Medical Home

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Illinois Awarded State Implementation Grant for Integrated Community Systems for Children with Special Health Care Needs

The Illinois Chapter of the American Academy of Pediatrics (ICAAP) is pleased to announce that it has been awarded one of six new State Implementation Grants for Integrated Community Systems for Children with Special Healthcare Needs. This is a three year state implementation grant beginning June 1, 2009 through May 31, 2012 and is funded by the Department of Health and Human Services (DHHS), Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). The award is for $300,000 per year for three years. The ICAAP applied for the grant in collaboration with the Division of Specialized Care for Children (DSCC) and many other partners across the state. The following states/organizations were successful in their applications for this funding cycle: 

Illinois:           Illinois Chapter, American Academy of Pediatrics
Indiana:           Indiana State Department of Health
Mississippi:   University of Southern Mississippi
New Jersey:    Statewide Parent Advocacy Network of N J
Kansas:           Kansas Department of Health and Environment
Virginia:         Virginia Department of Health

Illinois’ new project is titled “Integrated Systems of Services for Illinois Children and Youth with Special Health Care Needs (CYSHCN) and Their Families”. The effort builds upon the success of the Illinois Medical Home Project, which was administered by ICAAP in collaboration with the DSSC and also funded by DHHS HRSA MCHB. The principal investigator and project director for the new grant is Kathy Sanabria, MBA, PMP. The lead pediatrician and medical advisor for the initiative is Miriam Kalichman, MD, Associate Medical Director, University of Illinois at Chicago, Division of Specialized Care for Children, Children’s Habilitation Clinic, Chicago.

PROJECT DESCRIPTION  

Primary care providers and families lack information, understanding, and training about the medical home model and benefits of providing coordinated, community-based, family-centered care. Youth with special health care needs require resources and support to transition into adult service systems. This program will improve access to quality, comprehensive, coordinated, community-based services for CYSHCN and their families by working in collaboration with state partners to provide resources and training to build medical homes and transition youth with special needs into adult service systems.

GOALS  

Primary goals of the project include:

• Plan, develop, and implement the grant work plan in adherence to project management principles to ensure successful completion.
• Improve ability of primary care providers to incorporate the principles of the medical home model into their practices and better link families with community-based services.
• Create inclusive community-based systems of services for CYSHCN through a collaboration of statewide stakeholders.
• Provide training and support to transition youth with special needs into adult service systems to help maximize their potential.
• Develop and implement a strategy to sustain and support medical home advances across the state.

The project will e nsure training materials incorporate those already developed by the American Academy of Pediatrics (AAP), the MCHB funded National Centers, the National Committee for Quality Assurance, the Patient Centered Primary Care Collaborative, the Center for Medical Home Improvement (CMHI), and many other organizations working to advance medical homes across the country.

METHODOLOGY

The project aims to improve access to quality, comprehensive, and coordinated systems of services for Illinois CYSHCN and their families that are family-centered, community-based, and culturally competent. The initiative will be overseen by a Project Advisory Committee (PAC) of representatives from state government agencies and organizations, family and youth partners, primary care providers, and others. The project emphasizes the importance of the family-professional partnership. Trainers will teach clinicians the “Plan-Do-Study-Act” cycle of practice improvement and establish systems to support medical home initiatives utilizing the CMHI and the AAP Medical Home Tool Kits, training materials, and resources. A major focus of this grant will be to develop systems to ensure youth with special health care needs receive services necessary to make transitions to adult life, including adult health care, work, and independence. Four pilot sites will participate in a Learning Collaborative, receive technical assistance, participate in learning sessions, and receive modest funding to help develop and test a youth in transitions training module to be delivered to interested primary care providers around the state. The project will also implement a public relations plan to promote medical homes and host in-services for providers and families to spread implementation. A subcontract will be established with the Family to Family Health Information and Education Center to ensure outreach to families.

COORDINATION  

The project will be administered by ICAAP in collaboration with the Illinois Title V agency, the Division of Specialized Care for Children. The program includes a subcontract with the Arc of Illinois, which houses Illinois’ Family to Family Health Information and Education Center and the Life Span Project. Other partners include: Family Voices of Illinois, Illinois Department of Healthcare and Family Services, Illinois Academy of Family Physicians, The Children’s Habilitation Clinic, Illinois Primary Health Care Association, Illinois Health Connect, Division of Rehabilitation Services, Office of Family Health Services, Illinois State Board of Education, Division of Community Health and Prevention, Illinois Department of Human Services, and others.

