Friday, December 2, 2022
12/2/2022
Address: 32 Campus Dr., University of Montana, Missoula, MT 59812 Project Director Name: Chelsea Bodnar, MD (Montana Pediatrics), Martin Blair, PhD (University of Montana) Contact Phone Number: Voice: 406-272-4631 (Bodnar), 406-243-4779 (Blair) Fax: 406-243-2349 Email Address: cbodnar@montanapediatrics.org and martin.blair@umontana.edu Websites: www.ruralinstitute.org and www.montanapediatrics.org Federal funding request: $1,998,707 The Montana Collaborative, Technology-enabled, Family-centered Care and Care Coordination Project fundamentally transforms the systems of care available for children with medical complexity in the state of Montana. As a frontier state, ranking 48 in population density and 47 in pediatrician to child ratio, an improved system of care for Montana’s children with medical complexity must solve for the same care coordination challenges seen across the United States plus the unique barriers to health equity that vast geography, community isolation, and a lack of qualified providers magnify. Montana is home the 4th largest number of American Indians in the United States, a population for whom medical complexity is confounded by chronic structural barriers, systemic racism and unaddressed social determinants of health. To address the needs of Montana’s children with medical complexity and their families, the University of Montana and Montana Pediatrics developed an innovative care model along three distinct, synergistic lines of effort. First, the foundational work ensures that family voice as well as equity, diversity and inclusion permeate and inform every aspect of the project’s design, evaluation and implementation. Second, we deploy two care models to improve access to care for children with medical complexity. The first model, Care Model One, improves “direct to consumer” access to pediatric care for these children via telemedicine through a shared coverage call pool representing pediatric practices from across Montana. The providers are all pediatric trained providers – most of whom have full panels of pediatric patients during the day or work as pediatric hospitalists in Montana. The second model, Care Model Two, provides virtual patient and family-centered care coordination for all children with medical complexity to support existing local capacity, primary care providers, and medical homes. Care Model Two provides for the care coordination be supported virtually by a neutral organization seeking to place patients and families/caregivers at the center of care delivery and to build collaborative care across all members of the care teams. Special emphasis is placed on serving children and families who live in rural, frontier and tribal communities. Third, implementation and impact of the two care models is evaluated using standards set by the HRSA Enhancing Systems of Care for CMC Coordinating Center, including an annual Pediatric Integrated Care Survey (PICS) and Consumer Assessment of Healthcare Providers and Systems Health Plan Survey (CAHPSHPS).
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
