How to Host the Every Child Deserves a Medical Home Training Program
National Center for Medical Home Initiatives
American Academy of Pediatrics Manager, Training Programs 141 Northwest Point Blvd Elk Grove Village, IL 60007 800/433-9016, ext 4311 Fax: 847/228-7035 mhtraining@aap.org
Table of Contents
TABLE OF CONTENTS 2
INTRODUCTION TRAINING PROGRAM GOAL INTENDED AUDIENCE RECOMMENDED FACILITATORS TRAINING PROGRAM FORMAT CUSTOMIZE THE CURRICULUM FOR LOCAL NEEDS IMPLEMENTATION STRATEGIES TRAINING PROGRAM
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TRAINING PROGRAM ROLES/RESPONSIBILITIES PLANNING COMMITTEE MEMBER FACILITATOR PARENT LIAISON SUBCOMMITTEES RESOURCE GUIDE SUBCOMMITTEE PUBLICITY SUBCOMMITTEE DEVELOPMENT SUBCOMMITTEE LOGISTICS IMPLEMENTATION TIMELINE TRAINING PROGRAM SCHEDULE OPTIONS ESTIMATED BUDGET EVALUATION BASELINE EVALUATION POST-TRAINING EVALUATION 6-MONTH POST-TRAINING EVALUATION TECHNICAL ASSISTANCE
10 10 11 11 12 12 13 15 16 16 18 21 22 ERROR! BOOKMARK NOT DEFINED. 22 22 23
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APPENDIX PLANNING MEETING AGENDAS PAST PROGRAM SCHEDULES PRESS RELEASES REGISTRATION BROCHURE SAVE-THE-DATE POSTCARD EVALUATIONS
24 25 29 36 39 43 45
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Introduction
Training Program Goal
The goal of the Every Child Deserves a Medical Home Training Program is to educate pediatricians, office staff, child health advocates, families, and other professionals about the medical home approach and how they can work collaboratively to provide accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally competent care to children with special health care needs.1 Practical strategies are set forth in the training program with the expectation that participants will use them to provide medical homes for children with special health care needs (CSHCN).
Intended Audience
Ideally, pediatricians, family physicians, family representatives, nurses, pediatric subspecialists, insurance administrators, government officials, and any other group of individuals that work with children with special health care needs will be invited to the Every Child Deserves a Medical Home Training Program. There may be instances, however, where the training program (or portions of it) is delivered to a homogeneous audience (eg, grand round sessions, parent conferences).
Recommended Facilitators
For each component of the Every Child Deserves a Medical Home Training Program, a physician, allied health care professional, and a family representative team is recommended to co-facilitate. This presentation strategy is an excellent opportunity to illustrate that physicians, allied health care professionals, and families are partners in determining and providing collaborative care to children with special health care needs. Much like a physician facilitator, the allied health care professional and family representative will help participants experience first-hand some of the problems families and care coordinators encounter, as well as some of the “pearls” they have learned in caring for children with special health care needs. Although there are typically three co-facilitators per component/session, there are instances where this is not typical. For the sake of time, often a physician and parent team is used in the Common Elements session. However, at recent programs, a pediatrician, family physician and a parent will present Common Elements to immediately illustrate the critical partnership among these perspectives. In the Practices, Policies, and Procedures component if a parent and a physician who operates is as an office manager is not available a physician, office manager, and parent is recommended. Past training programs have also used more than three co-facilitators in the Comprehensive, Coordinated, Collaborative Care component. In addition to a physician, allied health care professional, and a parent, a mental health, educator, and early interventionist have been included on this co-facilitator team. Keep in mind that more co-facilitators will decrease the amount of time that they can share information and that the participants can ask questions.
1
McPherson M, Arango P, Fox H, et al. A new definition of children with special health care needs. Pediatrics, 1998;102:137-140
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As each facilitator team reviews its assigned component, the roles of each person will be determined. Co-presenters and audience should be asked periodically for input. Through collaboration, the medical home approach can be illustrated and achieved.
Training Program Format
The Every Child Deserves a Medical Home training curriculum is designed with four core components so that they can be presented as a one day education program, or they can be presented over a period of weeks or months, depending on the intended audience’s schedule. Additional components are also available: Transitioning Children and Youth to Adulthood and State and Local Advocacy. If a local planning group chooses to offer all six components, participants may not be able to see all sessions. The components are: • One: Common Elements • Two: Family-Professional Partnerships • Three: Practices, Policies, and Procedures • Four: Comprehensive, Coordinated, Collaborative Care for CSHCN • Five: Transitioning Children and Youth to Adulthood • Six: State and Local Advocacy Each of these components addresses the issues critical to providing a medical home for children with special health care needs. They are designed to complement each other. Certain teaching elements are reinforced throughout all components.
Customize the Curriculum for Local Needs
The curriculum is designed to allow for local customisation and input. The opportunity to customize these materials for the specific audience is provided on two dimensions. • Level of audience sophistication or experience: Throughout the materials there are references to this issue. Facilitators will be asked to make decisions about how specific materials will be presented based on the participants’ familiarity with the issues and concepts being addressed. If they are relatively new to the concepts, facilitators should move more slowly through the materials, involving the audience in a series of question and answer and brainstorming experiences. If they already have a solid foundation for the concepts, facilitators should proceed relatively quickly through the materials and present information as an overview rather than in-depth. • Geographic considerations: Many of the issues discussed within the training program materials vary from state to state. Often, issues such as requirements, eligibility, and access are very different. Since this is a broad-based national curriculum, the materials have been designed to encourage local input to the content through the use of methods such as examples, guest speakers, and handouts. References are made throughout the facilitator’s manual for appropriate insertions of local issues and examples. Throughout the curriculum, various teaching options are provided to assist facilitators with incorporating local information and meeting all learning levels. If the facilitator
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team wants to implement a new teaching strategy (eg, local case study), some of the existing curriculum may have to be condensed to allow for more time.
Implementation Strategies
The components in this curriculum set forth a significant amount of information and implementation strategies. Participants should be advised to implement these medical home strategies one step at a time, or the task may seem overwhelming. After strategies have been implemented for a few months, participants should evaluate their success and make modifications or enhancements. The implementation strategy for the training program will vary from site to site. The curriculum may be used in a one-day educational format or the components may be implemented separately, such as at grand round sessions. Sites may find other uses for the curriculum depending how creatively they choose to use, not use, or modify the six components, sections within each component, and teaching options.
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Training Program
Below is a brief outline of the training curriculum and the educational objectives and sections of each component. Introduction (Facilitator manual only)
Purpose of training program Adult learning information Instructions for use of facilitator manual
I.
Common Elements (The Medical Home Approach) Learning Objectives:
Define the medical home approach. Define the common elements and assess whether they have been incorporated into their personal practices. Understand the personal importance of providing a medical home.
Sections:
A. Introduction B. Common element descriptions of: Accessible, Family-centered, Continuous, Comprehensive, Coordinated, Compassionate, Cultural Sensitive C. Self-analysis
II.
Family-Professional Partnerships Learning Objectives:
Promote family-professional partnerships to provide care, advocacy, and support in a manner that is coordinated and explicit about roles and expectations and ensures clear and consistent communication of information. Define “family-centered care” through familiarity with the nine elements of family-centered care. Identify applications for applying family-centered elements in daily practice.
Sections:
A. Family-professional partnerships/collaboration B. Elements of family-centered care: - Recognize the family is the constant - Facilitate family and professional collaboration - Honor diversity of families - Recognize family strengths - Share complete and unbiased information - Promote family-to-family support and networking - Incorporate developmental needs - Implement comprehensive policies and programs - Design accessible health care systems
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III.
Practices, Policies, and Procedures Learning Objectives:
Examine office practices, layout, and other features with the philosophy that the medical home is the basis to care for Children with Special Health Care Needs. Identify the various strategies to enhance an office, physically and procedurally. Discuss the role of financing, data management, and CPT coding in a managed care environment caring for Children with Special Health Care Needs. Identify practical methods of accommodating Children with Special Health Care Needs into the practice.
