Goals of This Webinar

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Eleanor Doyle
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1 CC4C Toolkit Toolkit contains all important program documents including: CC4C Orientation Training Plan CC4C Partnerships for Success CC4C Orientation January Service agreement Stardized plan Best practices Performance improvement strategies Supervision expectations And much more! The Toolkit is posted in the Informatics Center using the following path: Click on Access to IC Report Site (2nd option) on IC Home Page > NCCN IC Report Site Home Page > CC4C Toolkit File Share. 2 Goals of This Webinar Identify all agencies involved in the CC4C Partnership Obtain general knowledge of each partner Acknowledge the -LHD CC4C Service Agreement Coordination for (CC4C) Brings together: State Partners: DMA, DPH, & Partners: LHDs & networks CC4C & care managers: 1) improve quality of care for children & families 2) increase efficiency through collaboration 3) decrease cost. 3 4 (Medicaid) of North Carolina (Medicaid) of North Carolina The (Medicaid) provides funding to the for CC4C services. The distributes this funding to the local networks. In the majority of counties, the local networks contract with the local health department for health department staff to provide CC4C services to families

2 (Medicaid) of North Carolina Participants were asked to view the Then Now training posted in CMIS prior to this module, which provides an overview of the relationship with the (Medicaid). This training can be accessed using the following path from the CMIS Home Page: Resources > Learning Tree Library > New Hire Orientation. s 7 8 s The (Medicaid) provides funding to the for CC4C services. The office distributes this funding to the local networks. In the majority of counties, the local networks contract with the local health department for health department staff to provide CC4C services to families. s Participants were asked to view the Then Now the Big Picture trainings posted in CMIS prior to this module, which provide an overview of the efforts of the local networks. This training can be accessed using the following path from the CMIS Home Page: Resources > Learning Tree Library > New Hire Orientation. Information about specific networks can be found at Coordination for (CC4C) To reach success, the local network health departments must: Communicate about the management of priority populations - building on the strengths resources that each partner offers Discuss how to build strong, stable relationships communications between primary care managers, CC4C care managers the medical homes they serve Jointly monitor progress discuss strategies for achieving the outcome measures of the CC4C Program, many of which are objectives shared by the networks

3 Definition of : health consists of the activities that society undertakes to assure the conditions in which people can be healthy, including organized efforts to prevent, identify counter threats to the health of the public. Mission of NC : To promote contribute to the highest level of health possible for the people of NC. From Introduction to 2009 Ten Great Achievements in the United States, Vaccination 2. Motor-vehicle safety 3. Safer workplaces 4. Control of infectious diseases 5. Decline in deaths from coronary heart disease stroke 6. Safer healthier foods 7. ier mothers babies 8. Family planning 9. Fluoridation of drinking water 10. Recognition of tobacco use as a health hazard Title V of the Social Security Act Is a block grant program Is administered by the Maternal Child Bureau (MCHB) within the US Dept. of & Human Services Title V Other Programs Medicaid, the s Insurance Program (CHIP or NC Choice) Title V serve many low-income women children, including children with special health care needs. Medicaid CHIP provide free or low cost health insurance to eligible participants. Combines federal, state local funds to provide comprehensive services to low income women children with limited access to health care services Title V provides Federal block grant funds to States, where they support comprehensive services to women children with limited access to health care services. The Title V Agency in NC is the Women's 's Section within NC Title V MCH Programs 1. Assure access to quality care, especially for those with lowincomes or limited availability of care 2. Reduce infant mortality 3. Provide ensure access to comprehensive prenatal postnatal care to women (especially low-income at risk pregnant women) 4. Increase the number of children receiving health assessments follow-up diagnostic treatment services History of DPH /Case Management for ages 0-5 years Began as the High Priority Infant Tracking program in 1978 Exped name changed to Child Service Coordination Program (CSCP) in Provide ensure access to preventive child care services as Initially viewed CSCP as a care coordination service well as rehabilitative services for certain children 6. Implement family-centered, community-based, systems of With HIPAA code conversion in 2002, CSCP became a coordinated care for children with special healthcare needs targeted case management service 7. Provide toll-free hotlines assistance in applying for services to pregnant women with infants children who are eligible for Title CSCP services ceased on February 28, 2011 XIX (Medicaid The CYSCHN Hotline number is

Example of National Initiatives Example of NC

Additional PH Resources Introduction to in North

unc.edu/tws/intro_ph_nc/ This is campaign by

4 Example of National Initiatives Example of NC Initiatives Source: Source: 20 Source: Introduction to Additional PH Resources Introduction to in North Carolina a free online course at: This is campaign by Association of Schools of View This is Video at: Source: Learn more about This is Campaign at:

5 s As of 1949, each NC county had established a local health department (LHD) Today, all 100 counties are served by an individual LHD, except for the following multi-county health departments: Albemarle District (Bertie-Camden-Chowan- Currituck-Gates-Pasquotank-Perquimans) Appalachian District (Alleghany-Ashe-Watauga) Granville-Vance District Martin-Tyrrell-Washington District Rutherford-Polk-McDowell District Toe River (Avery-Mitchell-Yancey) District Coordination for Source: Coordination for Coordination for CC4C is an at-risk population management program that serves children from birth to 5 years of age who meet certain risk criteria CC4C care managers work with identified children to: 1. Improve health outcomes for the child by identifying needs working with the PCP on a plan to effectively efficiently meet the needs, which in turn will 2. Decrease the cost of the child s health care Details about the CC4C Program are provided in the CC4C Program Overview webinar, which is the next training in the orientation series. This webinar is available on the CC4C Training Web Page at

