The Community-Based Children’s Wellness Initiative is a collaboration between key child health stakeholders:
- Washington Chapter of the American Academy of Pediatrics
- Washington Chapter of the American Academy of Family Physicians
- Health Care Authority
- Department of Health
- Managed Care Companies: Amerigroup, Community Health Plan of Washington, Coordinated Care, Molina Healthcare, United HealthCare
- Children’s Hospitals: Washington State Hospital Association, Seattle Children’s Hospital, Mary Bridge Children’s Hospital
- Governor Inslee’s Senior Health Policy Advisor
- State Elected Officials – Both Parties
What are we trying to accomplish?
Our goal is to work together to improve the health of children in Washington State who have Medicaid health plans.
How will we achieve this?
We intend to conduct a demonstration effort of child health reform practices with the ultimate goal of addressing the triple aim of:
- Improved health of the population
- Improved patient care: safe, effective, patient/family-centered, efficient, timely and equitable
- Per capita cost savings over the long term
We will develop community-based models/pilots for the Medicaid population with the focus on all children to age 19, with specific quality initiatives focusing on medical complexity, social complexity, high parental or patient ACES scores, and vulnerable families. Medical practices will work in their communities on:
- Patient-Centered Medical Home transformation
- Care coordination
- Primary prevention gold standard of preventive care
Flexibility within existing systems, financing and policy structures will enable stakeholders to work together to address gaps such as mental health, oral health, nutrition, and access to primary care; and address personal health behaviors and physical, environmental and socioeconomic determinants in a lifespan perspective, paying attention to critical developmental periods.
Stakeholder Engagement – Why is this important to you?
This effort is defining child and family health and wellness outcomes and system measures that will demonstrate to Washington the value of community collaboration in child health reform. This will improve child health and lower costs for our state to care for our most vulnerable children.
PreK-19 Public Education: School success begins at conception with first 1,000 days critical to laying an early brain development foundation for kindergarten readiness. Children who start school behind often stay behind and this profoundly affects high school graduation rates.
Social Services, Child Welfare & Children’s Mental Health Promotion: Strong, healthy families and communities raise safe, healthy children free from Adverse Early Childhood Experiences (ACEs) who are resilient and able to navigate their worlds more successfully. Ninety-nine percent of all children are seen in primary care in the first two years of life so this is an important engagement point for families who are struggling. High quality preventative care will improve outcomes and result in a significant return on our investment.