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Medical Home: Just What the Doctor Ordered to Fix American Healthcare? GIH Teleconference Richard C. Antonelli, MD, MS Associate Professor of Pediatrics Univ of Connecticut School of Medicine Senior Fellow Child Health and Development Institute September 29, 2008 Learning Objectives
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Richard C. Antonelli, MD, MS
Associate Professor of Pediatrics
Univ of Connecticut School of Medicine
Senior Fellow Child Health and Development Institute
September 29, 2008
Carolyn Clancy, MD,
AAP/ AAFP/ NAPNAP/
Health Care Organization (Medical Home)
Resources and Policies
Care Partnership Support
Timely & efficient
Evidence-based & safe
Coordinated and Equitable
Functional and Clinical Outcomes
Care Model for Child Health in a Medical Home
Antonelli, Stille, and Antonelli, 2008
Pilot Project to Assess Feasibility and Outcomes of Co-Located CC model in an urban pediatric setting
CC provided by Community-based partner (Hispanic Health Council) with clinic and community-based CC
Funded by Hartford Foundation for Public Giving, Children’s Fund of CT/ Child Health and Development Institute, Conn Children’s Medical Center, and CT Medicaid agency
You think pediatrics or adult CC is difficult, what about Transitioning youth with chronic conditions from one side of the chasm to the other?
CHOICES Survey, 1997; NOD/Harris Poll, 2000; KY TEACH, 2002
Targeted Child Psychiatric Services
Connor, Antonelli, et al (Clinical Pediatrics, June, 2006)
Linked to Reimbursement
youth with special health care needs: a descriptive, multisite study of activities,
personnel costs, and outcomes. Pediatrics. 2008 Jul;122(1):e209-16
Care Needs: There is No Place Like (a Medical) Home, Curr Opin Pediatr
2007, 19: 503.
Antonelli, R, Targeted Child Psychiatric Primary Clinician-Child Psychiatry
Collaborative Care,Clin Pediatr. 2006; 45:423-434.
and Subspecialty Care Physicians in Providing a MH for CYSHCN, MCHB,
Georgetown Univ, 2005.
care needs, Curr Opin Pediatr 2004;16:700-705.
coordination services in a community-based, general pediatric practice,
Pediatrics 2004; 113:1522-1528
needs. Pediatrics, 102,137–140
Integrating health and related systems of care for children with special needs. Pediatrics, 104(4, Part 1),
A new health system for the 21st century