Presentation is loading. Please wait.

Presentation is loading. Please wait.

RCHC Developmental Screening and Referral project for Children 0-5 served by Sonoma County Community Health Centers.

Published byJoshua Lawrence Modified over 6 years ago

Similar presentations

Presentation on theme: "RCHC Developmental Screening and Referral project for Children 0-5 served by Sonoma County Community Health Centers."— Presentation transcript:

1 RCHC Developmental Screening and Referral project for Children 0-5 served by Sonoma County Community Health Centers

2 Why are we here together today?

3 Developmental Assessment: Why it Matters?
Nearly 85% of brain development happens in first 3 years of life Developmental disabilities common 14% of children (1 in 6 children) Children insured with Medicaid have twice the prevalence of developmental disabilities as commercially insured kids Children from families below the federal poverty level have higher rates of developmental disabilities Latino children are diagnosed with autism an average of 2 ½ years later than White non-Latino children

4 Developmental Assessment: Why it Matters?
Less than 1 in 3 children in California receive timely developmental screening 2 in 5 California parents with children under age 6 report having concerns regarding their child’s physical, behavioral or social development

5 Sonoma County Health Centers serve 14,498 Patients 0-5 years
Health insurance* 5.9% uninsured 88.8% Medi-Cal 5.3% commercial Poverty level* 81.5% < 100% FPL 16.1% < 200% FPL 2.4% > 200% FPL Majority are Latino* Sample from 6 eCW health centers from 3/1/2014 to 2/28/2015

6 Sonoma County health centers are the health homes for the population of children in Sonoma County at highest risk of developmental delay and late diagnosis of autism

7 Surveillance and Screening Guidelines: American Academy of Pediatrics (AAP)
Perform developmental surveillance at every well-child visit Perform developmental screening using a standardized screening tool at 9, 18, and 30* months or when concern is expressed If screening results are concerning, refer to developmental and medical evaluations and early intervention services Follow up on referrals made and continually track child’s developmental status

8 Findings from analysis of data and survey of Sonoma County health centers
Room for improvement in developmental surveillance Well child visit for children 4-6 years range from 55.8% to 86.2% Routine standardized developmental screening with a validated tool not occurring across providers in health centers

9 Findings from analysis of data and survey of Sonoma County health centers
ACA expansion presents challenge to increasing well child/developmental screening visits Significant disconnect between health centers and community developmental services in perception of available resources and level of bidirectional communication Referral complex and confusing for families and providers Routine streamlined referral process needed

10 First 5 Grant Activities
Advisory Group established and meeting monthly Assessment of current clinical and billing practices in health centers Identify best practices for surveillance, screening Identify preferred evidence-based tool for developmental screening Improve and streamline the referral process Develop financial model that maximizes financial opportunities and leverages available funding

11 First 5 Grant Activities
Align developmental surveillance, screening and referral processes and resources with related health center efforts related to trauma informed care and addressing social determinants of health in children 0-5 years

12 Advisory Group Established and Meeting Regularly
First 5 Sonoma County RCHC Community Health Centers Sonoma County Office of Education (SCOE) Sonoma County Special Education Local Area Plan (SELPA) North Bay Regional Center (NBRC) Early Learning Institute (ELI) Easter Seals Child Parent Institute (CPI) Sonoma County Public Health Partnership Health Plan of California

13 Improve and Streamline the Referral Process
Build upon health center centralized referral process and staff Electronic referral process implemented using P2P (Provider-to-Provider) direct health information exchange Developing shared knowledge and relationships between health center and early intervention referral staff

14 First 5 Grant Activities
Support training of health center providers and care team members Support implementation of health center pilots to improve developmental surveillance, screening and referral in a fiscally sustainable model

15 Developmental Assessment Pilots
19 month pilots: October 1, April 29, 2017 4 Health Centers Santa Rosa Community Health Centers Sonoma County Indian Health Project Petaluma Health Center

16 Making Development Screening Work
Developmental Screening in Health Center Medical Evaluation by PCP (and pediatric subspecialists as needed) Referral of Child with Possible Developmental Delay for Diagnostic Developmental Evaluation Referral to Local Early Intervention and Related Services Communication with Health Center Provider to Assure Care Coordination

17 Referral Process for Children Ages 0-3
For further developmental evaluations: Refer to North Bay Regional Center (NBRC) in one of the following 3 ways: Use P2P or Join the Network to send electronic referral (Contact Lisa Israel, for assistance) Call the Warm Line: (707) and leave a message – parent will receive a call back (You can also use: INFANT) Send a Fax (707)

18

19 Thank you! RCHC appreciates the generous support of First 5 Sonoma County If you have any questions, please contact: Mary Maddux-Gonzalez, MD, MPH Chief Medical Officer (707) office Michelle Rosaschi, MPH Population Health Coordinator (707) office

20 Why are we here together today?

Download ppt "RCHC Developmental Screening and Referral project for Children 0-5 served by Sonoma County Community Health Centers."

Similar presentations

Welcome! The Developmental Surveillance and Screening Policy Implementation Project (D-PIP) I have no relevant financial relationships with the manufacturer(s)

Welcome! The Developmental Surveillance and Screening Policy Implementation Project (D-PIP) I have no relevant financial relationships with the manufacturer(s)
Community Asset Mapping in Washington State Rural Communities A Pilot Project of the Washington State Combating Autism Advisory Council Sponsored by the.

