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 Medical
Homes in Washington
This page is designed to keep you informed about events
and activities happening in Washington 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 Washington
Medical Home Initiatives Adobe
PDF 
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.
Washington Medical Home Contact:
Name: Kate Orville, MPH, Co-Director, Washington State Medical Home Leadership Network, Center on Human Development and Disability,
University of Washington
Contact: Phone: 206-685-1279 | Email: orville@u.washington.edu
Washington Statewide Medical Home Implementation
Plan: Promise
to the State
Washington State Medical Home Leadership Network: www.medicalhome.org/
A statewide network of volunteer, community-based teams
who promote medical homes for children with special health
care needs and their families. The composition of each team
varies, but typically includes a pediatrician, a public health
nurse, a family resources coordinator for children ages 0-3,
and a parent. Team members are involved in a wide range of
activities in their communities and statewide.
The Medical Home Leadership Network:
Family, Health Care and Community Collaboration for CSHCN  Conference: May 30, 2007
Invitational Conference for Local Medical Home teams is on Wednesday, May 30th at SeaTac Airport outside of Seattle. There is info about the conference at: http://www.medicalhome.org/leadership/conferences_events.cfm including links to the agenda and registration forms.
Presentation (116 KB):
January 23, 2004, Community Health Plan of Washington 2004
Clinical Operations Meeting. Kate Orville, Washington State
Medical Home Leadership Network.
Topics: Medical home definition, achieving
medical homes for CSHCN by 2010, the Medical Home Leadership
Network, community team activities, and how to get involved.
MCHB
Medical Home Grant (Funding period over): Abstract
Purpose: The purpose of the Project is to implement
and evaluate a coordinated, sustainable, statewide
network of families and professionals to promote the availability
and accessibility of medical homes for
children with special health care needs (CSHCN) and their
families in Washington State.
MCHB Integrated Services Grant (Funding period over): Abstract
Purpose: The purpose of the Washington Integrated
Services Enhancement (WISE) for CSHCN Project
is to promote cross agency policies and infrastructure that
will improve the access, availability and
continuity of services for children with special needs and
their families. Changes in policy and
infrastructure will be instituted that will result in common
enrollment, integration of data systems,
improved care coordination, and blended funding for services
to children with special needs in our 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.
New Mental Health Foster Care Project
Bright Futures for Children and Youth in Foster Care (BFFC) is a new project funded by a grant through the Washington State Department of Health by the Health Resources and Services Administration (HRSA). The project goals are to:
- Increase mental health promotion activities for children and youth
- Develop a model training curriculum to teach foster parents about the mental health needs of children in foster care
- Increase awareness and understanding of mental health and the public mental health system that provides services for children in foster care
- Decrease the number of disrupted placements due to behavioral difficulties of children in foster care
For more information about the project, contact Mickey.kander@doh.wa.gov
Family
Leadership Champions Incentive Grant -
Incentive
Award FAQs
Goal: To implement a statewide Family Leadership
Institute by building upon existing state planning activities
to support the six performance measures. Funding will bring
parents from around the state to a workshop on leadership
and the use of CSHCN data.
For more information contact: Leslie Carroll
Phone: (360) 236-3504 | Email:
leslie.carroll@doh.wa.gov
Genetics MCHB Grant: Abstract
Purpose: Like many states, public health
genetics in Washington began with newborn screening (NBS).
Since the initiation and completion of the Human Genome Project,
the public health system, including the NBS program, finds
itself trying to anticipate how to best take advantage of
the emerging science and technologies as well as deal with
the economic, and social impacts (including legal and ethical)
using limited resources. To best direct these resources, a
State Genetics Plan was developed for Washington State. The
four priority areas identified include: (1) Coordination and
Coverage of Services, (2) Access to Quality Services, (3)
Confidentiality/ Genetic Discrimination, and (4) Raising Awareness
of Genetic and Disability Issues. The purpose of this project
is to begin implementing the State Genetics Plan. Implementation
of the State Genetics Plan will ultimately facilitate the
integration of genetic services, including newborn hearing
screening and newborn heel stick screening, into the existing
statewide healthcare delivery system as well as the service
system focused on children with special health care needs.
Healthy Tomorrows Partnership for Children Grants
2005-2010
Pre-Emptive Behavioral Health Team Intervention for
At-Risk Children and Families
Pope’s Kids Place, Centralia, WA
Purpose: The overall goal of the project is to provide
these at-risk children and their families coordinated, targeted
psychiatric and psychological care and social support to ensure
that they become successful, productive members of society.
The project will also bring new clinical resources to the
rural area. The overall goal of the project is to ensure that
these at-risk children and their families receive the psychiatric
and psychological care and social support they need to become
successful, productive members of society. Click
here for more information on this project.