Sections:
A. Philosophy of practice B. Physical environment C. Practice procedures Scheduling Telephone and triage management Billing and financial assistance Support for continuity of care Quality D. Challenges of caring for Children with Special Health Care Needs in a managed care environment. Financing issues Data collection CPT (Current Procedural Terminology) coding E. Practice assessment survey
IV.
Comprehensive, Coordinated, Collaborative Care for Children with Special Health Care Needs Learning Objectives:
Identify the components of a comprehensive service system for Children with Special Health Care Needs and their families. Identify local, state, and national resources and the function of each. Discuss goals and strategies for effective care coordination. Identify effective strategies for collaboration and communication among families and all professionals serving their Children with Special Health Care Needs.
Sections:
A. Comprehensive care Resource panel option including presenters from: CHIP, EI, IDEA, Title V, etc. Community-based care - Resources - Advantages - Barriers B. Coordinated care C. Collaborative care Interdisciplinary Interagency D. Practical applications
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V.
Transitions Learning Objectives:
Describe barriers that often interfere with a young person’s successful transition to work, independence, and adult health care. Describe strategies and promising practices that can assist young people, their families, and providers overcome these barriers. Assist youth to obtain the services and resources needed to successfully transition from pediatric to adult health care and school to work Support self-determination of youth with disabilities in thoughts, words, deeds, and in higher expectations
Sections:
A. Introduction Current Realities Learning Activity Overview of component B. Early Preparation and Letting Go Begin Transitioning During Childhood Prepare for Adolescence C. Medical Health Transition: Support During Adolescence Support During Adolescence Address Common Concerns of Adolescence Communication Strategies Adult Health Care Realities Insurance Options Private Insurance Strategies HIPPA COBRA SSDI and Medicare SSI Work Incentives Ticket to Work/Work Incentives Improvement Act Transition to Adult Health Care Funding & Coordination D. School to Work Support During Adolescence Transition Laws, Safeguards, and Opportunities IDEA Section 504 Vocational Rehabilitation E. Self Determination F. Promising Practices
VI. State and Local Advocacy Learning Objectives
Discuss the importance of advocacy for SCHCN with state and local organization Identify actions individuals can take to advocate CSHCN Encourage partnerships to enhance advocacy action
Sections
A. Importance of Advocacy Local State Federal B. An Individual Advocate’s Primer
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C. Partnerships for Group Advocacy D. Case Study
Training Program Roles/Responsibilities
To implement the Every Child Deserves a Medical Home Training Program certain roles need to be established and executed. Listed below are descriptions of the primary roles and their responsibilities crucial for a successful training program.
Planning Committee Member
Basic Function: Planning committee members are responsible for overseeing and assisting with the implementation of the Every Child Deserves a Medical Home Training Program. Duties and Responsibilities: Help select training program date. Provide feedback on the local issues, needs and barriers in order to shape the training program Review the training curriculum before the first pre-planning meeting and share ideas about what local issues/information the facilitators will need to convey at the training program. Nominate knowledgeable and well-versed physicians, allied health care professionals, and parents to serve as facilitators for the training program. Assist with marketing strategies. Provide mailing lists of individuals who should be invited to attend the training program. Mailing lists/labels should be provided on a PC 3 ½” disk (MS Word or Excel compatible) along with a hard copy. Assist local resource guide committee by contributing contact information of important services and organizations for children with special health care needs and their families. Assist with training future trainers. Help establish and promote an ongoing medical home group to meet post-training. Supply resource information for training tables. Other duties as assigned. Potential Committee Members:
Hospital Administrators Hospital Chief of Staff Hospital Director of Patient Care Services Communities Can Representative Title V Representative Family Voices (Parent Liaison) Parent Advocates Managed Care Representatives Early Intervention Representative University Medical Institution Representatives Education Representative Mental Health Representative Private Pediatricians Family Physicians Nurses Pediatric Nurse Practitioners CATCH Facilitator Health Tomorrows Representative NACHRI Representative State Department of Health Representative AAP Chapter Committee on Children with Disabilities Representative AAP Chapter Representative (Pres and/or Exec. Director)
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Childcare University Residency Program Representative Social Worker
EMSC American Academy of Family Physicians Representative
Facilitator
Basic Function: Facilitators are responsible for instructing a component of the Every Child Deserves a Medical Home Training Program with co-facilitators. Each team of facilitators must collect and add local information to their component, since the base training curriculum has been written at a national level. Duties and Responsibilities: Review assigned component. Meet with co-facilitators and establish teaching strategies and assign responsibilities. Collect and insert local information into designated component(s). Supply handouts of local information in training manual or in training session. Create slides to reflect local information and insert with national curriculum slides. Skills: Facilitators must be: comfortable in front of large groups of individuals, flexible when working with co-facilitators, innovative and creative with teaching strategies, and excellent communicators.
Parent Liaison
Basic Function: The parent liaison is responsible for identifying parent facilitators, informing them about the medical home approach and training program, and preparing them for facilitating. Duties and Responsibilities: Identify local parents to co-facilitate each training component. Brief parent facilitators about the medical home approach and training program. Review each training component and provide co-facilitator teams with additional suggestions on how to involve parents into the training. Help organize parent resource panel (possible option with Family-Professional Partnership Component). Create a parent resource component to be held at the same time Practices, Policies, and Procedures is offered. This option may be chosen to provide more relevant information to parents than Practices, Policies, and Procedures may offer.
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Skills: The parent liaison must be: Knowledgeable of parents in the community who can and are willing to facilitate. Willing to explain the medical home approach and training program from a parent perspective.
Subcommittees
When preparing for the Every Child Deserves a Medical Home Training Program, subcommittees are often formed to help work on specific tasks. It is strongly suggested that a Resource Guide Subcommittee be formed to offer/create local information about community resources. Other subcommittees may include: Publicity, Logistics, Development, and Facilitators. Below is a general description of each subcommittee.
Resource Guide Subcommittee
Basic Function: Members of this committee are appointed by the planning committee and are responsible for developing and/or distributing resource information to help training participants learn about services and organizations in their community that are designed to help children with special health care needs and their families. Some communities may already have comprehensive resource guides, and thus these subcommittees may only need to obtain copies to distribute, sell, or provide information on the local resource guide(s). In areas that do not have any local resource guides (or that have insufficient information), these subcommittees should be encouraged to create their own local resource guide or update/enhance one that already exists. Duties and Responsibilities: Collect copies of current local resource guides and evaluate their merit. Obtain copies of excellent local resource guides for distribution, sale and/or promotion. OR Create a local resource guide or enhance an existing one. Compile local resource information from committee members and community. Determine counties to include in resource guide. Type information into one computer file/database. Provide contact information (address, phone, fax, e-mail, web site) Provide one-line program/organizational descriptions. Information may be organized in the following categories: 5. Adolescent 10. EIP/Development 6. Child Abuse Services 11. Family Support 7. Child Care 12. Financial 8. CMS- Children’s Medical 13. Hearing/Vision Services (title differs in each state) 14. Medical/Health Services 9. Education 15. Mental Health
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16. 17. 18.
Migrant Nutritional Resources Parenting
19. 20. 21.
School Services Substance Abuse Therapies
Reproduce resource guide and compile with index, dividers, and cover. Distribute at training program. Assist with posting on the Internet (eg, National Center for Medical Home Initiatives web site – www,aap.org). Other duties as assigned.
