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Strengthening the evidence for maternal and child health programs

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Institute for Child Health Policy at the University of Florida. Florida Pediatric Medical Home Demonstration Project Evaluation. https://www.healthmanagement.com/wp-content/uploads/florida-pediatric-medical-home-demonstration-report-year-4.pdf Updated 2014.

Link: https://www.healthmanagement.com/wp-content/uploads/florida-pediatric-medical-home-demonstration-report-year-4.pdf

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Parent Engagement, PROVIDER/PRACTICE, Maintenance of Certification Credits, Provider Training/Education, Patient-Centered Medical Home, Quality Improvement/Practice-Wide Intervention

Intervention Results:

Percentage of adolescent well-care visits increased for both Round 1 practices (69.9% in Year 1 to 76.4% in Year 4) and Round 2 practices (64.2% in Year 3 to 72.3% in Year 4)

Garcia-Huidobro D, Shippee N, Joseph-DiCaprio J, O'Brien JM, Svetaz MV. Effect of patient-centered medical home on preventive services for adolescents and young adults. Pediatrics. 2016;137(6).

Link: https://www.ncbi.nlm.nih.gov/pubmed/27244851

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Patient-Centered Medical Home

Intervention Results:

  • No significant difference in odds of receiving a preventive visit for the total sample (ages 10-24), comparing patients enrolled in patient-centered medical homes with patients not enrolled (aOR=1.10; CI=0.93-1.29)
  • Decreased odds of having a visit for adolescents ages 10-18 comparing patients rolled in patient-centered medical homes with patients not enrolled (aOR=0.63; 99% CI=0.51-0.79)

Kenney GM, Marton J, Klein AE, Pelletier JE, Talbert J. The effects of Medicaid and CHIP policy changes on receipt of preventive care among children. Health Serv Res. 2011;46(1 Pt 2):298-318.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21054374

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Increased Reimbursement

Intervention Results:

  • No significant increase in receipt of well-child care visits in Kentucky (0% difference; p<.01)
  • Significant increase in receipt of well-child care visits in Idaho (2.9% difference; p<.01)
   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.