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Medical Home Training and Resources

Contents

This page contains training materials and resources from training events in Utah. While the overarching theme is improving the medical home, some of the training events focused on specific topics such as screening, transition to adulthood, and obesity. Please scroll down to find the various topics.

The Learning Collaborative Model

Traning events were conducted using the "Learning Collaborative" model wherein medical practice teams meet together to learn about a specific topic (a Learning Session), return to their practices and implement what they have learned in changing daily processes, and follow-up with the facilitating organization and other practice teams to share what they have learned and problem-solve together to overcome challenges. The process usually lasts from six to nine months and inlcudes the pre-registration; the learning session; weekly practice team meetings; ongoing quality improvement; chart audits by the practice teams; site visits by the facilitating organization; and conference calls with the practice teams. The practice teams usually consist of the primary care provider, office manager, nurse or medical assistant, parent partner, and care coordinator (may be the nurse).

Utah Integrated Services Project

The Utah Integrated Services Project's (UISP) overall goal was the systematic integration of community-based services for children and youth with special health care needs (CYSHCN) and their families throughout Utah. Component Goals included:1) Designing and implementing the leadership and infrastructure to accomplish and sustain this integration; 2) Using the Learning Collaborative model, integrating the six core components into Utah community systems; 3) Provideing and continually enhancing statewide resources and information to support the integration of the 6 Core Components into communities.

The Learning Collaborative consisted of five Learning Sessions (LS) that covered the concepts of medical home; early and continuous screening; and transition issues from birth into adulthood. Presentations and materials from the five Learning Sessions are provided in the sections below.

Learning Session 1: Medical Home

The Utah Integrated Services Project (UISP) Learning Session 1 was held on April 7, 2006 at the Salt Lake Community College Larry H. Miller Campus, Sandy, UT.

Learning Session 2: Newborn, Hearing, & Vision Screening

The Utah Integrated Services Project (UISP) Learning Session 2 was held on June 23, 2006 at Thanksgiving Point, Lehi, UT.
Presentations
UISP Team UISP LS2 Agenda(PDF Document 118 KB)
DeBry 8 Times 8 Ways(PDF Document 158 KB)
Longo Newborn Metabolic Screening
Cortese Newborn Screening Program
Dries Screening Kids for Eye Problems
Additional Resources
Newborn Screening Program Utah Newborn Screening Program
Medical Home Portal Newborn Disorders
Redrock Pediatrics Care Plan

Learning Session 3: Developmental, Social Emotional, & Depression Screening

The Utah Integrated Services Project (UISP) Learning Session 3 was held on December 1, 2006 at the Salt Lake Airport Hilton, Salt Lake City, UT.
Presentations
UISP Team UISP LS3 Agenda(PDF Document 103 KB)
Norlin Baseline Data Summary
Winter Developmental Screening
Samson-Fang Case Studies
Bilder Depression in CYSHCN
Additional Resources
NAMI Utah NAMI Utah
Medical Home Portal Developmental Screening
Medical Home Portal Infant Social-Emotional (Autism) Screening
Medical Home Portal Maternal Depression Screening

