239613 Using Medical Home to build services

Tuesday, November 1, 2011: 10:50 AM

Madhu Mathur, MD, MPH , Pediatrics, Stamford Hospital, Stamford, CT
Mark Keenan, RN, MBA , Family Health Section, Children with Special Health Care Needs Program, CT Department of Public Health, Hartford, CT
Introduction: Medical Home implementation provides care coordination to children and youth with special healthcare needs and other children. Physicians are aware of a growing number of children identified with obesity and behavior health issues at risk to develop complications and chronic special health care needs if suitable interventions are not provided. A federally qualified health center in Stamford CT, in cooperation with the community hospital, developed services and protocols for children as an approach to avoid negative outcomes such as diabetes or school failures. Method: Protocols were developed to ensure physician champions and staff screened children with behavior problems and overweight issues. A process to ensure delivery of mental health services was developed, linking children to The Child Guidance Center for treatment. Medical home grant funding was utilized to leverage existing care coordination resources, establishing monthly workshops providing nutrition and parenting education. Recognizing the effectiveness these services, in 2006 the hospital foundation provided a nutritionist and established a twelve-week program combining nutrition education and physical activity for families of overweight children. Results: 26 families with obese children participated in the twelve-week program. 90% of the participating children improved their BMI. The Child Guidance Center provided mental health services for 32 children annually. Building on this success, programs in four after school programs were established, serving about 250 children annually. Conclusion: Medical Home can be used as an impetus to build preventative services, reducing the risk for children to develop chronic special health care needs.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Describe use of a Medical Home in Federally Qualified Health Center Describe how Medical home improved linkages to reduce BMI and improve mental health

Keywords: Access to Health Care, Children With Special Needs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee and have designed and managed this project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.