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Georgia’s Journey Marketing and Promoting the Principle of Every Child Deserves A Medical Home
Daphne Babrow, PhD, MPH, MEd
Georgia Department of Community Health Division of Public Health
Maternal and Child Health ProgramEarly Childhood Comprehensive Systems
Coordinator
Special Thanks
Helen Dulock, DNS, RN
Georgia Department of Community Health Division of Public Health
Maternal and Child Health ProgramMaternal and Child Health Nurse Consultant
Medical Home Description
Primary care Family-centered partnership Community-based, interdisciplinary team-based approach to
care Care that is: accessible, family centered, coordinated,
compassionate, continuous and culturally effective Care includes preventive, acute and chronic care Quality improvement processes in place
President of AAP, Oct. 5, 2009
Dental Home Description
Comprehensive, Continuously accessible Coordinated Family centered Provided by a licensed dentist
“Every child should have a dental home/oral exam by age one” American Academy of Pediatric Dentistry American Dental Association
Why A Medical Home
Fewer emergency visits and hospitalizations Decrease in delays in receiving care Families more likely to:
feel their provider listened to their concerns to receive written management plan for child’s chronic
conditions and to receive education on medication use
Increased satisfaction with care May help to reduce the cost of care
Why A Medical Home In Georgia
Number of Providers
Location of Providers
Georgia Health Professional Shortage Area Map
Georgia Dental Professional Shortage Area Map
Why A Medical Home In Georgia Children 1st
Linked to PHCP > 13,000
Part C Babies Can’t Wait LBW/VLBW Transition
Children’s Medical Services (CSHCN) Specialty visits
Head Start Community Assessment Communication
Why a Brochure
Reviewed other states Medical Home activities
-Lasting for several years
-Grant awards
-Participated in Medical Home Learning Collaborative
Why a Brochure in Georgia Georgia had no written material for any group
related to Medical Home
Limited knowledge or understanding Medical Home among public
Right time to take on this initiative
Why a Brochure in Georgia ECCS Criteria
infra-structure building systems building
ECCS as an organization focused on early childhood could address child health through promoting both a Medical and Dental Home focusing on families
Our Brochure Journey
Not a Linear Process Destination Confusion Twists and Turns Delays En-Route Wrong Turns Passenger Turn Over
Not a Linear Process
Initial Structure of ECCS Steering Committee (15-20 individuals from
several partner agencies) Five Content Area Work Teams:
Access to Insurance and Medical Home Early Childhood Care and Education Family Support Parent Education Mental Health and Social Emotional
Not a Linear Process
July 1, 2009 - A New Home Georgia Division of Public Health was re-
located to the Department of Community Health
Not a Linear Process
Sept. 2009 - ECCS Structure Revised Executive Advisory Board State Team Steering Committee Standing Committees Workgroups (Medical/Dental Home) Data Support Group Project Management Team
Destination Confusion
Target Population Initially not defined Then care providers Now families
Rationale Get families directly involved in child’s health Able to provide additional support and information to
families
Passenger Turn Over
Seven year process Attrition Momentum
Originally housed in Content Area Work Team Consisted of state agencies, providers, families,
local boards of health, regional federal staff, professional societies and community agencies
Original Passengers
Chair, Children w/Special Needs Unit, MCH Programs, Public Health
Early Head Start Staff Department of Early Care & Learning Staff State Oral Health Director, Public Health
Department of Community Health Staff
(Medicaid)
Original Passengers
Representative from GA Chapter of the American Academy of Pediatrics
Representative from GA Academy of Family Physicians
Passengers All Aboard
Current Workgroup ECCS Coordinator State Oral Health Director Consultants Representative from GA Academy of Pediatrics Representative from GA Academy of Family
Physicians Graphic Designer
Wrong Turns
Not everything CAN go into brochure
Consensus on appropriate content and on wording
Families and children see the same primary care provider which facilitates building a partnership between
families, providers and office staff. (Your children see the same primary care doctor which helps to build a partnership between you, the doctor and the staff. )
Your primary care dental or medical provider works with your child’s other care providers.(Your primary care dental and medical doctor works with your child’s other care providers.)
The medical and dental home is considered the best model for providing primary care that is family centered to children and their parents. (It is considered the best model for providing primary care that is family centered for you and your children.)
