Medical Homes in Ohio
This page is designed to keep you informed about events and activities happening in Ohio 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.

Ohio Medical Home Team Contact:

Name: Rosemary Feka, RN - Bureau for Children with Medical Handicaps
Contact: Phone: 614-466-7240 | Email: rfeka@odh.ohio.gov
State Team Roster available at: www.medicalhomeinfio.org/model/downloads/State Teams/Ohio Medical Home Team.doc

MCHB Medical Home Grant: Medical Home Implementation --- PrimeCare Pediatrics www.medicalhomeinfo.org/grant/states/MCHB Grants/OH Medical Home Implementation Abstract.doc
Project Period: 4 years from July 1, 2004 to June 30, 2008
Purpose: To further implement the concept of the medical home into this primary care practice. This practice has been involved in a state pilot project as well as a NICHQ learning collaborative for the medical home over the past year. Progress toward improving this practice as a medical home has been made in three major areas: identification of children with special healthcare needs (CSHCN), education of staff regarding community resources, and development of a medical information care plan. In order to continue to progress, this practice needs a dedicated care coordinator to serve this patient population.

Ohio Medical Home Focus Group Project Summary (May 2003)
The report discusses the results of a focus group of families who have a child with special health care needs. The families wre surveyed about their experiences and how a medical home would help them. www.odh.ohio.gov/ASSETS/628549A9CE1A4169A08DA8E07EA603E2/facct0503.pdf

Ohio 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 Ohio's BCMH and other health department programs to support and extend this approach after the completion of the project period.

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.

Transitions Champions Incentive Grant
Goal: To conduct parent and youth focus groups across the state to further the implementation of transition activities for CSHCN youth and to further the development of statewide initiatives related to transition.
For more information contact:James Bryant, Bureau Chief
Phone: (614) 466-1549 | Email: JBRYANT@gw.odh.state.oh.us

Healthy Tomorrows Partnership for Children Program Grant
Rural Interdisciplinary Developmental Evaluation Clinic Initiative (2001)
Athens-Meigs Educational Service Center, Athens, OH
In the Ohio counties of Athens, Meigs, and Vinton, more than half of the population live below the poverty level, with limited access to care. This program will expand existing developmental and behavioral assessment clinics to these three counties to provide interdisciplinary assessment services in partnership with local health and educational service providers for families with children ages 0 to 6 years old. The interdisciplinary team consists of a developmental pediatrician, physical therapist, occupational therapist, psychologist, speech pathologist, nurse consultant, and clinic coordinator. The goal of the program is to improve the overall health status and educational programming, functional abilities, and developmental outcomes of children ages birth to six years old living in Athens, Meigs, and Vinton Counties who have special needs.

For more information on the Healthy Tomorrows Grant Program go to: www.aap.org/commpeds/htpcp/index.html
For more information on this HTPCP project, please e-mail your name, address, telephone, and fax numbers with your specific request to healthyt@aap.org.

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.ohioaap.org/
The Ohio Chapter of the American Academy of Pediatrics represents approximately 1,200 pediatricians, pediatric medical specialists, pediatric surgical specialists and physicians in training in Ohio.

American Academy of Family Physicians (AAFP) Chapter: www.ohioafp.org/
The Ohio Academy of Family Physicians is a statewide professional association of approximately 4,400 members, including practicing physicians, residents, and medical students.

Title V CSHCN Program" Bureau for Children with Medical Handicaps (BCMH)": www.odh.ohio.gov/odhPrograms/cmh/bcmh/cmh1.aspx

BCMH Physician Care Management Program: Children with special health care needs (CSHCN) require more specialized care from a variety of providers and more time related to this care than other children. This complexity of care and the additional time factor have resulted in the BCMH developing a project to compensate BCMH physicians who provide prolonged physician services for CSHCN and their families. This project is designed to promote the Medical Home Concept for CSHCN. More information is available by clicking here.

