 Medical
Homes in Iowa
This page is designed to keep you informed about events
and activities happening in Iowa that will help improve access
to medical homes for children with special health care needs
(CSHCN).
Click on a topic below to learn more about what's
going on in Iowa
Medical Home Initiatives
This section provides information
on state medical home initiatives/programs. States that
are a part of the mentorship
network will have a "Promise to the State"
which outlines how they will achieve ensuring that all children
have a medical home by 2010. This is based on the Healthy
People 2010 goals which is a 10 year action plan to
achieve and
measure
success for all CSHCN.
Iowa Medical Home State Contact:
Name:
Brenda Moore, CPNP, Nurse Coordinator - Child
Health Specialty Clinics
Contact: Phone: 319-353-6172 | Email:
brenda-moore@uiowa.edu
Iowa Statewide Medical Home Implementation Plan
- Promise
to the State
The University
of Iowa has been awarded an MCHB State Implementation
Grant for Integrated Community Systems of Services for CSHCN
- Abstract
Contact Person: Brenda Moore brenda-moore@uiowa.edu
Goals and
Objectives:
Goal
1: Community-based services will be organized so
that families can use them easily. Obj 1.1: Iowa’s
primary care providers (pediatrics and family practice)
will assess their CYSHCN for care coordination and case
management (cc/cm) needs. Obj 1.2: Iowa’s primary
care providers (pcp’s) will be linked to a designated
“external” care coordination resource. Obj 1.3:
Iowa’s pcp’s will have a structure and procedures
for providing “internal” cc/cm services. Obj
1.4: Title V CYSHCN Program care coordinators will be competent
in cc/cm knowledge and skills. Obj 1.5: Children (0-21)
with severe behavioral disorders will be served in their
communities using innovative cc/cm methods. Obj 1.6: CYSHCN
will have access to Title V care coordinators to help transition
to a life of self-determination.
Goal 2: All CYSHCN will have access to
comprehensive health and related services through a medical
home. Obj 2.1: Thirty pcp’s per year will participate
in a learning collaborative dedicated to quality improvement
in the medical home model. Obj 2.2: Sustainability of medical
homes will be assured through relationships with organizations
dedicated to performance improvement. Obj 2.3: Formal recognition
will be applied to pcp’s that achieve progress toward
building a medical home.
Goal 3: All children will receive early
and continuous screening for special health care needs.
Obj 3.1: Standardized early childhood developmental screening
procedures will be available in all pcp’s. Obj 3.2:
Children, 0-3, identified as at-risk through screening will
be tracked by a database in a statewide public agency
MCHB Medical Home Grant: Abstract
Project Period: 3/31/2002-9/30/05
Purpose: The overall purpose of the project is
to facilitate the implementation of the medical home model
in community-based family physician and pediatric practices
statewide. Essential staff include an office-based care
coordinator, parent consultant, and, most essential, physician
dedicated to actualizing the medical home concept. CHSC
will provide the expertise necessary for the office practice
to establish linkages with specialty services and other
community-based services. Advice will be offered regarding
restructuring the physicians’ office, constructing
Individualized Health Plans, fair reimbursement, and practicing
in a family-centered, culturally competent manner.
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.
Genetics Grant: Abstract
Purpose: Provide the policy development
and assurance necessary to establish an integrated data
repository for Iowa’s genetics and selected MCH population
based and direct health care programs; Develop public health
infrastructure to ensure effective and efficient newborn
surveillance and metabolic screening systems in Iowa.
Healthy & Ready to Work Grant: Abstract
Project Period: June 1, 2001 through May
31, 2005
Purpose: This project plans to develop
a medical home that effectively transitions YSHCN to the
adult health care system; assure family and youth involvement
in all aspects of program planning; and promote collaboration
between local programs working with YSHCN. The grant demonstrates
the efficacy of providing a family medical home model that
incorporates Telemedicine/Telehealth training, and also
includes: coordinated care by specially trained project
staff; expanded use of the Youth Advisory Committee; services
integrated into University of Iowa Health Care; and a strong
private sector employer strategy.
Partners in the State
This section provides information on who in the state
(individuals and agencies) are working together to create
medical homes fo/r children.
American Academy of Pediatrics (AAP) Chapter:www.iowapeds.org
American Academy of Family Physicians (AAFP) Chapter: www.iaafp.org/
Title V Block Grant to States
Title V of the Social Security Act is one of the largest
Federal block grant programs. It leads the nation in ensuring
the health of all mothers, infants, children, adolescents,
and children with special health care needs (CSHCN). Title
V is administered by the Maternal and Child Health Bureau
(MCHB) as part of the Health Resources and Services Administration,
U.S. Department of Health and Human Services.
Title V and Children with Special Health Care
Needs
MCHB Objective: Support development and
implementation of comprehensive, culturally competent,
coordinated systems of care for the estimated 18 million
U.S. children who have or are at risk for chronic physical,
developmental, behavioral or emotional conditions and
who also require health and related services of a type
or amount beyond that required by children generally.
