Enriched Medical Home Intervention Using Community Health Worker Home Visitation and ED Use

Anugu, Meghana; Braksmajer, Amy; Huang, Jiayu; Yang, Jie; Ladowski, Kristi L.; Pati, Susmita

doi:10.1542/peds.2016-1849

Cited by 21 publications

(18 citation statements)

References 34 publications

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“…Similarly, in a study comparing inappropriate emergency department (ED) visits between children who received CHW visits and those who did not, patients in the intervention group were significantly less likely to visit the ED for ambulatory complaints (18.2% vs 35.1%; P = .004). 15…”

Section: What Is the Role Of Community Health Workers In Home-based Cmentioning

confidence: 99%

Home visits: A practical approach

Elliott

Witherspoon

Werner

2020

The Journal of Family Practice

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Section: What Is the Role Of Community Health Workers In Home-based Cmentioning

confidence: 99%

Home visits: A practical approach

Elliott

Witherspoon

Werner

2020

The Journal of Family Practice

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“…Community health workers who are members of immigrant communities have been effective in reducing disparity and improving health outcomes. [241][242][243][244][245][246] Interagency partnerships with the local health department, homevisiting programs, community mental health providers, schools, and immigrant service organizations facilitate access to medical homes and cross-sector communication. "Warm hand-offs," or in-person transfer of care between health care team members with patients and families present, can help to ensure linkage between providers and relevant resources.…”

Section: Practice-level Barriers and Potential Opportunitiesmentioning

confidence: 99%

Providing Care for Children in Immigrant Families

Linton

Green

Chilton³

et al. 2019

Pediatrics

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Children in immigrant families (CIF), who represent 1 in 4 children in the United States, represent a growing and ever more diverse US demographic that pediatric medical providers nationwide will increasingly encounter in clinical care. Immigrant children are those born outside the United States to non-US citizen parents, and CIF are defined as those who are either foreign born or have at least 1 parent who is foreign born. Some families immigrate for economic or educational reasons, and others come fleeing persecution and seeking safe haven. Some US-born children with a foreign-born parent may share vulnerabilities with children who themselves are foreign born, particularly regarding access to care and other social determinants of health. Therefore, the larger umbrella term of CIF is used in this statement. CIF, like all children, have diverse experiences that interact with their biopsychosocial development. CIF may face inequities that can threaten their health and wellbeing, and CIF also offer strengths and embody resilience that can surpass challenges experienced before and during integration. This policy statement describes the evolving population of CIF in the United States, briefly introduces core competencies to enhance care within a framework of cultural humility and safety, and discusses barriers and opportunities at the practice and systems levels. Practice-level recommendations describe how pediatricians can promote health equity for CIF through careful attention to core competencies in clinical care, thoughtful community engagement, and systemlevel support. Advocacy and policy recommendations offer ways pediatricians can advocate for policies that promote health equity for CIF. DEMOGRAPHICS Health care of children in immigrant families (CIF) in the United States has received increasing attention over the past decade, in part because of increasing migration of children caused by conflicts globally, greater diversity among migrant populations, and divisive sociopolitical discussion regarding immigration policy. Definitions regarding immigrant children vary, but for the purposes of this policy statement, immigrant

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“…Medicaid waivers that allow for coverage of non‐traditional services, such as home visits by CHWs, provide another means for enhancing services paid for by FFS . A growing body of evidence demonstrates the cost effectiveness of CHW home visit programs for children and adults …”

Section: Risks and Opportunitiesmentioning

confidence: 99%

Opportunities on the road to value‐based payment for children with chronic respiratory disease

Kevill

Bazzy‐Asaad

Pati

2018

Pediatric Pulmonology

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The transition from a fee-for-service payment system to value-based payment system gained momentum in the US in 2010 with the passage of the Affordable Care Act and continues to progress rapidly. Market research estimates that value-based payment models will surpass fee-for-service by 2020. This change offers both great opportunity and great risk to the medical care of the heterogeneous populations of children with chronic respiratory disease. The fee-for-service model has driven the emergence of a healthcare delivery infrastructure markedly misaligned with the medical needs of children with chronic respiratory disease. A change to value-based payment models offers the opportunity to create systems better aligned with the complex and varied care needs of these children. However, rapid change without input from the relevant stakeholders could yield an infrastructure even more misaligned with the needs of children with chronic respiratory disease than the current one and threaten access to high quality medical care for these populations. Through the lens offered by three fictional case studies, this review: (1) illustrates current and evolving payment models;(2) describes limitations of these payment models; and (3) suggests a novel way to envision and evaluate value-based payment models for children with chronic respiratory disease. K E Y W O R D S evidence-based medicine and outcomes, neonatal pulmonary medicine, respiratory technology, social dimensions of pulmonary medicine Pediatric Pulmonology. 2019;54:105-116. wileyonlinelibrary.com/journal/ppul

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Enriched Medical Home Intervention Using Community Health Worker Home Visitation and ED Use

Abstract: Our findings suggest that EMHIs using trained CHWs may be a cost-effective model to reduce preventable ED utilization, especially among vulnerable children.

Cited by 21 publications

References 34 publications

Home visits: A practical approach

Home visits: A practical approach

Providing Care for Children in Immigrant Families

Opportunities on the road to value‐based payment for children with chronic respiratory disease

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