Washington State Medical Home Plan
Purpose
News
Launch of the Medical Home Strategic Plan
State Medical Home Strategic Plan
National Medical Home Endorsements
Medical Homes in Washington State
State Plan History
Purpose
Washington and many other states have developed a "road map" or plan to help the state reach the national Healthy People 2010 goal of every child and youth with special health care needs having access to a medical home by 2010.
News
NEW! Washington State Care Coordination within a Medical Home Fact Sheet
One of the core elements of a medical home is care coordination. In order to provide consistent language about the definition of care coordination and its key elements, a fact sheet was developed based on the work of the 2006-2007 Financing Care Coordination Workgroup, facilitated by the Department of Health. The Workgroup was made up of stakeholders from across the state representing health care providers, families, and state and private agencies and organizations. The fact sheet us intended to use as a reference when describing care coordination within a medical home.
Download: Care Coordination within a Medical Home 
NEW! 2007 WA Legislative Session Summary - Children's Health Issues
WA Chapter American Academy of Pediatrics- AFAAP's Fables, June 2007 issue
NEW! 2007 Fact Sheet: SB 5093: A Roadmap to Health Care
Fact sheet from WA State Dept of Social & Health Services outlining highlights of the Child Health Care Act of 2007 and plans for implementation
http://fortress.wa.gov/dshs/maa/News/Fact/FS007013ChildHealthCareAct.pdf 
Child Health Care Bill Signed into Law
Senate Bill 5093 was signed into law March 13 by Governor Gregoire. The bill will provide affordable, comprehensive health coverage options to all children in Washington State. The bill seeks to ensure that children will be able to see a doctor, encourages high quality care through a medical home, invests in outreach to find and enroll eligible families and declares goals for nutrition and exercise in schools.
The importance of a child having a "medical home" is highlighted throughout the legislation. Section 4 of the bill specifies that quality improvement measures and targeted provider rate increases aim to provide coordinated regular care for children through medical homes and that children with medical homes have improved health outcomes:
Section 4. A new section is added to chapter 74.09 RCW to read as follows:
(1) The department, in collaboration with the department of health, health carriers, local public health jurisdictions, children's health care providers including pediatricians, family practitioners, and pediatric subspecialists, parents and other purchasers, shall identify explicit performance measures that indicate that a child has an established and effective medical home, such as:
(a) Childhood immunization rates;
(b) Well child care utilization rates, including the use of validated, structured developmental assessment tools that include behavioral and oral health screening;
(c) Care management for children with chronic illnesses;
(d) Emergency room utilization; and
(e) Preventive oral health service utilization.
Performance measures and targets for each performance measure must be reported to the appropriate committees of the senate and house of representatives by December 1, 2007.
(2) Beginning in calendar year 2009, targeted provider rate increases shall be linked to quality improvement measures established under this section. The department, in conjunction with those groups identified in subsection (1) of this section, shall develop parameters for determining criteria for increased payment or other incentives for those practices and health plans that incorporate evidence-based practice and improve and achieve sustained improvement with respect of the measures in both fee for service and managed care.
(3) The department shall provide an annual report to the governor and the legislature related to provider performance on these measures, beginning in September 2010 and annually thereafter.
For copy of legislation see:
www.leg.wa.gov/pub/billinfo/2007-08/Pdf/Bills/Session%20Law%202007/5093-S2.SL.pdf (11 pages)
Detailed summary of the bill from the Children's Alliance: http://childrensalliance.org/4Download/health/SSB_5093_summary.pdf 
Washington State Medical Home Fact Sheet
A brief fact sheet was developed at the request of participants in the Washington State Partnership for Medical Homes group to have a document that would help people describe the Medical Home concept consistently.
The 2 page document addresses Medical Homes for all children and youth, including those with special health care needs. Topics covered are: What is a Medical home, who can provide one, what are the core components, benefits, how many children and adolescents have a Medical Home in WA, challenges, opportunities to build a foundation for the Medical Home model, and information about the development of the key message document.
