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Il slides final Il slides final Presentation Transcript

  • ABCD III Early Lessons: Coordinating Care for Young Children and Beyond: Early Lessons and Implications from Leading States Juanona Brewster, Illinois Chapter, AAP Julie Doetsch, IL Dept. of Healthcare and Family Services NASHP Webinar May 23, 2011
  • Illinois Healthy Beginnings II: Goals
    • Ensure that Illinois children receive coordinated comprehensive care in which providers collaborate to ensure the best possible outcomes are achieved for the child
    • Create support for children and their families who may be at risk for developmental delay but who are not eligible for Early Intervention (EI) or special education (SPED)
  • Illinois Healthy Beginnings II: Activities
    • Create a cross-systems data sharing plan for integrating access to service data from EI
    • Work with the states’ child health and welfare agencies to create policy and administrative changes to improve care coordination
    • Train Medical Homes to more effectively use patient panel rosters to enhance care coordination
    View slide
  • Referral Process CFC = Child and Family Connections offices of the IL Dept. of Human Services (DHS) Referral to EI by Community Service Provider Referral to EI by primary care provider (PCP) CFC determines EI eligibility PCP receives referral follow-up information View slide
  • Data Exchange: Opening the Communication Loop CFC populates C'stone with eligibility determination data C'stone sends referral electronically to CFC PCP Initiates EI Referral EI Child & Family Connections (CFC) Referral form data entered by PCP into HFS’ MEDI CFC populates C'stone with referrals from Community Service Providers Daily MEDI data transfer to DHS’ Cornerstone (C’stone) EI referral form completed by PCP
  • Data Exchange: Closing the Communication Loop PCP notified by MEDI when patient file changes CFC populates C'stone with eligibility determination data CFC populates C'stone with referrals from Community Service Providers C’stone sends referral electronically to CFC EI Child & Family Connections (CFC) PCP Receives Referral Outcome PCP views EI outcome data in MEDI C'stone transfers EI outcome data to MEDI
  • Coordinating Care – Statewide Provider Database (SPD)
    • Created by the Illinois Department of Children and Family Services
    • Provides geo-mapped information about community-based services
    • Will be used to address the non-medical needs of children and families – especially those who are not eligible for EI services
  • Sustainability: Coordinating with Other Initiatives
    • CHIPRA Demonstration Grant
      • Category A: New Measures
      • Category B: HIE/HIT
      • Category C: Medical Homes
      • Category E: Improving Birth Outcomes
    • Medical Home
    • Electronic Health Record (EHR) Meaningful Use
  • Early Lessons Learned
    • Listen and be flexible about the process
    • Engage and collaborate
    • Identify policy and administrative changes
    • Synergies with other projects
  • Thank You