Tools for Coordinating Care: Models
This section provides tools to assist in the coordination of care at the practice, community, and state level.

A High-Performing System for Well-Child Care: A Vision for the Future

In the new Commonwealth Fund report, A High-Performing System for Well-Child Care: A Vision for the Future, Stanford University's David Bergman, M.D., and colleagues present a model for effective, efficient well-child care, as well as a guide for future policy and research efforts. Their ideal well-child system would include advanced access to services, such as systems to allow parents to make same-day appointments, as well as team-based care and individualized developmental and behavioral screening.

As envisioned by the authors, each child's care would be coordinated through a "medical home," aided by tools for information and knowledge transfer. These would include a personal health record that each family could use to engage in secure electronic communications with their clinicians, view test results and visit summaries, input health information, and share information with other health care professionals.

Review of Care Coordination Activities of the Division of Services for Children with Special Healthcare Needs (DSCSHN) State Implementation Grantees
Full Report
Several of the health insurance and financing implementation grantees funded by the DSCSHN of the MCHB, had expressed an interest in examining care coordination models. An initial recommendation to review care coordination activities among these grantees sparked an interest to expand this review to all state implementation grantees. While a previous study had focused on the role of Title V in care coordination, there had never been a review of the role of state implementation grantees in this critical aspect of developing a system of care for CYSHCN.

As part of their current contract with DSCSHN, JSI was asked to develop a survey to capture the range of activities among the state implementation grantees. This report addresses all 6 of the Healthy People 2010 outcomes, through a survey of all MCHB State Implementation grantees. The survey focused on the care coordination activities of the grantees, such as methods of care coordination program development and implementation, methods of financing, and effectiveness of care coordination.
- Released by MCHB and John Snow, Inc. (JSI)

This report describes the key findings from these conversations and is divided into four sections:

I. Direct Care Coordination - A review of the grantees that provide direct care coordination funded through their DSCSHN grant.

II. System Development Care Coordination - A description of the work of grantees addressing systems issues of care coordination, including identification of CYSHN, access to and financing of care coordination.

III. Key Attributes and Components of Care Coordination- An overview of key attributes such as family involvement, linguistic competency, evaluation and financing strategies.

IV. Successes and Challenges - A summary of the successes and challenges around care coordination and recommendations of possible next steps.

Last updated December 8, 2006