Publicity Subcommittee
Basic Function: Members of this subcommittee are responsible for promoting the training program to potential target audience participants. This subcommittee will create or revise publicity materials (templates are available at the AAP) including press releases, Save-the-Date postcard, flyers, and Registration Brochure. Duties and Responsibilities: Create/Revise Save-the-Date Postcard. Collect labels of people to send the postcard and registration brochure. Print Save-the-Date postcard and mail. Send extra Save-the-Date postcards to planning committee to distribute. Create/Revise Press Release #1 announcing the program and date. Distribute Press Release #1 to planning committee members, local newspapers, listservs, web sites, etc. Contact AAP about the possibility of posting information on the National Center of Medical Home Initiatives for Children with Special Health Care Needs web site (www.aap.org). Create/Revise Registration Brochure. Print Registration Brochure and mail. Send extra Registration Brochures to planning committee to distribute. Create/Revise Press Release #2 announcing that registration materials are now available. Distribute Press Release #2 to planning committee members, local newspapers, listservs, web sites, etc. Develop a plan to get planning committee members to invite a specified number of attendees and identify particular individuals to help recruit certain populations that may need extra contact to sign-up (ie, residents, physicians, families, etc). Create a flyer to promote the training program for planning committee members and facilitators to distribute at meetings where they speak, etc. Work with the Logistics subcommittee regarding the date, location, registration fees, who is collecting the registration forms, etc. Invite local media (ie, newspaper or TV reporters) to cover the training program. Other duties as assigned.
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Logistics Subcommittee
Basic Function: Members of this subcommittee have the responsibility of setting up logistics for the training program including the date, location, cost of registration, food, audio visual requests, schedule, room assignments, room host assignments, registration, etc. Duties and Responsibilities: Select program date, location, and time. Create a program schedule including times, breaks, room assignments. Identify a CME provider and apply for credit. Establish registration process (ie, Who will collect registration forms? Who will collect the money? Who will make name badges? Who will run the registration table the day of the program? Who will creat tickets/schedules for the participants? Etc). Work with Facilitator Subcommittee to add facilitator names to the schedule and get their audio visual requests. Set up audio visual, food, and resource table logistics. Create “spec sheets” that include: room name, session title, times the room is in use, what audio visual requirement are needed in the room, number of chairs/tables, chair/table arrangement, etc. Reserve rooms, tables, chair and/or rent if necessary. Arrange for videotaping sessions (if applicable). Identify an audio visual person to help set up equipment and troubleshoot (preferable). Reserve a block of hotel rooms for out of town participants (if applicable). Identify local resource organizations to set up tables in the lobby of the training program. Assign room hosts to help facilitators set-up, move rooms, collect evaluation forms, pass out handouts, etc. Create directional signs for registration, rooms, lunch, etc. Compile and duplicate a contact roster of participants, facilitators, and planning committee members to distribute the day of the program for networking. Create/Revise an training program evaluation form and duplicate. Send out pre-evaluation or stuff in on-site registration material (if applicable). Send out 6-month post evaluation (if applicable). Other duties as assigned.
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Development Subcommittee
Basic Function: Members of this subcommittee are responsible for working with current planning committee members to identify “in-kind” contributions (ie, duplication of training manuals and marketing materials, room space, food, supplies, etc). This group is also responsible for identifying outside funding to help supplement registration fees and inkind contributions. Duties and Responsibilities: Survey planning committee members to identify in-kind contributions. Identify gaps. Seek outside funding from local foundations, pharmaceutical companies, etc. Work with Logistics to notify them (and Publicity) of the cost for participants to register for the program. Work with Publicity to recognize contributions in the day of program. Other duties as assigned.
Facilitator Selection Subcommittee
Basic Function: Members of this subcommittee are responsible for identifying, confirming, and preparing facilitators to speak at the Every Child Deserves a Medical Home Training Program. Duties and Responsibilities: Solicit input for entire planning committee about prospective facilitators (physicians, nurses, parents, and allied health care professionals). Work with the Logistics subcommittee to determine the schedule, topics, and number/types of facilitators. Rank order prospective facilitators by component and by facilitator type (ie, physician, allied health/nurse, and parent). Contact first choice facilitators. Confirm facilitators by sending out a letter. Invite the facilitators to come to a planning meeting. Send out Facilitator Training manual and slides. Identify timelines for facilitators to provide additional slides, handouts, etc. Work with Logistics to solicit audio visual needs. Work with Logistics to determine CME facilitator requirements (ie, collect CV’s, speaker disclosure form, speaker data form, etc). Develop Facilitator Last Minute Information sheet to distribute the day of the program. This would include participant numbers, participant break down (ie, 50 physicians, 20 parents, etc), and information they need to know about evaluations, room logistics, etc. Identify a topic, moderator, and speakers for the panel discussion (if applicable). Confirm and prepare panelists (if applicable). Identify and confirm people to give welcoming remarks. Other duties as assigned.
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Logistics
This section provides timelines, potential 1-day formats, estimated budget, and other logistic information for the Every Child Deserves a Medical Home Training Program.
Implementation Timeline
Month 1 Identify and contact potential committee members and notify them about first meeting. Send each member a copy of the curriculum for review prior to meeting 1.
Month 2
Planning meeting 1 agenda (w/ committee members): Discuss purpose, goals, and overall process of implementing the training program Discuss local issues to incorporate into curriculum Identify training date Logistics Where will the training program be held? What are the room capacities? Who is the target audience? Will CME credit be given? Will there be a registration fee? If so, how much and for who? Will refreshments/meals be served? Who is funding this training program? What is the budget? Develop marketing plan Create mailing list Decide on what marketing tools to use (eg, save the date card and registration brochure) Discuss other strategies (eg, local newspapers, newsletters, e-mail, web sites, etc) Identify subcommittee to create a local resource guide for distribution at training Set next meeting date Send out “Save the Date” cards at least 3 months prior to training. Hold subcommittee conference calls
Month 3
Month 4
Month 5
Meeting 2 agenda: Nominate potential facilitators Discuss local needs Subcommittee reports Set next meeting date Send out registration materials Secure facilitators for the training Meeting 3 agenda (w/ planning committee and facilitators): Acquaint facilitators with the training program, goals, process, and their responsibilities Identify the local issues for the facilitators to incorporate into their component’s presentation Training Program Send out 6-month post training evaluations
Month 6
Month 8 Month 14
Refer to Sample Agendas in Appendix
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Average Number of Facilitators: 18
Assuming a training program uses all six components and does not need to have any one component being presented twice at the same time, 18 facilitators will suffice. It is recommended that a local pediatrician or family physician, nurse or allied health care professional, and family representative co-facilitate each component to exemplify the medical home approach of collaboration.
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Training Program Schedule Options
Below is a list of different ways to organize a one-day training program. A brief description is provided with each option to give you an idea of how each option differs. Please remember that all components can be presented in the same time allotment. The mention of only the first four components is only for descriptive purposes.
Option 1* This format works well if you want to have a plenary Common Elements session, a breakout session for Family Professional Partnerships and Practices, Policies, and Procedures, and then another plenary for the Comprehensive, Coordinated, Collaborative Care component. A minimum of two rooms would be necessary.
Option 2* This format works well if you want smaller break out sessions than Option 1. Your total participants will be divided three ways instead of two. An optional Parent Resource Component is offered in conjunction with Family Professional Partnerships and Practices, Policies, and Procedures sessions. The Comprehensive, Coordinated, Collaborative Care component can then be offered in the afternoon. One facilitator team can implement this session for everyone, or an additional team or two can be used to create smaller simultaneous breakout sessions of this component.
Time 8:00-8:15 8:15-9:00 9:10-10:40 Presentation Welcome Common Elements A. Family Professional Partnerships B. Practices, Policies, and Procedures C. Parent Resource Component A. Family Professional Partnerships B. Practices, Policies, and Procedures C. Parent Resource Component Lunch/Tours Comprehensive, Coordinated, Collaborative Care Wrap-up/Evals
Participants
Time 8:00-8:15 8:15-9:00 9:10-10:40
Presentation Welcome Common Elements A. Family Professional Partnerships B. Practices, Policies, and Procedures
Participants
ALL ALL 50% 50%
ALL ALL 33/33/33
10:50- 12:20
A. Family Professional Partnerships B. Practices, Policies, and Procedures
50% 50%
10:50- 12:20
33/33/33
12:20-1:30 1:30-4:45
Lunch/Tours Comprehensive, Coordinated, Collaborative Care Wrap-up/Evals
ALL ALL
12:20-1:30 1:30-4:45
4:45-5:00 *Option
ALL
4:45-5:00
ALL 50%/50% or 33%/33%/3 3% ALL
feasibility depends on total number of participants and room sizes.
