The document discusses how information sharing through electronic records can help improve outcomes for children in foster care. It notes that foster children face unique challenges including trauma, frequent placement changes, and higher rates of special needs that require coordinated care. However, states and localities also face high medical costs for this population. The document advocates for cross-sector information sharing between agencies through tools like a Health Education Passport to better coordinate services and improve outcomes while lowering costs. Examples from other areas that have implemented similar systems show improved access to care and reduced psychiatric hospitalizations.
PCG Human Services White Paper - Cross-System Approaches That Promote Child W...Public Consulting Group
Child welfare agencies can successfully partner with Medicaid and managed care organizations to address the complex health and behavioral needs of children who experience maltreatment. If prevention and intervention efforts are applied early and effectively, these high-risk children and youth may avoid costly health conditions and experience improved health and psychological outcomes.
Child abuse and neglect is an important concern that negatively affects the physical and psychological well-being of a population that is already vulnerable. Increased preventive services to children in high-risk households can help states minimize the cost of health/medical services to deep-end youth, reduce the number of children with chronic medical conditions and can improve general well-being outcomes. Providing targeted prevention programs and interventions to these children of at-risk families have been shown to reduce the cost of providing intensive services to children with poor health outcomes later on.
Children who are investigated for maltreatment or enter the child welfare system have greater health needs. Children investigated by the welfare system have been found to have 1.5 times more chronic health conditions than the general population. After controlling for other risk factors, children with maltreatment reports have a 74-100% higher risk of hospital treatment. Over 28% of children involved with maltreatment investigations are diagnosed with chronic health conditions during the three years following the investigation.
Identifying and Serving Children with Health Complexity: Spotlight on Pediatr...LucilePackardFoundation
Children with health complexity face unique medical and social factors that impact their health and engagement of health care services. Health systems play an important role in addressing both factors to build health and resilience. Speakers will share their approach to using system and practice-level data to better identify appropriate care coordination and health management supports for these children. We will also spotlight how this approach was implemented in Kaiser Permanente Northwest through the Pediatric Care Together complex health management program.
PCG Human Services White Paper - Cross-System Approaches That Promote Child W...Public Consulting Group
Child welfare agencies can successfully partner with Medicaid and managed care organizations to address the complex health and behavioral needs of children who experience maltreatment. If prevention and intervention efforts are applied early and effectively, these high-risk children and youth may avoid costly health conditions and experience improved health and psychological outcomes.
Child abuse and neglect is an important concern that negatively affects the physical and psychological well-being of a population that is already vulnerable. Increased preventive services to children in high-risk households can help states minimize the cost of health/medical services to deep-end youth, reduce the number of children with chronic medical conditions and can improve general well-being outcomes. Providing targeted prevention programs and interventions to these children of at-risk families have been shown to reduce the cost of providing intensive services to children with poor health outcomes later on.
Children who are investigated for maltreatment or enter the child welfare system have greater health needs. Children investigated by the welfare system have been found to have 1.5 times more chronic health conditions than the general population. After controlling for other risk factors, children with maltreatment reports have a 74-100% higher risk of hospital treatment. Over 28% of children involved with maltreatment investigations are diagnosed with chronic health conditions during the three years following the investigation.
Identifying and Serving Children with Health Complexity: Spotlight on Pediatr...LucilePackardFoundation
Children with health complexity face unique medical and social factors that impact their health and engagement of health care services. Health systems play an important role in addressing both factors to build health and resilience. Speakers will share their approach to using system and practice-level data to better identify appropriate care coordination and health management supports for these children. We will also spotlight how this approach was implemented in Kaiser Permanente Northwest through the Pediatric Care Together complex health management program.
NC Department of Health and Human Services, Prevent Child Abuse NC, NC Child, and The Duke Endowment partnered to host a kickoff informational session for the Family First Prevention Services Act ( FFPSA). This was an opportunity for child welfare stakeholders to learn, ask questions and engage in the planning process of this important legislation.
We encourage you to go through the slides from the meeting and watch the recorded live stream of the event: https://mckimmon.online.ncsu.edu/online/Play/cba18d3338844fcbac8e31170dee1c611d
Going Where the Kids Are: Starting, Growing, and Expanding School Based Healt...CHC Connecticut
Webinar broadcast on: June 28 | 3 P.M. EST
This webinar will address the benefits, challenges, and strategic advantages of a school based health center program from a clinical, data, quality, operational viewpoint, communications, and community engagement perspective. Experts will share the strategy for integrating oral health and behavioral health to ensure the best outcomes for patients.