6 Coordination for Pulling it all together 31 Source: CC4C Tool Kit posted in Informatics Center. 32 Interim Contract to Participate in CC4C Service Agreement All CC4C staff (supervisors & CMs) should be familiar with this service agreement, particularly: Section III (page 3): Outlines the per-memberper-month (PMPM) funding Exhibit A (page 11): includes LHD responsibilities in providing CC4C services MH After Hours Policy Family Situations Clouds Show Environmental Impact CC4C Interim Contract Performance Measures NICU Hosp Grads ED Re - to MH Visits Adms within 7 days Hosp Adms LSPs for Toxic Stress Hospital Marketing Systems Coordination Exhibit B (page 15): states the CC4C Performance Measures CC4C Funding CC4C Resources To assist in meeting the responsibilities of managing the CC4C Target Population, the LHDs: receive a per-member-per-month (PMPM) allocation to serve Medicaid clients; amount of PMPM is based on the number of Medicaid children 0-5 years in each county. have the opportunity to draw down CC4C Agreement Addenda funding to serve non- Medicaid children from the Youth Branch in the

Alleghany Alexer Mecklenburg Montgomery Richmond Scotl Granville Washington a CC4C Partnerships for Success CC4C Leads Each local network has designated one person as the CC4C Lead.

7 Alleghany Alexer Mecklenburg Montgomery Richmond Scotl Granville Washington a CC4C Partnerships for Success CC4C Leads Each local network has designated one person as the CC4C Lead. Training Hout A list of the network leads for each network is available in CMIS. Source: Screen shot from CMIS Home Page DPH Child Nurse Consultants CHNCs provide support to local health departments providing programmatic services to children, including CC4C services. A map identifying the CHNC serving each LHD was provided as a training hout is available at:: s/chnc_map_092214_%283%29.pdf 39 Cherokee Graham REGION 1 Clay Swain Macon 1 Haywood Jackson Linda Harrison linda.harrison@dhhs.nc.gov Phone: Cell: REGION 2 REGION 3 Training Hout Debra Patterson Madison debra.patterson@dhhs.nc.gov Cell: (336) Buncombe Melody McCune melody.mccune@dhhs.nc.gov Phone: Cell: Henderson Child / Coordination for Consultation & Technical - Effective April 1, McDowell Polk Rutherford Watauga Caldwell Burke Ashe Clevel Wilkes Catawba Lincoln Gaston Iredell Surry Yadkin REGION 4 CARE COORDINATION FOR CHILDREN (CC4C) PROGRAM MANAGER (CC4C program only) Cheryl Lowe cheryl.lowe@dhhs.nc.gov Cell: STATE CHILD HEALTH NURSE CONSULTANT (CH Program only) Jean Vukoson jean.vukoson@dhhs.nc.gov Cell: Davie Rowan Cabarrus Union Stokes Forsyth Davidson Stanly REGION 5 Anson Rockingham Guilford Rolph Caswell Alamance Moore Orange Durham Chatham Lee Hoke Person Robeson Child : Stephanie Fisher Stephanie.fisher@dhhs.nc.go v : Cell: CC4C: Melody McCune Melody.mccune@dhhs.nc.go v : Cell: Harnett Cumberl Wake Franklin Johnston Sampson Bladen Columbus Warren Wayne Brunswick REGION 6 Nash Wilson Duplin Pender Hanover Northhampton Halifax Edgecombe Greene Lenoir Pitt Craven Jones Onslow 8 Hertford Bertie Martin Stephanie Fisher stephanie.fisher@dhhs.nc.gov : Cell: REGION 7 Lynette Robinson lynette.robinson@dhhs.nc.g ov : Cell: Gates Beaufort Chowan Pamlico Tyrrell Hyde REGION 8 Tara Lucas r Dare tara.lucas@dhhs.nc.gov Cell: (919) BEST PRACTICE NURSE CONSULTANT Debby Moyer Debby.moyerl@dhhs.nc.gov Cell: Child Nurse DPH CC4C Program Manager Cheryl Lowe Consultants DPH/ C & Y Branch cheryl.lowe@dhhs.nc.gov DPH/ CC4C Project Manager Angel Callicutt angel.callicutt@dhhs.nc.gov CC4C s Leads Posted in CMIS Management Steering Committee DPH & Leadership Coordination for CC4C Workgroup DPH, DMA, s, PCPs, s, CHNCs LHDs & the DPH C&Y Family Council. CC4C Program Support Strong Partnership = Success

8 Coordination for As a new CC4C CM, you must: Underst the CC4C program goals requirements Recognize the CC4C Priority Populations, unique needs of each population as well as specific resources to meet the identified needs Comprehend & apply the care management process Please access apply all the trainings outlined on the CC4C Orientation Plan found in the CC4C Toolkit. The quality of the CM services provided by each local CC4C CM is the single, most important factor in reaching program goals! 43 CC4C Orientation Upon completion of this webinar, CC4C staff are asked to click on the link at the bottom of the slide to: Register Complete online evaluation of this webinar Complete online form describing key points from this webinar Complete online scavenger hunt specific to this webinar Receive certificate of completion for your training files Evaluation 44 8

Table VIII. Emergency Medical Services January 2002

Table VIII. Emergency Medical Services January 2002 TABLE VIII. EMERGENCY MEDICAL SERVICES 23 Alamance n/a $42,305 $67,689 $57,648 varies crew chief 4 $32,486 $51,978 $38,826 training officer 1 31,087