EVALUATION  

Evaluators will measure the effectiveness of the youth in transitions training curriculum to be developed and tested among pilot sites and made available to primary care providers. Evaluators will measure the impact of centralized technical assistance, effectiveness of the Learning Collaborative, impact on pilot sites participating in the project, impact on primary care providers who receive training, and impact on youth and families who receive support from the project. Data will be collected from pilot sites at baseline and follow up using the Medical Home Index, Medical Home Family Index, and Practice Assessment Checklist to measure changes in systems of care, access to services, and satisfaction.  

For more information about the project or to participate on the PAC, please contact:

Kathy Sanabria, MBA, PMP, Principal Investigator and Project Director
Illinois Chapter, American Academy of Pediatrics
1400 West Hubbard, Suite 100
Chicago, IL 60642
Phone: 312-733-1026, ext 208
ksanabria@illinoisaap.com
www.illinoisaap.org

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ICAAP INVITES PRIMARY CARE PRACTICES TO JOIN NEW PROGRAM
Building Community-Based Medical Homes for Children
By Kathleen Sanabria, MBA, PMP, Project Director

ICAAP and the Division of Specialized Care for Children are pleased to announce a new program titled “Building Community-Based Medical Homes for Children”, with support from the Michael Reese Health Trust. The initiative builds upon the success of the Illinois Medical Home Project and will provide primary care practices with free medical home quality improvement support and resources.

Medical Home

Medical home, also called patient-centered care, is the model for 21st century primary care, with a goal of addressing and integrating high quality health promotion, acute care, and chronic condition management in a planned, coordinated and family-centered manner. The medical home model has the potential to resolve issues contributing to the primary care crisis and to improve the quality of care for patients facing a fragmented health system. The AAP describes the medical home as a model of delivering primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective. This model was developed to promote the implementation of evidenced based practices by the provision of family centered partnerships (*see AAP description below), care coordination, and continuous quality improvement at the primary care practice. Universal medical home implementation is a key strategy to promote the health and well-being of all children and youth.

Child Health Statistics

According to the 2005/2006 National Survey of Children with Special Health Care Needs (CSHCN), i n Illinois, 451,000 or 14% of children ages 0 to 17 years have special health care needs. These children and their families are vulnerable to the complexities of the health care system and the stresses of their child’s medical condition. Families of only 60.3% of Illinois CYSHCN partnered in decision making at all levels and were satisfied with the services they received.  In Illinois, only 45.1% of CYSHCN are estimated to have received coordinated, ongoing comprehensive care within a medical home, a 5% decrease from the 2001 National Survey. According to the Commonwealth Fund 2006 Health Care Quality Survey, patients with medical homes were more likely to receive reminders to obtain preventative care, were more likely to receive preventative screenings, reported better managed chronic conditions and health outcomes, and experienced better coordination between primary and specialty care providers. Furthermore, racial and ethnic differences in receiving health care were reduced or eliminated when adults received care within a medical home.

Addressing Unmet Needs

The ICAAP, in collaboration with the DSCC, is committed to advancing the development of medical homes by providing primary care providers with training and support to implement the model in their practices. Through expansion of the pilot Illinois Medical Home Project and implementation of the new Building Community-Based Medical Homes for Children Program, experienced quality improvement (QI) team facilitators will provide interested practices and clinics with QI team (which includes families from the practice) supportto help organize their practices and guide their QI activities to build medical homes for all. This initiative will not only support implementation to improve the quality of patient care but also has the potential to increase recognition and payment of services by teaching you how to participate in the National Committee for Quality Assurance’s Physicians Practice Connection evaluation program on Patient Centered Medical Home.

