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Medical Homes in Washington
This page is designed to keep you informed about events and activities happening in Washington 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 Washington
»Medical Home Initiatives »Resources
»Related Grant Initiatives »Educational Initiatives
»Partners in the State »Screening Initiatives
»Autism Guidelines

Medical Home Initiatives Adobe PDF
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.

Washington Medical Home Contact:

Name: Kate Orville, MPH, Co-Director, Washington State Medical Home Leadership Network, Center on Human Development and Disability, University of Washington
Contact: Phone: 206-685-1279 | Email: orville@u.washington.edu

Washington Statewide Medical Home Implementation Plan: Promise to the State

Washington State Medical Home Leadership Network: www.medicalhome.org/
A statewide network of volunteer, community-based teams who promote medical homes for children with special health care needs and their families. The composition of each team varies, but typically includes a pediatrician, a public health nurse, a family resources coordinator for children ages 0-3, and a parent. Team members are involved in a wide range of activities in their communities and statewide.

The Medical Home Leadership Network: Family, Health Care and Community Collaboration for CSHCN newConference: May 30, 2007
Invitational Conference for Local Medical Home teams is on Wednesday, May 30th at SeaTac Airport outside of Seattle.  There is info about the conference at: http://www.medicalhome.org/leadership/conferences_events.cfm including links to the agenda and registration forms. 

Presentation (116 KB): January 23, 2004, Community Health Plan of Washington 2004 Clinical Operations Meeting. Kate Orville, Washington State Medical Home Leadership Network.
Topics: Medical home definition, achieving medical homes for CSHCN by 2010, the Medical Home Leadership Network, community team activities, and how to get involved.

MCHB Medical Home Grant (Funding period over): Abstract
Purpose:
The purpose of the Project is to implement and evaluate a coordinated, sustainable, statewide network of families and professionals to promote the availability and accessibility of medical homes for children with special health care needs (CSHCN) and their families in Washington State.

MCHB Integrated Services Grant (Funding period over): Abstract
Purpose: The purpose of the Washington Integrated Services Enhancement (WISE) for CSHCN Project
is to promote cross agency policies and infrastructure that will improve the access, availability and
continuity of services for children with special needs and their families. Changes in policy and
infrastructure will be instituted that will result in common enrollment, integration of data systems,
improved care coordination, and blended funding for services to children with special needs in our state.

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 Western States Regional Collaborative (AK, CA, Guam, HA, ID, OR, & WA)) 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.

New Mental Health Foster Care Project
Bright Futures for Children and Youth in Foster Care (BFFC) is a new project funded by a grant through the Washington State Department of Health by the Health Resources and Services Administration (HRSA). The project goals are to:
  • Increase mental health promotion activities for children and youth
  • Develop a model training curriculum to teach foster parents about the mental health needs of children in foster care
  • Increase awareness and understanding of mental health and the public mental health system that provides services for children in foster care
  • Decrease the number of disrupted placements due to behavioral difficulties of children in foster care
For more information about the project, contact Mickey.kander@doh.wa.gov

Family Leadership Champions Incentive Grant - Incentive Award FAQs
Goal: To implement a statewide Family Leadership Institute by building upon existing state planning activities to support the six performance measures. Funding will bring parents from around the state to a workshop on leadership and the use of CSHCN data.
For more information contact: Leslie Carroll
Phone: (360) 236-3504 | Email: leslie.carroll@doh.wa.gov

Genetics MCHB Grant: Abstract
Purpose: Like many states, public health genetics in Washington began with newborn screening (NBS). Since the initiation and completion of the Human Genome Project, the public health system, including the NBS program, finds itself trying to anticipate how to best take advantage of the emerging science and technologies as well as deal with the economic, and social impacts (including legal and ethical) using limited resources. To best direct these resources, a State Genetics Plan was developed for Washington State. The four priority areas identified include: (1) Coordination and Coverage of Services, (2) Access to Quality Services, (3) Confidentiality/ Genetic Discrimination, and (4) Raising Awareness of Genetic and Disability Issues. The purpose of this project is to begin implementing the State Genetics Plan. Implementation of the State Genetics Plan will ultimately facilitate the integration of genetic services, including newborn hearing screening and newborn heel stick screening, into the existing statewide healthcare delivery system as well as the service system focused on children with special health care needs.

Healthy Tomorrows Partnership for Children Grants 2005-2010
Pre-Emptive Behavioral Health Team Intervention for At-Risk Children and Families
Pope’s Kids Place, Centralia, WA
Purpose:
The overall goal of the project is to provide these at-risk children and their families coordinated, targeted psychiatric and psychological care and social support to ensure that they become successful, productive members of society. The project will also bring new clinical resources to the rural area. The overall goal of the project is to ensure that these at-risk children and their families receive the psychiatric and psychological care and social support they need to become successful, productive members of society. Click here for more information on this project.

For more information on the Healthy Tomorrows Grant Program click here. For more information on this HTPCP project, please e-mail your name, address, telephone, and fax numbers with your specific request to healthyt@aap.org.

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.wcaap.org/

American Academy of Family Physicians (AAFP) Chapter: www.wafp.net/

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
Riley Peters
Director, Office of Maternal and Child Health
Address: PO Box 47835
Olympia, WA 98504-7835
Phone: (360) 236-3581 | Fax: (360) 236-2323
Email: riley.peters@doh.wa.gov

CSHCN Contact
Maria Nardella
CSHCN Section Manager
Address: PO Box 47880
Olympia, WA 98504-7880
Phone: (360) 236-3573 | Fax: (360) 586-7868
Email: maria.nardella@doh.wa.gov
Website: http://www.doh.wa.gov/cfh/mch/default.htm

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, ensure a medical home for all newborns and strive to eliminate geographic and financial barriers to service access.

