Medical Homes in Wisconsin
This page is designed to keep you informed about events and activities happening in Wisconsin that will help improve access to medical homes for children with special health care needs (CSHCN).

»Medical Home Initiatives	»Resources
»Related Grant Initiatives	»Educational Initiatives
»Partners in the State	»Screening Initiatives

Click here for state funding opportunities

Medical Home Initiatives
The Wisconsin Children and Youth with Special Health Care Needs Program collaborates with national, state and community-based partners to strengthen medical homes for individuals from birth through age 21 with a chronic physical, developmental, behavioral or emotional illness or condition.  The Program is located in the Wisconsin Department of Health Services.

The Children and Youth with Special Health Care Needs Program advances the 2010 National Performance Outcomes, strengthening:

• Parent Leadership
• Medical Homes
• Health Insurance Coverage
• Screening and Identification
• Coordinated Services
• Transition to Adult Life

The Program has supported Medical Home Learning Collaboratives in pediatric practices around the state through grants, technical assistance and training. Resources developed by Medical Home champions are featured on Wisconsin’s Medical Home Website.

Wisconsin Medical Home Contact:
           
            Name: Sharon Fleischfresser, M.D., MPH       
            Medical Director, Children and Youth with Special Health Care Needs Program
            Phone: 608-266-3674
            Email: Sharon.Fleischfresser@dhs.wisconsin.gov

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.

Improving Services for Children and Youth with Autism Spectrum Disorder (ASD) and other Developmental Disabilities - The Children and Youth with Special Health Care Needs (CYSHCN) Program received a federal Maternal and Child Health Bureau (MCHB) State Implementation Grant for
Duration of Program: September 2008 –August 2011
Contact Person: Amy Whitehead, Amy.Whitehead@dhs.wisconsin.gov

This grant will bring the key stakeholders together to address coordination and collaboration, establishing a statewide Community of Practice on ASD. Community-based activities include outreach activities to reduce stigma associated with ASD, physician, community and family training to increase early identification, referrals to appropriate service entities and the promotion of the Medical Home approach to care.

Wisconsin Early Hearing Detection and Intervention Quality Improvement Project
Duration of Program: April 2008-March 2010
Contact Person: Elizabeth Seeliger, Elizabeth.seeliger@dhs.wisconsin.gov

The Wisconsin Sound Beginnings (WSB) program works to reduce the number of infants lost to follow-up throughout the early hearing detection and intervention (EHDI) system.  WSB will promote adherence to quality assurance standards within universal newborn hearing screening programs and successful family follow-through.  Quality improvement models, interdisciplinary linkages, and parent-to-parent support tools will be utilized to improve systems and increase parent satisfaction.

The Wisconsin Community-Based System of Oral Health for Children and Youth with Special Healthcare Needs (CYSHCN)
Duration of Program:  September 2007- August 2011
Contact Person:  Diane Flanagan, dflanagan@chw.org

The goal of this initiative is to organize community resources to increase access to comprehensive dental care for CYSHCN. The system will improve the oral health of CYSHCN by developing and coordinating resources and systems throughout the state of Wisconsin. Training will be provided to dental health providers to increase their knowledge and skills in treating CYSHCN. A strong case management and family/caregiver education and advocacy component is additionally incorporated into the context of this broad based initiative.

Partners in the State
American Academy of Pediatrics (AAP) chapter:

American Academy of Family Physicians (AAFP) Chapter:

Interagency Coordinating Council advises, reviews and monitors Wisconsin’s Birth to 3 Program, the early intervention system.

Family Partnerships

Family Voices of Wisconsin supports the voice of families in decision-making, leadership and systems change. Family Voices provides information, training and support around health care and community services to families and professional partners.

Parent to Parent of Wisconsin provides parent support through one-to-one connections with other parents who have firsthand knowledge about the experience of having a child with special needs.

Resources
Building Medical Home Partnerships: A Wisconsin Toolkit is a web-based resource for Wisconsin health care providers and families. The Toolkit is a roadmap to the tested tools and practice strategies developed by Medical Home teams both nationally and in Wisconsin. The Toolkit contains short videos where providers and family members share their experiences and advice on quality improvement. Resources include sample care plans, appointment scripts and coding charts – all easily adapted for practice use.

Wisconsin’s five Regional Centers for Children and Youth with Special Health Care Needs provide support to medical practitioners in strengthening their Medical Homes and assistance and support to families, helping to link them to

• Medical Homes
• Information on a child’s individual needs
• Connections to community services
• Assistance locating doctors and dental care
• Health benefits assistance
• Transition planning
• Parent to parent support

The Great Lakes Inter-Tribal Council's Children/Youth with Special Health Care Needs (CYSHCN) Project provides assistance to Native American families of children with special needs.