If your practice is interested in establishing a medical home QI process, contact Kathy Sanabria, MBA, PMP, to join other practices that have already paved the way and can share their experiences and resources. Beginning July 2009, trainers will provide free support and resources to five new practices on a first come, first serve basis. The program teaches how to

 

• Set up effective medical home innovation teams
• Know and identify your patient population
• Include families in the QI process
• Make your practice accessible
• Make your practice family centered and culturally effective
• Provide planned, proactive care
• Develop written care plans for special needs patients
• Become a DSCC medical home provider and receive increased reimbursement
• Participate in the National Committee for Quality Assurance’s Physicians Practice Connection evaluation program

Don’t delay...get started today! For more information, contact:

Kathy Sanabria , MBA, PMP
ICAAP Project Director for Medical Home Initiatives
ksanabria@illinoisaap.com
312/733-1026, ext 208

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Illinois Medical Home Project Newsletter Third Edition March 2009

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Illinois Organizations Receive Grant from The Commonwealth Fund To Strengthen Medical Homes and Early Intervention

The Illinois Chapter of American Academy of Pediatrics (ICAAP) and Advocate Health Care’s Healthy Steps for Young Children Program are pleased to announce that Illinois has been awarded a grant from The Commonwealth Fund to develop systems to overcome barriers to referral and care coordination for children eligible for Early Intervention (EI) services.

Screening young children for developmental delay is of limited value when families lack ready access to EI services. When such services are available, information about them must be incorporated into the child's health care plan if the services are to be effective and supported during regular doctor visits. In many communities, collaboration between medical practices and early intervention programs is in need of improvement.

The Commonwealth Fund’s two-year grant will allow ICAAP and Advocate to identify barriers and obstacles on both sides of the referral process that contribute to poor care coordination for children with developmental problems. Drawing from its findings, the project leaders will develop and test an approach for overcoming these obstacles. The approach will include training modules and a variety of educational materials which may be incorporated into statewide and national efforts if effective.

The project, Coordinating Care Between Early Intervention and the Primary Care Medical Home, is part of the larger Enhancing Developmentally Oriented Primary Care (EDOPC) project. EDOPC is a statewide, comprehensive effort to increase primary care providers’ use of validated tools for developmental, social-emotional, and maternal depression screening, with strong partnerships between the primary care medical community, the Illinois Department of Healthcare and Family Services’ All Kids program, Early Intervention, community service agencies, advocates and local philanthropists. Since 2005, EDOPC has conducted nearly 400 trainings throughout the state of Illinois at over 175 different sites (medical practices, clinics, hospitals) for over 2,500 health care professionals. The professionals impacted provide care to over 150,000 children between birth and age three in Illinois each year, or approximately 30% of the birth to three populations in the state of Illinois. More information on EDOPC is available at www.edopc.org.

EDOPC’s experience working with primary care medical homes and Early Intervention identified the barriers to communication that inspired the Coordinating Care project. Ultimately through this project, healthcare providers and Early Intervention staff will save time and share information to provide higher quality care; parents will be more satisfied with the care they receive through their primary care medical homes; and children will receive more timely and coordinated services that will help improve health and developmental outcomes.

The Coordinating Care project will continue to position Illinois as a leader in the establishment of medical homes for children and the development of programs that support the crucial early childhood years.

About The Commonwealth Fund

The Commonwealth Fund, among the first private foundations started by a woman philanthropist—Anna M. Harkness—was established in 1918 with the broad charge to enhance the common good. The mission of The Commonwealth Fund is to promote a high performing health care system that achieves better access, improved quality, and greater efficiency particularly for society’s most vulnerable, including low-income people, the uninsured, minority Americans young children and elderly adults. The Fund carries out this mandate by supporting independent research on healthcare issues and making grants to improve healthcare practice and policy. More information is available at http://www.commonwealthfund.org/.

About ICAAP

ICAAP is an organization of approximately 2,300 pediatricians in Illinois. Primary activities include advocacy on behalf of children, families, and health professionals in Illinois; the provision of continuing medical education and other resources for pediatricians, pediatric specialists, and other child health care providers; and collaboration with other state organizations and agencies on programs and projects that improve the health and well-being of children. ICAAP's mission is to promote the right of all children to live happy, safe, and healthy lives, to ensure children receive quality medical care from pediatricians (the most qualified physicians to deliver this care), and to assess and serve the needs of its membership. More information is available at www.illinoisaap.org.

About Advocate Health Care Healthy Steps for Children Program

Advocate Health Care, based in Oak Brook, Illinois, is the largest fully integrated not-for-profit health care delivery system in the state of Illinois. Recognized as a national leader in the delivery of developmental care for children 0-3, Advocate Health Care’s Healthy Steps program has partnered with diverse health care sites and early childhood programs in the Chicago metropolitan area to implement a model of care that enhances parent/provider interaction and improves patient satisfaction. Through training and technical assistance, the program has impacted private physician practices, clinics, pediatric and family practice residency programs, day care centers, public health departments, and hospitals. More information is available at http://www.advocatehealth.com/system/services/babies/.