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) Coordinator:
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: Reena K. Kothari, M.A., C.C.C.-A.
Contact Information: Tel: 614-387-0135 | Fax: 614-728-9163
Web site: www.infanthearing.org/states/ohio/index.html

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: Debbie Cheatham
Contact: Fax: (614) 728-9163 | Email: dcheatha@gw.odh.state.oh.us
Web site: www.odh.ohio.gov/odhPrograms/ei/ein/earlyint1.aspx

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: Edith Greer
Contact: Phone: (614) 466-0224 | Fax: (614) 728-3223 | Email: edith.greer@ode.state.oh.us
Web site: www.ode.state.oh.us/

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: Kimberly Christensen
Contact: Phone: (419) 372-7299 | Email: kchris@bgnet.bgsu.edu

Name: Sonya Oppenheimer, MD
Contact: Phone: (513) 636-8383 | Email: oppes0@chmcc.org

Web site: www.ectac.org/contact/iccchair.asp#OH

Resources/Documents
Medicaid Web site: jfs.ohio.gov/ohp/bcps/hshf/index.stm

Medicaid Fact Sheets: jfs.ohio.gov/ohp/bcps/FactSheets/

Ohio Home Care Program: jfs.ohio.gov/ohp/ohc/ohc.stm

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.

The Ohio Association of County Boards of Mental Retardation and Developmental Disabilities The OACBMRDD is a nonprofit organization specializing in providing information, continuing education, and legislative liaison to Ohio's 88 county MR/DD www.oacbmrdd.org

Ohio Department of Mental Retardation and Developmental Disabilities (MRDD)
Develops services to assist individuals in living healthy and safe lives, and to assist the families of people with developmental disabilities www.odmrdd.state.oh.us

To locate your county MRDD and to get a list of available area resources go to: odmrdd.state.oh.us/CountyBoardsDoc/countyboards1.htm

Ohio Developmental Disabilities Council (ODDC)
A planning and advocacy body committed to community inclusion for people with developmental disabilities. ddc.ohio.gov/

Ohio Department of Insurance Web site: www.ins.state.oh.us

Ohio Department of Mental Health: www.mh.state.oh.us/

Ohio Association of County Behavioral Health Authorities (OACBHA) www.oacbha.org/about.htm

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)
Ohio Pediatrics, Inc. from Huber Heights, OH 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

Help Me Grow: www.ohiohelpmegrow.org/
A program through the department of health for Ohio's expectant parents, newborns, infants, and toddlers that provides health and developmental services so that children start school healthy and ready to learn.

Transportation for Children with Disabilities: olrs.ohio.gov/fsc/asp/Transportation.asp
Information on Accessible Vehicles, Disability Parking Permits, Medical Considerations, Public Transportation, and Special Education.

Advocacy and Support Organizations
Family Voices: www.familyvoices.org/st/OH.html
Partnering with professionals and families to advocate for health care services that are family-centered, community-based, comprehensive, coordinated and culturally competent.

NAMI of Ohio (National Voice on Mental Health): www.namiohio.org
Education, advocacy and support for persons with brain disorders (mental illnesses) and their families.

Special Education Regional Resource Center (SERRC) Network System
"This statewide mechanism was designed to develop and implement services and priorities in keeping with the Individuals with Disabilities Education Act (IDEA). SERRCs fulfill a critical role in providing timely and specialized assistance to parents and school personnel. The SERRC system assists the Division of Special Education, playing an essential role in statewide networking activities, advocacy on behalf of students with disabilities, and state and national outreach and information dissemination." www.ode.state.oh.us/exceptional_children/serrc/

Find the SERRC in Your Area
There are 16 SERRCs throughout the state. The Ohio Dept. of Education provides a listing of centers and contact information at: www.ode.state.oh.us/exceptional_children/serrc/SERRC.asp

The Association for Retarded Citizen (Arc) Family Resource Guide http://www.thearc.org/familyguide/ohio.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.

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 /ohio.html