 Medical
Homes in Michigan
This page is designed to keep you informed about events
and activities happening in Michigan 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 Michigan
Click
here
for state funding opportunities
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.
Michigan Medical Home Contact:
Name: Kathy Stiffler - Children's Special
Health Care Services
Contact: Phone: 517-241-7186 | Email:
stifflerk@michigan.gov
State Team Roster
Michigan was selected to be part of the National NICHQ
Medical Home Learning Collaborative - A fifteen-month
collaborative activity to improve care for the growing population
of CSHCN. This initiative focuses on 3 practices in the
state and assists them in completing a quality improvement
process to provide medical homes to their patients with
special needs. It also assists in building the capacity
of Michigan's CSHCS and other health department programs
to support and extend this approach after the completion
of the project period. For more information you can go to
the project
overveiw.
Henry Ford Pediatrics Medical Home Project: "Medical
Homes for Urban, Minority CYSHCN" 
This presentation is from the CATCH and Medical Home National
Conference - July 16, 2004. Henry Ford Pediatrics Medical
Home Objectives: Identify 95% of the CSHCN in our practice,
Create an electronic IHCP, 95% of the families with CSHCN
will be given a copy of their child’s care plan and
understand its use, 30% improvement scores of the Medical
Home Index.
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.
 The Region 4 Collaborative (IL, IN, KY, MI, MN, OH, & WI)) was awarded a Medical Home Visting Professorship (2008)
Medical Home Visiting Professorship Pilot Program
The American Academy of Pediatrics National Center for Medical Home Initiatives for Children with Special Needs and the American College of Medical Genetics' National Coordinating Center for the Regional Genetics and Newborn Screening Service Collaboratives (NCC) in partnership with the ACMG and MCHB recently developed a pilot visiting professorship program. This program focuses on the specific topic areas of genetics and medical home and also establishing linkages between Regional Genetics and Newborn Screening Services Collaboratives (RCs) and AAP Chapters.
Genetics Grant: Abstract
Principal Investigator: Janice Bach, MS,
CGC | Phone: 517- 335-8887 | Email: bachj@michigan.gov
Project Period: 4 years From: June 1, 2002
to May 31, 2006
Purpose: The purpose of this project is
to improve genetic health outcomes of Michigan residents
by 1) increasing genetic literacy in general and improving
access to information about services and resources for children
with special health care needs; 2) promoting early identification
and treatment of children with genetic conditions and linkage
with systems of care; and 3) improving the integration and
use of newborn screening information systems within public
health programs. The project will play a key role in aligning
the Michigan Newborn Screening (NBS) System with National
Task Force Recommendations, and serve to implement portions
of the state genetics plan developed as part of a MCHB planning
grant
Hemophilia Grant: Abstract
Project Period: June 1, 2002 through May
31, 2005
Goals: Assure Access to Care for All Persons
in Region V-East with Bleeding Disorders. Region V-East
will reduce morbidity and complications related to hereditary
bleeding disorders by improving access to early intervention
and comprehensive care for all persons with bleeding disorders,
including women, racial and ethnic minorities, and the poor
an uninsured, Assure Quality Comprehensive Care for all
Persons in Region V-East with Bleeding Disorders. HTCs will
reduce morbidity and complications related bleeding disorders
by complying with the NHF Standards and Criteria to provide
the highest quality comprehensive care and referral systems;
Assure Local, Regional and National Collaboration and Coordination
of Care. Region V-East HTCs will assure that state of the
art care is provided through a commitment to continuing
education and the maintenance of a collaborative and coordinated
system of care with consumer educational programs and mechanisms
for input and participation at all levels by consumers.
Partners in the State
This section provides information
on who in the state (individuals and agencies) are working
together to create medical homes for children.
American Academy of Pediatrics (AAP) Chapter:
www.miaap.org
American Academy of Family Physicians (AAFP) Chapter:
www.mafp.com/
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:
Alethia Carr
Acting Director, Bureau of Family, Maternal & Child Health
Address: 320 South Walnut Street, 6th Floor
Lansing, MI 48913
Phone: 517-335-9299 | Fax: 517-335-9444
Email: carra@michigan.gov
For the CSHCN Contact please view the Medical Home Contact at the top of the page.
