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The following presentations were developed for Hospital Grand Rounds and discuss common topics associated with providing medical homes for children and youth with special healthcare needs. They provide a framework for which you may build such a topical presentation for residents and child health care professionals.
 

Chronic Illness | Medical Homes in Practice | Advocacy | EMS | Family-Centered Care | Financing for CSHCN | Specific Conditions

General CSHCN
Chronic Illness Old and New Ideas Presentation
Medical Home Grand Rounds
March 28, 2003
St. Charles Medical Center

Overview
1. Chronic Care Model and the Medical Home Model
2. Who are CSHCN?
3. How do you become a medical home provider?

Medical Homes in Practice
Using Partnerships as Catalysts for Change: Establishing Medical Homes at the Pediatric Office Level
Presentation
Richard C. Antonelli, MD, FAAP
Assistant Professor of Pediatrics
UMASS Medical School
June 2003

Overview
1. Office and family perspective on the medical home
2 Collaborative and community-based care
3. Why do this?

Baystate Pediatric Group The Mass. Care Coordination Project Presentation
Matthew Sadof, MD FAAP
Medical Director, Pediatrics
High Street Health Center
Project Director
May 17, 2003

Overview
1. Practice Characteristics and intent of the project
2. Strategies, tools
3. Accomplishments and lessons learned

Incorporating Effective Chronic Condition Management and Generalist-Specialist-Family Collaboration in the Medical Home (1.5 MB) Presentation

W. Carl Cooley, MD, FAAP
Co-Director, Center for Medical Home Improvement
Medical Director, Crotched Mountain Rehabilitation Center

Christopher Stille, MD, MPH, FAAP
Assistant Professor of Pediatrics
University of Massachusetts

Overview
1. What is Chronic Condition Management?
2. Collaborating with Specialists
3. Communication and quality of care for CSHCN

Advocacy
State and Local Advocacy Presentation
Focuses on the role of the pediatrician as an advocate for child health. You can view this component of the Every Child Deserves a Medical Home curriculum as well as other parts of the curriculum by
clicking here.

Overview
1. Understand why advocacy is so important.
2. Identify advocacy action-steps for individuals.
3. Encourage partnerships to enhance advocacy action.
4. Apply advocacy skills to local case study.

Materials
1. Training Pediatricians to Become Child Advocates
2. Families as Advocates: Being a Health Advocate for Your Child With Special Needs
3. 10 Tips for Child Advocates
4. State Governmental Affairs Handbook Chapter 11: Advocacy Communications
5. Pediatricians Partnering With States To Assure That Children With Special Health Needs Are Provided Appropriate Services: The Vermont Experience With Managed Medicaid
6. Working to Improve Mental Health Services: The North Carolina Advocacy Effort
7. 10 Steps for a Successful Legislative Visit
8. Eight Do’s and Don’ts for Non-Profits in an Election Year

The Pediatrician and Advocacy for Children with Special Health Care Needs Presentation
Ron S. Levin MD
Center for Infants and Children with Special Needs
Cincinnati Children's Hospital Medical Center
On-going Residency Teaching Program

Overview
1. Who are CSHCN and why is advocacy needed?
2. Background and history for pediatricians being advocates
3. Barriers to advocacy
4. Specific issues and case examples

Advocacy and Lobbying at The State and Local Level Presentation
Thomas W. Pendergrass, MD, MSPH
Chair, Committee on State Government Affairs, American Academy of Pediatrics
May 18, 2003

Overview
1. Explore the opportunities for physician involvement in advocacy
2. Learn ideas for how to get involved in your community
3. Discover why physicians should lobby and what it takes

Materials
The Elements of Effective Testimony The intent of this workshop is to provide an overview of testifying before a legislative entity (or quasi- legislative, such as a commission, or executive branch entity). Participants will spend approximately 45 minutes reviewing the fundamentals of "how to testify."
Tips for Crafting an Effective Message Tips on how to develop a fact sheet, write a letter to an elected official and contact your members of congress.

Emergency Medical Services and CSHCN
Emergency Medical Services and CSHCN
Presentation
Ron S. Levin MD
Center for Infants and Children with Special Needs

First Annual EMSC Continuing Education Conference
October 3, 2003
Cincinnati Children's Hospital Medical Center

Overview
1. General facts about chronic illness
2. Care coordination and the role of the primary care provider
3. Maintaining the medical record and emergency information forms
4. Other issues that may effect EMS

Family-Centered Care
Building Medical Homes with Family-Centered Improvement Teams (8.02 MB) Presentation
Jody Couillard, BS
Care Coordinator, Exeter Pediatric Associates

Ann Dillon, MEd, OTL
Parent Partner, Exeter Pediatric Associates

Sandy Julius
Parent Partner, Hagan and Rinehart Pediatrics and Adolescent Medicine

Jeanne McAllister, RN, MS, MHA
Co-Director, Center for Medical Home Improvement
Children's Hospital at Dartmouth Hitchcock Medical Center

