guide
optimal functioning of relevant services.
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.mnaap.org/
American Academy of Family Physicians (AAFP) Chapter: www.mafp.org/
Title V CSHCN Program "Minnesota Children with Special Health Needs (MCSHN)": www.health.state.mn.us/divs/fh/mcshn/
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: Yaoli Li
Phone: 651-281-9943; Fax 651-215-8953
E-mail: yaoli.li@health.state.mn.us
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: Jan Rubenstein, Part C Coordinator
Contact: Phone: (651) 582-8436 | Fax: (651) 582-8494 |
Email: jan.rubenstein@state.mn.us | www.health.state.mn.us/divs/fh/mcshn/ecip.htm
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: Lisa Backer, 619 Coordinator
Contact: Phone: (651) 582-8473 | Email: lisa.backer@state.mn.us
Name: Michael Eastman, Early Childhood Ed Specialist
Contact: Phone: (651) 582-8343 | Email: michael.eastman@state.mn.us
Fax: (651) 582-8494 | education.state.mn.us/html/intro_support_special_ed.htm
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: Dawn Bly, ICC Chair
Contact: Phone: (218) 435-1909 (Work) | Phone: (218) 435-6060 (Home)
Email: blyfam@gvtel.com
Resources/Documents
Healthy Ready to Work/Minnesota Collaborative to Improve Transition
Outcomes for Youth with Disabilities: www.pacer.org/tatra/index.htm
PACER is working with the Minnesota Department of Employment and Economic
Development (DEED) Office of Youth Development, and other key state agencies
including Rehabilitation Services, and the Department of Education to
align state resources to better serve Minnesota youth with disabilities,
and to demonstrate how partnerships with community intermediary organizations
can improve local transition services using evidence-based best practices.
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.
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)
New Ulm Medical Center from New Ulm, MN 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
Assuring Better Health and Child Development (ABCD) Program:
http://12.109.133.213/_docdisp_page.cfm?LID=8BA603C9-3D36-4F7A-B98FEFB0630F1B1D
The ABCD II Initiative, launched in 2003, is designed to assist states
in building the capacity of Medicaid programs to deliver care that supports
children’s healthy mental development.
Family Corner
Family Voices: www.familyvoices.org/st/MN.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 Minnesota (National Voice of Mental Illness): mn.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!
PACER Center: www.pacer.org/
PACER can identify the resources and services available to help your family
learn and grow. PACER's programs address special needs for all stages
of childhood and all disabilities. With assistance to individual families,
workshops, materials for parents and professionals, and leadership in
securing a free and appropriate public education for all children, PACER's
work affects and encourages families in Minnesota and across the nation.
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
/minnesota.html
Last Updated
August 15, 2006