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: Yasmina Bouraoui, MPH
Contact: Phone: 517-335-9398/ Fax (517)
335-8036
E-mail: bouraouiy@michigan.gov
Web site: www.michigan.gov/ehdi
State Genetics Program: www.michigan.gov/mdch/0,1607,7-132-2942_4911_4916-64851--,00.html
Early On - 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: Vanessa Winborne, Acting Part C
Coordinator
Contact: Phone: (517) 373-0923 | Email:
winbornev@michigan.gov
Fax: (517) 373-7504
Website:
www.1800EarlyOn.org
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: Karen Rockhold, Supervisor
Contact: Phone: (517) 373-0923 | Fax:
(517) 373-7504
Email: rockholdk@michigan.gov
Name: Vanessa Winborne, Acting Section
619 Coordinator
Contact: Email: winbornev@michigan.gov
Website: www.1800EarlyOn.org
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: Mac Miller, ICC Co-Chair
Contact: Phone: (517) 546-4126 | Fax:
(517) 546-1300
Email: macmiller@cmhliv.org
Resources/Documents
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.
Community
of Learners: www.med.wayne.edu/communitymedicine/clweb/clhome.htm
is envisaged as part of both process and end outcomes of
an ongoing study of Quality
of Managed Health Care Through the Eyes and Voices of Minority
Families It is intended to draw individuals from a range
of community organizations, MCO's and public health institutions
to engage in activities that foster mutual learnings to
enhance the quality of manage health care services for children
with special health care needs(CSHCN) in particular.
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.
Developmental Surveillance and Screening Policy
Implementation Project (D-PIP)
Ypsilanti Health Center from Ypsilanti,
MI is participating in the Developmental Surveillance and
Screening Policy Implementation Project (D-PIP). The D-PIP
has selected 17 practices from across the United States
to implement the AAP policy statement (scheduled for publication
in July 2006) “Identifying Infants and Young Children
with Developmental Disorders in the Medical Home: An Algorithm
for Developmental Surveillance and Screening” to 1)
determine if the algorithm is efficiently and effectively
implemented into pediatric practice; 2) recognize strategies
for implementing the algorithm; and 3) examine outcomes
of implementation. Following the project, information and
outcomes will be shared with pediatric clinicians and other
health care professionals who are seeking to improve the
delivery of developmental surveillance and screening.
Click
here for additional information on the D-PIP.
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
Funding
Opportunities
Blue Cross Blue Shield
of Michigan Foundation Announces Community Health Improvement
Matching Grants Program
Deadline: Rolling/Contact
Funder
The Blue Cross Blue Shield of Michigan Foundation has
announced the Community Health Improvement Matching Grants
Program to support nonprofit organizations addressing significant
health issues in Michigan.
The foundation has allocated $750,000 for this program and
is offering matching fund grants up to $25,000 per year
for up to two years to implement programs designed to address
one or more key community health issues; enhance consumer
awareness and change unhealthy behavior; and enhance quality,
contain costs, and promote appropriate and necessary access
to care. While consideration will be given to any initiative
designed to provide innovative solutions to important community
health issues, priority will be given to proposals that
focus on the following: clinical depression; domestic abuse;
patient safety; and access to health care for the uninsured.
The BCBSM Foundation's Community Health Improvement Matching
Grants Program closely aligns with the Blue Cross Blue Shield
of Michigan and Blue Care Network's Social Mission Health
Initiatives' focus on depression, domestic abuse, physical
activity and nutrition, and access to healthcare.
Visit the BCBSM Foundation Web site or contact the foundation's
offices for further information at: www.bcbsm.com/foundation/gp_mip.shtml
Autism Planning Workgroup
IThe ASD Planning Workgroup is a statewide initiative aimed at addressing the needs of children 0-6 with Autism Spectrum Disorder and their families. On June 20, 2005, Michigan's Human Services Directors gave approval for representatives from the Departments of Community Health, Education and Human Services to collaborate with parents of children with ASD, advocacy groups and experts, to engage in a planning process that will address the needs of children 0-6 with ASD and their families.
The ASD Planning Workgroup's task is to engage in a planning process that will produce recommendations to assure appropriate screening to identify children with ASD and to assure appropriate assessment, diagnosis and treatment/interventions for children, ages 0-6, with ASD, making available to parents choice of practices that are evidence based and effective, based on the consensus of experts, iincluding clinicians and parents.
A website has been established for public access and contribution to the efforts of the workgroup. http://www.cenmi.org/asd/
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
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