A Pilot Exploring Integration of a Home Visiting Public Health Nurse into a Pediatric Medical Home Team

2.50
Hdl Handle:
http://hdl.handle.net/10755/603116
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
A Pilot Exploring Integration of a Home Visiting Public Health Nurse into a Pediatric Medical Home Team
Author(s):
Besch, Katharine Joy; Miyagawa, Lea Ann; Miyagawa, Lea Ann
Lead Author STTI Affiliation:
Psi-at-Large
Author Details:
Katharine Joy Besch, RN, katharine.besch@kingcounty.gov; Lea Ann Miyagawa, RN
Abstract:
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction/Background: Mounting evidence shows that home visiting programs can decrease health disparities; reduce hospitalizations and emergency care visits; and increase access to health care services. Furthermore, experts in pediatrics, public health and early childhood development have discussed the integration of home visiting nurses and the medical home and how the new model of care can optimize communication, and collaboration improving continuity of care for pediatric clients and their families. Public Health Seattle and King County (PHSKC) has a robust Public Health Nurse (PHN) home visiting service as well as pediatric clinics that have achieved medical home designation. PHSKC serves a diverse population with over 100 languages spoken in the area which increases the complexity of providing comprehensive patient care. Formalizing the relationship between home visiting PHN’s and the Pediatric Medical Home team could serve to strengthen the care coordination and health resources available to the pediatric clients. Aim/Goal/Purpose Sentence: The aim of the pilot project is to explore a new model of care that enhances the Pediatric Medical Home model by incorporating a home visiting Public Health Nurse (PHN) into the existing medical home team. The goal is to improve client access to medical care and the continuity of care  between the clinic and the home. Methods: A Public Health Center site, Columbia Public Health Center, was identified as having a Pediatric Medical Home team as well as a home visiting PHN department, which operated separately. The leadership fellow facilitated the formation of the pilot project team consisting of an MD, office RN, MA, PHN, and nurse supervisor. The team identified a pilot group of seven clients to follow over 9 months who met the criteria of being under 6 months of age and a high risk client. The newly developed team met for regular team meetings for case conferencing and evaluation of pilot strategies and problems with communication.  Team guidelines were set regarding preferred methods of communication for care coordination activities and patient education strategies. Family interviews and a medical home staff focus group were conducted after the pilot’s completion. Chart reviews provide additional descriptive data for activities and family data.  Results: Themes from interviews of the Medical Home team are presented exploring the benefits and barriers for the communication, timing and health care encounters of patients involved in the pilot.  Care perceptions of family members and recommendations for future team care will be analyzed and reported. Impact of the project, next steps and recommendations for continuation and/or expansion of the project will be presented. Conclusion: This pilot project explores an enhanced model of care incorporating a home visiting Public Health Nurse (PHN) into the existing Medical Home team. This project provides data about the viability and impact of expanding the Pediatric Medical Home team to provide improved services and access to care for high risk children in the community.
Keywords:
Maternal Child Health; Pediatric Medical Home; Public Health Nurse Home Visiting
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15MC1.2
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleA Pilot Exploring Integration of a Home Visiting Public Health Nurse into a Pediatric Medical Home Teamen
dc.contributor.authorBesch, Katharine Joyen
dc.contributor.authorMiyagawa, Lea Annen
dc.contributor.authorMiyagawa, Lea Annen
dc.contributor.departmentPsi-at-Largeen
dc.author.detailsKatharine Joy Besch, RN, katharine.besch@kingcounty.gov; Lea Ann Miyagawa, RNen
dc.identifier.urihttp://hdl.handle.net/10755/603116en
dc.description.abstractSession presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction/Background: Mounting evidence shows that home visiting programs can decrease health disparities; reduce hospitalizations and emergency care visits; and increase access to health care services. Furthermore, experts in pediatrics, public health and early childhood development have discussed the integration of home visiting nurses and the medical home and how the new model of care can optimize communication, and collaboration improving continuity of care for pediatric clients and their families. Public Health Seattle and King County (PHSKC) has a robust Public Health Nurse (PHN) home visiting service as well as pediatric clinics that have achieved medical home designation. PHSKC serves a diverse population with over 100 languages spoken in the area which increases the complexity of providing comprehensive patient care. Formalizing the relationship between home visiting PHN’s and the Pediatric Medical Home team could serve to strengthen the care coordination and health resources available to the pediatric clients. Aim/Goal/Purpose Sentence: The aim of the pilot project is to explore a new model of care that enhances the Pediatric Medical Home model by incorporating a home visiting Public Health Nurse (PHN) into the existing medical home team. The goal is to improve client access to medical care and the continuity of care  between the clinic and the home. Methods: A Public Health Center site, Columbia Public Health Center, was identified as having a Pediatric Medical Home team as well as a home visiting PHN department, which operated separately. The leadership fellow facilitated the formation of the pilot project team consisting of an MD, office RN, MA, PHN, and nurse supervisor. The team identified a pilot group of seven clients to follow over 9 months who met the criteria of being under 6 months of age and a high risk client. The newly developed team met for regular team meetings for case conferencing and evaluation of pilot strategies and problems with communication.  Team guidelines were set regarding preferred methods of communication for care coordination activities and patient education strategies. Family interviews and a medical home staff focus group were conducted after the pilot’s completion. Chart reviews provide additional descriptive data for activities and family data.  Results: Themes from interviews of the Medical Home team are presented exploring the benefits and barriers for the communication, timing and health care encounters of patients involved in the pilot.  Care perceptions of family members and recommendations for future team care will be analyzed and reported. Impact of the project, next steps and recommendations for continuation and/or expansion of the project will be presented. Conclusion: This pilot project explores an enhanced model of care incorporating a home visiting Public Health Nurse (PHN) into the existing Medical Home team. This project provides data about the viability and impact of expanding the Pediatric Medical Home team to provide improved services and access to care for high risk children in the community.en
dc.subjectMaternal Child Healthen
dc.subjectPediatric Medical Homeen
dc.subjectPublic Health Nurse Home Visitingen
dc.date.available2016-03-21T16:43:38Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:43:38Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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