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Option 3* This option requires that the Comprehensive, Coordinated, Collaborative Care be condensed from its 3 hour length to the same time as the Family Professional Partnerships and Practices, Policies, and Procedures sessions. This option then allows for smaller breakout sessions on all three components. The Comprehensive, Coordinated, Collaborative Care session has been condensed by removing the 1 hour community resource panel option. It has been placed at the end of the day for everyone to attend at once.
Time 8:00-8:15 Presentation Welcome
Participants
Option 4* This option is designed to hold the training in a one-day format, including the transitions component. To ensure everyone participates in each “break out session,” the Family Professional Partnerships component is substituted for the Transitions component. Key slides/material from the Family Professional Partnership component are encouraged to be incorporated into the Common Elements presentation.
ALL
Time 8:30-8:45
Presentation Welcome
Participants
ALL
8:15-9:00 9:10-10:40
10:50- 12:20
Common Elements A. Family Professional Partnerships B. Practices, Policies, and Procedures C. Comprehensive, Coordinated, Collaborative Care (Minus panel and practical applications) A. Family Professional Partnerships B. Practices, Policies, and Procedures C. Comprehensive, Coordinated, Collaborative Care (Minus panel and practical applications) Lunch/Tours A. Family Professional Partnerships B. Practices, Policies, and Procedures C. Comprehensive, Coordinated, Collaborative Care (Minus panel and practical applications) Resource Panel from Comprehensive, Coordinated, Collaborative Care Component Wrap-up/Evals
ALL 33% 33% 33%
8:45-9:45 9:45-9:55
Common Elements Break/Resource Tables
ALL ALL
33% 33% 33%
9:55-11:10
A. Transitions B. Practices, Policies, and Procedures C. Comprehensive, Coordinated, Collaborative Care (Minus panel and practical applications) Break/Resource Tables A. Transitions B. Practices, Policies, and Procedures C. Comprehensive, Coordinated, Collaborative Care (Minus panel and practical applications)
33% 33% 33%
12:20-1:30 1:30-3:00
ALL 33% 33% 33%
11:10-11:20 11:20-12:35
ALL 33% 33% 33%
3:10-4:10
ALL
12:35-1:45
Lunch, Resource Tables
ALL
4:10-4:30
ALL
1:45-3:00
A. Transitions B. Practices, Policies, and Procedures C. Comprehensive, Coordinated, Collaborative Care (Minus panel and practical applications) Break/Resource Tables Panel Discussion Closing and Evaluations
33% 33% 33%
3:00-3:10 3:10-4:10 4:10-4:30
ALL ALL ALL
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The training program can be altered to fit many different situations. Refer to sample schedules from past programs in Appendix.
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Estimated Budget
Below is a list of potential expenses to be incurred while hosting the Every Child Deserves a Medical Home Training Program. The training budget for each site will vary as the total number of participants, training program format, in-kind contributions, and marketing strategies change. The following budget is based on a total of 100 people, including committee members and facilitators, attending a one-day, four component, training program. These figures are based on AAP’s standard rate for duplication and purchasing supplies, therefore, the following expenses may be higher with external organizations.
Potential Expenses Training Manual (100 attendees x $15/manual*) *includes duplication, binder, and tabs Food (breakfast, lunch, and break) for 100 attendees ($25/person) 35mm Slide Production (40 slides x $2/slide x 4 components) Name tags/Misc. Expenses CME Credit Marketing Material Duplication Postage (sending 1 postcard ($0.33) and 1 brochure ($0.33) to 2500 people) TOTAL Additional Potential Expenses to Consider Committee member travel expenses Facilitator expenses Express mail expenses for sending manuals to committee members and facilitators Audio/Visual rental fees Meeting room rental fees Honoraria Meeting Planner Total Total 1,500 2,500 320 100 400 4,752 1,600 11,172
$
445 1,300 1,700 500 500 TBD 5,000 9,445
$
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Evaluation
Evaluations are typically distributed prior to the training, immediately following the training, and 6-months post-training. Below is a brief description of the three Every Child Deserves a Medical Home training program evaluations and a sample post-training evaluation can be found on the next page.
Day-of- Training Evaluation
Immediately following each session, participants are asked to provide feedback on that session. At the end of the 1-day training, participants are also asked to fill out a general post-training evaluation that encompasses the whole program. This feedback is most useful for the facilitators and the planning committee to see if the immediate goals were achieved. A sample evaluation of the general post-training evaluation can be found on the next page.
6-Month Post-Training Evaluation
Six months post-training, the baseline evaluation is distributed. The 6-month post evaluation results can be compared with the baseline results to see if any long-term behavior change has occurred. Various sites may choose to create a new 6-month post evaluation to meet that committee’s specific needs.
Refer to sample evaluations in the Appendix.
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Technical Assistance
The American Academy of Pediatrics’ Medical Home Training Program will provide technical assistance to any person or organization deciding to implement the Every Child Deserves a Medical Home Training Program. A curriculum package is available at no charge for these sites.
The curriculum package provides the following:
• Facilitator Training Manual: This manual is designed for the facilitator(s) and include teaching points for each slide, examples that illustrate the teaching points, space for the facilitator’s own examples, discussion questions, group exercises, case studies, and handouts with directions for their use during the session. The Every Child Deserves a Medical Home training curriculum has been written at a national level, so that facilitators can add local information of interest to their community. One master copy of this manual will be supplied in the curriculum package. Participant Training Manual: This manual is designed for the participants. All of the information and formatting is the same as the facilitator manual, however, the teaching comments have been deleted. One master copy of this manual will be supplied in the curriculum package. Slides: Power Point slides for all components of the training program will be supplied on a 3 ½” IBM formatted disk. Each site may then decide to replicate them for use on a 35mm, overhead, or LCD projector. The slides correspond to the slide copy in the facilitator and participant manuals. To enhance the slides’ readability, the slide copy is sometimes abbreviated from the wording in the manuals.
•
•
Marketing Materials: A master copy of a “save the date” postcard and a registration brochure will be supplied in the curriculum package. For more information on receiving technical assistance contact: Jennifer Marks, MPH Lauri Levin, MSW Manager, Training Programs Manager, Technical Assistance American Academy of Pediatrics American Academy of Pediatrics 141 Northwest Point Blvd. 141 Northwest Point Blvd. Elk Grove Village, IL 60007-1098 Elk Grove Village, IL 60007-1098 Phone: 800/433-9016 ext 4924 Phone: 800/433-9016 ext 7621 Fax: 847/228-7035 Fax: 847/228-6432 E-mail: jmarks@aap.org E-mail: llevin@aap.org
Can provide technical assistance on implementing a medical home training program. Can provide technical assistance by providing strategies and resources on medical homes.
•
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Appendix
Planning Meeting Agendas Past Program Schedules Press Releases Registration Brochure Evaluations
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Planning Meeting Agendas
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Every Child Deserves a Medical Home Training Program Planning Committee Meeting 1 April 7, 2000 10:00am-3:00pm
AGENDA TOPICS
Welcome/Introductions Goal of Training Program Background Information Overview of Implementation Process Role of Committee Members Role of Facilitators Role of Subcommittees Identify subcommittee members Role of Support Staff/Hosts 5. Discussion about local needs and necessary focus of curriculum 6. Logistic Issues - Training Date Selection - Program Hosting Facility - Target number of Participants - Program schedule options - Registration fee - Staff expenses - CME/CEU Supplier - Support Staff 7. Facilitator recommendations 8. Marketing Strategy - Save the date card - Schedule/Registration materials - Web site (www.aap.org Click on Advocacy, under “programs” click “Every Child Deserves a Medical Home Training Program”) - Identification of mailing list recipients - Other strategies (newsletters, newspaper, etc) 9. Discussion about post-training efforts 10. Train-the-trainers session? 11. Date for Next Meeting 1. 2. 3. 4.