Greg Prazar, MD, FAAP
Pediatrician, Exeter Pediatric Associates

Jill Rinehart, MD, FAAP
Pediatrician, Hagan and Rinehart Pediatrics and Adolescent Medicine

Overview
1. Medical Homes - in action
2. Essential improvement strategies
3. Child, family and practice outcomes
4. Take home “habits” to build your Medical Home

Materials (Coming Soon)
Gaining Understanding of Children and Families' Needs and Perspectives
Children with Special Health Care Needs Identification Criteria
Homes Complexity Index
Office Visit Family Mini Survey
Agenda
Hagen and Reinhar Pediatricians

Family-Centered Care: A Family-Professional Collaboration
Presentation
Ron S. Levin MD
Center for Infants and Children with Special Needs
Cincinnati Children's Hospital Medical Center
On-going Residency Teaching Program

Overview
1. Defining Family-Centered Care
2. Data on CSHCN and Care Coordination
3. Examples
4. Barriers and Opportunities

In Our Own Words: A Guide for Using Family Stories to Teach Family-Centered Care
Medical Students and residents learn family-centered care directly from families. When they begin their own practices they will draw upon the wisdom of your words and the power of your stories to guide them in their work. Click Here to download the handbook.

Created by Parent to Parent of Vermont www.partoparvt.org in collaboration with the Boyle Community Pediatrics Program, with funding from the A. K. Watson Charitable Lead Trust

THE PURPOSE OF THIS HANDBOOK IS TO:

  • Support the overarching goal of increasing practitioners ability to care for children with chronic conditions.
  • Provide a framework for families to share their knowledge and expertise in caring for their child with special needs.
  • Help families organize their stories around central themes.
  • Prepare families for their role as members of family faculty programs.
HOW FAMILIES WILL USE THE HANDBOOK:
  • This handbook identifies seven skill areas essential to the practice of family-centered care. Families will use the handbook as a guide, as they draw upon examples from their own lives, to illustrate how these skills can best be practiced.
  • Participating families will attend orientation sessions to practice sharing their stories and to develop strategies for teaching the seven skills.
  • Families will teach family-centered care in a variety of ways, including: home visits, parent panel presentations, small group discussions, and school and community visits.

Financing for CSHCN
SURVIVOR®: Successfully Financing a Medical Home Presentation
(1.55 MB)
Joel Bradley, MD, FAAP
Pediatrician, AAP CPT Advisor

Lois Kohrt
Director of Practice Management, Children's Hospital of Philadelphia

Medical Home Crosswalk to Reimbursement Presentation
Peggy McManus
MCH Policy Research Center
Washington, D.C.
www.mchpolicy.org

Overview
1. Build a stronger case for improved coding and ultimately guaranteed payment for the added medical home services provided to children with special health care needs.
2. National Survey of CSHCN results on health insurance
3. The Crosswalk to Reimbursement

Materials
The Crosswalk to Reimbursement: This reimbursement tool identifies the range of relevant codes that could be used to finance components of a medical home and contains an index of medical home codes and selected vignettes.

“DATA to DOLLARS” Presentation
Lois Kohrt

Overview
1. The Pennsylvania Story
2. Coding and documentation
3. Data collection: what to collect and how?

Shared Responsibilities Toolkit:Tools for Building Partnerships to Improve Health Care Financing for CSHCN Presentation
Susan G. Epstein
New England SERVE

Overview
1. Financing for CSHCN Overview
2. Why and how to collaborate with health plans?
3. How can the toolkit help identify CSHCN and improve the quality of care?

Materials
The Shared Responsibilities Toolkit: Tools for Improving Quality of Care for Children with Special Health Care Needs (CSHCN) is available on the New England SERVE Web site www.neserve.org .

Specific Conditions 
Autism
Providing a Primary Care Medical Home for Children with Autism
W. Carl Cooley, MD, FAAP
Associate Professor of Pediatrics, Dartmouth Medical School
Medical Director, Crotched Mountain Rehabilitation Center
Presented at the AAP National Conference and Exhibition, October 2004

Overview
1. The Role of the Medical Home
2. Expectations of the Family:
Timeliness | Clinical quality | Advocacy | Information and education

Autism Spectrum Disorders: Communication and Language
Amy M. Wetherby
Dept. of Communication Disorders
Florida State University
Presented at the AAP National Conference and Exhibition, October 2003

Overview
1. Review research on the communication and language characteristics of autism spectrum disorders (ASD)
2. Discuss the critical role of pediatricians in screening and diagnosis of ASD

Down Syndrome
Providing a Primary Care Medical Home for the Child with Down Syndrome
W. Carl Cooley, MD, FAAP
Associate Professor of Pediatrics, Dartmouth Medical School
Medical Director, Crotched Mountain Rehabilitation Center
Presented at the AAP National Conference and Exhibition, October 2004

Overview
1. Making the Diagnosis: Assessment and Genetics
2. Medical Issues and Family Support
3. Medical and Psychosocial Needs
4. Resources and References

Last Updated June 2, 2006

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