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 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).
Click on a topic below to learn more about what's
going on in Vermont
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 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). Project
Overveiw.
MCHB Medical Home Grant:
Abstract
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 click
here.For more information on the
Healthy Tomorrows Grant Program click
here
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.htm
Title V CSHCN Program: 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.
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
August 14, 2006
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