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Every Child Deserves a Medical Home Training Program Planning Committee Meeting 2 June 2, 2000 10:00am-3:00pm
AGENDA TOPICS
1. Welcome/Introductions 2. Subcommittee Reports/Updates Local Resource Guide Managed Care Panel Transitions 3. Logistics Program facility 4. Marketing Mailing Labels Save the Date Postcard Press Release #1 5. Facilitator Nominations 6. Discussion about local needs and local focus ideas for curriculum 7. Date for Next Meeting with Facilitators
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Every Child Deserves a Medical Home Training Program Planning Committee Meeting 3 September 8, 2000 10:00am-3:00pm 1. Welcome/Introductions 2. Subcommittee Updates
Resource Guide Subcommittee Update Panel Discussion (MCO) Subcommittee Update Transitions Component Subcommittee
3. Logistic Information
Facility Update On-site Staff Sign Up A/V Available Sign Up Resource Table Sign Up
4. Marketing
Draft Brochure Press Release 2 Web site update Direct Marketing Collect copies of publicity
5. Long-term goals
NOON:
6. 7. 8. 9.
LUNCH BREAK
Facilitator Meeting
Program Overview Facilitator Guidelines Explanation of Training Manuals Co-facilitators teams meet and plan for presentation
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Past Program Schedules
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Training Program Schedule
November 9, 2000 Salt Lake City, UT Primary Children’s Medical Center TIME 7:00-7:55 SESSIONS Registration – 3rd Floor Lobby Breakfast/Resource Tables – Multi Purpose Room (3rd Floor) Welcome – Auditorium, Room A/B, D/E & Multi Purpose Room Common Elements/Grand Rounds – Auditorium, Room A/B, D/E & Multi Purpose Room) Break/Resource Tables – Multi Purpose Room (3rd Floor) Family Professional Partnerships – Classroom D/E (3rd Floor) Practices, Policies, and Procedures – Auditorium (3rd Floor) Comprehensive, Coordinated, Collaborative Care – Room A/B (3rd Floor)
7:55-8:05
8:05-9:00
9:00-9:20
9:20-10:35 Look at your tickets to see which one of these sessions /teams you see now. 10:35-10:55 10:55- 12:10
Break/Resource Tables – Multi Purpose Room (3rd Floor) Family Professional Partnerships – Classroom D/E (3rd Floor) Practices, Policies, and Procedures – Auditorium (3rd Floor)
Look at your tickets to see which one of these sessions /teams you see now. 12:10-1:10
Comprehensive, Coordinated, Collaborative Care – Room A/B (3rd Floor)
Lunch/Resource Tables – Multi Purpose Room (3rd Floor)
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1:10-2:25 Look at your tickets to see which one of these sessions /teams you see now. 2:25-2:45 2:45-4:15 4:15-4:30 4:30
Family Professional Partnerships – Classroom D/E (3rd Floor) Practices, Policies, and Procedures – Auditorium (3rd Floor) Comprehensive, Coordinated, Collaborative Care – Room A/B (3rd Floor)
Break/Resource Tables – Multi Purpose Room (3rd Floor) Panel – Auditorium (3rd Floor) Closing and Evaluations – Auditorium (3rd Floor) Optional tours will be available of Primary Children’s Medical Center Meet at the 1st Floor Information Desk
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Training Program Schedule
TIME 8:00-9:00 9:00-9:15 June 29, 2000 Minneapolis, MN Shriners Hospital SESSIONS Registration/Resource Tables/Breakfast Welcome – MIDWEST ROOM Common Elements – MIDWEST ROOM Break/Resource Tables Family Professional Partnerships – MIDWEST ROOM Practices, Policies, and Procedures – AUDITORIUM
9:15-10:00 10:00-10:10 10:10-11:25
Look at your white registration tickets to see which session you attend now. These are in the envelope with your name badge.
11:25-12:30 12:30-1:45
Look at your white registration tickets to see which session you attend now.
Lunch Break/Resource Tables Comprehensive, Coordinated, Collaborative Care – RECREATION ROOM Family Professional Partnerships – MIDWEST ROOM Break/Resource Tables Practices, Policies, and Procedures – AUDITORIUM Comprehensive, Coordinated, Collaborative Care – RECREATION ROOM Break – Return to Midwest Room Managed Care Panel – MIDWEST ROOM Closing and Evaluations – MIDWEST ROOM Optional Tours of Shriners Hospital – Depart from ACU LOBBY
1:45-1:55 1:55-3:10
Look at your white registration tickets to see which session you attend now.
3:10-3:20 3:20-4:20 4:20-4:30 4:30-5:00
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TIME 7:00-8:00
SESSIONS Registration/Resource Tables/Breakfast
8:10-8:30 **10 minute gap is due to runover from registration**
Welcome
Common Elements 8:30 -9:15
This opening session provides an overview of the medical home approach to quality, comprehensive health care for children with special needs.
9:15-9:30 9:30 – 10:45 **Participants choose their choice of 3 sessions to attend. **
Break/Change of Rooms
A. Practices, Policies, and Procedures
Practical strategies to implement medical home into practice will be discussed including useful CPT Codes, data management techniques and cost-effective ways to improve office design and layout.
B. Family- Professional Partnerships
The common elements of family centered care and strategies to develop family-professional partnerships will be discussed.
C. Transitioning Children and Youth to Adulthood
Understand transition related issues and strategies for advancing children and youth into adulthood.
D. Advocacy
Learn strategies to better advocate for children with special needs and identify key partners to assist in these efforts.
E. Comprehensive, Coordinated, Collaborative Care
Strategies for coordinating care, working with community based resources, and collaborating with specialists and allied health care professionals will be discussed.
