JUNE 10-14, 2019   •  Las Vegas, NV
Navigating the Full Spectrum of Case Management • Mirage Convention Center

PP303 – Children & Youth with Special Health Care Needs (CYSHCN): Pediatric Transformation Initiative Overview

PP303 – Children & Youth with Special Health Care Needs (CYSHCN): Pediatric Transformation Initiative Overview

Initiative Milestones
Develop pediatric special health care needs predictive model
Develop CM pediatric special health care needs care coordination/case management (CM) program

Develop requirements and capability to produce reports supporting the pediatric special health care needs program

Development/implement medical management system changes supporting pediatric special health care needs program
Implement training for case/care management supporting pediatric special health care needs program.

Objectives:

1. Describe how the program identifies and outreaches to Children and Youth with Special Health Care Needs (CYSHCN) who may not have previously been referred for other CM or outreach programs

2. The learner will be able to describe how the program proactively screens for gaps and/or barriers to care to prevent inappropriate emergency room utilization or inpatient admissions related to complications

3. The learner will be able to describe how the program ensures access to care in the right place and right time, and thus promotes a better quality of life and member outcomes while lowering overall medical cost