One of the most significant benefits of the California Children’s Services (CCS) program is the network of pediatric subspecialists and special care centers, including children’s hospitals, that CCS has developed through its credentialing process and enhanced reimbursement rates. Preservation of that network should be the top priority in any CCS redesign, says David Alexander, MD, president and CEO of the Lucile Packard Foundation for Children’s Health. He notes that the network makes subspecialty care available to all the state’s children with complex needs, not only those covered by CCS. Read his commentary.
Telehealth has proven to be an effective tool in making specialized care more accessible for children and youth with special health care needs, but in California providers and families are not using this service to its full potential, according to a new report.
Telehealth—the use of technology to provide and coordinate health care at a distance—has proven to be an effective tool in making specialized care more accessible for children and youth with special health care needs, but in California providers and families are not using this service to its full potential. A new report explores the barriers to use and proposes some solutions.
The Lucile Packard Foundation for Children’s Health has provided a number of documents intended to facilitate discussion about the public and private systems of care for children with chronic health problems in California. In light of recent discussions about proposed changes to the California Children’s Services program, Edward L. Schor, MD suggests that a number of aspects of the current systems can be improved without being dismantled.
Ann Cirimele knows from personal experience how hard it is to navigate the health care system as a parent of a child with special health care needs. As the executive director of the Family Resource Network in Stockton, she’s helping families in rural California through the complexities of the system of care while also working with other local agencies to improve that system.
Families of children with special health care needs have real-world experience that could help make health care policies more family-centered and culturally competent. However, many lack the training and confidence to make their voices heard. Project Leadership, operated by Family Voices of California, offers a comprehensive training curriculum and mentoring program that prepares families to engage in public policy advocacy.
Straight talk from 52 parents highlights the limitations of the current system of care for children with special health care needs and their families. A new report summarizes findings from 10 focus groups in which family members discussed what their lives are like, how well their families’ needs are being met, and how the health care system could be improved. The report describes four themes that emerged, and offers dozens of direct heartfelt quotes from focus group participants.
As children with chronic medical problems approach adulthood, pediatricians expect their maturing patients to transition to adult health care. However, that process does not always go smoothly. In a new article, Edward L. Schor, MD, proposes a novel form of collaboration between physicians, based on the patient’s condition rather than age.
As the "May revise" of the state budget gets under way, the California Budget and Policy Center has released a report on the size and scope of the state's public health care coverage and programs for children. The study, funded by the Lucile Packard Foundation for Children's Health, also notes key opportunities and challenges the state faces in promoting children's health. A companion piece provides a timeline of major policy choices made in the past several years that have shaped the state's health system for children.
Increasing numbers of children with complex medical conditions are living at home. An upcoming article in the May 2015 edition of Pediatrics provides insight into how pediatric practices can offer “self-management” supports to increase families’ skills and confidence in coping with chronic conditions on a daily basis.