10:45-11:00 11:00-12:15
Break/Change of Rooms
Break-out sessions (A, B, C, D or E)
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12:15-1:30
Lunch/Tours of Shriners Hospital/ Local Resource tables
1:30-2:45
Break-out sessions (A, B, C, D or E)
2:45-3:00
Break/Resource Tables
3:00-4:15
Closing Panel Discussion
4:15-4:30
Closing and Evaluations
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TIME 10:00-11:00AM 11:00-11:15AM
SESSIONS Registration/Resource Tables/Continental Breakfast Welcome Common Elements and Family-Professional Partnerships This plenary session provides an overview of the medical home efforts in Honolulu and the common elements of family centered care. Strategies employed to develop the common elements among private practice, academic practice, community health clinic practices and families will be discussed. Break/Change of Rooms Breakout Sessions A, B, and C A.Transitioning Children and Youth to Adulthood B. Practices, Policies, and Procedures C. Comprehensive, Coordinated, Collaborative Care Change rooms – Pick up lunch Lunch/ Resource Tables/Tour of Shriners/ Focus Group on School Readiness Change of rooms Breakout Sessions A, B, and C
11:15-11:45
11:45-12:00 12:00-1:15
1:15- 1:30 1:30-2:30 2:30-2:45 2:45-4:00
4:00-4:15
Break/Change of Rooms
4:15-4:45
Closing Discussion
4:45-5:00
Closing/ Evaluations
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Press Releases
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ANNOUNCEMENT Press Release #1
Los Angeles - The American Academy of Pediatrics (AAP) and the Shriners Hospitals for Children will offer its Every Child Deserves a Medical Home educational program on April 26, 2003 at the Shriners Hospital for Children – Los Angeles. This program is also a collaborative effort with the California Chapter 2 of the American Academy of Pediatrics. The Shriners Hospitals for Children sponsored program gives strategies and resources for pediatricians, family physicians, allied health professionals, and families to provide optimal care to children with special needs in a changing health care environment. Its components will include: common elements of a medical home; practices, policies and procedures; care coordination and strategies for providing family-professional partnerships; local and state advocacy, screening and surveillance; and transitioning children with special needs to adulthood. A closing discussion focusing on initiatives for furthering the medical home concept within California is also scheduled. The target audience includes pediatric health professionals and their staff, families of children with special needs, managed care professionals, policy makers, community members and other professionals who care for children with special needs. Registration fees will be assigned on a sliding scale: $50 for physicians; $30 for nurses, educators, and other health professionals; $15 for medical residents or parents of children with special needs. Limited scholarships for parents of children with special health needs are available to help cover child-care and other expenses. Registration material will be forthcoming. For more information visit www.medicalhomeinfo.org (click on training programs, then click upcoming training sites) or call 800/433-9016, ext. 7081, or e-mail mhtraining@aap.org. The American Academy of Pediatrics is an organization of 57,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well being of infants, children, adolescents and young adults. The AAP believes that all children, particularly children with special needs, should have a medical home where health care services are accessible, family-centered, continuous, comprehensive, coordinated, compassionate and culturally competent. ###
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ANNOUNCEMENT Press Release #2
Physicians, Families and Health Professionals Partner to Give Children A “Medical Home” ST. LOUIS - An increasingly popular approach to providing the best care for children with special needs is coming to St. Louis. On December 7, 2002, Shriners Hospitals for Children in St Louis, the American Academy Pediatrics (AAP), Family Voices, and 34 other local service agencies partner to present a new initiative to families and providers with the educational program "Every Child Deserves a Medical Home." The program focuses on ensuring that children with special needs have a “medical home” – a place where health care services are accessible, family-centered, comprehensive, compassionate and culturally competent. The participating agencies hope that this program serves as a critical step in developing a state plan to ensure a medical home for every child with special needs. The program – slated for December 7, 2002 at Shriners Hospital in St. Louis - aims to support pediatric healthcare professionals, children with special healthcare needs, their families and their communities. It is a collaborative effort with the Missouri and Illinois State Chapters of AAP. According to Dr. Perry L. Schoenecker, chief of staff at the St. Louis Shriners Hospital, the program aims to improve the efficiency in the way children with special needs are served in our community. "This program's purpose is to identify and access all the medical and non-medical services needed to help children with special health care needs achieve their maximum potential," he explained. Sponsored by the international Shriners Hospital system, “Every Child Deserves a Medical Home” gives strategies and resources for pediatricians, family physicians, allied health professionals, and families to provide optimal care to children with special needs in a changing health care environment. Key components of the training include: developing strategies for improving family-professional partnerships, maximizing care coordination activities, and modifying daily practices and procedures that accompany healthcare for children with special needs.
The target audience includes pediatric health professionals and their office staff, families of children with special needs, managed care professionals, policy makers, community members and other professionals who care for children with special needs. Registration fee for physicians, nurses, educators, and other health professionals will be $50. There will be a $15 charge for families and caregivers of children with special needs. Limited scholarships for families and caregivers of children with special health needs are available to help cover child-care and other expenses. Registration material will be forthcoming. For more information visit www.medicalhomeinfo.org (click on training sites, then click upcoming sites). For more information call 800/433-9016, ext. 7081, or e-mail: mhtraining@aap.org. Shriners Hospital in St. Louis is part of a 22-hospital system that provides world-class, family-centered, orthopedic care to children at no cost to their families. The Shrine fraternity has provided funding for the hospital system since its inception in 1922, which accepts all children, under the age of 18, in need of its specialized medical care, regardless of financial need or relationship to a Shriner. The American Academy of Pediatrics is an organization of 57,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. Shriners Hospitals for Children and the AAP believe that all children, particularly children with special needs, should have a “medical home” – a place where health care services are accessible, family-centered, comprehensive, compassionate and culturally competent.
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Registration Brochure
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Every Child Deserves a Medical Home
Join us on December 2 as we listen to general pediatricians, professional staff, and parents on how to provide care for children with special health care needs and answer questions such as:
What is a “medical home”? How can we work together to provide a medical home for children and youth with special needs with your limited time and resources? Can your office (child’s office) provide care coordination? What should your practice do to improve your chance of receiving adequate reimbursement? What CPT codes should you be using? What resources are available for families and professionals caring for children with special needs? How does your office work with the managed care organizations, their case managers, home care coordinators? How can families, nurses, child advocates, physicians, and other professionals collaborate to provide “medical homes”? How can children and youth successfully transition to adulthood and adult health care?
COURSE OBJECTIVES
General pediatricians, family physicians, pediatric subspecialists, other professionals, nurses, pediatric office staff, social workers, community resource organizations, and parents and families of children and youth with special needs are invited to participate in the course. Upon completion of this course, participants will be able to: (1) Explain the elements of the medical home concept as applied to their practice environment or child’s care; (2) Discuss practical strategies for helping parents, providers, and young people transition to adult independence, health care with funding, and work; (3) Describe practical strategies to translate the concept of Medical Home for CSHCN into office or clinic practices sensitive to the needs of CSHCN and their families; (4) Identify resources available to CSHCN and their families and strategies for coordinating care and promoting interagency collaboration; (5) Discuss current issues in managed care coverage and reimbursement as they relate to the Medical Home for CSHCN and transition to adult health care.
FACULTY Common Elements:
Veronica Brown – Parent; Director, Parent Information Network of KY, Inc. (PiNK) Ron Lehocky, MD – Private Pediatrician w/ Baron, Roth, Lehocky, Katz, PSC Richard Mier, MD – Director of Pediatric Services, Shriners Hospital for Children Cheryl Perritt – Parent; KY Osteogenesis Imperfecta Support Group Leader; Advocate for those with Disabilities; Partners in Policymaking; Teacher
TIME 7:30-8:30 8:30-8:45
SESSIONS Registration/Resource Tables/ Technology Demo/Breakfast Welcome Common Elements This plenary session provides an overview of the medical home 8:45-9:45 concept. Break/Resource Tables 9:45-9:55 Breakout sessions A and B A. Transitions Understand transition related issues and strategies for 9:55-11:10 advancing children and youth into adulthood. B. Practices, Policies, and Procedures Practical strategies to implement medical homes into practice will be discussed. 11:10-11:20 Break/Resource Tables 11:20-12:35 Breakout sessions B and C C. Comprehensive, Coordinated, Collaborative Care Strategies for coordinating care, working with community based resources, and collaborating with specialists and allied health care professionals will be discussed. Lunch/Resource Tables/Tours of Shriners/Technology Demo 12:35-1:45 1:45-3:00 Breakout sessions A and C repeat Break 3:00-3:10 3:10-4:10 Managed Care Panel Discussion 4:10-4:30 Closing and Evaluations 5:00-6:00 Optional Train-the-Trainer Meeting All participants will receive a training manual, continental breakfast, and lunch. On-site daycare is not available. Parent/Family scholarships will be awarded on a first-come, first-serve basis.