TIRELESS ADVOCATE ON BEHALF OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS RETIRES
Edward Pont, MD, FAAP Immediate Past President

Dr. Onufer has devoted his professional career to serving all children, especially those with disabilities and their families. He spent nearly 27 years in the Army and retired as a Colonel in 1996. During his tenure he published multiple editions of a pediatric guide for military families on well baby/child care, was the senior Editorial Advisor for The Journal of the US Army Medical Department, and spent nine years as the medical director for the Army’s Children with Special Health Care Needs Program in Europe. He also served as a pediatric consultant to the Surgeon General. He is a fellow of the AAP and member of the Order of Military Medical Merit, the Society of Medical Consultants to the Armed Forces, and the Society of Developmental Disabilities. In 2002 he was selected as the Albert Pisani, M.D. Pediatrician of the Year by the ICAAP Executive Committee. After serving our country and providing pediatric medical care for service men and women and their families, Dr. Onufer came to the Illinois Title V program, the University of Illinois at Chicago (UIC) Division of Specialized Care for Children (DSCC), in 1997 and took over the direction of the program in 1998.

In addition to serving as the director of the DSCC, he served as the Chairperson of the ICAAP Committee on Children with Disabilities; Principal Investigator for the Illinois Medical Home Project; and speaker for the in-office Enhancing Developmentally Oriented Primary Care Program, which provides in-services to primary care practices on developmental screening, early autism detection and referral, and healthy beginnings. Since 2003 he has been serving on the national AAP’s Medical Home Initiatives for Children with Special Needs Project Advisory Committee.

Dr. Onufer also served as an Assistant Professor of Pediatrics at the UIC Medical School Department of Pediatrics and Adjunct Faculty of the UIC School of Public Health. Dr. Onufer served as Co-Chair of the Association of Maternal Child Health Programs (AMCHP) Workforce Development Committee and as Vice President of the Governor’s Council on Brain and Spinal Cord Injury. As Chair of the Region 4 Genetics Collaborative’s Medical Home Working Group from 2005-2007, Dr. Onufer led a team of health care professionals from Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin whose purpose was to establish a regional work plan, for Newborn Screening Initiatives, incorporating the medical home.

Dr. Onufer’s visionary leadership and passion for high quality, coordinated, compassionate, family-centered care resulted in the development of the medical home initiative within the Illinois Title V program. This initiative continues to provide professional facilitators, knowledgeable about the medical home model, to assist primary care practices create partnerships with parents, establish quality improvement teams, and begin the process of developing medical homes. To date, 19 primary care practices have initiated quality improvement teams to collaborate on practice changes for improving the delivery of care.

As part of his work to nationally promote and spread the medical home, Dr. Onufer initiated multidisciplinary collaborations with major third party payers, government agencies, and physician board recertification organizations to begin discussions and planning for ways to provide reimbursement and recognition for medical home services. In 2003, he took the lead in this endeavor by establishing a system of recognition and reimbursement for medical home services provided by primary care physicians for Illinois children with special health care needs eligible for Title V assistance. He has used this model to promote innovation and change within the health care industry to benefit families and children.

Dr. Onufer’s distinguished career in serving CYSHCN and their families has been most appreciated. The ICAAP will greatly miss him as an active member and volunteer. To that end, if you would like to send Dr. Onufer a retirement card, please mail it to the ICAAP office and we will forward it to him. Dr. Onufer is planning to retire to Florida.

Illinois Medical Home Project Update Powerpoint
By Kathy Sanabria, MBA, IMHP Director

Link: Illinois Medical Home Project PowerPoint Update

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Third Medical Home Learning Session A Success
By Kathy Sanabria, MBA, IMHP Director

The Illinois Medical Home Project (IMHP) held its third and final Medical Home Learning Sessions for Phase II sites involved with the project. The IMHP is a four-year project administered by ICAAP with funding from the Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA). The demonstration project is in its final year of implementation.

