Keeps Kids Healthy!Keeps Kids Healthy!

““PREVENTIVE”PREVENTIVE”HEALTHHEALTH

CARECARE

What is Preventive Healthcare?What is Preventive Healthcare?

“Going to a health care provider on a regular basis when you are well in order to identify early or prevent problems and also to promote health by providing information on safety, nutrition, exercise, emotional health, physical health, etc.”

(well child care)

What is Child & Teen Checkups?What is Child & Teen Checkups?

• Preventive Healthcare benefit of Medical Assistance and MinnesotaCare for kids under 21 years old.

Children eligible in 2008

MN – 410,610

SLC- 15,971

Brief HistoryBrief History

Federal program EPSDT established in 1967 as preventive component of Medicaid

State Program MN DHS responsibility to oversee all

counties

County Program SLCPHHS (as part of a 4 county CHB)

has an administrative contract with MN DHS

Primary Goal of C&TC:Primary Goal of C&TC:

Prevent disease and detect treatable condition EARLY to avoid further serious health problems and more costly health services for children at higher risk than the general pediatric population.

Win-Win Situation:

Keep Kids Healthier & Keeps healthcare costs down.

Uses Public Health Model ~ Primary Prevention

Cornell U Study 2007Cornell U Study 2007

First longitudinal study on physiological effects of poverty in young children

The longer 13-year-olds live in poverty, the less efficient their bodies become in handling environmental demands.

Kids in poverty have a steeper life trajectory of premature health problems than other kids, regardless of their socioeconomic status in adulthood.

Ethnic/Racial Health DisparitiesEthnic/Racial Health Disparities

Populations of Color and American Indians continue to experience poorer health and disproportionately higher rates of illness and death in MN despite the health of the state.

Populations of Color in Minnesota – Health Status Report

Update Summary, Spring 2007

Center for Health Statistics, MDH

Common Well Child Common Well Child GuidelinesGuidelines in MN in MN

1) American Academy of Pediatrics- recommended for all children

2) Institute for Clinical Systems Improvement (ICSI)-recommended for children covered by private insurance

3) C&TC- recommended for children under 21

on MA/MNCare (established for kids at higher risk than general pediatric

population)

What is Included in a CTC?

Complete unclothed physical exam

Immunizations

Developmental and Social-Emotional evaluation

Vision & Hearing Screening

Growth Measurements

Labwork-

Oral Exam and verbal Dental Referral

Public Health RolePublic Health Role

• Assure the Quality and Accessibility of Health Services

• Essential local public health activities– Identify gaps in quality & accessibility of health care

services– Reduce barriers to health care access– Link people to needed services

• Statewide outcome– Increase the participation rate of MA / MinnesotaCare

enrolled children aged 0 to 21 in the C&TC Program

Child & Teen Check ups

• Help is available to find a provider, make appointments, find transportation, get an interpreter.

• Call your local Child & Teen Checkups Coordinator at your Local Public Health

Remember This…Remember This…

• Integrate C&TC Outreach in all appropriate contacts.• Remember preventive care concept for the entire

family • Help clients understand the importance of a primary

provider/medical home• Help parents find insurance if they are uninsured• Refer uninsurable to “free or sliding fee” health care• Incentives available from Health Plans

http://www.health.state.mn.us/divs/fh/mch/webcourse/