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Marcia Wirt, MD, and Ann Berhmann, MD, talk about why designating a CYSHCN Care Coordinator is supportive to Medical Home implementation.
- 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:
February 24, 2010
Wisconsin Resources
Nurse Care Coordinator Job Description
- Group Health Cooperative (Word)
National Resources
Practice-Based Care Coordination: A Medical Home Essential, Pediatrics. 2007 (link)
National Center of Medical Home Initiatives for Children with Special Health Care Needs
National Center for Cultural Competence
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
Both local and national resources 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.