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 Medical
Homes in Wisconsin
This page is designed to keep you informed about
events and activities happening in Wisconsin 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 Wisconsin
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.
Wisconsin Medical Home Contact:
Name: Loraine Lucinski - Family Centered Care
Consultant
Contact: Phone: 608-267-0329 | Email: LucinLA@DHFS.State.WI.US
 Wisconsin Medical Home Toolkit available online!
IIn this Toolkit, Wisconsin physicians and families share their stories and insights on creating a Medical Home Partnership. They will guide you through the key steps of quality improvement – the small steps that can make big differences for Children and Youth with Special Health Care Needs (CYSHCN).
Upcoming Event:Waisman Center Conference on Medical Home, November 15, 2007
/ Waukesha, WI ;
For the conference brochure, contact Sharon Myhre at 608-265-8955 / myhre@waisman.wisc.edu or go to www.waisman.wisc.edu/cshcn/trainings.html
The
Wisconsin Department of Health and Family
Services has been awarded an
MCHB State Implementation Grant for Integrated Community
Systems of Services for CSHCN
- Abstract
Duration of Program:
Project period
May 1, 2005- April 30, 2008.
Contact Person: Sharon Fleischfresser, MD
fleissa@dhfs.state.wi.us
Goals:
Goal 1: Enhance participation in and decision-making
capability of parents of children and youth with special
needs (CYSHCN) in their child's own health care
Goal 2:Improve health care service delivery
for CYSHCN by increasing health care access and implementing
the medical home concept in primary care practices across
the state in collaboration with tertiary care centers.
Goal 3: Develop a collaborative and supportive
network for health providers, community partners, parents
and youth with special health care needs regarding transitioning
to adult services
MCHB Medical Home Grant: National Medical Home
Autism Initiative Abstract
Project Period: 4 years from July 1, 2004
to June 30, 2008
Purpose:To develop a National Medical Home
Initiative on Autism in collaboration with the federal Maternal
and Child Health Bureau and the National Center on Medical
Home Initiatives within the American Academy of Pediatrics.
The Initiative will serve as a model that demonstrates and
promotes how the principles of the medical home can be applied
to achieve early identification and intervention for children
with ASD, with an additional benefit to show how the approach
can assist in the developmental surveillance of all children,
and thereby increasing the identification of children with
other developmental delays.
Wisconsin Statewide Medical Home Implementation Plan: Promise
to the State 
Wisconsin 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 Wisconsin's CSHCN 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
overview.
Wisconsin Medical Home Special Needs Rotation
Presentation 
Children's Hospital of Wisconsin (CHW) Special Needs Program:
A Primary Care/ Tertiary Care Medical Home Partnership -
Holly Colby, RN, MS
- Evolution of the Special Needs Program
- Care coordination at Children’s Hospital of Wisconsin
- Reimbursement strategies
- Issues/Challenges
Together Everyone Achieves More: A Children
with Special Health Care Needs Rotation for Third Year (PL-3)
Residents at CHW - Anne K. Juhlmann RN, BSN
- Focus of the Rotation
- Assessing Resident Learning
- Family Views
Presentations from the CATCH and Medical
Home National Conference - July 16, 2004
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.
Transitions Champions Incentive Grant - Incentive
Award FAQs
Goal:To establish a formalized, ongoing mechanism
for gathering and utilizing youth input about resources
and services they need for successful transition, including
adult health care, vocational training, post secondary education,
recreational opportunities, and gainful employment.
For more information contact: Daniel
Bier, Associate Director
University Center for Excellence in Developmental Disabilities
- Waisman Center
Phone: (608) 262-5254 | Email:
BIER@Waisman.Wisc.Edu
Dyson Community Pediatrics
Training Grant
Medical College of Wisconsin: Department of Pediatrics -
Pediatric Training Program
Through The Initiative, the Department of Pediatrics at
the Medical College of Wisconsin balances training in the
growth and development of well and sick children in traditional
inpatient and outpatient settings. The newly created Multi-Dimensional
Education Program (MDEP) systematically expands the traditional
training program to a more comprehensive community education
paradigm. Specifically, it incorporates community-based,
collaborative interactions to enhance residents' effectiveness
in providing family-centered, community-based, coordinated
care.
The ultimate goal of the Dyson Initiative is the development
of pediatric professionals with greater skills and interest
in community-based medicine, advocacy, and the capacity
to improve the health of children in their communities.
Here you can learn how diverse programs around the country
are educating residents about community pediatrics and fostering
practical community experiences. www.aap.org/commpeds/cpti/grantees.htm
Healthy & Ready to Work: Abstract
Project Period: June 1, 2001 through May
31, 2005
Purpose: Develop, implement and evaluate
an asset based approach to promote and support the transition
of adolescents with special health care needs from pediatric
to adult health care and related services, employment and
independence. The goals are to assure a medical home for
all children with special health care needs, train service
providers to provide person centered services, promote self-determination
and self sufficiency for all youth with special health care
needs.
Web site: www.waisman.wisc.edu/hrtw/index.html
MCHB Hemophilia Grant :
Abstract
Purpose: Provide access to comprehensive
care, develop culturally-appropriate, coordinated, and family-centered
services, provide outreach to undeserved populations, prevent
complications and morbidity associated with hemophilia and
provide collaborative services in coordination with local,
state, and federal programs.