Parents report less delays for health care provided in medical home for children with special needs. (consider deleting entirely since it only specifies for children w/ special needs)
Wrong Turns
Finding appropriate pictures; pictures that include diversity
Dealing with conflicting input Maintaining high level of motivation through
multiple revisions
Your Child Deserves:
AssessableContinuous
ComprehensiveFamily Centered
Coordinated CareCulturally Effective
Care
ESTABLISH A MEDICAL AND DENTAL HOME FOR YOUR CHILD TODAY
Your Child Deserves:
AssessableContinuous
ComprehensiveFamily Centered
Coordinated CareCulturally Effective
Care
There were many people who said, You are taking them where? But my child got her teeth very early, and my thoughts were, if you have teeth, you should go see a dentist. We not only found out if we were doing all the right things, but we also got advice on teething and
other oral health issues.
Quote: Parent of two young children.
“Every child should have a dental home by age 1.”
There were many people who said, You are taking them where? But my child
got her teeth very early, and my thoughts were, if you have teeth, you should
go see a dentist. We not only found out if we were doing all the right things,
but we also got advice on teething and
other oral health issues. Quote: Parent of two young children.
“Every child should have a dental home by age 1.”
1. Statement supported by: American Academy of Pediatric Dentistry American Academy of Pediatrics American Dental Association Georgia Dental Association
On the Road Again
Decision to put additional information on the ECCS website
Quarterly reports to ECCS Steering Committee
Reviewers of content for health literacy Families Professional Societies
Delays En-Route
Branding Process ECCS Steering Committee sought to select a
name that families, communities, and stakeholders would be able to identify with their collective efforts to support Georgia families of children, ages birth to five years
Delays En-Route
Sept 18, 2009 ECCS Steering Committee shown ECCS
branding examples from other states Engaged in a facilitated discussion on their
collective vision for ECCS in Georgia Given the opportunity to nominate branding
ideas Summary of ideas presented to the ECCS
Project Management Team (PMT)
Delays En-Route
Nov 5, 2009 PMT Met and reviewed nominations Eliminated any suggestions that were not
aligned with Department/Division/Program goals and objectives
Voted to select top 3 nominations to be presented to Steering Committee for final approval
Delays En-Route
Dec, 8, 2009 ECCS Steering Committee met and voted on
final brand
On-Going Final selection was given to graphic artist to
create image.
Georgia ECCS Early Childhood Comprehensive Systems
Peach Partners, Helping Georgia's Young Children Grow, Learn and Thrive
Grand RevealA Family Guide to a Medical and a Dental HOME
Grow, Learn & Thrive
Every Child NEEDS a Medical and a Dental Home
Next Steps
Approval Process Professional societies for co-branding Department approval Copyright infringement
Printing Approximately 10,000 copies Georgia Corrections Institute Approved Vendor
Next Steps
Dissemination State Team Community Partners Professional Societies Local Boards of Health
Translation Spanish (possible hard copy) Other languages (web-based)
Next Steps
Training Families Non-Medical Providers Medical Providers
Web-based Fact Sheets Facebook Page
Next Steps
Collaboration Pilot Atlanta area children’s hospital Care Management Organizations Annie E Casey – Atlanta Civic Site
Other Georgia Activities Related to Medical &Dental HomeHealthCare Without Walls, A Medical Home for
Homeless Children
The Institute for the Study of Disadvantage and Disability was awarded a five-year, $250,000 Healthy Tomorrow grant by the Maternal and Child Health Bureau and the American Academy of Pediatrics
HealthCare Without Walls, A Medical Home for Homeless Children
Collaborative project with Mary Hall Freedom House, a behavioral health program for homeless women, Morehouse School of Medicine Department of Pediatrics and Children’s Healthcare of Atlanta.
HealthCare Without Walls, A Medical Home for Homeless ChildrenPurpose:
increase access to appropriate health care decrease use of emergency rooms for non-
emergencies, includes a health literacy program for the
mothers provides outreach and training activities for
pediatric practitioners
Lessons Learned
Set deadlines and goals Hire a technical writer Create a realistic budget Limit size of group Details count Have fun
Questions & Answers
Daphne Babrow
2 Peachtree Street NW,
Suite 11-292
Atlanta, GA 30303
404-463-2193
Daphne Babrow2 Peachtree Street NW, Suite 11-292Atlanta, GA [email protected]
