Partnering with a Medical Home Tips, Tools, and other Resources for Families

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Partnering with a Medical HomeTips, Tools, and
other Resources for Families

• Beverly MacCarty
• Program Specialist, Department of State Health
  Services
• Tammy Mann
• Medical Home Learning Collaborative - Texas Title
  V State Parent Representative
• Medical Home Work Group Parent Representative

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Learning Objectives

• Identify and evaluate Medical Home
  characteristics
• Identify Medical Home tools and other resources

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A Medical Home is NOT

• Building
• House
• Hospital

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A Medical Home IS

• A respectful partnership between a
• child, the childs family, and the childs
• primary health care setting.
• Family-centered health care that is
• accessible, continuous, comprehensive,
• coordinated, compassionate and culturally
  competent.

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Family Perspective Tammy and Kaly
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Family Perspective-round 2
Khi and Brenden
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What do I look for in a Medical Home?

• My childs primary care doctor and the office is
  accessible.
• After hours, weekends, holidays
• Accepts my childs health insurance
• Physically accessible

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What do I look for in a Medical Home?

• Staff at my childs primary care office know me
  and my child.
• Recognize and accommodate my childs special
  needs
• Respond to requests for prior approvals, letters
  of medical necessity, other needed documentation
• Written materials in a language I understand

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What do I look for in a Medical Home?

• My childs primary care doctor respects and
  listens to me.
• Asks me to share my knowledge about my child
• Asks my opinion
• Respects my familys culture, value, beliefs

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What do I look for in a Medical Home?

• My childs primary care doctor and office staff
  work with me to plan my childs care.
• Shares important information
• Plan of care that includes medical and
  non-medical needs
• Helps me consider treatment choices

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What do I look for in a Medical Home?

• My childs primary care doctor and office staff
  support me as a caregiver.
• Helps me connect with family support
  organizations and parent groups
• Shares information on community resources
• Helps me advocate on behalf of my child
• Helps me plan for adult health care services as
  my child grows older

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What do I look for in a Medical Home?

• My childs primary care doctor and office staff
  help me coordinate my childs care.
• Referrals and follow-up
• Help in finding services
• Encourage and support communication between all
  persons involved in my childs care

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What can a primary care practice do?

• Three Texas practices have formed teams and are
  participating in a Medical Home Learning
  Collaborative sponsored by the U. S. Maternal and
  Child Health Bureau.
• Pedi Med Center Midland
• Baylor College of Medicine Transitional Clinic
  Houston
• Su Clinica Familiar - Harlingen
• Team Members Pediatrician, Care Coordinator,
  Parent, DSHS Regional Director of Social Work
  Services

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What can a primary care practice do?

• Assess the primary care facility and
  organizational practices
• Medical Home Index
• Family Checklist
• Engage parents of CSHCN as partners
• Identification of CSHCN
• Link to community resources

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What can a primary care practice do?

• Effective Communication
• Fax-back form
• Electronic Visit Summary
• Pre-visit phone calls
• Care Notebooks
• Care Plans

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Resources and Tools

• American Academy of Pediatrics The National
  Center of Medical Home Initiatives for Children
  with Special Health Care Needs
• http//www.medicalhomeinfo.org/
• Tools for families, youth, and health care
  providers

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Resources and Tools

• Department of State Health Services
  CSHCN/Medical Home
• http//www.dshs.state.tx.us/cshcn
• Medical Home Brochure English and Spanish
• Medical Home Workgroup

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Resources and Tools

• Center for Medical Home Improvement
• www.medicalhomeimprovement.org
• Useful tools, assessments, and resources

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Resources and Tools

• Family Toolkit
• Under development

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Improving Medical Homes

• Families
• What is one thing that I can do to partner with
  my primary care doctor and office staff?
• Primary care doctors and office staff
• What is one thing that I can do to improve my
  practice as a Medical Home?
• Other community providers
• What is one thing that I can to partner with
  primary care practices in my community?

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THANK YOU

• Beverly MacCarty
• Program Specialist, Department of State Health
  Services
• Beverly.maccarty_at_dshs.state.tx.us
• Tammy Mann
• Parent of a Child with Traumatic Brain Injury
• ctkmann_at_sbcglobal.net