Ten medical home quality improvement (QI) teams met for a day on Saturday, December 8, 2007 at Shriners Hospital for Children in Chicago. The session was attended by 60 highly motivated physicians, nurses, office staff, parent partners, and project staff. The following practices or clinics participated:

IMHP Phase II Participating Sites

Lead Physicians	Site Locations
Thomas Danko, MD	Crusader Clinic Rockford , IL
Eddie Pont, MD	Elmhurst Pediatric Association Elmhurst , IL
Mark Regnier, MD	Fox Valley Women and Children’s Health Partners Elburn , IL
Peter J. Smith, MD	Friend Family Health Center, Inc. Chicago , IL
Kamala (Kay) Ghaey, MD	KidzHealth Chicago , IL
Garry Sigman, MD	Loyola University Medical Center Maguire Center , Department of Pediatrics Maywood , IL
Chris Briner, MD	PCC Community Wellness Center Oak Park , IL
Edith Chernoff, MD	Premier Kids Program LaRabida Children’s Hospital Chicago , IL
Alejandro Clavier, MD	University of Illinois at Chicago Children and Adolescent Center Department of Pediatrics Chicago , IL
Young Mok, MD	Young Family Health Center Chicago , IL

The program began with welcoming comments from Charles Onufer, MD, FAAP, Director of the Division of Specialized Care for Children (DSCC) and Principal Investigator for the IMHP. Dr. Onufer reported on the Patient Centered Primary Care Collaborative (PCPCC), which is a national coalition of major employers, consumer groups, organizations representing primary care physicians, and other stakeholders who have joined to advance the patient centered medical home (PCMH). The coalition is partnering with the National Committee for Quality Assurance (NCQA), a private, independent non-profit health care quality oversight organization that develops measures and reports on health care quality. The NCQA has recently developed a tool called “Physician Practice Connections” (PPC) to measure the “patient centered homeness” of a practice. The NCQA is working to provide a tested, accurate assessment of the systems and patient centeredness of office based practice. The tool provides a road map for practices to follow to achieve higher levels of PCMH and includes a scoring mechanism that has been correlated with enhanced clinical performance. The PPC has been endorsed by four medical groups including the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Physicians, and the American Osteopathic Association for “qualifying” practices as PCMH’s in pilot-demonstrations. Early findings of the work from coalition partners indicate that the most successful prior PPC initiatives have pay-for-performance links...and strongly suggest that success of PCMHs will be linkage to fair and equitable reimbursement. For more information about these fast moving patient centered, medical home advances, visit the NCQA Web site: www.ncqa.org.

“The wonderful thing about our involvement with the Medical Home project is we’re focusing on care plans for medically complex children. The monthly QI team meetings with our three parent partners keep us on track and goal oriented. The sample care plans provided through the project made it easier for our team to develop our own care plan template that was improved with input from our parents.”

- Pam Northrop, program coordinator/social worker, La Rabida Children’s Hospital, Premier Kids Medical Home QI Team member.

Dr. Onufer also spoke about the efforts of the DSCC and the Arc of Illinois to develop the Life Span Community-Based Resource Directory that is being organized by regions throughout Illinois so that community-based resources can be easily found via the Internet http://www.illinoislifespan.org Dr. Onufer described how DSCC has developed a “Build Your Own Care Notebook”, which is presented in a three-ring binder and can be individualized for special needs patients and their families. Finally, the DSCC recently updated a monograph for physicians on medical home titled “The Medical Home Primer for Community Pediatricians and Family Physicians”. For more information, visit the DSCC Web site: http://www.uic.edu/hsc/dscc/

Rose Slaght, project associate/trainer for the Arc of Illinois’ Family to Family (F2F) Health Information and Education Center, funded by the MCHB of the HRSA, provided an update on the efforts of the Center, which started operations on May 1, 2006. As a result of close collaboration between The Arc of Illinois and Family Voices of Illinois, a parent volunteer initiative, the F2F Center in Illinois joins 33 other F2F Centers around the nation (http://www.medicalhomeinfo.org/tools/F2F.html) to provide education and outreach to families of children with special needs. The Arc and the F2F Center continue their affiliation with Family Voices, a national grassroots organization speaking on behalf of children and youth with special health care needs. Faye Manaster, MEd, serves as the project director. For more information visit: http://www.thearcofil.org/familytofamily/index.asp

Patience White, MD, MA, provided an inspirational presentation on transitioning adolescents with special needs to the adult healthcare system and preparing them to be productive and ready for work. Dr. White is the Chief Public Health Officer of the Arthritis Foundation – the nation’s largest national, nonprofit health agency working on behalf of the 66 million Americans with arthritis and related diseases. In addition to her work at the national office of the Arthritis Foundation, she is a professor of medicine and pediatrics at the George Washington University School of Medicine and Health Sciences. In addition to Dr. White’s academic accomplishment she has also authored numerous books and articles. Much of her published work deals with the long-term outcome of youth with disabilities as they move into the world of work and adult medical care.