Technical brief decision making factors around fp use in luweero, uganda- a r...Jane Alaii
A research brief outlining motivations and tipping points for SBCC to promote the uptake of contraception in a rural community with high TFR in Uganda.
In spite of investment in and prominent attention paid to racial and ethnic health care disparities, there still exist enormous disparities in the United States across multiple domains including access to care and use of services, prevention and population health, chronic diseases, health status and quality of care
NC Department of Health and Human Services, Prevent Child Abuse NC, NC Child, and The Duke Endowment partnered to host a kickoff informational session for the Family First Prevention Services Act ( FFPSA). This was an opportunity for child welfare stakeholders to learn, ask questions and engage in the planning process of this important legislation.
We encourage you to go through the slides from the meeting and watch the recorded live stream of the event: https://mckimmon.online.ncsu.edu/online/Play/cba18d3338844fcbac8e31170dee1c611d
Going Where the Kids Are: Starting, Growing, and Expanding School Based Healt...CHC Connecticut
Webinar broadcast on: June 28 | 3 P.M. EST
This webinar will address the benefits, challenges, and strategic advantages of a school based health center program from a clinical, data, quality, operational viewpoint, communications, and community engagement perspective. Experts will share the strategy for integrating oral health and behavioral health to ensure the best outcomes for patients.
Technical brief decision making factors around fp use in luweero, uganda- a r...Jane Alaii
A research brief outlining motivations and tipping points for SBCC to promote the uptake of contraception in a rural community with high TFR in Uganda.
In spite of investment in and prominent attention paid to racial and ethnic health care disparities, there still exist enormous disparities in the United States across multiple domains including access to care and use of services, prevention and population health, chronic diseases, health status and quality of care
There are plenty of office etiquette lessons every employee should be cognizant of. From spreading too much gossip to talking too loudly around other co-workers, there are a host of mistakes that do nothing more than slow down everyone's day. See which mistakes made the list and what you can do to keep them from happening at your company.
Maximizing System-Level Data to Address Health and Social Complexity in ChildrenLucilePackardFoundation
An innovative methodology using system-level data to identify children with health complexity, that is based on medical and social complexity, is transforming how they consider improving quality of care in Oregon. Learn about this new standardized approach, developed by the Oregon Pediatric Improvement Partnership and Oregon Health Authority, and how it has helped inform priority areas, potential policy improvements, investments and partnerships in support of children with health complexity.
Proposed changes in health care payment, from fee-for-service to alternative, risk-sharing payment models, can have a substantial impact on health services for children, especially those with complex care needs. In addition, tying payment to value can increase use of ambulatory and preventive services and encourage creative outreach. However, abrupt changes can interrupt continuity and reduce access to care.
young children of human & animals all are equally vulnerable to insults very easily a sliight mistake can take away a precious diamond. Be care full this is sharing for that missing link.
Washington State Behavioral Healthcare Work MappingPeggy Dolane
An attempt to capture the scope of work currently underway in the state of Washington and under the purview of the Children and Youth Behavioral Health Care Work Group
As health care and financing systems become more sophisticated, health care systems are increasingly using a process known as "risk tiering" to group patients with similar degrees of need for health care and care coordination services. Families and care providers of children with chronic and complex conditions should understand the risk tiering process, as it may affect access to services these children need.
Increased attention to children with medical complexity has occurred because these children are growing in number, consume a disproportionate share of health-system costs, and require policy and programmatic interventions that differ in many ways from the broader group of children with special health care needs. But will this focus on complex care lead to meaningful changes in systems of care and outcomes for children with serious chronic diseases?
Improve Outcomes for Children in Foster Care by Reforming Congregate Care Pay...Public Consulting Group
In child welfare, there is growing emphasis on keeping children at home, and when that isn’t possible, placing them with relatives or in other family-like settings. Secure attachments to consistent caregivers are critical for the healthy development of children and youth, especially for very young children.Congregate care placements are also significantly costlier than traditional foster care or kinship care placements.
