Goal Chair:
Dr. Mary Bufwack
, United Neighborhood Health Services
Better insurance to cover care for children and youth.
EVIDENCE
At least 10% of children and youth have no insurance – this figure is increasing.
Nationally, the largest growing groups of uninsured are children and youth who are not citizens and youth over 18.
40.1% of children and youth 21 and under receive TennCare. The percentage and number has fallen from 66,791 and 43.7% in 2001 to 62,357.
60% of children on TennCare ages 10 and up and 20% of children ages 0-9 do not receive screening.
BARRIERS
Need not analyzed in detail during Rapid Design session.
Better access to care for children and youth living in less affluent neighborhoods.
EVIDENCE
Nationally, the largest growing groups of uninsured are children and youth who are not citizens and youth over 18.
60% of children on TennCare ages 10 and up and 20% of children ages 0-9 do not receive screening.
BARRIERS
Background checks.
Managed care/TN care & assigned provider issues.
Burnout and over taxing of school staff.
More effective language translation services and English language classes for ELLs.
EVIDENCE
Nationally, the largest growing groups of uninsured are children and youth who are not citizens and youth over 18.
BARRIERS
Need not analyzed in detail during Rapid Design session.
Flexible hours and days (i.e. nights and weekends) for neighborhood health service clinics.
EVIDENCE
At least 10% of children and youth have no insurance – this figure is increasing.
Nationally, the largest growing groups of uninsured are children and youth who are not citizens and youth over 18.
60% of children on TennCare ages 10 and up and 20% of children ages 0-9 do not receive screening.
BARRIERS
Need not analyzed in detail during Rapid Design session.
Earlier identification of physical health risks for children and youth.
EVIDENCE
Nationally, the largest growing groups of uninsured are children and youth who are not citizens and youth over 18.
BARRIERS
Need not analyzed in detail during Rapid Design session.
More healthcare professionals willing to serve the underserved; nationwide shortage.
EVIDENCE
Nationally, the largest growing groups of uninsured are children and youth who are not citizens and youth over 18.
BARRIERS
Need not analyzed in detail during Rapid Design session.
STRATEGIES
Provide Early & Periodic Screening Diagnosis & Treatment (EPSDT) to high school age students.
Provide adequate primary care services to
all children.
Provide adequate specialty care services to all children as needed.
Provide adequate oral care services to all children
as needed.
Incentive Pay/Adequate pay, exposure, funding.
Mobilize advocacy & lobbying efforts to effect changes regarding insurance.
Provide services in both traditional & non-traditional venues & non-traditional hours.
TACTICS
Schools serve as sites for health, mental and oral care. Co-locating healthcare other locations.
FLEX scheduled & hours including nights and weekends.
School nurses ID children & get info to families. # of nurses to move some nurses into Resource Officer roles.
Community, youth health teams i.e.,: physicians, churches, schools, resident associations/ neighborhoods, etc. *Mentor or hero model.
Have a Community Coordinator at geographic level to access need, communication, advocate for services.
Apply 1-5 mental health care.
Keep holistic & root cause perspective.
METRICS
Percentage of children receiving well child exams.
Percentage of ER visits due to asthma.
Percentage of untreated oral disease.
WHY
Directly impacting health.
Direct measure of health.
Intermediate changes for lasting impact.