Transitions:
Patti Hackett, MEd – Family Leader; MCHB-HRTW Consultant, Disability Studies and Services Center, Academy for Education Development Hatim Omar, MD – Director, Adolescent Medicine and Young Parent Program, University of Kentucky
Practices, Policies, and Procedures:
Jim Hedrick, MD – Pediatrician, Bardstown, KY Linda Mayle, RN, BSN – Parent; Perioperative Educator, Surgical Services of Jewish Hospital – Louisville, KY
Comprehensive, Coordinated, Collaborative Care:
Donna Gatewood, RN – Parent; Parent Coordinator, Fayette County Public Schools - Special Education Parent Resource Center; Coordinator of Parents Linking and Networking Support Group Beth Jackson, MD – Pediatric Nephrologist, University of Kentucky Betty Presler, ARNP,CPNP,PhD – CHOICES Co-Coordinator, Shriners Hospital for Children
Managed Care Panel Discussion:
Moderator: Ann Marks, RN,BSN,CCM,CDMS – Deputy Secretary, Kentucky Cabinet for Health Services Charlene Dreher, RN, CCM – Passport Health Plan Jacqueline R. Simmons, MD, MPH – Chief Medical Officer, Passport Health Plan Thomas James, MD – Senior, Medical Director, Humana Health Plans Sandra Ward, RN, CCM – Director of Medical Resource Management, TPA Preferred Health Plan, Inc.
REGISTRATION DEADLINE: NOVEMBER 25
Please fill out one form per registrant. For additional information, call 800/433-9016, ext 4902 or e-mail: mhtraining@aap.org. Funding for this event has been provided by an education grant from Shriners Hospitals for Children with additional support from the HRSA/Maternal and Child Health Bureau. The CME Office at the American Academy of Pediatrics reserves the right to cancel this activity for any reason whatsoever. In the event of such cancellation, the full enrollment fee will be returned to the registrant.
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Continuing Educational Credit Information
CME
The American Academy of Pediatrics is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The American Academy of Pediatrics designates this educational activity for up to 6 hours in category 1 credit toward the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he or she actually spent in the educational activity. This activity is acceptable for up to 6 AAP credit hours. These credits can be applied toward the PREP Education Award available to Fellows and Candidate Fellows of the American Academy of Pediatrics. This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Pediatrics and the American Academy of Pediatrics Medical Home Training Program. The American Academy of Pediatrics is accredited by the ACCME to provide continuing medical education.
EVERY CHILD DESERVES A MEDICAL HOME
An Educational Program for Physicians, Other Professionals, Office Staff, Child Advocates and Parents Who Care for Children with Special Needs in a Managed Care Environment.
CEU
You must attend the entire 6.9 hour course and complete an evaluation form at the completion of the workshop. 6.9 Contact Hours have been approved by the Kentucky Board of Nursing, Provider Offering Number: 4-008-7-02-065. Expiration Date: July 1, 2002 Kentucky Board of Nursing Approval of an individual nursing continuing education provider does not constitute endorsement of a program content. We reserve the right to cancel the course or substitute equally qualified faculty if circumstances warrant these changes.
Other Continuing Education Credit
If you are seeking some other form of continuing education credit, you may take your CME certificate and a copy of the agenda to your professional organization. The AAP CME hours should be honored.
December 2, 2000 8:00am-4:30pm Lexington Shriners Hospital 1900 Richmond Rd Lexington, KY 40502
Sponsored by:
CHECK-IN EARLY ON DECEMBER 2nd!
From 7:30-8:30 am you will need to check in to receive your training materials. Community resource organizations will have information tables available beginning at 7:30 am along with a continental breakfast. Free parking is available in the Shriners Hospital Parking Lot. The meeting sites are fully wheel chair accessible.
Shriners Hospitals for Children
In Collaboration with: American Academy of Pediatrics Kentucky Commission for Children with Special Health Care Needs February 26-27, 1999 Family Voices Kentucky Pediatric Society Embassy Suites Historic Charleston Maternal and Child Health Bureau 337 Meeting Street and Charleston, SC 29403 National Association of Children’s Hospitals and 41 Related Institutions
Insert Logos here
Every Child Deserves a Medical Home REGISTRATION FORM Lexington, KY December 2, 2000
Mail this form with payment to: American Academy of Pediatrics PO Box 77-2862 Chicago, IL 60678-2862 Fax: 847/228-5059 Register on-line: www.aap.org (Keyword search: “medical home training main”, then click training sites)
Name (First and Last): Position: (specify: Pediatrician, Family Practitioner, Nurse, Allied Health Care Professional, Parent, etc.) Organization Address City/State/Zip Daytime Phone Fax E-mail
If you are attending as a team write names above. Cost ____$25 for all participants Form of Payment (check one of the following) _____ Check Enclosed (make check payable to the American Academy of Pediatrics) _____ Visa/Mastercard (Number: ___________________ Expiration: _____) Parent Scholarship Opportunity Up to 10 parents of children with special health care needs will be awarded up to a $75 scholarship to help cover day-care expenses and registration (only one per family). Would you like to be considered for a Parent Scholarship? Yes ________ No _________ How much would you like your parent scholarship to be for? (check one of the following) ____$50 for daycare or travel ____$25 for registration ____$75 for daycare, travel, and registration Optional Train-the-Trainers Meeting There also will be a post-training meeting discussion for those who may be interested in holding a Medical Home Conference in their geographic area or developing a train-the-trainers program. Would you be interested in attending a train-the-trainers meeting on December 2nd at Shriners in the Boardroom from 5-6pm? Yes _________ No __________ Special Requests Do you have any special dietary request? ________________________________________________ Do you have any other support needs? Please describe: _____________________________________
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PLEASE FILL OUT ONE FORM PER REGISTRANT
Save-the-Date Postcard
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Learn more about how to ensure that children with special needs receive family-centered, community-based, coordinated care. Gain practical information on… •Navigating managed care •Transitioning teens to adulthood •Collaborating with community resource organizations
Attend the Every Child Deserves a Medical Home Training Program in Lexington, KY
December 2, 2000 - Lexington Shriners Hospital 8:00 am - 4:30 pm
CME and CEU credit hours available $25 Registration fee for all participants
Registration materials will be available in October, 2000.
For Kentucky Physicians, Office Staff, Parents, Child Health Advocates, and Allied Health Care Professionals who care for children with special needs —
FOR MORE INFORMATION, CONTACT: The National Center of Medical Home Initiatives for Children With Special Needs American Academy of Pediatrics 800/433-9016, ext 4902 email: mhtraining@aap.org www.aap.org (Key word search: “medical home training main”, then click on “Training Sites”)
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Evaluations
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EVERY CHILD DESERVES A MEDICAL HOME
Greenville, SC May 18,2002 1. Please indicate if you strongly agree, agree, disagree, or strongly disagree with the following statements.
Session: Common Elements
Strongly Disagree 1 1 1
Disagree 2 2 2
Not Sure 3 3 3
Agree 4 4 4
Strongly Agree 5 5 5
Overall I was very satisfied with the content of the session. The interaction between the physician, health professional, and parent facilitators enhanced the quality of the presentation. The information presented was something I can take back and implement in my own work or in my relationship with my child’s PCP.
1
2
3
4
5
Session: Practices, Policies, & Procedures
Strongly Disagree 1 1 1
Disagree 2 2 2
Not Sure 3 3 3
Agree 4 4 4
Strongly Agree 5 5 5
Overall I was very satisfied with the content of the session. The interaction between the physician, health professional, and parent facilitators enhanced the quality of the presentation. The information presented was something I can take back and implement in my own work or in my relationship with my child’s PCP.
1
2
3
4
5
Session: Comprehensive, Coordinated, Collaborative Care
Overall I was very satisfied with the content of the session. The interaction between the physician, health professional, and parent facilitators enhanced the quality of the presentation. The information presented was something I can take back and implement in my own work or in my relationship with my child’s PCP.
Strongly Disagree 1 1 1
Disagree 2 2 2
Not Sure 3 3 3
Agree 4 4 4
Strongly Agree 5 5 5
1
2
3
4
5
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Session: Transitions
Strongly Disagree 1 1 1
Disagree 2 2 2
Not Sure 3 3 3
Agree 4 4 4
Strongly Agree 5 5 5
Overall I was very satisfied with the content of the session. The interaction between the physician, health professional, and parent facilitators enhanced the quality of the presentation. The information presented was something I can take back and implement in my own work or in my relationship with my child’s PCP.
