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CSHCN Medical Home Partnerships for Children and Their Families

Contact: Kate Orville, 206-685-1279

Core Function: Information Development and Dissemination, Technical Assistance and Outreach Training

The Medical Home Partnerships Project for Children and Youth with Special Health Care Needs and Their Families (MHPP), in collaboration with the WA Department of Health, promotes quality improvement and systems integration around medical homes for children and youth with special needs by:

  • Coordinating and building the Medical Home Leadership Network of CYSHCN interdisciplinary community resource /training teams and community coalitions
  • Promoting developmental screening within medical homes and across early childhood settings for all children
  • Developing and disseminating CYSHCN medical home tools, best practices and timely information through multiple communication strategies to primary care providers, medical specialists, community service providers, family organizations and statewide partners who impact care for families with CYSHCN.

The project is funded by the Washington Department of Health Healthy Starts and Transitions Unit, which includes the Children with Special Health Care Needs (CSHCN) program. Project staff members also provide information on the Medical Home model to pediatric residents and other trainees.

The MHPP helps communities organize to better identify and serve children with special health care needs through either Medical Home Leadership Network (MHLN) teams or Community Asset Mapping (CAM) Coalitions. The 16 Medical Home teams are volunteer community-based, health care professional-parent teams, typically composed of a pediatrician or family physician, a parent, a public health nurse, and a birth-to-three family resource coordinator. Some teams have added partners from schools, child care, mental health and other settings. The expert teams receive additional training through the MHLN and serve as resources on medical homes for colleagues in their counties. They also choose one or more areas of need in which to develop and carry out a plan to improve family-centered, coordinated care for children and youth in their communities.

MHPP staff are providing leadership for the state initiative to help develop a system for universal developmental screening of young children. Project staff have researched and written a strategic plan to further this work and are working on a universal developmental screening implementation plan with the assistance of several workgroups. Project staff are also providing technical assistance to a related grant in rural, Spanish-speaking Yakima County, which is exploring implementation of universal developmental screening in that county.

MHPP Developmental Pediatricians write a quarterly one page newsletter for primary care providers who serve children and other community providers. Child Health Notes (CHN) provide up-to-date, trustworthy and relevant information about the identification and medical management of children with special health care needs.

The Medical Home Project maintains the Washington State Medical Home website with resources and information for families, health care providers and community service providers who care for children, especially those with special needs.

University of Washington • Center on Human Development and Disability Box 357920 • Seattle WA 98195-7920 USA • 206-543-7701 •