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Medical Home


AAP Defines 'Medical Home' - The Best Care for Children

www.aap.org/advocacy/archives/julymedhome.htm
The term "medical home" has been used in medical and government circles for approximately 10 years, but many different interpretations of the term have led to confusion. New policy statement www.aap.org/policy/s060016.html published in the July issue of Pediatrics, the peer-reviewed, scientific journal of the American Academy of Pediatrics (AAP) or Pediatrics electronic pages, the Internet extension of Pediatrics explains the definition of the term, elements of a Medical Home and stresses the importance of the medical home concept.

National Center of Medical Home Initiatives for Children with Special Needs
www.medicalhomeinfo.org
The National Center of Medical Home Initiatives for Children with Special Needs provides support to physicians, families, and other medical and non-medical providers who care for children with special needs so that they have access to a medical home. Center has inhouse expertise as well as national contacts for all areas of care in community setting.

Department of Defense

DoD - Exceptional Family Member Program (EFMP)
www.lifelines2000.org/communities/EFM/index.asp
The Exceptional Family Member Program (EFMP) is a mandatory program designed to identify family members with long term health care or special education needs. The program does the following: coordinates with Overseas Screening to confirm the availability of medical and educational support at overseas locations; identifies those who require assignments within major medical areas; and identifies those who are eligible for homesteading.

Health Care Literacy

Healthy People 2010 defines health literacy as “the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions.”

  • Patients may not understand what doctors are telling them
  • Many patients do have low literacy. According to a 1992 National Adult Literacy survey, 46% of U.S. adults have difficulty understanding sentences that have both words and numbers. And, of course, nearly all health directions include words and numbers.
  • atient education potentially increases the length of physician visits.
  • Keep it clear and simple for your patients.

SOURCE: American Medical Association – AMEDNEWS.COM
www.ama-assn.org/amednews/2002/08/05/prsf0805.htm

CENTER FOR ADVANCEMENT OF HEALTH
Facts of Life: Issue Briefings for Health Reporters- Vol. 8, No. 3 March 2003

www.cfah.org/factsoflife/vol8no3.cfm

  • An average general practitioner conducts between 120,000 and 160,000 patient interviews during a 40-year professional career.
  • The Institute for Healthcare Advancement estimates that the average annual health care costs of people with very low literacy may be four times greater than the general population’s.
  • A study of 2,659 outpatients at two hospitals found that 42 percent did not understand instructions to “take medication on an empty stomach,” and 49 percent could not determine whether they were eligible for free care from reading a hospital financial aid form. The same study also found a 52 percent increase in the risk of hospitalization among patients with inadequate literacy compared with patients with adequate literacy.
  • A 2001 survey of 6,722 adults found that minority populations are more likely to have difficulties communicating with their healthcare providers compared with whites.
  • Lack of diversity among health care providers can be a barrier to culturally competent communication. Minorities make up 28 percent of the U.S. population but only 3 percent of medical school faculty, 16 percent of public health school faculty and 17 percent of all city and county health officers.
  • Female primary care physicians tend to engage in longer visits and have more “patient-centered” consultations than their male colleagues do.

THE CROSS CULTURAL HEALTH CARE PROGRAM
www.xculture.org

CENTER FOR HEALTH CARE STRATEGIES INC.
Health Literacy - Fact Sheets
www.chcs.org/publications3960/publications_show.htm?doc_id=213137

BAYER INSTITUTE FOR HEALTH CARE COMMUNICATIONS
www.bayerinstitute.org

HARVARD SCHOOL OF PUBLIC HEALTH
Health Literacy Studies

www.hsph.harvard.edu/healthliteracy

NATIONAL LIBRARY OF MEDICINE
Health Literacy - Bibliography

www.nlm.nih.gov/pubs/cbm/hliteracy.html#170

UNIVERSITY OF NEW ENGLAND
Health Literacy Center

www.une.edu/hlit
The Center is located at the University of New England. The Center provides consulting, training, and materials development to help organizations create understandable health communications.

LITERACY.COM
Health Care Communication with Low Literate Patients

www.literacyonline.org/products/ili/pdf/ilproccm.pdf
This paper explains what happens when a patient with low literacy reads health care information. It also addresses what has been done to improve effective communication with low literate patients.

Limited English Proficiency

NATIONAL HEALTH LAW PROGRAM
ACCESS PROJECT
Language Services Action Kit: Interpreter Services in Health Care Settings
for People with Limited English Proficiency

http://www.healthlaw.org/pubs/2003.lepactionkit.html
Language Services Action Kit for advocates and others working to ensure that people with limited English proficiency in their state get appropriate language assistance services in medical settings.


As the number of people with limited English proficiency in the United States rises, the need for language services in health care settings also grows. Federal laws require health care providers to offer language services, such as interpretation and translation, but many say they do not have the funds to do so. However, providers and others are often unaware that federal funds are available to help states pay for language services for patients covered by Medicaid and the State Children’s Health Insurance Program (SCHIP).

Federal funding for interpreter and other language services can benefit everyone: health care providers, state governments, and patients with limited English skills in need of services. This offers an unusual opportunity for these stakeholders and others to come together to advocate for reimbursement for language services in their state Medicaid and SCHIP programs. The Action Kit includes materials that:

Explain the federal laws and policies that require health care providers to ensure access to services for people with limited English proficiency;


Explain how states pay for Medicaid and SCHIP services, and how they can get federal funding to help pay for language services, such as interpretation, for program enrollees;
Describe models that some states have adopted to reimburse health care providers for language services; • Provide information and describe techniques you can use to demonstrate the need for language services in advocacy campaigns;

List resources where you may find additional information about language services; and

TO ORDER Language Services Action Kit. PRICE: $ 25.00
Action Kit Order Form http://www.healthlaw.org/pubs/2003LEPform.pdf
Or send an email with your mailing and billing information to lepactionkit@accessproject.org

 

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The HRTW Center is headquartered at the Maine State Title V CSHN Program. Activities are coordinated through the Maine Support Network's Center for Self-Determination, Health and Policy. The Center is funded through a cooperative agreement (U39MC06899-01-00) from the Integrated Services Branch, Division of Services for Children with Special Health Care Needs (DSCSHN) in the Federal Maternal and Child Health Bureau (MCHB), Health Resources and Service Administration (HRSA), Department of Health and Human Services (DHHS).
Lynda Honberg, HRSA/MCHB Project Officer.