Maureen Lowry-Fritz, a licensed attorney who operates a special education law consulting practice in Naperville, IL, provided a high-powered talk on advocacy for special education services in schools. Ms. Lowry-Fritz is an honors graduate of Loyola University School of Law in Chicago and also holds a Masters in Administrative Management from University of Maryland Overseas Graduate Program in Heidelberg, Germany. She is the mother of four children, two of whom have received special education services in school. In her legal consulting practice, Ms. Lowry-Fritz supports a cooperative relationship between family and school. She teaches parents and professionals how the federal special education laws affect children with special needs. She also conducts special education law seminars for parents and professionals and hosts a free website (www.specialedmoms.com) which provides valuable legal information regarding special education law. She has also authored a book entitled, “Your Child’s Special Education Rights: Use IDEA to Advocate For Your Special Needs Child.”

The Learning Session also included opportunities for the 10 QI teams to break into groups, network and share experiences. The evaluation results for the Learning Session were very positive. All of the attendees either strongly agreed or agreed that the session provided them with valuable information and content to improve their practices and create medical homes for children and families they serve.

Note: Dr. White’s and Ms. Lowry-Fritz’s presentations were videotaped and are available for viewing at the following google site: *Windows Media Player is needed to view the presentations on the following links.

Dr. Patience White: http://video.google.com/videoplay?docid=-3769689362710186321&hl=en

Ms. Maureen Lowry-Fritz:  http://video.google.com/videoplay?docid=-1236708449502996117&hl=en

For more information about the IMHP or to learn how your practice can get started on making medical home improvements today, please contact Kathy Sanabria, MBA, Project Director at ksanabria@illinoisaap.net or 312-733-1026, ext 208.

 

Young Mok, MD, Young Family Health Center, with members of her Medical Home
quality improvement team.

Kamala (Kay) Ghaey, MD, Kidzhealth, with members
of her Medical Home quality improvement team.

 

Charles N. Onufer, MD, and Patience White, MD, MA,
pose for the camera.

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Released - 3rd Edition of the Medical Home Primer for Community Pediatricians and Family Physicians
by Charles Onufer, MD

The Division of Specialized Care for Children (DSCC), in collaboration with the Illinois Academy of Family Physicians, the Illinois Chapter of the American Academy of Pediatrics, and Illinois Health Connect – A Program Sponsored by The Illinois Department of Healthcare & Family Services, is pleased to announce the availability of the newly revised Medical Home Primer for Community Pediatricians and Family Physicians. 

The Medical Home Primer is available on the DSCC web site at http://internet.dscc.uic.edu/medhome/mhintro.asp.  The information found on the web site is structured similar to the paper format.  With the web version you can go directly to each section of interest and all reference links are provided inline with the text making it easier for you to locate and review reference material.  You can also download a PDF version of the Primer from this website; this version is structured so that all of the references listed at the end of the primer are provided with active hyperlinks to the web-based reference material.  You can access the PDF version of the primer directly at:  http://internet.dscc.uic.edu/forms/medicalhome/MedHomeCMEMonograph.pdf.

Within the online version (not available in the paper monograph) there is a new section called “Diagnosis Modules” that can be accessed from the left side of the page. This section contains useful information for the primary care physician managing 13 pediatric chronic medical conditions. These include: asthma, ADHD, autism, cerebral palsy, diabetes type I, Down Syndrome, Duchenne muscular dystrophy, hearing impairment, mental retardation, neurofibromatosis type I, seizure disorder, spinal cord injury and traumatic brain injury.

Click the links below to learn more about the:
Illinois Medical Home Project	Medical Home Tools for Providers	Medical Home Tools for Families

If you have any questions regarding the IMHP after reviewing this Web site, please contact:
Jana Stringfellow-Estell
Project Manager
Illinois Medical Home Project
Illinois Chapter, American Academy of Pediatrics
1400 W. Hubbard, Suite 100
Chicago, Illinois 60642-8195
Phone: 312/733-1026, ext. 209
Fax: 312/733-1791
e-mail jestell@illinoisaap.net