Care Coordination for Children with Special Health Care Needs Enrolled in CHP+ Or Medicaid PDF Download
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Author: Debbie Costin
Publisher:
ISBN:
Category : Children with disabilities
Languages : en
Pages : 32
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Book Description
Author: Debbie Costin
Publisher:
ISBN:
Category : Children with disabilities
Languages : en
Pages : 32
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Book Description
Author: U. S. Department of Health and Human Services
Publisher: Createspace Independent Pub
ISBN: 9781490386263
Category : Medical
Languages : en
Pages : 44
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Book Description
The goal of this technical review is to examine critical issues of care coordination for children with special health care needs. It is intended to supplement the more comprehensive Evidence-based Practice Center (EPC) report on care coordination currently under preparation. Experts in the field such as Perrin and colleagues and Stein have described in detail the requirements for providing coordinated care for children with complex medical needs. In addition, professional organizations such as the American Academy of Pediatrics and a variety of advocacy groups and service programs for families with children with special health care needs have developed care coordination strategies and developed very useful guidance materials regarding this issue. These sources, while embracing general principles of care coordination that are relevant for all populations and age groups, emphasize those elements of care that are of particular importance for children with special health care needs. Although quite varied, they tend to be due to (1) the dependence of children on parents or other adult caretakers; (2) the distinct epidemiology of childhood and its implications for the organization of health services; (3) the developmental nature of child health problems and the need to link care with educational institutions; and (4) the special financial basis for child health and related services. The inherent dependence of children on adults acting on their behalf adds a level of complexity to care coordination efforts in that the facilitation, monitoring, and at times the enforcement of this proxy function must always be incorporated into coordinative programs for children. The most important distinctive characteristic of the epidemiology of childhood is that unlike in the elderly, serious chronic illness is relatively rare. This requires that specialized services for children with such disorders are heavily dependent on regional referral centers, programs that maintain the expertise, volume of patients, and resource commitment to address these serious but relatively rare disorders. The developmental nature of childhood implies that the problems and service needs of children will be highly dynamic over time and involve developmental support services, such as early intervention programs, as well as school-based interactions. Because children are the poorest segment of our population, poverty and means-tested public programs, such as Medicaid, are of particular concern in developing and evaluating care coordination efforts for children. In general, these efforts for improving the coordination of care for children with special health care needs have taken two forms: Specialized care coordination interventions for selected clinical populations. These include the use of case managers, the establishment of a medical home, or home care strategies. The structural organization of health care services. The dominant current approach is managed care. What has generally been lacking is an assessment of the evidence regarding the actual impact of care coordination efforts on outcomes for children with special health care needs. In response, this technical review is directed at the evaluative literature, those published reports that attempt to assess the experience of children with special health care needs and their families in response to purposeful care coordination efforts. Specifically, the technical review addresses the following objectives: 1. To identify and critically examine studies that empirically evaluate models of care coordination interventions for children with special health care needs. 2. To identify and critically examine studies that empirically evaluate the impact of managed care on children with special health care needs, particularly those enrolled in Medicaid. 3. To develop recommendations for future research and the evidence related to potential ameliorative action.
Author: AMCHP Working Group on Care Coordination
Publisher:
ISBN:
Category : Child health services
Languages : en
Pages : 15
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Author: David Hollar
Publisher: Springer Science & Business Media
ISBN: 146142335X
Category : Medical
Languages : en
Pages : 443
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Book Description
Children with chronic conditions, developmental disorders, and birth defects represent a sizeable minority of American children—as many as one in five. Often their families have financial or other issues limiting their access to appropriate care, thus limiting their adult prospects as well. Compounding the problem, many valuable resources concerning this population are difficult to access although they may be critical to the researchers, practitioners, and policymakers creating standards for quality care and services. In response, the Handbook of Children with Special Health Care Needs assembles research, applied, and policy perspectives reflecting the range of children’s problems requiring special services. Widely studied conditions (e.g., communication disorders, substance abuse) and those receiving lesser attention (e.g., tuberculosis) are covered, as are emerging ideas such as the “medical home” concept of continuity of care. Its interdisciplinary outlook makes the Handbook of Children with Special Health Care Needs a vital, forward-looking text for developmental psychologists, pediatricians, early childhood and special education researchers and practitioners, disability researchers, policymakers, and advocates, and providers for children with special health care needs.
Author: Paul H. Wise
Publisher: Department of Health and Human Services Public Health Servic
ISBN: 9781587632624
Category : Children with disabilities
Languages : en
Pages : 35
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Book Description
Author: ACCESS-MCH.
Publisher:
ISBN:
Category : Children with disabilities
Languages : en
Pages : 54
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Author: Brenda M. Holtzer
Publisher:
ISBN:
Category :
Languages : en
Pages : 198
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Author: Linda L. Eddy
Publisher: John Wiley & Sons
ISBN: 0813820820
Category : Medical
Languages : en
Pages : 272
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Book Description
Caring for Children with Special Healthcare Needs and Their Families: A Handbook for Healthcare Professionals provides a guide for addressing the challenges of providing optimal general and routine care for the special needs population. More than just caring for the patients, the text stresses the importance of caring for their families as well. The book begins with chapters on common aspects of this population, including physical or sensory disabilities and developmental and learning disabilities. Subsequent chapters expound on more specific topics related to communication, mobility, emotional issues, quality of life, and end-of-life. Caring for Children with Special Healthcare Needs and Their Families is a must-have book for family and pediatric nurse practitioners, registered nurses, healthcare technicians, physician assistants and social services professionals who see these patients regularly as part of their daily patient load.
Author: Madeline Marti-Morales
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Author: Deborah F. Perry
Publisher:
ISBN:
Category : Child health services
Languages : en
Pages : 10
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Book Description
Depending on the definition used, children with special health care needs may account for nearly one third of children in the United States and an even larger proportion of children who are enrolled in Medicaid. Children with special health care needs (CSHCN) often have diagnosed conditions that require specialized treatment services; these services frequently have been reimbursed by Medicaid under fee-for-service payment arrangements. Now that states are increasingly providing health care services to children enrolled in Medicaid through managed care systems, policymakers face the difficult task of building systems of care that meet the unique needs of CSHCN. The National Governors' Association convened a policy forum that included policymakers and program managers from five states where services for CSHCN are being provided or planned within a Medicaid managed care framework -- California, Florida, Massachusetts, Michigan, and Oregon. The forum participants discussed implementation issues and strategies for building a system of care that includes access to both primary care and specialty services. This Issue Brief summarizes these critical policy discussions. It is the last in a series of publications highlighting the needs of children as part of the Governors' Campaign for Children.
