Partnering with School Nurses in the Medical Home Critical Issues in School Health May 20, 2010 Sandra Carbonari, M.D., FAAP Renae Vitale, LCSW Megin Coleman, BSN

Northwest CT Medical Home Initiative

American Academy of Pediatrics Division of Children with Special Needs The National Center of Medical Home Initiatives for Children with Special Needs

Children and Youth with Special Health Care Needs  Children (0-21 yrs) who exhibit or are expected to exhibit symptoms of a chronic illness for 12 months.  Chronic illness is defined as a medical, developmental, behavioral or emotional condition that requires care and related services of a type or amount beyond that required by other children of the same age.

CT Medical Home Initiative Funding Sources: Maternal and Child Health Bureau Authorized under Title V of the Social Security Act Part of the U.S. Department of Health and Human Services, Health Resources and Services Administration CT State Department of Public Health

Medical Home Initiative Northwest CT The Core Team Project Director Care Coordinators Parent Partner Physician Champion

PC-MH Patient –Centered Medical Home  An approach to providing comprehensive primary care for children, youth and adults  A health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family.

Medical Home Definition   Primary care   Family-centered partnership   Community-based, interdisciplinary, team-based approach to care   Preventive, acute and chronic care   Quality improvement

Medical home care is:   Accessible   Family centered   Coordinated   Compassionate   Continuous   Culturally effective

Medical Homes: Integrated Health System   Patients and Families   Primary Care Physicians   Specialists and subspecialists   Hospitals and Healthcare Facilities   Public Health   Community

Joint Principles of the Patient-Centered Medical Home March 2007  American Academy of Family Physicians  American Academy of Pediatrics  American College of Physicians  American Osteopathic Association

Medical Home Joint Principles   Personal physician   Physician directed medical practice   Whole person orientation   Care is coordinated and/or integrated   Quality and safety are hallmarks of a medical home   Enhanced access to care   Payment appropriately recognizes the added value

What we know about medical home care:   Family satisfaction increases   Provider satisfaction increases   Reduced ED use   Reduced hospital days   Reduced redundancy   Reduced cost of care per child (CCHAP)   Increase in immunization rates and preventive care visits (CCHAP)

…and it is the kind of quality health care that we all want, need and deserve for ourselves and our families.