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.wcaap.org/
American Academy of Family Physicians
(AAFP) Chapter:
www.wafp.net/
Title V Children with Special Health
Care Needs Program: www.doh.wa.gov/cfh/mch/CSHCNhome2.htm
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: Nancy Dalrymple
Contact: Phone: 253-395-6729 | Fax: 253-395-6737
| E-mail: nancy.dalrymple@doh.wa.gov
State Genetics Program: mchneighborhood.ichp.edu/wagenetics/index.html
The Genetic Services Section of the Washington State Department
of Health has collaborated with a number of public and private
agencies, organizations, and institutions at the local, state,
regional, and national levels to implement public health core
function activities (assessment, policy development, and assurance)
pertaining to genetic health care. The documents presented
here summarize many of the ongoing projects that have taken
place in Washington State (1995-present)
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: Sandy Loerch
Morris
Contact: Phone: (360) 902-8490
| Fax: (360) 902-8497 | AltPhone1: (360) 902-7864
Email: loercsk@dshs.wa.gov
Web site:
www1.dshs.wa.gov/iteip/
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: Karen Walker
Contact: Phone: (360) 725-6080 | Fax: (360)
586-1631| Email: kwalker@ospi.wednet.edu
Web site: www.k12.wa.us/specialed
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: Bonnie Sandahl,
ICC Chair
Contact: Phone: (206) 298-9679 |
Fax: (206) 284-7843 | Email:
bsandahl@seattlechildrenshome.org
Resources/Documents
Review new child health care legislation on our WA State Medical Home plan page: http://www.medicalhome.org/leadership/teams.cfm . Dr. A. Chris Olson, WA Chapter AAP President and Spokane County Medical Home team member, was instrumental in the passage of this llegislation.
Medical Home Key Message Document: An updated factsheet about the key messages and components of a medical home http://www.medicalhome.org/4Download/keymessages2007.pdf
This document was developed in partnership with:
Children’s Alliance; Cowlitz County; Docs for Tots; American Academy of Pediatrics: Washington State Chapter; Family Voices; Kids Get Care; Molina Health Plans; Public Health – Seattle & King County; Spokane Regional Health District; University of Washington; Washington Association of Community & Migrant Health Centers; Washington State Board of Health; Washington State Department of Health; Washington Health Foundation; Washington State Department of Social and Health Services; Washington State Parent to Parent; and the Whatcom Health Information Network.
Medical Home Data Monograph : A new document about medical home and different data measurements is available at http://www.doh.wa.gov/CFH/mch/documents/MedHome.pdf and was
created by the
Washington State Dept. of Health CSHCN Program
2006-2010 Medical Home Strategic Plan for CYSHCN: A document with the goal of achieving medical homes for all children and youth with special needs by 2010. This document was created by the Washington State Partners in Medical Home Strategic Planning. To read the strategic plan: http://www.medicalhome.org/4Download/strategicplan.pdf
Nutrition Survey for
Medical Home Team Members
The Washington State
Dept. of Health CSHCN Program, the Medical Home Leadership
Network staff, and the CSHCN Nutrition Network and Community
Feeding Team staff colllaborated on a survey to identify
how medical home and nutrition activities can support each
other in Washington.
For more information about the survey click
here.
The Center for Children with Special Needs: www.cshcn.org
This site offers information and resources for parents and
professionals who advocate and care for children with special
health care needs.
This web-based toolkit is intended for professionals who coordinate
care for children in Washington State. It provides one web page
access point to existing resources developed with funding
from the Children with Special Health Care Needs (CSHCN) Program
of the Washington State Department of Health. It includes
links to county specific resource lists, Washington state
resource guides, family organizing tools, family handouts,
and adolescent transition resources, tips and forms.
You can view the toolkit and provide helpful
feedback online at: www.cshcn.org/resources/coordinationtools.cfm
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.
New Quality Improvement Learning Opportunity for Medical Practices
The Washington State Children's Preventive Health Care Collaborative invites Medical Home Leadership Network Team primary care providers and community primary care colleagues to be among the 20 practices participating in the second year of the collaborative. This year the Collaborative will focus on the adoption of fluoride varnish and the Ages and Stages Questionnaire within medical practices. Medical practices can learn quality improvement methods that can be used to motivate clinical teams to implement operational improvements in their practices.
The Collaborative is funded by the Washington State legislature with additional support from local funding agencies. The Collaborative is staffed by the King County Health Action Plan at Public Health-Seattle & King County and the UW Child Health Institute (home of the Seattle-branch of NICHQ, National Initiative for Children's Healthcare Quality).
For more information about this opportunity:
Washington State Medical Home
Leadership Network Conferences and Events:
www.medicalhome.org/leadership/conferences_events.cfm
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:
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.
Autism Guidelines
IIdentification and Evaluation of Children With Autism Spectrum Disorders
PEDIATRICS Vol. 120 No. 5 November 2007, pp. 1183-1215
Management of Children With Autism Spectrum Disorders
PEDIATRICS Vol. 120 No. 5 November 2007, pp. 1162-1182
IIdentifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening
PEDIATRICS Vol. 118 No. 1 July 2006, pp. 405-420
Role of the Medical Home in Family-Centered Early Intervention Services
PEDIATRICS Vol. 120 No. 5 November 2007, pp. 1153-1158
***Link to revision of the Early Intervention Program Referral Form:
http://www.medicalhomeinfo.org/health/EI.html
Successes in Serving Families and Infants and Toddlers with
Autism:
http://www1.dshs.wa.gov/word/adsa/iteip/SLM_Autism.doc
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
February 5, 2008
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