Wisconsin First Step A 24-hour hotline for families and providers who support children and youth with special needs.
1- 800-642-7837 or www.mch-hotlines.org

Department of Health Services-Children’s Services
The Children's Services Section is responsible for programs related to children with disabilities, developmental delays and some mental health issues.

Wisconsin Birth-3 Program is a comprehensive statewide program of early intervention for infants and toddlers with disabilities, ages birth through age 2 years and their families. Visit the Birth to 3 Directory to find the program in your county.

Other programs include Family Support Program http://dhs.wisconsin.gov/bdds/fsp.htm  Katie Beckett Program (http://dhs.wisconsin.gov/bdds/kbp/index.htm) and the Children's Long-Term Support (CLTS) Home and Community-Based Waivers (http://dhs.wisconsin.gov/bdds/clts/index.htm), which include coverage of children with autism.

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.

Circles of Life
            Wisconsin’s Annual Family and Provider Conference

Screening Initiatives
This section provides information on surveillance and screening initiatives in the state.

Information on the following state screening programs can be found at the Children and Youth with Special Health Care Needs website: http://dhs.wisconsin.gov/health/children/index.htm

Wisconsin Birth Defects Prevention and Surveillance Program maintains a confidential registry to collect and monitor information about birth defects and coordinates a statewide referral system.  The Program also initiates prevention activities and promotes access to services.

Wisconsin Newborn Screening Program oversees the screening of infants for nearly 50 disorders, helping to assure that newborns are diagnosed and treated for a variety of preventable conditions present at birth.

Wisconsin Sound Beginnings promotes universal newborn hearing screening and follow-up including the parent support program, Guide by Your Side.  The WE-TRAC data system supports a coordinated system of screening and early intervention by no later than 6 months of age.

Statewide Genetics Services works to assure that quality comprehensive genetic services are provided to all residents.

Funding Opportunities
Medica Foundation Seeking Grant Applications for Health Programs
Deadline: July 28, 2006

The Medica Foundation (http://www.medica.com/C10/MedicaFoundation1/default.aspx),
a charitable grantmaking foundation and sister organization to Medica Health Plans, a Minnesota-based nonprofit HMO, is looking to fund community-based initiatives and programs that support the needs of Medica's customers and the greater community by improving their health and removing barriers to healthcare services. Funding is provided to organizations within Medica's service area in Minnesota, western Wisconsin, North Dakota, and South Dakota.

The foundation will be accepting applications for Cycle 2 of its 2006 grantmaking program in the following four areas:

1) Health Care Literacy: Turning Information Into Knowledge -- a funding opportunity designed to equip individuals with access to the information they need to make informed decisions about their health care. Individual grants may be awarded for amounts up to $30,000.

2) Healthy Living -- a funding opportunity designed to modify and enhance lifestyles to achieve maximal health status and quality of life. Priority will be given to programs that demonstrate behavior changes in lifestyle involving physical activity, nutrition, and weight management. Individual grants may be awarded for amounts up to $30,000.

3) Addressing the Health Care Needs of Greater Minnesota Communities -- a funding opportunity for nonprofit organizations and governmental agencies outside of the seven-county metro area. Initiatives should establish collaborative relationships between organizations and agencies to maximize resources and services. This funding priority is designed to support programs serving Minnesota Health Care Programs enrollees. Funding is provided to organizations within Medica's State Public Programs service area in Minnesota. Individual grants may be awarded for amounts up to $30,000.

4) Partnership for Prevention -- a funding opportunity designed to improve utilization and quality of preventive care in the areas of well child screenings; prenatal and postnatal care; asthma treatment and education; cancer screening; diabetes screening and education; and screening for sexually transmitted diseases. This funding priority is designed to support programs serving the Minnesota Health Care Programs enrollees. Funding is provided to organizations within Medica's State Public Programs service area in Minnesota. Individual grants may be awarded for amounts up to $75,000.

Nonprofit organizations that are 501(c)(3) legal entities or governmental agencies are eligible to receive funding.

Applications for Cycle 2 funding priorities will be accepted from June 1 through July 28, 2006.

Visit the Medica Foundation Web site for complete program guidelines, funding restrictions, and application procedures at: www.medica.com/C12/MedicaFoundation3/default.aspx#cycle2

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.