“A medical home, which offers planned visits systematically, identifies children or youth with an appointment. A coordinator determines that CYSHCN will be coming in for a physical or a bi-annual chronic condition visit. They enable the practice to be prepared for that encounter.”
Source: National Institute for Children’s Healthcare Quality
- Medical Home
Introduction - Medical Home Strategies
- Engage Families as Partners
- Identify Children & Youth with Special Health Care Needs
- Use Planned Encounters
- Improve Care Coordination:
Create Care Plans - Support Adolescent
Transitions - Collaborate with
Community Resources - Refine Coding &
Reimbursement Practices - Find Regional Centers
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Site last updated:
December 08, 2008
Wisconsin Resources
- Southwest Pediatrics, New Berlin (Word)
- Group Health Cooperative (Word)
Nurse Care Coordinator Job Description
- Group Health Cooperative (Word)
- Marshfield Clinic, Chippewa Falls (Word)
National Resources
Practice Procedures (Word)
Practice-Based Care Coordination: A Medical Home Essential, Pediatrics. 2007 (PDF)
Office Visit Family “Mini” Survey – Exeter Pediatrics (Word)
Planned encounters can assure families’ time and special needs are accommodated and the physician’s time is used efficiently. Practices can utilize input gathered from families to develop office practices that lead to planned encounters. To make significant strides in Medical Home quality improvement, practices need to engage in a structured process that engages the entire staff.
Videos
Regional Center staff and physicians discuss the effectiveness of appointment scripts and the role of the care coordinator. A parent describes the impact on family and child when an appointment is not efficient or coordinated.
Medical Home Resources
Review the AAP’s Practice Procedures, which include specific steps to improve practice management. Various resources, both local and national, describe the nurse care coordinator’s role in developing care plans, anticipating the special needs of children, coordinating diagnostic tests and scheduling adequate appointment time. Two sample care coordinator position descriptions are provided.