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Cost Models in Early Intervention

Cost Models in Early Intervention. Robin McWilliam Vanderbilt University Medical Center. Benefits of PSP Model. Family receives strong support from one person, not having to get to know multiple people Program for child and family is coordinated, not fragmented

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Cost Models in Early Intervention

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  1. Cost Models in Early Intervention Robin McWilliam Vanderbilt University Medical Center www.VanderbiltChildDevelopment.us

  2. Benefits of PSP Model • Family receives strong support from one person, not having to get to know multiple people • Program for child and family is coordinated, not fragmented • Weekly, family has to host only one visit in the home, not multiple visits • Service providers, especially therapists, can serve more families • Cost to system is reduced, so more families can be served more flexibly and families can receive better service coordination (with $ saved, hire more SCs) • Expected outcomes: same for child, better for family, lower costs www.VanderbiltChildDevelopment.us

  3. Multidisciplinary Time Allotment www.VanderbiltChildDevelopment.us

  4. The Numbers • 20 visits • 20 children www.VanderbiltChildDevelopment.us

  5. Transdisciplinary Time Allotment www.VanderbiltChildDevelopment.us

  6. The Numbers • 20 visits (same $!) • 5 children as PSP • 15 children consulting www.VanderbiltChildDevelopment.us

  7. In 1 month… • Multidisciplinary = 20 children • Transdisciplinary = 5 as PSP 15 as consultant X 4 weeks = 60 children = 65 children • Same $! www.VanderbiltChildDevelopment.us

  8. The Impact of the Dedicated-Service-Coordinator Model • No continuity through the process • Many service coordination needs unmet • Poorly trained or qualified service coordinators • Poor coordination of existing services • Multidisciplinary, therapist-driven, expensive, disjointed services www.VanderbiltChildDevelopment.us

  9. OT once a week ($65) PT once a week ($65) SLP once a week ($65) Special instruction once a week ($45) Subtotal x 50 weeks = $12,000 Service coordination twice a year ($280/yr.) Total = $12,280/yr. Service coordinator/ Interventionist once a week ($65) Other specialist twice a month—generous! ($130/mo.) Total = $4,810 2-Year-Old With Down Syndrome www.VanderbiltChildDevelopment.us

  10. Conclusions • With the PSP approach, generalists spend most of their time seeing their own families, and specialists spend most of their time seeing others’ families • Generalists are sometimes specialist consultants to other PSPs • Specialists are sometimes PSPs • The problem with dedicated service coordination is that services are generally fragmented and using a multidisciplinary approach and therefore expensive • Furthermore, you have to pay for the SC on top of all the other services • Don’t get me started on cost models for evaluations! www.VanderbiltChildDevelopment.us

  11. Disclaimer • My views are my own and do not reflect the views of any State agencies doing business with the Center for Child Development at Vanderbilt University Medical Center. www.VanderbiltChildDevelopment.us

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