MCH Contact:
Jane Borst
Bureau Chief
Address: 321 East 12th Street
Des Moines, IA 50319
Phone: 515-281-4911 | Fax: 515-242-6013
Email: jborst@idph.state.ia.us
Internet site: www.idph.state.ia.us
CSHCN Contact:
Brian Wilkes
Chief Administrative Officer and Co-Director for Child Health Speciality Clinics
Address: 200 Hawkins Drive
Iowa City, IA 52242-1083
Phone: 319-384-7292 | Fax: 319-384-6440
Email: brian-wilkes@uiowa.edu
Internet site: www.uihealthcare.com/chsc
Early Hearing Detection & Intervention (EHDI) Contact(s):
State EHDI programs promote universal newborn hearing screening,
develop effective tracking and follow-up as a part of the
public health system, promote appropriate and timely diagnosis
of the hearing loss, prompt enrollment in appropriate Early
Intervention, link newborns to a medical
home and strive to eliminate geographic and financial barriers
to service access.
Name: Denise Ramsey
Contact: Phone: 515-242-5639 | Fax: 515-242-6384
E-mail: dramsey@idph.state.ia.us
State Genetics Program: www.idph.state.ia.us/genetics/default.asp
Healthy Ready to Work: www.medicine.uiowa.edu/hrtw/
(HRTW) addresses the disruptions in health care services
which may compromise the health and potential for independence
of young people with special health care needs who are transitioning
to the working world. The goal of this project is to promote
a seamless system of care that is coordinated, developmentally
appropriate, psychosocially sound, and comprehensive to
help with this transition.
Early ACCESS - Early Intervention/Part C Coordinator:
The Program for Infants and Toddlers
with Disabilities (Part C of IDEA) is a federal grant program
that assists states in operating a comprehensive statewide
program of early intervention services for infants and toddlers
with disabilities, ages birth through age 2 years, and their
families.
Name: Julie Curry, Part C Coordinator
Contact: Phone: (515) 281-5437 | Fax:
(515) 742-6019 | Email: julie.curry@ed.state.ia.us
Web site: www.state.ia.us/educate/ecese/cfcs/ea/index.html
Section 619/ Preschool Grants Program
of the Individuals with Disabilities Education Act (IDEA).
This program provides free appropriate public education
(FAPE) for children, ages 3 through 5 years, with disabilities:
Name: Dee Gethmann, Early Childhood
Specialist
Contact: Phone: (515) 281-5502 | Fax:
(515) 242-6019
Email: dee.gethmann@ed.state.ia.us
Web site: www.state.ia.us/educate/ecese/cfcs/index.html
State Interagency Coordinating Council (ICC) Chairs:
The ICC advises appropriate agencies
on the unmet needs in early childhood special education
and early intervention programs for children with disabilities,
assists in the development and implementation of policies
that constitute a statewide system, and assists all appropriate
agencies in achieving full participation, coordination,
and cooperation for implementation of statewide system.
Name: Georgia Woodward, ICC Chair
Contact: Phone: (515) 967-5622 | Email:
georgwood@mchis.com
Resources
State Waiver Information: www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/08_WavMap.asp
Waivers are the result of a process
that allows state Medicaid agencies to apply for and receive
permission from HCFA to provide services not otherwise covered
by Medicaid and/or to do so in ways not described by the
Social Security Act. Most Medicaid managed care programs
require Waivers. The Waivers, which can differ greatly,
are known by their numbers (1115, 1119), or as home-and
community-based, or as Katie Beckett Waivers.
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.
No information is currently available for this category.
Screening
Initiatives
This section provides information on surveillance
and screening initiatives in the state.
State Newborn Screening & Genetics Programs:
genes-r-us.uthscsa.edu/resources.htm
- State Newborn Screening Program Links
- State Genetics Program Links
- Regional Genetics and Newborn Screening Collaborative
Links
- Newborn Screening State Contact Fact Sheet
Assuring Better Health and Child Development (ABCD)
Program:
http://12.109.133.213/_docdisp_page.cfm?LID=51C27431-9BB8-4DC0-89D374B79C8A8900
The ABCD II Initiative, launched in 2003, is designed to
assist states in building the capacity of Medicaid programs
to deliver care that supports children’s healthy mental
development.
Autism Best Practice Guidelines
This document addresses issues specific to children 0-6 who
display learning patterns similar to children with autism
spectrum disorders. This document clarifies the application
of the best practice documents as they impact services for
children 0-6 and their families. It reflects the work of
the state wide Early Childhood Special Education (ECSE) Autism
Planning Group. http://www.medicine.uiowa.edu/autismservices/bestpractices/ecse_supplement.htm
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.
Last Updated August 26, 2008 |