Community Asset Mapping in Washington State Rural Communities A Pilot Project of the Washington State Combating Autism Advisory Council Sponsored by the.
100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 100 200 300 400 500 Medicaid and CHIP 101 Coverage Financing Affordable.

Medicaid and CHIP 101 Coverage Financing Affordable.
Combating Autism Act Initiative State Implementation Grant Maria Nardella Children with Special Health Care Needs Program Manager Washington Department.

Combating Autism Act Initiative State Implementation Grant Maria Nardella Children with Special Health Care Needs Program Manager Washington Department.
Vermont Department of Health Integrating Community-Based Services for Children & CYSHCN within Vermont Beth Cheng Tolmie, MSW, Ed.D. May 5 & 6, 2009.

Vermont Department of Health Integrating Community-Based Services for Children & CYSHCN within Vermont Beth Cheng Tolmie, MSW, Ed.D. May 5 & 6, 2009.
Linking Actions for Unmet Needs in Children’s Health

Linking Actions for Unmet Needs in Children’s Health
Dan Farkas Project Manager Autism Diagnosis Education Pilot Project. Ohio Chapter, American Academy of Pediatrics.

Dan Farkas Project Manager Autism Diagnosis Education Pilot Project. Ohio Chapter, American Academy of Pediatrics.
Developmental Screening: What it Means for Early Learning Hubs November 21, 2013 Dana Hargunani, MD, MPH Child Health Director Oregon Health Authority.

Developmental Screening: What it Means for Early Learning Hubs November 21, 2013 Dana Hargunani, MD, MPH Child Health Director Oregon Health Authority.
Illinois Children’s Healthcare Foundation CHILDREN’S MENTAL HEALTH INITIATIVE Building Systems of Care: Community by Community Fostering Creativity Through.

Illinois Children’s Healthcare Foundation CHILDREN’S MENTAL HEALTH INITIATIVE Building Systems of Care: Community by Community Fostering Creativity Through.
Communities Coordinating for Healthy Development General Introduction.

Communities Coordinating for Healthy Development General Introduction.
REAL-START : Risk Evaluation of Autism in Latinos (Screening Tools and Referral Training) Assuring No Child Enters Kindergarten With an Undetected Developmental.

REAL-START : Risk Evaluation of Autism in Latinos (Screening Tools and Referral Training) Assuring No Child Enters Kindergarten With an Undetected Developmental.
Member Services Escalation Unit Contact us Monday through Friday

Member Services Escalation Unit Contact us Monday through Friday
Introduction In March of this year, the Center for Disease control estimated the incidence of Autism Spectrum Disorders to be 1 in 50, an increase from.

Introduction In March of this year, the Center for Disease control estimated the incidence of Autism Spectrum Disorders to be 1 in 50, an increase from.
How To Make Developmental Services Easy to Use Judith S. Palfrey MD Alison Schonwald MD Children’s Hospital Boston Opening Doors Initiatives.

How To Make Developmental Services Easy to Use Judith S. Palfrey MD Alison Schonwald MD Children’s Hospital Boston Opening Doors Initiatives.
CHIPRA Quality Demonstration Grant and Pennsylvania’s Early Intervention Strategies David Kelley MD, MPH Chief Medical Officer Office of Medical Assistance.

CHIPRA Quality Demonstration Grant and Pennsylvania’s Early Intervention Strategies David Kelley MD, MPH Chief Medical Officer Office of Medical Assistance.
Can Bright Futures Be Implemented in a Busy Clinical Setting? Lessons Learned from the Preventive Services Improvement Project: A National Collaborative.

Can Bright Futures Be Implemented in a Busy Clinical Setting? Lessons Learned from the Preventive Services Improvement Project: A National Collaborative.
Screening Implementation: Referral and Follow-up What Do You Do When the Screening Test Is of Concern? Paul H. Lipkin, MD D-PIP Training Workshop June.

Screening Implementation: Referral and Follow-up What Do You Do When the Screening Test Is of Concern? Paul H. Lipkin, MD D-PIP Training Workshop June.
Big Strides for Small Patients: Developmental Screening in Pediatric Primary Care Department of Pediatrics Jerold Stirling, MD Rebecca Turk, MD Melanie.

Big Strides for Small Patients: Developmental Screening in Pediatric Primary Care Department of Pediatrics Jerold Stirling, MD Rebecca Turk, MD Melanie.
Concerned About Development : Ohio’s Initiative to Improve Care and Outcomes for Children with Delayed Development, Autism, and Social-Emotional Concerns.

Concerned About Development : Ohio’s Initiative to Improve Care and Outcomes for Children with Delayed Development, Autism, and Social-Emotional Concerns.
Behavioral Health Screening in Pediatric Preventive Care The HUSKY Health Approach Robert W. Zavoski, MD, MPH Medical Director, CT Department of Social.

Behavioral Health Screening in Pediatric Preventive Care The HUSKY Health Approach Robert W. Zavoski, MD, MPH Medical Director, CT Department of Social.

Similar presentations

Ads by Google