The Next Steps to Improving Home Health Care for Children with Medical Comple...LucilePackardFoundation
This briefing on family needs for home health care and potential workforce and policy solutions featuring the perspectives of a parent advocate, a home health care administrator, a pediatrician, and a state official.
Childhood adversity, such as child abuse and exposure to violence and poverty, can have negative long-term impacts on health and well being. In this webinar, our panelists discussed how to describe the burden of childhood adversity in your community, how to frame your message most effectively, and how to engage and mobilize your community to address the roots and effects of childhood adversity. Panelists also lead participants on a virtual tour of Kidsdata’s Childhood Adversity and Resilience data, research, and policy recommendations.
Similar to Electronic information exchange webinar (20)
Childhood Adversity: Data to Help Advocate for Change
Electronic information exchange webinar
1. Electronic Information Exchange:
Elements that Matter for Children in Foster Care "
Beth Morrow
Director, Health IT Initiatives
The Children’s Partnership
SPARC Webinar,
January 31, 2013
2. Children in foster care face unique
challenges that require additional care
coordination."
n Childhood trauma."
n Frequent movement among placements, caregivers,
and schools."
n Higher rates of special education needs, psychotropic
medications, and chronic health conditions."
n Enter adulthood without family support system."
www.childrenspartnership.org
3. Unique challenges face states/localities too"
n The average cost of Medicaid per child in foster care is over 3 times
the average cost for nondisabled children."
n Children in foster care account for 28% of all Medicaid expenditures
on inpatient psychiatric services (or, 46% of such expenditures on
nondisabled children)."
n During their early adult years, these youth are much more likely
than their peers to forego higher education, describe their general
health as fair or poor, become homeless, and rely on public
supports. "
www.childrenspartnership.org
4. What can be done? "
n Children in foster care need cross-sector, coordinated,
continuous behavioral and medical care."
n Key to this coordination: Communication and
information sharing by the adults caring for these
children."
Ø Electronic information exchange and electronic
records can help."
www.childrenspartnership.org
5. Better Outcomes at Lower Cost"
n Early efforts are making a difference:"
• Wraparound Milwaukee (WI) – Improved coordination has resulted
in reduced inpatient psychiatric care, residential treatment, and
juvenile corrections placements."
• UPMC For You (PA) – Improved coordination has increased the
proportion of foster children receiving annual well-child and dental
visits."
n We will hear from Texas and San Diego next about
how electronic information exchange has made a
difference for foster children in those communities. "
www.childrenspartnership.org
6. What needs to happen:"
n Bring stakeholders together "
-- develop champions "
-- work together to address key hurdles (information
sharing agreements, back-end IT capabilities, and
funding)"
-- leverage existing efforts that can help (initiatives,
systems projects, etc.)"
n Use Health Education Passport as starting point"
www.childrenspartnership.org
7. Contact"
Beth Morrow!
Director, Health IT Initiatives"
(718) 832-6061!
bmorrow@childrenspartnership.org!
http://www.childrenspartnership.org/our-work/foster-care-coordination"
"
"
8. Texas STAR Health Program
Rebecca Alejandro, Texas HHSC Health Plan
Specialist
January 28, 2013
9. Star Health Program Background
• In 2005, the Texas Legislature required the Texas Health and Human
Services Commission (HHSC) to design a comprehensive medical
services delivery model to meet the healthcare needs of children in
foster care.
• In April of 2008, the STAR Health program was implemented.
• Eligible clients include:
• Children and young adults in conservatorship of the Texas
Department of Family and Protective Services (DFPS).
• Youth age 18-21 who voluntarily continue in a foster care
placement.
• Former foster care youth who continue to receive Medicaid
benefits through age 21.
• Former foster care youth enrolled in higher education.
10. Main Objectives
• Immediate eligibility
• A statewide network of providers
• An increased focus on behavioral health services
• Service management and coordination teams
• Psychotropic drug utilization review
• Health Passport
11. Health Passport
• Medical, behavioral health, vision, dental, and prescription
claims
• Lab results
• Immunization records
• Allergies and known reactions, vital signs, weight, height,
and other such details
• Forms including Healthcare Service Plans, Psychotropic
Utilization reviews, Texas Health Steps exams, and
psychological evaluations
12. Health Passport
• A DFPS caseworker can view all information in the
child’s record.
