The Community Health Workers (CHWS) National Library has been compiled by our team from nationwide sources.
North Carolina’s Integrating Care for Kids and Duke’s Pediatric Complex Care Integration Learning Health Unit present an overview of the programs/ NC landscape, measures used and proposed by InCK and their refinement in NC, Alternative Payment Model types under consideration, including children with medical complexity and those with other risk factors, and their relationship with Medicaid.
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Session components include: orientation to the Sustainability Affinity Group (SAG) and how it relates to the National Care Coordination Academy, introduction to SAG Model, discussion of measurement selection to prove value, and group discussion.
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After this session, participants will understand the critical role of Long-Term Services and Supports (LTSS) can play in improving health outcomes for persons with complex, chronic needs across the age spectrum, identify opportunities for adult and pediatric LTSS to meaningfully engage and create a bridge, especially crossover in models of care, outcomes (measurement) and policy spheres, and gain knowledge with how care coordination tools, processes, and measures can support an equitable approach to transition/transfer of young adults and adults with complex needs.
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After this session, participants will identify different methods used across care coordination programs to assess the time requirements for high quality care coordination, understand how ongoing relationships with payers support the program, and articulate how programs have identified children to enroll with medical complexity.
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After this session, participants will understand other state’s models, successes, and challenges, to be able to apply the knowledge to their own projects, identify ways to sustain projects beyond participation in the Care Coordination Academy, and develop relationships with other state teams that advance the priorities of sustainable care coordination.
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After this session, participants will develop a plan to sustain their work, identify their target audience to communicate about their work, identify partners to expand collaboration, and identify steps to broaden the work to increase its appeal to funders.
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After this session, participants will understand the key aspects of reaching out to state legislators to impact policy, articulate the link of the care coordination work and the funding mechanisms needed to make this work sustainable, and recognize mechanisms to concisely present data on care coordination programing to policy makers.
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After this session, participants will be able to articulate how they will present their work in the CC academy and data to key stakeholders, develop a plan to prepare their work product for sustainability, identify their target audience to demonstrate their work, and identify the goal of their presentation (i.e funding sustainability).
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After this session, participants will have an expanded understanding of ways to engage with their state Medicaid Programs, have an understanding of the role of a Medicaid Medical Director (MMD) and best ways to collaborate with their state’s MMD to approve and/or improve and sustain care coordination programs, and understand the ways Medicaid programs track service use and quality after a service has begun.
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This session is titled Perspectives on Classifying CMC/CYSHCN Severity.
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