Learning Session 4: Transition to Adult Care Providers

The Utah Integrated Services Project (UISP) Learning Session 4 was held on June 13, 2007 at Thanksgiving Point, Lehi, UT.
Presentations
UISP Team UISP LS4 Agenda(PDF Document 56 KB)
Norlin Welcome
Hackett Transitioning CYSHCN to Adulthood
Durham If I Knew Then What I Know Now
Young Adult Advisory Committee Respecting the Young Adult Patient Video
Sheen Ecomaps
Additional Resources
UISP Team Table of Contents(Word Document 60 KB)
Binder Section 4
HRTW Checklist for Transition(PDF Document 85 KB)
HRTW Prep for Doctor Visit(PDF Document 69 KB)
HRTW Tips & Resources on Sexuality(PDF Document 134 KB)
Young Adult Advisory Committee 13 Tips - Youth to Professionals & Families(PDF Document 32 KB)
HRTW Sample Letter to Document Disability(PDF Document 102 KB)
Binder Section 7a
Shriners Hospital for Children Transition Tips for Parents of Newborns or Newly Diagnosed Children with Disabilities(PDF Document 483 KB)
Shriners Hospital for Children Transition Tips for Parents of Young Children with Disabilities(PDF Document 447 KB)
Shriners Hospital for Children Transition Tips for Parents of School Aged Children with Disabilities(PDF Document 488 KB)
Shriners Hospital for Children Transition Tips for Teens with Disabilities(PDF Document 308 KB)
Shriners Hospital for Children Transition Tips for Parents of Teens with Disabilities(PDF Document 476 KB)
Shriners Hospital for Children Tips for Getting a Driver's License for Teens and Young Adults with Disabilities(PDF Document 360 KB)
Shriners Hospital for Children Transition Tips for Young Adults(PDF Document 348 KB)
Shriners Hospital for Children Transition Tips for Parents of Young Adults with Disabilities(PDF Document 346 KB)
Utah Parent Center Transition Handbook: From 'No' Where to 'Know' Where(PDF Document 1.1 MB)
Binder Section 8
Shriners Hospital for Children Transition to Adult Care Checklist(PDF Document 107 KB)
Shriners Hospital for Children Guidelines Towards Transition(PDF Document 147 KB)
Binder Section 9
Unknown Transition Worksheet(PDF Document 94 KB)
PACER Center Health Care Skills Checklist(PDF Document 74 KB)
Binder Section 10
Shriners Hospital for Children Transition Action Care Plan, Shriners(PDF Document 44 KB)
Shriners Hospital for Children Action Care Plan(PDF Document 46 KB)
Binder Section 11
Shriners Hospital for Children Transition From Care Summary(PDF Document 70 KB)
Binder Section 14
Unknown Transitioning to Independence(PDF Document 207 KB)
University of Illinois at Chicago Questions to Ask Potential Adult Care Physicians(PDF Document)
HRTW Getting What You Need at Your Doctor Visit(Word Document 153 KB)
HRTW Improving Communication(PDF Document 76 KB)
University of Washington Adolescent Autonomy Checklist(PDF Document 24 KB)
HRTW Portable Medical Summary Example(PDF Document 133 KB)
Medical Home Portal Transition to Adulthood
Medical Home Portal Resources, Checklists, etc.

Learning Session 5: Transitioning to Adulthood: Social, Recreation, Transportation, Vocational Rehabilitation, Insurance, and Public Programs for Young Adults and Their Families

The Utah Integrated Services Project (UISP) Learning Session 5 was held on October 10, 2006 at Thanksgiving Point, Lehi, UT.
Presentations
UISP Team UISP LS5 Agenda(PDF Document 59 KB)
Norlin Welcome
Hackett Transitioning to Adulthood, Part II
Pola-Money When the Bus Stops Coming
Bowman What to Do After 22?
Napel Your Dependent with Special Needs
Hackett and Holt Just the Facts: Accessing Adult Services
Daley and Thelin Vocational Rehabilitation
Norlin Moving Forward

Preventing, Recognizing, and Treating Childhood Obesity

The Utah Pediatric Partnership to Improve Healthcare Quality (UPIQ) Learning Session, part of the Obesity Learning Collaborative, was held on April 17 and May 15, 2009 at the Salt Lake Community College Larry H. Miller Campus, Sandy, UT. (While this learning collaborative was not part of the series focusing on medical home improvements, the lessons learned will strengthen the medical homes that implement them.)
Presentations
UPIQ Obesity Agenda April 17(PDF Document 27 KB)
Young Primary Prevention of Obesity in Infants, Children, & Adolescents
Metos Practical Nutritional Advice Physicians Can Offer Families
Joy Every Visit - Assessing and Improving Physical Activity Levels
Templeman Initial Identification & Management of Overweight Children
Whittle Recognizing and Influencing Patient Change
DeBry Quality Improvement: Changing Office Systems & Creating an Action Plan
Additional Resources
AAP Childhood Overweight and Obesity (AAP)

Authors

Compiled and edited by: Alfred Romeo, RN, PhD - 7/2006
Content Last Updated: 6/2009