Sa n Jo a q uin Co unty 5Cs Pro je c t Ca lifo rnia Co mmunity Ca re Co o rdina tio n Co lla b o ra tive s I I
Sa n Jo a q uin Co unty 5Cs
Pro je c t Go a ls e a te for y tha t Cr ma l c ha nne ls of infor ma tion a nd se r vic e de live r susta in a mor e e ffe c tive c a r e c oor dina tion syste m for c hildr e n with e ne e ds (CSHCN) a nd me e t the ne e d s o f he a lth spe c ia l he a lth c a r c a re pro vid e rs, fa milie s a nd se rvic e o rg a niza tio ns. ma tion a b o ut Inc r e a se fa mily a nd pr ofe ssiona l a c c e ss to infor a va ila b le re so urc e s to impro ve c a re c o nd itio ns fo r CSHCN a nd the ir fa milie s. ove c ommunic a tion b e twe e n he a lth c a re pro vid e rs, fa milie s, Impr a nd c o mmunity pa rtne rs, inc lud ing sta ke ho ld e rs suc h a s c o mmunity-b a se d o rg a niza tio ns, fa ith-b a se d o rg a niza tio ns, a nd g o ve rnme nt a g e nc ie s. Re duc e r e pe a t da ta g a the r ing by se r vic e pr ovide r s; r e duc e duplic a tion of te sts a nd se r vic e s, misse d or unsc he dule d te sts a nd se r vic e s.
Pro je c t Pa rtne rs Ca lifo rnia Child re n’ s Se rvic e s Sa n Jo a q uin Co unty Huma n Se rvic e s Child Ab use Pre ve ntio n Co unc il o f Sa n Ag e nc y – Child Pro te c tive Se rvic e s Jo a q uin Co unty Sa n Jo a q uin Ge ne ra l Ho spita l a nd Co mmunity Me d ic a l Ce nte rs, Inc . Outpa tie nt Clinic s (F e d e ra lly Qua lifie d He a lth Ce nte rs) Co mmunity Pa rtne rship fo r F a milie s o f Sa n Jo a q uin Co unty Offic e o f Sa n Jo a q uin (F a mily Re so urc e Ce nte rs) E d uc a tio n SE L PA F a mily Re so urc e a nd Re fe rra l Ce nte r o f Sa n Jo a q uin Co unty Offic e o f Sa n Jo a q uin Co unty E d uc a tio n He a d Sta rt F a mily Re so urc e Ne two rk – L e a d Ag e nc y Sa n Jo a q uin Co unty Pub lic He a lth F irst 5 Sa n Jo a q uin/ He lp Me Gro w Sa n Se rvic e s – Ma te rna l Child a nd Jo a q uin Co unty Ad o le sc e nt He a lth He a lth Pla n o f Sa n Jo a q uin (Ma na g e d Sto c kto n Unifie d Sc ho o l Distric t/ SE L PA Ca re pro vid e r) Sutte r T ra c y Co mmunity Ho spita l- T ra c y L o d i Unifie d Sc ho o l Distric t/ SE L PA Ho spita l F o und a tio n Pa re nts o f CSHCN who re sid e in Sa n Jo a q uin Co unty Va lle y Mo unta in Re g io na l Ce nte r St. Jo se ph’ s Me d ic al Ce nte r Vic to r Co mmunity Suppo rt Se rvic e s Sa n Jo a q uin Co unty Be ha vio ra l He a lth (Me nta l He a lth 0-5 pro vid e r) a nd Re c o ve ry Se rvic e s
Pro je c t Wo rk Pla n: 3 Pha se s Pla nning Pha se (Ja nua ry 2015 – Ma y 2015): De ve lop a n Infra struc ture for 5Cs L e a de rship T e a m, He a lth Na vig a tors, a nd Colla bora tive me mbe rs Imple me nta tion Pha se (Ma y 2015 - June 2016): T ra ining a nd De ve lopme nt of He a lth Na vig a tors a nd SJC 5Cs Proje c t Colla bora tive Me e ting s E va lua tion Pha se (Ja nua ry 2016 - June 2016): E va lua te Imple me nta tion, Re vie w, a nd Pla n F orwa rd
Pro je c t Pla nning Pha se Planning Phase (Januar y 2015 – May 2015): De ve lop Infr astr uc tur e for 5Cs L e ade r ship T e am, He alth Navigator s, and Collabor ative me mbe r s F r om Januar y to Mar c h 2015 the 5Cs L e ade r ship T e am me t monthly to de ve lop an 18- month wor k plan and e stablish the r ole s of par tic ipants, inc luding the L e ade r ship T e am me mbe r ship, He alth Navigator s, and additional Collabor ative me mbe r s and par tic ipants. T he 5Cs L e ade r ship T e am de ve lope d an agr e e d upon de sc r iption of the e xpe c tations of He alth Navigator s , re vie we d a nd se le c te d a Me mo ra ndum o f Unde rsta nding (MOU) fo rma t, de ve lo pe d lo g istic s to disse mina te a nd c o lle c t MOU’ s a nd c o nside r ne c e ssa ry re c ruitme nt to re pre se nt se rvic e g a ps. F or ms and te mplate s we r e c r e ate d to solidify r ole s and r e sponsibilitie s inc luding MOU’s with inte ra g e nc y info rma tio n sha ring / re le a se o f info rma tio n c o mpo ne nts, a nd sta nda rdize d re fe rra l fo rms fo r c a se c o nfe re nc ing a t Co lla b o ra tive me e ting s.
