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Every Child Deserves a Medical Home

Overall Objectives

  • To provide knowledge to pediatric primary care providers (PCPs), pediatric health care providers, and families about how to ensure that children with special needs have medical
    homes in a managed care environment.
  • To enhance skills for developing sustainable medical homes.
  • To enhance skills for identifying and working through financial and non-financial barriers to medical homes for children with special needs.
  • To enhance skills for identifying and developing community resources and networks.
  • To illustrate the importance of a collaborative effort on behalf of pediatric health care professionals, families, communities, and managed care administrators.

Intended Audience

Ideally, pediatricians, family physicians, family members, nurses, pediatric specialists, insurance administrators, government officials, and any other group of individuals that work with children with special health care needs will be invited to the "Every Child Deserves a Medical Home" Training Program. There may be instances, however, where the audience is more focused and targeted (eg, grand round sessions, parent conferences).

Recommended Facilitators

For each component of the Every Child Deserves a Medical Home Training Program, a physician, allied health care professional, and a family representative is recommended to co-facilitate. This presentation strategy is an excellent opportunity to illustrate that physicians, allied health care professionals, and families are partners in determining and providing collaborative care to children with special health care needs. Much like a physician facilitator, the allied health care professional and family representative will help participants experience first-hand some of the problems families and care
coordinators encounter, as well as some of the "pearls" they have learned in caring for children with special health care needs.

As each facilitator team reviews its assigned component, the roles of each person will be determined. Co-presenters and audience should be asked periodically for input. Through collaboration, the medical home concept can be illustrated and achieved.

Local Customization of Materials

The curriculum is designed to allow for local customisation and input. The opportunity to customize these materials for the specific audience is provided on two dimensions.

  • Level of audience sophistication or experience:
    Throughout the materials there are references to this issue. Facilitators will be asked to make decisions about how specific materials will be presented based on the participants' familiarity with the issues and concepts being addressed. If they are relatively new to the concepts, facilitators should move more slowly through the materials, involving the audience in a series of question and answer and brainstorming experiences. If they already have a solid foundation for the concepts, facilitators should proceed relatively quickly through the materials and present information as an overview rather than in-depth.

  • Geographic considerations:
    Many of the issues discussed within the medical home training program materials vary from state to state. Often, issues such as requirements, eligibility, and access are very different. Since this is a broad-based national curriculum, the materials have been designed to encourage local input to the content through the use of methods such as examples, guest speakers, and handouts. References are made throughout the facilitator's manual for appropriate insertions of local issues and examples.

Throughout the curriculum, various teaching options are provided to assist facilitators with incorporating local information. If the facilitator team wants to implement a new teaching strategy, some of the existing curriculum may have to be condensed.

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