 Medical
Homes in Iowa
This page is designed to keep you informed about events
and activities happening in Iowa that will help improve access
to medical homes for children with special health care needs
(CSHCN).
Click on a topic below to learn more about what's
going on in Iowa
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.
Iowa Medical Home State Contact
Name:
Brenda Moore, CPNP, Nurse Coordinator - Child
Health Specialty Clinics
Contact: Phone: 319-353-6172 | Email:
brenda-moore@uiowa.edu
Iowa Statewide Medical Home Implementation Plan
- Promise
to the State
The University
of Iowa has been awarded an MCHB State Implementation
Grant for Integrated Community Systems of Services for CSHCN
- Abstract
Contact Person: Brenda Moore brenda-moore@uiowa.edu
Goals and
Objectives:
Goal
1: Community-based services will be organized so
that families can use them easily. Obj 1.1: Iowa’s
primary care providers (pediatrics and family practice)
will assess their CYSHCN for care coordination and case
management (cc/cm) needs. Obj 1.2: Iowa’s primary
care providers (pcp’s) will be linked to a designated
“external” care coordination resource. Obj 1.3:
Iowa’s pcp’s will have a structure and procedures
for providing “internal” cc/cm services. Obj
1.4: Title V CYSHCN Program care coordinators will be competent
in cc/cm knowledge and skills. Obj 1.5: Children (0-21)
with severe behavioral disorders will be served in their
communities using innovative cc/cm methods. Obj 1.6: CYSHCN
will have access to Title V care coordinators to help transition
to a life of self-determination.
Goal 2: All CYSHCN will have access to
comprehensive health and related services through a medical
home. Obj 2.1: Thirty pcp’s per year will participate
in a learning collaborative dedicated to quality improvement
in the medical home model. Obj 2.2: Sustainability of medical
homes will be assured through relationships with organizations
dedicated to performance improvement. Obj 2.3: Formal recognition
will be applied to pcp’s that achieve progress toward
building a medical home.
Goal 3: All children will receive early
and continuous screening for special health care needs.
Obj 3.1: Standardized early childhood developmental screening
procedures will be available in all pcp’s. Obj 3.2:
Children, 0-3, identified as at-risk through screening will
be tracked by a database in a statewide public agency
MCHB Medical Home Grant: Abstract
Project Period: 3/31/2002-9/30/05
Purpose: The overall purpose of the project is
to facilitate the implementation of the medical home model
in community-based family physician and pediatric practices
statewide. Essential staff include an office-based care
coordinator, parent consultant, and, most essential, physician
dedicated to actualizing the medical home concept. CHSC
will provide the expertise necessary for the office practice
to establish linkages with specialty services and other
community-based services. Advice will be offered regarding
restructuring the physicians’ office, constructing
Individualized Health Plans, fair reimbursement, and practicing
in a family-centered, culturally competent manner.
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.
Partners in the State
This section provides information on who in the state
(individuals and agencies) are working together to create
medical homes fo/r children.
American Academy of Pediatrics (AAP) Chapter:www.iowapeds.org
American Academy of Family Physicians (AAFP) Chapter: www.iaafp.org/
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.
MCH Contact:
Jane Borst
Bureau Chief
Address: 321 East 12th Street
Des Moines, IA 50319
Phone: 515-281-4911 | Fax: 515-242-6013
Email: jborst@idph.state.ia.us
Internet site: www.idph.state.ia.us
CSHCN Contact:
Name: Debra B. Waldron, MD, MPH, Chief Medical Officer and Co-Director- Child Health Specialty Clinics
Address: Child Health Specialty Clinics
100 Hawkins Drive, 247 CDD
Iowa City, IA 52242-1011
Phone:319-467-5009 | Email: debra-waldron@uiowa.edu
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: Tammy O'Hollearn, State EHDI Coordinator
Contact: Phone: 515-242-5639 | Fax: 515-242-6013
E-mail: tohollea@idph.state.ia.us
State Genetics Program: www.idph.state.ia.us/genetics/default.asp
Early ACCESS - 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 system of early intervention services for infants and toddlers with disabilities, ages birth to age 3 years, and their families.
Name: Julie Curry, Part C Coordinator
Contact: Phone: 515- 281-5437 | Fax:
515-242-6019 | Email: julie.curry@iowa.gov
Web site: http://www.earlyaccessiowa.org / and http://www.iowa.gov/educate/content/view/633/1265/
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: Dee Gethmann, Early Childhood
Specialist
Contact: Phone: 515- 281-5502 | Fax:
515- 242-6019
Email: dee.gethmann@uiowa.gov
Web site:http://www.iowa.gov/educate/index.php?option=com_content&task=view&id=64
3&Itemid=648
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: Kelly Hancock , ICC Chair 2008-2009
Contact: Phone: 712- 255-2355| Email: snoop113cav@cableone.net
Resources
State Waiver Information: http://www.ime.state.ia.us/HCBS/HCBSindex.html
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
1st Five Healthy Mental Development Initiative:
The Iowa Department of Public Health's 1st Five Healthy Mental Development Initiative, launched
iin October 2006, builds partnerships between physician practices and public service providers to improve early detection of social-emotional delays and prevention of mental health problems among young children and their families. 1st Five promotes the use of standardized developmental surveillance tools that support healthy mental development for young children during the first five years. Other key features are
user-friendly referral forms; ongoing education and support for medical office staff on healthy development and use of screening and referral tools; specially trained care coordinators to identify and address a wide range of children's and families' needs; relationships with community resources that provide early intervention; and timely notification of outcomes to the referring physician offices.
Name: Jane Borst
Contact: Phone: 1-800-383-3826 Fax: 515-242-6013
Email: jborst@idph.state.ia.us
Web site (under development): http://www.idph.state.ia.us/1stfive
Autism Best Practice Guidelines
This document addresses issues specific to children 0-6 who
display learning patterns similar to children with autism
spectrum disorders. This document clarifies the application
of the best practice documents as they impact services for
children 0-6 and their families. It reflects the work of
the state wide Early Childhood Special Education (ECSE) Autism
Planning Group. http://www.medicine.uiowa.edu/autismservices/bestpractices/ecse_supplement.htm
State Resources on the Internet
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.
Last Updated
November 25, 2009
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