Tennant form for updating personal information Grannies phone chat
This subgroup, children with medical complexity (CMC), composes less than 1% of U. and Canadian children (Kuo, Cohen, Agrawal, Berry, & Casey, 2011; Neff, Sharp, Muldoon, Graham, & Myers, 2004), but accounts for disproportionately higher rates of healthcare costs than other children (Berry et al., 2014; Cohen et al., 2012; Newacheck, Inkelas, & Kim, 2004).
The Institute for Clinical Systems Improvement (ICSI) helped form HCH performance outcome measures for use in evaluating applicants for HCH certification (Institute for Clinical Systems Improvement, n.d.).
Two models of care coordination for CMC were developed to address this challenge.
The Tele Families Model of Pediatric Care Coordination uses an advanced practice registered nurse care (APRN) coordinator embedded within an established HCH. Vol20No03Man03 Key Words: Care coordination, children, youth, special needs, medical complexity, advanced practice registered nurse, healthcare home, medical home, primary care, specialty care, continuity, collaboration, youth transition Current healthcare reform efforts are guided by the Institute for Healthcare Improvement (IHI) Triple Aim: improved health, improved experience of care, and reduced cost (IHI, 2015).
The goal of certifying 67% of Minnesota’s primary care clinics serving Minnesotans by the end of 2015 is well underway, with 383 (53%) certified as of June 2015 (MDH, n.d.).
The broad population of children and youth with special health needs is defined as having or being at risk for having chronic physical, developmental, behavioral, or emotional conditions, and utilizing more health and related services than the general population of children (Mc Pherson et al., 1998).