1
2
3
4
5
Session: Closing Panel Discussion
Strongly Disagree 1 1 1
Disagree 2 2 2
Not Sure 3 3 3
Agree 4 4 4
Strongly Agree 5 5 5
Overall I was very satisfied with the content of the session. The interaction between the physician, health professional, and parent facilitators enhanced the quality of the presentation. The information presented was something I can take back and implement in my own work or in my relationship with my child’s PCP.
1
2
3
4
5
Anne Arrington , LMSW (Transitions)
Debbie Howard (Transitions)
(Common Elements)
Joseph S. Geer MD, FAAP, FACMG
(Common Elements)
Keith Powell
Sherry Fields
Faculty member communicated in a manner that kept my interest Faculty member was organized, well prepared and presented information in a logical manner Faculty member effectively facilitated participant interaction
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
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(Transitions)
2. Please circle the response that most closely matches your opinion of the speakers for the following session – 1=Strongly Disagree, 2=Disagree, 3=Not Sure, 4=Agree, and 5=Strongly Agree
(Practices) BSN (Comprehensive)
(Practice s) Robert D. Walker MD, Fritz RN, FAAP Heather
(Transitio ns) Steve Ritter (Practices )
William Weathers MD, FAAP
Gratin Smith MD, FAAP Sherry Larson
(Closing Panel)
Sherry Larson
Faculty member communicated in a manner that kept my interest Faculty member was organized, well prepared and presented information in a logical manner Faculty member effectively facilitated participant interaction
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Katherine P. Smith MSW
(Closing Panel) W. John Langley MD,
Ashby Jordan MD, FAAP
(Comprehensive)
(Comprehensive)
Darlynn Thomas
Melanie Stile
(Closing Panel)
Faculty member communicated in a manner that kept my interest Faculty member was organized, well prepared and presented information in a logical manner Faculty member effectively facilitated participant interaction
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
3.
Circle the response that most closely resembles how you feel about the following statement: Overall I was very satisfied with the entire training program (circle only one answer):
Strongly Disagree 1 Disagree 2 Not Sure 3 Agree 4 Strongly Agree 5
4.
Please list any additional comments regarding your overall satisfaction of the training program:
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(Closing Panel)
Please circle the response that most closely matches your opinion of the speakers for the following session – 1=Strongly Disagree, 2=Disagree, 3=Not Sure, 4=Agree, and 5=Strongly Agree
FAAP
(Comprehensive)
Please circle the response that most closely matches your opinion of the speakers for the following session – 1=Strongly Disagree, 2=Disagree, 3=Not Sure, 4=Agree, and 5=Strongly Agree
5.
Listed are various aspects of the training program. Please check the “HELPFUL” box if you felt these aspects were helpful, the “NEEDED MORE” box if you felt the session could have used more of these aspects, or the “NOT HELPFUL” box after the item if you think these aspects of the training were not at all helpful. Please write-in any aspects of the program you found helpful but are not listed here: HELPFUL NEEDED MORE NOT HELPFUL
Presentation/teaching methods
Opportunity to talk with variety of health professionals Family participation Information on community resources Manual/Curriculum/Appendix Handouts Case Studies Other (_____________________________________) Other (_____________________________________) Other (_____________________________________) 6. 3 3 3 3 3 3 3 3 3
2 2 2 2 2 2 2 2 2
1 1 1 1 1 1 1 1 1
Tell us about the various organizations/services you learned about today. Check the box that most closely resembled your response (please write-in any organizations not listed): Learned about for the first time today Learned more today than previously known Already knew all I needed to know N/A Not applicable
Community Organizations
Shriners Hospitals American Academy of Pediatrics (AAP) Family Connections of South Carolina National Association of Children’s Hospitals and Related Institutions (NACHRI) Maternal and Child Health Bureau (MCHB) Pro-Parents Children’s Rehabilitative Services Babynet Center for Developmental Services Other (________________________________) 7.
1 1 1 1 1 1 1 1 1 1
2 2 2 2 2 2 2 2 2 2
3 3 3 3 3 3 3 3 3 3
4 4 4 4 4 4 4 4 4
4
If you could change anything about the training program, what would it be?
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(Examples: location, length of sessions, materials, etc)
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8.
List the one key piece of advise or resource that you received at this training that will help improve the care you provide to children with special needs:
9.
If future educational sessions were to be offered, what topics would you like more information about? Please write-in specific clinical issues, specific disease management issues, medical home topics, etc.:
10. Would you describe yourself as a: (Choose One) Physician .............................................................................................. 1 Other Professional (Please specify:________) .................................... 2 Family Representative ........................................................................ 3
11. We are looking for participant responses to the program for our marketing materials. If you wish, please write a statement about the training to describe the program to someone who has not attended, or to describe a particular part of the training that you found especially beneficial. If you agree to let us use your response in future printed materials, please sign your name below, along with your contact information.
Name/Title/Position:_______________________________________________________________________ ___________ Organization:______________________________________________________________________________ ____________ Phone/Fax/Email:_________________________________________________________________________ ____________ Signature:_________________________________________________________________________________ ____________
Thank you for taking time to provide this information to us. Your insights and comments will allow us to more appropriately shape the training sessions for future audiences.
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Every Child Deserves a Medical Home
POST-PROGRAM EVALUATION
This Survey will take approximately 10 minutes to complete. Your honest responses will allow us to make modifications to the program prior to the next scheduled training session. We encourage you to take the role of a consultant/advisor to this project and be very candid in your responses. Section 1. We are interested in receiving feedback about the training sessions. Please circle the response that most closely corresponds to how you feel. 1. Which of the sessions did you attend? (Circle all that apply.) Common Elements ................................................................. 1 Family-Professional Partnerships ........................................... 2 Practices, Policies, and Procedures ......................................... 3 Comprehensive, Coordinated, Collaborative Care ................. 4 Transitioning Children and Youth to Adulthood…………5 State and Local Advocacy………………………………...6
2. a.
What were your initial expectations for the sessions? Common Elements
b.
Family- Professional Partnerships
c.
Practices, Policies, and Procedures
d.
Comprehensive, Coordinated, Collaborative Care
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e. Transitioning Children and Youth to Adulthood
f. State and Local Advocacy
3.
How well did the sessions you attended meet these expectations? If you did not attend a session, please indicate this on the table.
Did Not Attend Session 9 Exceeded Expectations 5 Met Expectations 4 Not Sure 3 Somewhat Met Expectations 2 Did Not Meet Expectations 1
Common Elements Family-Professional Partnerships Practices, Policies, and Procedures Comprehensive, Coordinated, Collaborative Care Transitioning Children and Youth to Adulthood State and Local Advocacy
9 9
5 5
4 4
3 3
2 2
1 1
9
5
4
3
2
1
9
5
4
3
2
1
9
5
4
3
2
1
9
5
4
3
2
1
4.
What other presentation/teaching methods would you recommend be incorporated into the sessions (eg, role play, more or less didactic, etc.)?
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5.
What other materials, suggestions, ideas, etc. with which you are familiar would enhance others' learning? Please describe below. Brief description of materials:
Would you be willing to share those materials and methods with us? If yes, please provide information below. Your name and contact information:
6.
What did you like most about the training? (Please include the name of the specific sessions on which you are commenting.)
7.
What did you like least about the training? (Please include the name of the specific sessions on which you are commenting)
8.
We are interested in learning about the appeal of this training program and the associated information you received prior to registering for the course. Please comment on how accurately the brochure described the training you just experienced. If there is something we can change about the brochure, please indicate what you would suggest.
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9.
Would you describe yourself as a: (Choose One) Pediatrician .......................................................................................... 1 Family Physician ................................................................................. 2 Other Physician Specialty (Please specify:________) ........................ 3 Other Health Care Professional (Please specify:________) .............. 4 Family Representative ........................................................................ 5
Thank you for taking time to provide this information. Your insights and comments will allow us to more appropriately shape the training sessions for future audiences.
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