© Institute for Child Success

COORDINATING COMPREHENSIVE HEALTH CARE WITH HOME VISITS FOR NEW FAMILIES: A Case Study of Home Visitation Integration with the Family-Centered Medical Home at Carolina Health Centers

Katy SidesDirector of ResearchInstitute for Child Success

Sally BaggettDirector of Family Support and Child Development ServicesCarolina Health Centers, Inc.

October 17, 2014

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The Impact of Early Life Experiences

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Home Visiting: Building Parental Ability for Better Child Health and Development

• Benefits of Maternal And Child Home Visiting Programs:• Child health,• Child development and school readiness,• Family economic self-sufficiency,• Linkages and referrals, • Maternal health,• Positive parenting practices, and• Reductions in child maltreatment

• Home visitation programs give parents and caregivers the full appropriate developmental and health picture of their children.

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Home Visiting Programs in SC

•Nurse-Family Partnership•Healthy Families America• Parent Child Home Program• Parents as Teachers• Early Head Start• Early Steps to School Success•Healthy Start•Healthy Steps• Family Check-Up

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Introduction to the Patient-Centered Medical Home

The Joint Principles of the Patient-Centered Medical Home (PCMH)• Personal physician• Physician-directed medical practice•Whole-person orientation• Care is coordinated and/or integrated•Quality and safety• Enhanced access• PaymentGraph adapted from National Committee on Quality Assurance

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Differences Between Traditional Primary Care and the Medical Home

Graph adapted from Qualis Health

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Key Elements of a Medical Home for Children

•Population-based approach•Chronic condition supports•Coordinated care•Parental involvement•Clinical practice standards•Newborn screening•Child and family education•Community agency involvement

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Benefits of Collaboration:

• Information sharing• Care coordination• Referral facilitation• Community needs• Assisting transition• Assisting parent communication• Reinforcing advice• Monitoring well health• Fostering cultural competence• Performing environmental and safety

assessments• Parental depression identification• Meeting the needs of complex health

care in the home

Cost of NFP

Home Visitation and PCMH Collaboration

9Graph adapted from Institute of Medicine of the National Academies Committee on Integration of Primary Care and Public Health

The Continuum of Integration

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The Children’s Center of the Carolina Health Centers, Inc.

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The Children’s Center of the Carolina Health Centers, Inc.

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The Children’s Center Model Capitalizes on:

1. The perception of families of the medical home as a trusted source of information;

2. The medical home as a natural point of contact to engage all families, even hard to reach families, with young children;

3. The opportunity to expose families to consistent health messaging from medical professionals as well as from nonmedical professionals that is necessary to change behaviors.

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Home Visitation Programs at TCC

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Triage Services at The Children’s Center

The Children’s Center Movement through the Continuum of Integration

Common Outcomes Lead to Improved Outcomes

Chart adapted from Carolina Health Centers, Inc.

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Applicability of the Model at The Children’s Center to other FCMHs• Opportunities within South Carolina• Opportunities across the nation

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Impacting the Early Childhood System

Graph adapted from James M. Perrin

KATY SIDESDirector of Research

ksides@instituteforchildsuccess.org

SALLY BAGGETTDirector of Family Support & Child Development

Servicessbaggett@carolinahealthcenters.org