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Family Centered Managed Care Through a ConsumerProvider Partnership

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Title: Family Centered Managed Care Through a ConsumerProvider Partnership


1
Family Centered Managed Care Through a
Consumer/Provider Partnership
2
How will family-centered, culturally competent
care be ensured as managed care becomes more
established?
  • Organizations face cost containment
  • Professionals work under time constraints
  • Families lack knowledge of managed care
  • Children lack state of the art care
  • Professionals and families lack understanding of
    FCC.

3
Hospital/Clinic based Family Resource Center
  • Housed Parent Liaison in medical setting to
    provide
  • Peer Counseling
  • Matching Mentor Parents
  • Information
  • Translation of Medical Terminology
  • Training opportunities to medical staff and
    families

4
PHP Helps Parents to
  • Understand and utilize service systems for their
    children.
  • Participate as an equal partner on the health
    care team.
  • Obtain information and peer counseling.

5
Goal
  • Ensure children with special health needs receive
    high quality care by helping to make
    Family-Centered Care a reality in their
    institutions.

6
Objectives
  • Create consumer/provider collaborative working
    partnerships.
  • Replicate our original Kaiser model at a for
    profit managed care facility and a Medicaid
    Managed Care facility.
  • Maintain operations at Kaiser facilities.
  • Provide technical assistance to other interested
    parties.
  • Produce a national conference.
  • Provide computerized health information,
    resources and networking for families and
    professionals.

7
PHP Partner Medical Locations
  • Kaiser Santa Teresa Outpatient clinic
  • Kaiser Santa Clara Tertiary care hospital and
    outpatient clinics
  • Santa Clara Valley Medical Center Medicaid
    county hospital with tertiary care and outpatient
    clinics
  • Good Samaritan Hospital for profit intermediate
    level hospital
  • California Childrens Service State Title 5
    agency providing services to children with
    physical challenges

8
Other Key Partners
  • San Andreas Regional Center
  • Public Health
  • Lucille Packard Childrens Hospital
  • Family Voices
  • County Office of Education and local school
    districts

9
Evaluation
  • Statistics, Statistics, Statistics
  • Parent Survey
  • Professional Survey

10
Valley Medical Center
11
Valley Medical Center
12
Good Samaritan Hospital
13
Good Samaritan Hospital
14
Parent Survey
 
15
Parent Survey Results
16
Parent Comments
  • Son was born premature has now been main
    streamed. We appreciate help offered by PHP.
  • Parents need to know as soon as diagnosis is made
    there are other parents resources available
  • I'm so glad I called. Wonderful. Opened whole
    area of support and information
  • When I had my son he was born with down syndrome.
    I don't know what we would have done without you!
    PHP helped us so much!
  • Having PHP at the hospital allowed easy access to
    help! I wouldn't have been educated or familiar
    with my son's case if I didn't have their help
    and knowledge that I needed to advocate for my
    son.

17
Professional Survey
 
 
18
Professional Survey Results
19
Professional Comments
  • PHP is a valuable and important resource. We are
    blessed to have a rep on campus.
  • Continue to provide an excellent service to
    families as parents need all the support they can
    get. I recommend to have Filipino staff to help
    Filipino families.
  • I am a social worker who refers many families to
    your program. I am always impressed with the
    quality of services you offer. Families always
    report their appreciation for the help they
    receive.
  • My patients are all pleased with the support and
    info. There's a big need for parent education on
    the topic of school related accommodations and
    laws.
  • Think FRC provides much needed support. With 4200
    births each year, our families need this.

20
Significant Lessons
  • Inside champion ESSENTIAL
  • Online computer access to data base.
  • Hospital cultures vary
  • Social workers intimidated
  • Consistency of Parent Liaison
  • Negotiating for

21
Grant Products
  • Brochures
  • Enhancing Family Centered Care
  • PHP Family Resource Center at Good Samaritan
    Hospital
  • PHP Family Resource Center at Santa Clara Valley
    Medical Center
  • PHP Family Resource Center at California
    Childrens Service, San Jose

22
Grant Products, cont.
  • Training packages
  • Building Care Teams for Children 2 day
    symposium on how to replicate our program - soon
    to be available on CDROM and through PHP internet
    site plus auxiliary materials.
  • The Heart of Family Centered Care 1 day
    seminar for nurses, social workers and other
    health care professionals on family centered
    care.
  • Better Ways of Breaking Diagnostic News
    revised 1-2 hour training program for doctors.

23
www.php.com
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