MCHB Financing for CSHCN Grant - Covering Kids with Special
Needs: Abstract
Purpose: The purpose of this project is
to expand coalition-building efforts focused on CSHCN and
to link with the larger coalitions looking at access/ coverage/
and enrollment issues in health care. Working with Wisconsin's
Title V CSHCN Program and their five Regional CSHCN Centers
to initiate new local HealthWatch committees, which will
gather information on issues facing CSHCN, provide resources
and strategies to address the issues, and promote networking
and collaboration between parents and a spectrum of service
providers across Wisconsin. Other objectives include: Promote
public policy strategies and initiatives to decrease uninsured
and/or increase coverage of underinsured; Providing direct
health benefits counseling services and tracking client
encounters to identify systemic problems; Creating training
and educational materials around the 2010 six core outcome
measures.
E-mail: bobbyp@safetyweb.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.wisaap.org/
The W isconsin AAP is a organized group of over 700
pediatricians located across the state of Wisconsin.
American Academy of Family Physicians (AAFP) Chapter: www.wafp.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:
Linda Hale, BSN, RN
Family Health Section Chief
Address: 1 W. Wilson Street
Madison, Wisconsin 53703-3445
Phone: (608)267-7174
| Fax: (608)267-3824
Email: haleLJ@dhfs.state.wi.us
Internet site: dhfs.wisconsin.gov/DPH_BFCH/MCH/
CSHCN Contact:
Sharon Fleischfresser, M.D., M.P.H.
Medical Director
Address: 1 W. Wilson Street, Rm. 218
Madison, Wisconsin 53703-3445
Phone: (608)266-3674 | Fax: (608)266-8925
Email: fleissa@dhfs.state.wi.us
ABC for Health:
www.abcforhealth.org
ABC for Health (ABC) is a Wisconsin-based, public interest
law firm whose mission to help families and CSHCN link to
health care coverage programs through direct client services
to more than 1000 families each year, a very active educational
program including professional and family-oriented training
and publications, and policy initiatives based on collaborative
coalitions.
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: Sharon Fleischfresser; MD, MPH
Contact: Phone: 608-266-3674 | Fax: 608-267-3824
| E-mail: fleissa@dhfs.state.wi.us
State Genetics Program: www.slh.wisc.edu/genetics/
This website features links to many other websites that
may be helpful to families and professionals, genetics educational
materials, and also introduces the Genetic Services Plan
for Wisconsin and the accompanying family stories. The family
stories are an especially important part of the website
as they give a face to those of us in the state who benefit
from genetic services.
Birth to Three - 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: David Sorenson
Contact: Phone: (608) 267-3270 | Fax:
(608) 261-6752
Web Site: dhfs.wisconsin.gov/bdds/birthto3/index.htm
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: Mary Peters, Education Consultant
Contact: Phone: (608) 267-9625 | Fax:
(608) 266-2529 | Email:
mary.peters@dpi.state.wi.us
Website: www.dpi.state.wi.us/dpi/dlsea/een/index.html
Web Site: www.dpi.state.wi.us/dpi/dltcl/bbfcsp/ecspedhm.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: Sandra Butts
Contact: Phone: (414) 289-5944 | Fax:
(414) 289-8570 | Email: sbutts@milwcnty.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.
Wisconsin Katie Beckett Program: dhfs.wisconsin.gov/bdds/kbp/
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.
The 2006 Circles of Life Conference
Wisconsin's Annual Conference for Families of Children with
Disabilities and Their Providers
Date: May 4 & 5, 2006
Location: County Spring Hotel (formerly
Holidome), Stevens Point
For more information, click
here.
To see information from the 2005 conference,
click here.
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
Funding
Opportunities
Deadline: July 28, 2006
The Medica Foundation (http://www.medica.com/C10/MedicaFoundation1/default.aspx),
a charitable grantmaking foundation and sister organization
to Medica Health Plans, a Minnesota-based nonprofit HMO,
is looking to fund community-based initiatives and programs
that support the needs of Medica's customers and the greater
community by improving their health and removing barriers
to healthcare services. Funding is provided to organizations
within Medica's service area in Minnesota, western Wisconsin,
North Dakota, and South Dakota.
The foundation will be accepting applications for Cycle
2 of its 2006 grantmaking program in the following four
areas:
1) Health Care Literacy:
Turning Information Into Knowledge -- a funding opportunity
designed to equip individuals with access to the information
they need to make informed decisions about their health
care. Individual grants may be awarded for amounts up to
$30,000.
2) Healthy Living -- a funding opportunity
designed to modify and enhance lifestyles to achieve maximal
health status and quality of life. Priority will be given
to programs that demonstrate behavior changes in lifestyle
involving physical activity, nutrition, and weight management.
Individual grants may be awarded for amounts up to $30,000.
3) Addressing the Health Care Needs of Greater Minnesota
Communities -- a funding opportunity for nonprofit
organizations and governmental agencies outside of the seven-county
metro area. Initiatives should establish collaborative relationships
between organizations and agencies to maximize resources
and services. This funding priority is designed to support
programs serving Minnesota Health Care Programs enrollees.
Funding is provided to organizations within Medica's State
Public Programs service area in Minnesota. Individual grants
may be awarded for amounts up to $30,000.
4) Partnership for Prevention -- a funding
opportunity designed to improve utilization and quality
of preventive care in the areas of well child screenings;
prenatal and postnatal care; asthma treatment and education;
cancer screening; diabetes screening and education; and
screening for sexually transmitted diseases. This funding
priority is designed to support programs serving the Minnesota
Health Care Programs enrollees. Funding is provided to organizations
within Medica's State Public Programs service area in Minnesota.
Individual grants may be awarded for amounts up to $75,000.
Nonprofit organizations that are 501(c)(3) legal entities
or governmental agencies are eligible to receive funding.
Applications for Cycle 2 funding priorities will be accepted
from June 1 through July 28, 2006.
Visit the Medica Foundation Web site for complete program
guidelines, funding restrictions, and application procedures
at: www.medica.com/C12/MedicaFoundation3/default.aspx#cycle2
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 |
