 Medical
Homes in Oklahoma
This page is designed to keep you informed about events
and activities happening in Oklahoma 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 Oklahoma
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.
Oklahoma Medical Home Contact:
Name: Dee Kessler, Medical Home Program Coordinator,
OU Child Study Center, University of Oklahoma Health Sciences Center
Contact: Phone: 405-271-5700, #45112 | Email:dee-kessler@ouhsc.edu
The University of Oklahoma
has been awarded an MCHB State Implementation Grant for
Integrated Community Systems of Services for CSHCN - Abstract
Duration of Program: Project period May
1, 2005- April 30, 2008.
Contact Person: Louis Worley louis-worley@ouhsc.edu
Goals
and Objectives: The project will build community-based infrastructure with regional and state level supports that coordinates the efforts of the health, mental health, social and education systems in a rural and metropolitan region. Similar rural and metropolitan regions where the model is not implemented will be compared to document the results of the intervention for CSHCN. These activities will establish a foundation for a sustainable statewide spread strategy of an integrated community-based system of services.
Objective 1: Strengthen and integrate Oklahoma’s Champions for Progress Incentive Award: Family Partnership in Decision-Making outcomes into all other performance outcomes, the Title V CSHCN program and other public/private services.
Objective 2: Provide ongoing coordination of existing initiatives working on improvement of access and availability of screening, evaluation and referral mechanisms for CSHCN.
Objective 3: Strengthen and spread, statewide, current Oklahoma Medical Home Initiative for CYSHCN
Objective 4: Identify gaps in public/private funding for needed services,
Objective 5: Establish a mechanism for statewide replication of the Sooner SUCCESS integrated services model.
Objective 6: Identify gaps in transition services and develop a strategic plan for filling those gaps.
The Fostering Hope Clinic is a medical home for children in foster care in Oklahoma County. This pilot project began through a partnership with University of Oklahoma Health Sciences Center, Oklahoma Department of Human Services, and the Oklahoma Health Care Authority. Services provided follow AAP recommendations for children in foster care.
The Family Resource 360 Center is a one-stop center for families with low incomes whose children have developmental disabilities. Through coordination with the Department of Pediatrics, University of Oklahoma Health Sciences Center, children and families receive services through a medical home. The Center is funded by the Administration on Developmental Disabilities.
Oklahoma 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 Oklahoma's CSHCN and other health department programs
to support and extend this approach after the completion
of the project period. For more information you can go to
the project
overview.
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.
Family/Provider Partnerships Champions
Incentive Grant
Goal: To develop a family/provider survey
to gather information about service needs and preferences
of CSHCN families and their service providers. This information
will be used to improve the family/provider partnership
structure at the local, regional, and state levels.
For more information contact: Frank Gualt
Phone: (405) 521-4394 | Email: Frank.Gault@okdhs.org
Genetics Grant: Abstract
Purpose: This project will establish a
public health genetics infrastructure with the capacity
to plan, implement, monitor and evaluate genetics by facilitating
the implementation of the Oklahoma State Genetics Plan and
Data Integration Plan for a child health information system.
For systems development, this project focuses on children
with special health care needs identified through newborn
screening programs and with genetic disorders to ensure
medical homes, as defined by the American Academy of Pediatrics
(Pediatrics 1992), are established and linked to service
systems that promote optimal health and meet the Healthy
People 2010 Express goals (HRSA 2001).
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.okaap.org/
American Academy of Family Physicians (AAFP) Chapter:
www.okafp.org/
Title V Children with Special Health Care Needs (CSHCN)
Program: www.okdhs.org/fssd/ProgramInformation.htm#Children
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: James G. Schmaelzle; M.C.D. Coordinator
Contact: Phone: 405-271-4470 | Fax: 405-271-1011
E-mail:
jims@health.state.ok.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: Mark Sharp, Part C Coordinator
Contact: Phone: (405) 521-4880 | Fax:
(405) 522-3503
Email: mark_sharp@sde.state.ok.us
Web site: sde.state.ok.us
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:
Contact: Angela Kelley, Coordinator
Phone: (405) 522-1463 | Email: angela_kelley@sde.state.ok.us
Web Site: sde.state.ok.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: Paula Brown, ICC Chair
Contact: Phone: (405) 385-0188,
ext. 113 | Fax (405) 707-9712
Email: paulabrown3@cox.net
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.
The Child Study Center, University of Oklahoma Health Sciences Center, surveyed all physicians in Oklahoma on knowledge and use of medical home concepts. The responses to the survey will direct outreach and training for physicians on medical home activities. The Oklahoma Health Care Authority, the state’s Medicaid agency, funds the project.
Screening
Initiatives
This section provides information on surveillance
and screening initiatives in the state.
Developmental Surveillance and Screening Policy
Implementation Project (D-PIP)
Children’s Clinic from Muskogee,
OK 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.
Click here for additional information on the D-PIP.
State Newborn Screening & Genetics Programs: genes-r-us.uthscsa.edu/resources.htm | www.health.state.ok.us/program/gp/index.html
- State Newborn Screening Program Links
- State Genetics Program Links
- Regional Genetics and Newborn Screening Collaborative
Links
- Newborn Screening State Contact Fact Sheet
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 6, 2007
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