1 / 12

Patient Centered Medical Home – Kids

Patient Centered Medical Home – Kids. Thursday, February 6, 2014 7:30-9:00 a.m. 301 Metro Center Blvd., Warwick, RI Patricia Flanagan, MD, FAAP, Co-Chair Elizabeth Lange, MD, FAAP, Co-Chair. Selection Sub-Committee. Charge:

zulema
Télécharger la présentation

Patient Centered Medical Home – Kids

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Patient Centered Medical Home – Kids Thursday, February 6, 2014 7:30-9:00 a.m. 301 Metro Center Blvd., Warwick, RI Patricia Flanagan, MD, FAAP, Co-Chair Elizabeth Lange, MD, FAAP, Co-Chair

  2. Selection Sub-Committee Charge: • Develop criteria for selection of initial pilot PCMH-Kids practices • Develop application and scoring process for practice selection • Develop outreach strategy to insure eligible practices are informed • Recommend selection process to Planning Committee/Conveners • With staff support, conduct selection process, score applications, and make recommendations to Conveners • Develop timeline for the application and selection process.

  3. Selection Sub-Committee Members(10) • Dr. Elizabeth Lange, Waterman Pediatrics, Co-Chair‎ • Dr. Renee Rulin, Unitedhealth Care, Co-Chair • Dr. Ailis Clyne, Baldhill Pediatrics • Andrea Galgay, RI Blue Cross/Blue Shield ‎ • Blythe Berger, Department of Health • Deb Florio, Office of Health and Human Services • Dr. Deidre Gifford, Office of Health and Human Services • Mary Evans, RI Health Centers Association ‎ • Dr. Stephen Davis, Neighborhood Health of RI ‎ • Tina Spears, Rhode Island Parent Information Network

  4. Selection Sub-Committee Summary of Call 1/22/14: • Population focus: focus on high utilizers, which are often CSHCN, Medicaid, Cedar. But way to put in application is murky. Leadership will take and think about • Goal of PMCH-Kids: To improve the pediatric practice to make them more able to accept these populations. If we improve practices we will improve care. Goal is transformation. • Need a clear definition of children with special health care needs • Get at this through an essay question: what do you currently do for care coordination and behavioral health? What are your barriers? • Want a mix of practices: high-achieving as well as practices who want to change, but don’t have the resources. Will consider using the pre-reqs from CSI Adults. Believe requiring EHR is necessary for this round (can take a practice 6-12 months to implement EHR, additional time to produce reports. This would affect the PMCH-Kids timeline.) • Also want to look at cultural diversity (i.e. languages spoken) • Next conference call: February 19 7:30-8:30am

  5. Measures Sub-Committee Charge: • Review available data on quality, health disparities, disease prevalence, utilization and cost of healthcare for children in RI • Review standardized measures of pediatric healthcare quality, including those used in other pediatric PCMH programs • Review available measures for feasibility of collection and alignment with other RI programs • Recommend set of quality, patient experience and utilization measures to Stakeholder coalition for inclusion in contract

  6. Measures Sub-Committee Current Members (23) • Dr. Patricia Flanagan, Lifespan Co-Chair • Ronald Seifer, Bradley Co-Chair • Stacey Aguiar, Department of Health • Blythe Berger, Department of Health • Dr. Elizabeth Lange, Waterman Pediatrics • Dr. William Hollinshead, RIAAP • Dr. Betty Vohr, Woman & Infants Hospital • Carrie Feliz, Providence Public Schools • Dr. Dinusha Dietrich, Smithfield Pediatrics • Dr. Deidre Gifford, Office of Health and Human Services • Dr. Keivan Ettefagh, Aquidneck Medical Associates • Dr. Marco Ferretti, East Bay Pediatrics • Dr. Nicole Gergen, Hasbro Children’s Hospital • Dr. Joanna Brown, Lifespan • Junhie Oh, Department of Health • Dr. Nathan Beraha, Anchor Pediatrics • Peter Hollmann, Blue Cross Blue Shield Rhode Island • Dr. Jose Polanco, Blackstone Valley Community Health Center • Dr. Shirley Spater Freedman, Samuels Sinclair Dental Center • Judi Stevenson Garcia, Rhode Island Department of Education • Debra Hurwitz, CSI Adults • Rebecca Labeau, • D Bergh,

  7. Measures Sub-Committee Summary of Call 1/27/14: • The goal of the Measures Sub-Committee is to select measures that will drive outcomes and change in practices. Come up with ideas, as a group, on how children are different and think about how to build the child into the medical home. • Reviewed charge. No further edits needed at this point. • Reviewed current measures in specific areas: dental, developmental, behavioral, social emotional and school settings. • Next meeting will be a discussion of specific measures: complex care coordination (CEDARR & foster care), family engagement, equity and transition. • Next conference call: March 6, 2014 from 7:30-8:30 am

  8. CSI-RI Community Health Teams • Part of our strategic to create two community health teams (CHT) • South County (serves 9 CSI Practices) and Pawtucket (serves 8 CSI Practices) • Teams will incorporate a community health worker-a person to connect patients to community resources • Teams will also incorporate a behavioral health care manager • CHT will work with the primary care provider and nurse care manager as part of the team to coordinate care and manage the patient • Focus on high-risk patients as identified by the health plans

  9. CSI-RI Integrated Behavioral Health Workgroup • Goals: to eliminate disparity in health care outcomes for people with mental health conditions, prove communication and coordination, leverage existing resources • Focus areas of medical conditions: Diabetes, COPD, and CHF • Focus areas of behavioral health: depression, anxiety, and substance abuse • What needs to happen for goals to be reached: • Clear consensus definition of behavioral health • Develop and test potential models of intervention (compacts, CHT, consultative model, co-location, integration) • Define data needs and metrics • Payment system that supports integrated behavioral health • Current work: inventory CSI practices and response to Senator Miller and Representative Bennett’s Joint Commission to Study Integrated Behavioral Health

  10. Race to the Top • Survey of Wellbeing in Young Children (SWYC) • Developmental milestones • Social/emotional development • Family risk factors • Autism-specific screening at 18 & 24 months • Collaboration Efforts • Rhode Island Department of Education • Healthcentric Advisors • American Academy of Pediatrics • Executive Office of Health and Human Services • DRAFT Resource Grid

  11. Questions

  12. Contact Information Patricia Flanagan MD, FAAP, Co-Chair pflanagan@lifespan.org 401-444-7987 Elizabeth Lange MD, FAAP, Co-Chair elizlange@cox.net 401-751-8683

More Related