Name: Nancy Dalrymple
Contact: Phone: 253-395-6729 | Fax: 253-395-6737 | E-mail: nancy.dalrymple@doh.wa.gov

State Genetics Program: mchneighborhood.ichp.edu/wagenetics/index.html
The Genetic Services Section of the Washington State Department of Health has collaborated with a number of public and private agencies, organizations, and institutions at the local, state, regional, and national levels to implement public health core function activities (assessment, policy development, and assurance) pertaining to genetic health care. The documents presented here summarize many of the ongoing projects that have taken place in Washington State (1995-present)

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: Sandy Loerch Morris
Contact:
Phone: (360) 902-8490 | Fax: (360) 902-8497 | AltPhone1: (360) 902-7864
Email: loercsk@dshs.wa.gov
Web site: www1.dshs.wa.gov/iteip/

Section 619/Special Education for ages 3-5 Coordinators:
This program provides free appropriate public education (FAPE) for children, ages 3 through 5 years, with disabilities.

Name: Karen Walker
Contact: Phone: (360) 725-6080 | Fax: (360) 586-1631| Email: kwalker@ospi.wednet.edu
Web site: www.k12.wa.us/specialed

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: Bonnie Sandahl, ICC Chair
Contact: Phone: (206) 298-9679 | Fax: (206) 284-7843 | Email: bsandahl@seattlechildrenshome.org

Resources/Documentsnew
Review new child health care legislation on our WA State Medical Home plan page: http://www.medicalhome.org/leadership/teams.cfm . Dr. A. Chris Olson, WA Chapter AAP President and Spokane County Medical Home team member, was instrumental in the passage of this llegislation.

newMedical Home Key Message Document: An updated factsheet about the key messages and components of a medical home http://www.medicalhome.org/4Download/keymessages2007.pdf
This document was developed in partnership with: Children’s Alliance; Cowlitz County; Docs for Tots; American Academy of Pediatrics: Washington State Chapter; Family Voices; Kids Get Care; Molina Health Plans; Public Health – Seattle & King County; Spokane Regional Health District; University of Washington; Washington Association of Community & Migrant Health Centers; Washington State Board of Health; Washington State Department of Health; Washington Health Foundation; Washington State Department of Social and Health Services; Washington State Parent to Parent; and the Whatcom Health Information Network.

Medical Home Data Monograph : A new document about medical home and different data measurements is available at http://www.doh.wa.gov/CFH/mch/documents/MedHome.pdf and was
created by the Washington State Dept. of Health CSHCN Program

2006-2010 Medical Home Strategic Plan for CYSHCN: A document with the goal of achieving medical homes for all children and youth with special needs by 2010. This document was created by the Washington State Partners in Medical Home Strategic Planning. To read the strategic plan: http://www.medicalhome.org/4Download/strategicplan.pdf

Nutrition Survey for Medical Home Team Members
The Washington State Dept. of Health CSHCN Program, the Medical Home Leadership Network staff, and the CSHCN Nutrition Network and Community Feeding Team staff colllaborated on a survey to identify how medical home and nutrition activities can support each other in Washington.

For more information about the survey click here.

The Center for Children with Special Needs:
www.cshcn.org
This site offers information and resources for parents and professionals who advocate and care for children with special health care needs.

Care Coordination Toolkit for Washington Professionals
This web-based toolkit is intended for professionals who coordinate care for children in Washington State. It provides one web page access point to existing resources developed with funding from the Children with Special Health Care Needs (CSHCN) Program of the Washington State Department of Health. It includes links to county specific resource lists, Washington state resource guides, family organizing tools, family handouts, and adolescent transition resources, tips and forms.

You can view the toolkit and provide helpful feedback online at: www.cshcn.org/resources/coordinationtools.cfm

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.

 

New Quality Improvement Learning Opportunity for Medical Practices

The Washington State Children's Preventive Health Care Collaborative invites Medical Home Leadership Network Team primary care providers and community primary care colleagues to be among the 20 practices participating in the second year of the collaborative.  This year the Collaborative will focus on the adoption of fluoride varnish and the Ages and Stages Questionnaire within medical practices.  Medical practices can learn quality improvement methods that can be used to motivate clinical teams to implement operational improvements in their practices.

The Collaborative is funded by the Washington State legislature with additional support from local funding agencies.  The Collaborative is staffed by the King County Health Action Plan at Public Health-Seattle & King County and the UW Child Health Institute (home of the Seattle-branch of NICHQ, National Initiative for Children's Healthcare Quality).

For more information about this opportunity:

Washington State Medical Home Leadership Network Conferences and Events: www.medicalhome.org/leadership/conferences_events.cfm

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:
The Assuring Better Child Health and Development (ABCD) Program is funded by the Commonwealth Fund, administered by National Academy of State Health Policy, and designed to assist states in improving the delivery of early child development services for low-income children and their families.

Autism Guidelines
IIdentification and Evaluation of Children With Autism Spectrum Disorders
PEDIATRICS Vol. 120 No. 5 November 2007, pp. 1183-1215

Management of Children With Autism Spectrum Disorders
PEDIATRICS Vol. 120 No. 5 November 2007, pp. 1162-1182

IIdentifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening
PEDIATRICS Vol. 118 No. 1 July 2006, pp. 405-420

Role of the Medical Home in Family-Centered Early Intervention Services
PEDIATRICS Vol. 120 No. 5 November 2007, pp. 1153-1158
***Link to revision of the Early Intervention Program Referral Form:
http://www.medicalhomeinfo.org/health/EI.html

Successes in Serving Families and Infants and Toddlers with Autism:
http://www1.dshs.wa.gov/word/adsa/iteip/SLM_Autism.doc

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 21, 2008

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