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Program/Project Name
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Health Care Access and Coordination for Children and Youth in Foster Care
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Affiliation Name
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Medical College of Wisconsin
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Website URL
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Model Type
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Medical Home
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City
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Milwaukee
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State
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WI
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State specific location
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Academic medical center-Child protection Center and primary care clinic
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How is program/project funded?
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Describe how it's funded
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AAP Chapter Grant from the AAP COFCAKC |
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What services does it provide
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Entry to care health assessment, Comprehensive health assessment, Subspecialty referrals, Ongoing primary care/medical home, Coordination and Communication of Health needs for children entering foster care
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Where does it provide services
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County-based
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Description of program/project
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The goal of this project is to pilot the
role of a health care coordinator for a select group of youth in foster
care in Milwaukee County to assure their 30-day comprehensive health
assessment (CHA) is being performed, to evaluate if health needs are
being met in a timely fashion, and to assist in coordination and
communication of these needs between providers during the child's first
90 days in foster care. The health care coordinator will ensure that all
youth being seen by the Child Protection Center for an initial
screening exam (most children entering care in Milwaukee County) will
establish care by a medical home provider for their 30 day CHA. In
addition, there will be a smaller subset of youth who will be tracked
more closely with care coordination services. These youth will be
patients at the primary care clinics staffed by providers involved in
the grant. The health care coordinator will provide care coordination
services to facilitate completion of the 30 day CHA referrals in a
timely fashion. Lastly, tracking of frequency of referrals, barriers to
referral completion, and time required to do care coordination will be
measured. |
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How are patients tracked?
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Commercial electronic medical record, EPIC
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Provide special focus
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No special focus
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Program/Project strengths
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| This
project will build on existing resources and relationships previously
established in Milwaukee County between child welfare agencies and PI's
on the grant. Our EPIC record already has summary forms which are
excellent communication tools which document health needs and referrals,
making it straightforward for health care coordinator to abstract
information. Full access to subspecialists, thru Children's Hospital of
WIsconsin, is available. We hope that the health care coordinator will
have acess to the child welfare database to facilitate care management.
Child welfare agencies are being measured on the completion of 30 day
CHA's in a timely fashion so they are motivated to partner with us to
improve this outcome. Great interest and motivation exists between
partners due to an upcoming pilot program which will manage the
healthcare of children in foster care in 6 SE WI counties, including
Milwaukee. THe grant's experience and data will be used to help build
this pilot program.
One goal is to have the health plan integrated into permanency plan of the child. |
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Program/Project challenges
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| This
project is in its early phases of establishment. We predict that
barriers will include inability to obtain consent for referrals
(especially mental health) in a timely fashion, and inadequate resources
available to meet the needs of the youth (timely access to dental
care). Ongoing education of foster parents and child welfare
professionals (to assure timely completion of referrals) will be an
important role of the health care coordinator. |
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Contact Name
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Lisa Zetley
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Email Address
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lwzetley@mcw.edu
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Phone Number
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414 277-8900
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