Medical Homes in Vermont
This page is designed to keep you informed about events and activities
happening in Vermont 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.
Vermont Medical Home Team Contact:
Name: Kim Aakre, MD - Medical Director, Vermont Medical Home
Contact: Phone: 802-436-1619 | Email: kaakre@vermontel.net
Vermont is
participating in the National Initiative for Child Health Quality (NICHQ)
Medical Home Learning Collaborative (October 2004 - September 2005)
The Medical Home Learning Collaborative is a 15-month project committed
to helping primary care practices become accessible, family-centered,
and provide care that is continuous, comprehensive, coordinated, compassionate,
and culturally effective. A particular emphasis is placed on care coordination
and family involvement in decision-making for children with special health
care needs (CSHCN). For more information on this project go to:
nichq.org/NICHQ/Programs/CollaborativeLearning/MHLC2005.htm?TabId=1
MCHB Medical Home Grant
www.medicalhomeinfo.org/grant/states/MCHB Grants/VermontMCHBgrant.pdf
Purpose: The purpose of the project is to increase the
capacity of pediatric practices
throughout Vermont to provide medical home services for children with
special health needs.
Specific technical assistance and supports for systems changes will be
used to increase
practices’ collaboration with families, specialists, and community
resources. Each participating
pediatric practice will incorporate the use of tools to identify CSHCN
in their practice and to
assess their ability to serve families as a medical home. Sustainability
will be strengthened by
collaboration with Medicaid for funding strategies and by incorporating
the work of this project
into state planning activities such as SSDI and M&M. The overall outcome
will be an improved
medical home for CSHCN, thus enhancing the quality of health care and
optimizing wellness.
Healthy Tomorrows Partnership for children Grant 2000-2005
Whatever It Takes
Purpose: to reduce the numbers of children whose healthy development
is at risk by increasing access to a comprehensive medical home. Whatever
It Takes places 4 social work students and an experienced social work
supervisor at Mousetrap’s offices, where they provide intensive
social work services to children and families. The students develop family/social
work/pediatrician/community partnerships in order to ensure that children
and families receive comprehensive, high quality, coordinated services.
The project’s methodology includes the provision of direct services
to children and families, consultation with the pediatricians, and resource
development in the community. For more information
on this project go to: www.medicalhomeinfo.org/states/state
/Downloads/Burlington,%20VT%202000.doc.
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.
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.
Depression
in Primary Care: Linking Clinical and System Strategies -
Funded by The Robert Wood Johnson Foundation (RWJF) www.wpic.pitt.edu/dppc/
Purpose: To increase the use of effective
models for treating depression in primary care settings.
The grant will address three issues: Depression is a
serious and prevalent chronic disease that should be
conceptualized in a way that is parallel to other chronic
conditions (e.g., asthma, diabetes, etc.).
Longitudinal chronic illness care approaches to depression treatment are effective,
but not currently implemented by health systems and practitioners. Putting
these approaches into place requires a combination of clinical and economic
systems strategies at multiple levels, engaging patients/consumers, providers,
practices, plans, and purchasers.
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.aapvt.org/
American Academy of Family Physicians (AAFP) Chapter:
www.aafp.org/chapterweb/vermont.html
Title V CSHCN Program: http://healthvermont.gov/family/cshn/cshn.aspxl
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: Stacy M. Jordan, MA CCC-A
Contact: Phone: 802-865-1330 | Fax: 802-951-1218 | E-mail: sjordan@vdh.state.vt.us
Family, Infant and Toddler Project - 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: Helen Keith, Part C Coordinator
Contact: Phone: (802) 651-1786 | Fax: (802) 863-7635 | Email: hkeith@vdh.state.vt.us
Web Site:www.dcf.state.vt.us/cdd/programs/prevention/fitp/index.html
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: Manuela Fonseca, Interim 619 Coordinator
Contact: Phone: (802) 828-3850 | Fax: (802)828-3146
Email: manuelafonseca@education.state.vt.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: Terri Edgerton, ICC Co-Chair
Contact: Phone: (802) 775-9711 | Fax: (802) 258-2413 | Email: rcpcc@bluemoo.et
Name: Pam McCarthy, ICC Co-Chair
Contact: Phone: (802) 524-6574 X219 | Email: pmccarthy@ncssinc.org
Name: Ginger Potwin, ICC Co-Chair
Contact: Phone: (802) 728-6216 | Email:gpotwin@innevi.com
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.
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.
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/_catdisp_page.cfm?LID=2ED00013-7622-11D6-BD1500A0CC76FF4C
The Assuring Better Child Health and Development (ABCD) Program is funded
by the Commonwealth Fund, administered by National Academy of State Health
Policy, and designed to assist states in improving the delivery of early
child development services for low-income children and their families.
Family Corner
Early Hearing Detection &
Intervention (EHDI) Information for Parents:
Description of EHDI Program
www.medicalhomeinfo.org/screening/State/vermont.html
Family Voices: www.familyvoices.org/st/VT.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 Vermont (National Voice on Mental Health): www.namivt.org/
Education, advocacy and support for persons with brain disorders (mental illnesses)
and their families.
Parent to Parent: www.partoparvt.org/
A Family-to-Family Health Information & Education Center
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
/vermont.html
Last Updated
August 10, 2006