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 Medical
Homes in Virginia
This page is designed to keep you informed about
events and activities happening in Virginia 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 Virginia
Click
here for state funding opportunities
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.
Virginia Medical Home Contact:
Name: Colleen A. Kraft, MD FAAP - Medical
Home Plus
Contact: Phone: 804-559-0447 | Email:
docmom3@aol.com
Virginia Medical Home Web site - Medical Home Plus,
Inc.: www.medhomeplus.org/
Vision: To provide a leadership role
in facilitating family, professional and community partnerships
that improve the quality of life for all.
Mission: Medical Home Plus, Inc. facilitates
access to supports and services for children and youth,
especially those with special needs, and their families
Virginia 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 focused
on 3 practices in the state and assisted them in completing
a quality improvement process to provide medical homes to
their patients with special needs. It also assisted in building
the capacity of Virginia'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.
Through the National Medical Home Learning Collaborative,
the practices and
Medical Home Plus fostered a substantial relationship
with the Title V program as part of the process was for
Title V programs to develop the capacity to support the
work of Collaborative teams and to increase understanding
of community primary care practices.
Medical Home Plus promoted themselves as the premier resources
to improve collaboration at the state and community level.
They approached Title V, the AAP Chapter, Schools, and explained
how they could partner and be a resource. The Medical Home
Plus project is a model of community based health care that
provides training, resources, technical assistance and support
for children with special health care needs and their families.
This project was able to be implemented through a grant
partnership with United Way/Success by Six.
Update
- Medical Home Plus has been awarded funding to provide
mentorship, hold a medical home conference, and provide
technical assistance throughout the state.
- Working with the ECCS grant that is looking at systems
of care.
- Disseminating medical home model at multiple venues:
NCBDDD, Public Health meeting in November.
- View the July
2004 Update
- View a
presentation on the medical home spread activities.
Family/Youth
Partnerships Champions Incentive Grant -
Incentive
Award FAQs
Goal: To develop strong, ongoing partnerships
with YSHCN, families of CYSHCN, and other stakeholders and
community agencies through the formation of one state advisory
committee and six regional advisory committees at each of
the Care Connection for Children centers (CCC). The state
and CCC advisory councils will provide a vehicle to achieve
system improvements for CYSHCN.|
For more information contact: Nancy
R. Bullock, CHSCN Program
Phone: (804) 864-7706 | Email: nancy.bullock@vdh.virginia.gov
Family-to-Family Health Information Center Center
Grant
Virginia received one of the Family-to-Family Health Information
Center grants from the Center for Medicare and Medicaid
Services. The F2F Health Information Center is headquartered
at Medical Home Plus (www.medhomeplus.org) and is led by
representatives of Parent to Parent of Virginia, the Federation
of Families for Children’s Mental Health, and the
ARC of Virginia Family Intervention Project. Family Voices
is represented as a member of the Virginia Integrated Network
of Family Organizations (VA-INFO) Coalition. A centralized
phone number allows any parent from the state to call into
the center, where a parent coordinator will answer the call
and work through the F2F HIC to find information, support,
and resources for that family.
Medical Home Spread Project
. Medical Home Plus is working with the Health Services
for Children Foundation in Washington, DC to promote a Medical
Home spread project in the District. Practices in the collaborative
include Kids Unlimited at HSC, Dr. Kazmi’s Pediatrics,
Unity Health Care Pediatrics, and Georgetown University
Primary Care and Adolescent Clinics. Practices have started
assessments using the Medical Home Index and the
Medical Home Family Index, and have started their own quality
improvement projects.
Strong Roots for a Healthy Future
The First annual “Strong Roots for a Healthy Future”
conference was held July 28-29, 2006 in Charlottesville,
Virginia. The conference brought together families, professionals,
and community partners to learn about state resources and
connect all the partners that comprise the Medical Home.
Check out the conference at www.medhomeplus.org . The second
“Strong Roots” conference will be held in Richmond,
Virginia on July 27-28, 2007.
Catch Grants
Recent CATCH grants and CATCH residency grants have focused
on prevention of childhood obesity in a Latino community,
development of Foster Care emergency services, incorporation
and medical training for Spanish speaking interpreters in
a residents continuity clinic, and development of an International
Adoption Clinic in Virginia Beach.