• A foster parent can view all information except for the
Behavioral Health tab.
• DFPS contracted residential providers have a few
designated staff who have the same viewing rights as
foster parents.
• A network provider can view all information as well as
interact with the system to enter data and upload forms.
• Access is restricted to comply with HIPAA privacy and
security rules.
13.
14.
15.
16. Making it Happen
• Interagency and Public-Private Collaboration
• Extended Timeline
• Cost of Implementation
• Performance Metrics
• Availability of Data
17. Conclusion
A complete training video on the Health Passport can be accessed
on Superior HealthPlan’s website at:
http://www.superiorhealthplan.com/wp-content/training/
clinicalTX/default.html
For additional information, contact:
Rebecca Alejandro
Texas HHSC Health Plan Specialist
Rebecca.Alejandro@hhsc.state.tx.us
512-491-1864
18. Information Sharing to Increase
Education Outcomes for
Students in Foster Care
Michelle
Lustig,
Ed.D,
MSW,
PPS
San
Diego
County
Of<ice
of
Education
Student
Support
Services
Foster
Youth
and
Homeless
Education
Services
19. California: County Offices of
Education
County
Of*ices
of
Education
õ There
are
58
County
Of<ices
of
Education
(COEs)
which
provide
services
to
school
districts.
COEs:
ô Support
school
districts
by
performing
tasks
that
can
be
done
more
ef<iciently
and
economically
at
the
county
level
ô COEs
provide
a
wide
range
of
services
including
<iscal
oversight,
special
and
vocational
education,
programs
for
youths
at
risk
of
failure,
and
instruction
in
juvenile
detention
facilities
20. Foster Youth Services Programs
Foster
Youth
Services
(FYS)
Programs
õ Provide
support
services
to
foster
children
who
suffer
the
traumatic
effects
of
displacement
from
family
and
schools
and
multiple
placements
in
foster
care
ô Services
are
designed
to
improve
the
children's
educational
performance
and
personal
achievement,
directly
bene<iting
them
as
well
as
providing
long-‐range
cost
savings
to
the
state
ô Mandates
are
incorporated
into
Education
Code
21. California Law Relating to the Education
of Students in Foster Care
California
Education
and
Welfare
an
Institutions
Code
ô School
of
Origin
rights/proximity
to
school
ô School
Stability
Provisions
ô Equal
access-‐curricular
and
extra
curricular
(CIF)
ô Immediate
Enrollment
ô Stay
put
rule
ô Least
restrictive
ô Foster
Care
liaison
ô Best
Interest
determination
ô Noti<ication
to
schools
districts
ô Transfer
of
records
ô Partial
credit
protection
ô Graduation
requirements
ô Notice
of
manifestation,
suspension,
expulsion
22. Relationship Between Data Sharing and
Educational Outcomes
õ Increased
ô Awareness
ô Cooperation
ô Collaboration
ô Responsibility
ô Matriculation
ô Academic
performance
ô Graduation
rates
ô School
stability
23. Background and History
San
Diego
County
Of*ice
of
Education,
Foster
Youth
Services
(SDCOE,
FYS)
õ Court
Leadership
õ Collaborative
history
õ Court
Orders
(2002,
2003,
2005,
2008,
2011)
õ Database
Agreement
(2006-‐2011,
2011-‐2016)
õ Interagency
Agreement
(2006-‐2011,
2011-‐2016)
28. Considerations and Lessons Learned
Cross System Data Sharing
— Begin
with
the
end
in
mind.
— Engagement
of
all
stakeholder
groups
— youth
and
caregivers
— Determine
the
best
way
to
meet
competing
demands,
policies,
mandates
and
restrictions.
— Shared
understanding
and
interpretation
of
FERPA,
HIPPA
and
SACWIS:
intersections
and
hurdles.
— Consideration
of
— who
maintains
the
database
— who
owns
the
data
— who
owns
the
intellectual
property
that
is
the
physical
database
30. What needs to happen:!
n Bring stakeholders together !
-- develop champions !
-- work together to address key hurdles (information
sharing agreements, back-end IT capabilities, and
funding)!
-- leverage existing efforts that can help (initiatives,
systems projects, etc.)!
n Use Health Education Passport as starting point!
www.childrenspartnership.org