Online Program

Pediatric Care Coordination and the Critical Role of the Public Health Nurse

Monday, November 2, 2015 : 1:00 p.m. - 1:15 p.m.

Dian Baker, PhD, APRN-BC, PNP, PHN, School of Nursing, California State University Sacramento, Sacramento, CA

The National Center for Medical Home Implementation and the American Academy of Pediatrics developed a Pediatric Care Coordination Curriculum to assist pediatricians in implementing a health care home model as required by the Patient Protection-Affordable Care Act.  As the curriculum was developed, the critical importance of the public health nurse to the care coordination model was recognized. This presentation emphasizes the partnership between public health nursing and pediatric care homes that includes an explanation of the components of care coordination required by the Affordable Care Act for reimbursement.  In addition, differences in terminology between systems will be delineated. Ideas will be shared about how public health nurses in a variety of settings can partner with health care providers to enhance care coordination. The goal for this workshop is empower public health nurses’ with the ability to act as a liaison between health care systems and the community to address the needs of children with chronic conditions and disabilities. Specific tools for care coordination and practice using communication flow sheets and other tools designed to support care coordination will be shared.

Learning Areas:

Chronic disease management and prevention
Program planning
Public health or related nursing
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
discuss the requirements of a health care home model (also called medical care home) and the role of public health nursing partnerships explain the components of care coordination required by the Affordable Care Act for reimbursement analyze the specific components of care coordination related to children with complex chronic care conditions explain the barriers to communication across health care systems and suggestion to improve communication

Keyword(s): Children With Special Needs, Community-Based Partnership & Collaboration

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: none

Qualified on the content I am responsible for because: I have been a community based nurse for over 40 years. I am professor of nursing at California State University Sacramento. I conduct public health nursing research related to maternal child health. I also have a partnership with the American Academy of Pediatrics to help align the pediatric care home with public health nursing. I have presented at numerous conferences at the national and international level on the topic of maternal child health.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
American Academy of Pediatrics community partnerships Consultant

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.