Washington State “Medical Home Key Messages” Fact Sheet
NEW! Medical Home-related grants in Washington State
“Epilepsia en Washington: Improving Access to Care for Children and Youth” 
Grantee: Washington State Dept. of Health, CSHCN Program
Funder: US Maternal and Child Health Bureau
“Improving Access to Oral Health Care for Children with Special Health Care needs (CSHCN) with Minor and Moderate Chronic Conditions in Washington State” 
Grantee: Washington State Dept. of Health, Oral Health Program
Funder: US HRSA
Launch of the Medical Home Strategic Plan
On November 2, 2006, a wide range of stakeholders committed to promoting Medical Homes met to (1) Officially launch the Washington State Medical Home Strategic Plan for children and youth with special health care needs and (2) begin planning our efforts to promote Medical Homes beyond children and youth with special health care needs. Participants included the WA Chapter of the AAP, Family Voices, Department of Health, Department of Social and Health Services, parents, Kids Get Care, the Medical Home Leadership Network, Spokane Regional Health District, Washington Association of Community and Migrant Health Centers, Public Health Seattle-King County, Clark and Cowlitz County, State Board of Health, Children's Alliance, Molina Health Plan, Center for Children with Special Needs at Children's Hospital & Regional Medical Center, Docs for Tots, Washington State Parent to Parent, Whatcom Health Information Network. For more information, contact the Washington State Children with Special Health Care Needs Program at 360-236-3571.
Click on the links below to view the following:
Download
PowerPoint Viewer to view below presentations if you don't have
it already installed on your computer.
| Cassie Johnston,
Family Voices |
Understanding
and Promotion Strategy for Medical Home (PowerPoint, 70KB) |
Phyllis Cavens, Cowlitz County
|
Handouts:
|
| Teresa Vollan, DOH
|
Medical Home for Children in Washington State: WA State Data from the 2003 National Survey of Children's Health (PowerPoint, 293KB)
Handout: Medical Home Measure – 2003 National Survey of Children's Health |
| Chris Olson, WA Chapter AAP |
The Medical Home and Quality Improvement (PowerPoint, 99KB) |
| Jim Stout, University
of Washington |
Children's
Health Improvement Collaborative (PowerPoint, 187KB) |
Michelle Bogart, Children's Administration
and
Margaret Wilson, DSHS/HRSA |
Centers of Foster Care Health (PowerPoint, 69KB) |
| Kate Orville, Medical
Home Leadership Network |
Quality
Improvement: The Medical Home Leadership Network (PowerPoint, 188KB) |
Linda Barnhart, DOH
and
Pat Shaw, Clark County |
Financing Strategies for Care Coordination within the Medical Home (PowerPoint, 1.2MB) |
| Debby Allen, Catayst
Center Boston |
Calculating
the Cost of Care Coordination: A Quick and Dirty Guide to Estimation
(PowerPoint, 46KB) |
| Lorrie Grevstad, Kids
Matter |
Kids
Matter: A Framework for Improving Outcomes for Children in Washington
State: A Framework for Building an Early Childhood System (PowerPoint, 2.7MB) |
Back to Top
Washington State Medical Home Strategic Plan for Children and Youth with Special Health Care Needs
Washington State has developed a strategic medical home plan for children and youth with special health care needs. The Washington State Department of Health's Children with Special Health Care Needs Program hosted meetings in February and April 2006 with partners from family organizations, health care provider groups, state agencies, health care plans and other groups to identify how we could achieve a medical home for every child with special health care needs.
- Partners developed this 2010 Strategic Plan to build upon the 2000 “Promise to the State”, Washington’s original “road map” for achieving medical homes for children and youth with special health care needs.
- Action Steps in this plan are designed to increase the percent of children and youth with special health care needs (CSHCN) who have a medical home.
Percentage of Children and Youth (0-18) with Special Health Care Needs with a Medical Home:
WA State: 44.8% (38.5, 51.4)
US: 44.2% (42.9, 45.4)
(source: National Survey of Children’s Health, 2003)
Percentage of all Children and Youth with a Medical Home:
WA State: 48.5% (45.9, 51.1)
US: 46.1% (45.6, 46.7)
(source: National Survey of Children’s Health, 2003)
- Partners involved in implementing the plan acknowledge that strategic planning is a process—that the goals, objectives, and activities of this plan might change over time based upon evolving vision and environment.
Vision: All children and youth with special health care needs will receive coordinated, ongoing, comprehensive care within a medical home.
