© Institute for Child Success COORDINATING COMPREHENSIVE HEALTH CARE WITH HOME VISITS FOR NEW FAMILIES: A Case Study of Home Visitation Integration with the Family-Centered Medical Home at Carolina Health Centers Katy Sides Director of Research Institute for Child Success Sally Baggett Director of Family Support and Child Development Services Carolina Health Centers, Inc. October 17, 2014

The Impact of Early Life Experiences 1

Home Visiting: Building Parental Ability for Better Child Health and Development 2 Benefits of Maternal And Child Home Visiting Programs: Child health, Child development and school readiness, Family economic self-sufficiency, Linkages and referrals, Maternal health, Positive parenting practices, and Reductions in child maltreatment Home visitation programs give parents and caregivers the full appropriate developmental and health picture of their children.

Home Visiting Programs in SC Nurse-Family Partnership Healthy Families America Parent Child Home Program Parents as Teachers Early Head Start Early Steps to School Success Healthy Start Healthy Steps Family Check-Up 3

Introduction to the Patient-Centered Medical Home The Joint Principles of the Patient- Centered Medical Home (PCMH) Personal physician Physician-directed medical practice Whole-person orientation Care is coordinated and/or integrated Quality and safety Enhanced access Payment 4 Graph adapted from National Committee on Quality Assurance

Differences Between Traditional Primary Care and the Medical Home 5 Graph adapted from Qualis Health

Key Elements of a Medical Home for Children Population-based approach Chronic condition supports Coordinated care Parental involvement Clinical practice standards Newborn screening Child and family education Community agency involvement 6

Benefits of Collaboration: Information sharing Care coordination Referral facilitation Community needs Assisting transition Assisting parent communication Reinforcing advice Monitoring well health Fostering cultural competence Performing environmental and safety assessments Parental depression identification Meeting the needs of complex health care in the home Cost of NFP Home Visitation and PCMH Collaboration 7

Graph adapted from Institute of Medicine of the National Academies Committee on Integration of Primary Care and Public Health 8 The Continuum of Integration

The Children’s Center of the Carolina Health Centers, Inc. 9

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The Children’s Center Model Capitalizes on: The perception of families of the medical home as a trusted source of information; 2. The medical home as a natural point of contact to engage all families, even hard to reach families, with young children; 3. The opportunity to expose families to consistent health messaging from medical professionals as well as from nonmedical professionals that is necessary to change behaviors.

Home Visitation Programs at TCC 12

Triage Services at The Children’s Center 13

The Children’s Center Movement through the Continuum of Integration

Common Outcomes Lead to Improved Outcomes Chart adapted from Carolina Health Centers, Inc.

Applicability of the Model at The Children’s Center to other FCMHs 16 Opportunities within South Carolina Opportunities across the nation

Impacting the Early Childhood System 17 Graph adapted from James M. Perrin

KATY SIDES Director of Research SALLY BAGGETT Director of Family Support & Child Development Services