The Partnerships for Quality Workshop
Virginia was chosen to participate in the Partnerships for
Quality workshop held on August 4-5, 2006. The Virginia
Department of Health and the Virginia AAP will partner to
promote Bright Futures throughout primary care practices
in the state.
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.
Healthy Tomorrows for Children
Grant 2002-2007
Child Health Integrated Cultural Outreach Services
(CHICOS)
Purpose: The CHICOS project is building CHIP of
Virginia’s capacity to meet the health and family
support services needs of Limited English Proficient (LEP)
children and their families. CHIP of Virginia is a statewide
network of 11 local programs offering health-focused home
visiting for families with young children (0–6 years).
CHIP nurses and outreach workers offer health and developmental
screenings for young children, help to enroll them in insurance
programs, give referrals to medical and community services,
and provide parent education. CHICOS allows CHIP to: (1)
hire language minority home visiting staff, (2) translate
CHIP documents; (3) mobilize foreign language materials
so they are readily available to local CHIP programs and
other groups serving children, and (4) train CHIP staffs
in cultural competence. CHICOS will increase CHIP’s
enrollment of language minority children by 88% over 5 years.
Within 1 year of enrollment, at least 90% of these children
will have a medical home and be fully immunized. 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.
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.virginiapediatrics.org/
American Academy of Family Physicians (AAFP) Chapter:
www.vafp.org/
Title V Children with Special Health Care Needs (CSHCN)
Program: www.vahealth.org/specialchildren
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, ensure a medical home for all newborns and
strive to eliminate geographic and financial barriers to
service access.
Name: Pat T. Dewey, M.Ed., Program Manager
Contact: Tel: 804-864-7713 | Fax: 804-864-7721
| Email: pat.dewey@vdh.virginia.gov
Infant and Toddler Connection - 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: Mary Ann Discenza, Part C Coordinator
Contact: Phone: (804) 371-6592 | Fax:
(804) 371-7959
Email: maryann.discenza@co.dmhmrsas.virginia.gov
Web Site:
www.infantva.org/default.htm
Section 619/Special Education for ages 3-5 Coordinators:
This program provides free appropriate public education
(FAPE) for children, ages 3 through 5 years, with disabilities:
Name: Phyllis Mondak, 619 Coordinator
Contact: Phone: (804) 225-2675 | Fax:
(804) 371-8796 | Email: pmondak@mail.vak12ed.edu
Web Site: www.pen.k12.va.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: Brenda Laws, ICC Chair
Contact: Phone: (757) 442-7599 | Fax:
(757) 442-4578 | Email: luvdoves@intercom.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.
PEATC Events Calendar: www.peatc.org/calendar.htm
This calendar lists some, but not all, disability related
events in or around the Commonwealth of Virginia.
Screening
Initiatives
This section provides information on surveillance
and screening initiatives in the state.
Developmental Surveillance and Screening Policy
Implementation Project (D-PIP)
Alexandria-Lake Ridge Pediatrics from Alexandria,
VA 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
- State Newborn Screening Program Links
- State Genetics Program Links
- Regional Genetics and Newborn Screening Collaborative
Links
- Newborn Screening State Contact Fact Sheet
Funding
Opportunities
Moran Family Foundation
Offers Support for At-Risk Children and Families in Northern
Virginia and the District of Columbia
Deadline: Open
The McLean, Virginia-based Moran Family Foundation supports
innovative interventions that promote healthy mental, physical,
and emotional development of at-risk children and at-risk
families in Northern Virginia and the District of Columbia.
The foundation seeks to fund programs designed to support
children and preserve families whose lives are affected
by such challenges as poverty, physical, emotional, or sexual
abuse, issues of addiction, limitations in community support,
or limitations of caregivers, with the goal being to enhance
the opportunity for each child to reach his or her full
physical, emotional, and mental potential while being supported
within his or her family unit.
Grants are available only to organizations that are tax-exempt
under section 501(c)(3) of the Internal Revenue Code.
The foundation accepts unsolicited letters of inquiry. See
the Moran Family Foundation Web site for complete program
information and application instructions. http://fconline.fdncenter.org/pnd/2947/moran
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 8, 2006
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