Organization of Plan: Partners identified three key strategic areas and broke them out by the individuals or organizations involved in carrying out specific objectives.
| |
Individuals or Organizations Involved |
| Strategic Areas |
System |
Family,
Youth, Child |
Primary Care Providers |
Understanding and Promotion Goal
People understand and promote the concept of medical home.
|
Objectives
1-2 |
Objective
3-4 |
Objective
5-6 |
Performance and
Quality Goal
All involved actively strive to create medical homes for children with special health care needs and their families.
|
Objectives
7-9 |
Objectives
10-11 |
Objectives
12-16 |
Financing Goal
Financing for medical homes is adequate.
|
Objectives
17-20 |
Objective
21 |
Objective
22 |
|
Download copy of Washington State Strategic Medical Home Plan for Children with Special Health Care Needs – Making it Happen in Washington State 2006-2010 
For more information please contact the Washington State Department of Health, Children with Special Health Care Needs Program at (360) 236- 3571.
Washington State Partners in 2006 Medical Home Strategic Planning Process
Washington State Department of Health
Children with Special Health Care Needs Program
Child and Adolescent Health Section
Washington State Department of Social and Health Services
Infant Toddler Early Intervention Program
Health and Recovery Services Administration
Washington State Medical Home Leadership Network
Washington State Chapter of the American Academy of Pediatrics
Docs for Tots
Washington State Parent to Parent
Washington State Fathers Network
Center for Children with Special Needs, Children’s Hospital & Regional Medical
Center
Health Services, Office of Superintendent of Public Instruction
Washington Health Foundation
Group Health Cooperative
Molina Healthcare of Washington
Family Voices of Washington
Spokane County Children with Special Health Care Needs Program
Public Health Seattle-King County Children with Special Health Care Needs
Program
Clark County Children with Special Health Care Needs Program
Washington State Medical Home Leadership Network Teams
Back to Top
National Medical Home Endorsements
The Medical Home Concept has been endorsed as the standard of care by a growing number of health care provider organizations and other groups. The terminology used by organizations can vary slightly and includes "medical home," "personal medical home," "pediatric health care home" and "advanced medical home". " National organizations endorsing medical home include:
New!
Back to Top
Medical Homes in Washington State
Awareness of the need for medical homes continues to grow in Washington State. The medical home model of care is promoted in a number of key state documents including:
- The Washington State Board of Health's
Public
Discussion Draft of the 2006 State Health Report. In this
report, Mary Selecky, Secretary of the Washington Department of Health
writes about how Governor Gregoire has directed the Department of
Health to convene a workgroup of key agencies to craft a prevention
agenda for the state of Washington. The group's prevention
agenda focuses on five goals, including "increase the
proportion of children and youth who have a medical home"
(see page 9 of report).
- Kids Matter is a collaborative and comprehensive framework for building the early childhood system in Washington State in order to improve outcomes for children. The plan offers a framework that supports the efforts of local and state stakeholders to coordinate, collaborate and integrate efforts that will lead to children being healthy and ready for school. This plan identifies specific achieveable outcomes within four goal areas:
- Access to health insurance and medical homes
- Mental health and social-emotional development
- Early care and education/child care and
- Parenting information and support
For more information see the Kids Matter Executive Summary (12 pages) or Full Report (66 pages) at www.earlylearning.org/kids-matter
Back to Top
State Plan History
As one of the first 12 states in the national Medical Home Mentorship Network, a team from Washington State developed an initial plan in January, 2001 to create a system of health care in which all children with special health care needs will receive their care through a medical home by the year 2010. Team members came from the leadership of the Washington Chapter of the American Academy of Pediatrics, the Washington State Department of Health-Children with Special Health Care Needs Program, the Medical Home Leadership Network at the University of Washington Center on Human Development and Disability, the Center for Children with Special Needs and a parent leader active in several family organizations.
This plan became the basis of a successful US Maternal and Child Health Bureau grant application that led to the expansion of community teams involved in the Medical Home Leadership Network, the development of the Washington State Medical Website and other activities.
Links to the initial state medical home plan and various Washington State activities are available through the state medical home page at The National Center of Medical Home Initiatives for Children with Special Needs.
www.medicalhomeinfo.org/states/state/washington.html
Back to Top
= Adobe Acrobat file format. Help with PDF
|