Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011

Ranks states on twenty indicators of healthcare access, affordability, prevention and treatment, potential for healthy lives, and health system equity for children. Examines the need for targeted initiatives and policy implications for better performance

Colorado Children's Healthcare Access Program: Helping Pediatric Practices Become Medical Homes for Low-Income Children

Describes a nonprofit improving access to care for children enrolled in Medicaid by helping pediatric practices become medical homes, offering administrative support, and assisting with referrals to community groups and agencies. Includes lessons learned

Electronic Consultations Between Primary and Specialty Care Clinicians: Early Insights

Outlines how e-consultation enables clinicians and specialists to communicate more easily and reduce the need for in-person referrals; experiences for patients, clinicians, and health systems; benefits such as continuity of care; and barriers to adoption

Ensuring Access to Care in Medicaid Under Health Reform

Outlines discussions about increasing primary care provider participation; specialist and mental health access; safety-net capacity; managed care plans, team-based care, and integrated service delivery; and coordinating Medicaid and exchange coverage

North Carolina's ABCD Program: Using Community Care Networks to Improve the Delivery of Childhood Developmental Screening and Referral to Early Intervention Services

Profiles community care networks' approaches to implementing the Assuring Better Child Health and Development (ABCD) program. Examines activities to increase screening for and interventions in developmental disabilities and delays, impact, and insights

The Implementation of a Validated CSEC Screening Tool for Youth Age 11 - 17 in a Pediatric Emergency Room

Youth are a vulnerable population due to their age, developmental level, and dependability on others. Child abuse is a public health issue that addresses a broad range of inflicted harm ranging from neglect to physical and sexual maltreatment. A severe form of child sexual abuse is the Commercial Exploitation of Children (CSEC), also known as Child Sex Trafficking (CST), and Human Minor Sex Trafficking (HMST). For purposes of this paper, CSEC is used for CSEC, CST, and HMST. Commercial sexual exploitation of children includes sexual crimes involving children and adolescents for gain. Due to the child being less than 18 years old, no evidence of force must be proven. The prevalence of CSEC is unknown due to the absence of tracking, multiple definitions, lack of awareness and education, and the covert nature of the exploitation. There are risk factors associated with CSEC and residual sequela resulting in physical and mental health disabilities. Due to the health consequences experienced with exploitation, these victims seek out healthcare but are not identified by the healthcare provider. Healthcare providers are in pivotal roles in recognizing these victims with adequate education and an effective screening tool. This translational project aims to increase confidence levels in the pediatric emergency room nurses at the Beverly Knight Olsen Children\u27s Hospital by educating on CSEC and the utilization of a validated screening tool to assist in identifying potential high–risk youth 11 – 17 years, referring them, and connecting them with essential resources

The Implementation of a Validated CSEC Screening Tool for Youth Age 11 - 17 in a Pediatric Emergency Room

Abstract Youth are a vulnerable population due to their age, developmental level, and dependability on others. Child abuse is a public health issue that addresses a broad range of inflicted harm ranging from neglect to physical and sexual maltreatment. A severe form of child sexual abuse is the Commercial Exploitation of Children (CSEC), also known as Child Sex Trafficking (CST), and Human Minor Sex Trafficking (HMST). For purposes of this paper, CSEC is used for CSEC, CST, and HMST. Commercial sexual exploitation of children includes sexual crimes involving children and adolescents for gain. Due to the child being less than 18 years old, no evidence of force must be proven. The prevalence of CSEC is unknown due to the absence of tracking, multiple definitions, lack of awareness and education, and the covert nature of the exploitation. There are risk factors associated with CSEC and residual sequela resulting in physical and mental health disabilities. Due to the health consequences experienced with exploitation, these victims seek out healthcare but are not identified by the healthcare provider. Healthcare providers are in pivotal roles in recognizing these victims with adequate education and an effective screening tool. This translational project aims to increase confidence levels in the pediatric emergency room nurses at the Beverly Knight Olsen Children\u27s Hospital by educating on CSEC and the utilization of a validated screening tool to assist in identifying potential high–risk youth 11 – 17 years, referring them, and connecting them with essential resources

Montefiore Medical Center: Integrated Care Delivery for Vulnerable Populations

Describes a system of hospitals and community- and school-based clinics tailored to low-income patients through systemwide strategies, high-quality specialty and hospital care, and integrated care delivery via care management and information technology

Making Care Coordination a Critical Component of the Pediatric Health System: A Multidisciplinary Framework

Based on a literature review and interviews, proposes a framework for delivering pediatric care coordination that links health care, education, early child care, and family support. Discusses core functions and the need for an integrated infrastructure

Strengthening Primary and Chronic Care: State Innovations to Transform and Link Small Practices

Presents case studies of state policies for reorganizing and improving primary and chronic care delivery among small practices, including leadership and convening, payment incentives, infrastructure support, feedback and monitoring, and certification