Children’s Comprehensive Care (CCC) summarizes the responsibilities of both the medical home (CCC) and the MCO (Managed Care Organization) for the delegation of service coordination tasks. Prior to the MCO committing to reimbursing the medical home for service coordination tasks, they wanted HHSC to approve the arrangement.
I AM THE ARCHIVE.PHP FILE
Archives
Care Coordination for Children with Medical Complexity
Manuscript describing models of complex care management for CMC, description of Gillette’s complex care program, and Team MN participation in the CMC CoIIN.
Complex Care Program Brochure
Part of a ‘new to program’ packet sent to new complex care program patients/families several weeks ahead of their first complex care program clinic visit.
Complex Care Program Welcome Letter
Part of a ‘new to program’ packet sent to new complex care program patients/families several weeks ahead of their first complex care program clinic visit.
Pediatric Primary Care Provider Concerns and Preparation for Adult Healthcare Transfer of Medically Complex Young Adults
Findings from Oregon team’s CoIIN QI project presented at the Adolescent Health Initiative virtual meeting 2021.
HRSA Meeting Presentation Slides for the SPNS initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
On June 27, 2017, the grant recipients of the Special Projects of National Significance (SPNS) funded initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations convened a day-long meeting to present results to staff from the U.S. Department of Housing and Urban Development (HUD), Health Resources & Services Administration (HRSA), and Substance Abuse and Mental Health Services Administration (SAMHSA). They presented the strategies that collectively led to more than 1,300 people nationwide being served over the five-year initiative.
HRSA Meeting Posters for the SPNS initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
For a HRSA meeting on June 27, 2017, each SPNS demonstration site created a poster presentation outlining the model that was developed as part of the initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations. Each poster includes findings, successes and challenges and next steps.
Models of Care: Building a Medical Home for Multiple Diagnosed HIV-Positive Homeless Populations Implementation Manuals
Each demonstration SPNS project has created a manual that outlines the model of care developed as part of the initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations. These manuals, together with a multisite manual that provides an overview of the initiative, can be found at the link below.
Medical Home SPNS demonstration sites: one-page overview
We have created a one-page overview of the medical home model used in the initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations, both for the initiative overall and for each individual site.
PubMed article: Role of Patient Navigators in Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
Through interviews and focus groups, clinic and program staff from nine organizations nationwide provided insights about the role of patient navigators in building a medical home for people living with HIV who are homeless/unstably housed and co-diagnosed with substance use and/or mental health disorders. Results of this qualitative research are presented in this peer-reviewed article which will be published in the Journal of Public Health Management Practice and is available online ahead of print publication. Researchers identified ten key responsibilities of patient navigators as part of the HIV care team that seeks to engage this population in care and treatment. The article concludes that patient navigators may be a key component in creating an effective patient-centered medical home for this population.