Me mo ra ndum o f Unde rsta nding Ag e nc y a nd Pa tie nt/ He a lth Na vig a to r Ro le s we re sta te d in the MOU, b ut ma ny a g e nc y pa rtic ipa nts wo rke d a t a n a g e nc y tha t c ho se no t to sig n the MOU. T he MOU is a va ila b le a t: http:/ / www.lpfc h.o rg / site s/ de fa ult/ file s/ me mo ra ndum-o f- unde rsta nding -sa mple -fro m- sa n-jo a q uin-c o unty.pdf
Basic 1. California Children's Services Moderate 2. Health Plan of San Joaquin 1. Family Resource Network 3. St. Joseph’s Medical Center/Neonatal 2. Child Abuse Prevention Council Intensive Care Center (NICU) 3. Family Resource and Referral Center/ 4. San Joaquin General Hospital/NICU Help Me Grow Call Center Extensive Family Support Health Care Coordination for Children with Special Health Care Needs Mental Health Education 1. Early Start: Valley Mountain Regional Extensive Center 1. Child Abuse Prevention Council 2. Lodi Area Special Education Region 2. Victor Community Support Services Local Planning Area (LASER SELPA) 3. San Joaquin County Office of Moderate Education (SJCOE) SELPA 4. Stockton SELPA 5. Stockton Unified School District Health Services Basic 6. United Cerebral Palsy For more information, contact Family Resource Network at (209) 472-3674 or email to: frnfamilies@aol.com
Page 2 Agency Map of Care Coordination Agencies for Young Children with Special Health Care Needs Health – Extensive Family Support - Basic California Children’s Services sjcphs.org Family Resource Network frcn.org Child Abuse Prevention Council Health – Moderate Nochildabuse.org Health Plan of San Joaquin hpsj.com St. Joseph’s Medical Center Neonatal Intensive Care Family Resource and Referral Center/ Unit/NICU Dignityhealth.org/stjosephs/ Help Me Grow Call Center San Joaquin General Hospital NICU sjgeneral.org Frrcsj.org Education – Extensive Early Start: Valley Mountain Regional Center vmrc.net Mental Health - Basic Lodi SELPA lodiusd.net Child Abuse Prevention Council SJCOE SELPA sjcoe.org Victor Community Support Services Stockton SELPA Stockton Unified School District Health Services Victor.org Stocktonusd.net Education – Basic United Cerebral Palsy ucpsj.org This resource map is primarily designed for children ages zero to five
Pro je c t Ac tivitie s T he 5Cs L e a de rship T e a m me t Imple me ntation mo nthly prio r to o r fo llo wing the SJC 5Cs Co lla b o ra tive mo nthly Phase (Ma y 2015 - me e ting s to a ddre ss upc o ming ta sks b a se d o n the wo rk pla n, June 2016): T ra ining inc luding Co lla b o ra tive Me e ting pla nning , le a rning c o mmunity a nd De ve lo pme nt a c tivitie s, me nto r c o unty a c tivitie s, re po rting re q uire me nts, o f He a lth a nd e va lua tio n re q uire me nts o f the 5Cs Pro je c t. Na vig a to rs a nd F ull Co lla b o ra tive Me e ting s we re pro vide d mo nthly, a lte rna ting SJC 5Cs Pro je c t c a se c o nfe re nc ing with a g e nc y in-se rvic e a nd o the r tra ining Co lla b o ra tive to pic s. De live ra b le s fo llo we d tra ining Me e ting s to pic s to info rm the wo rk o f Na vig a to rs.
Pro je c t De live ra b le s I nte r-Ag e nc y Adde d De live r able s: Me mo ra nda o f 2016 He a lth F o rum fo r Unde rsta nding CSHCN SJC 5C’ s Autho re d Pa ye r o f L a st Re so rt T ra nspo rta tio n Me mo Wo rkb o o k Me nta l He a lth Se rvic e s Ag e nc y E lig ib ility Guide s fo r Childre n Wo rkb o o k Unde r Ag e 5 T ra nspo rta tio n Guide Co unty Ma p o f CSHCN E va lua tio n T o o ls Re so urc e s
E lig ib ility Wo rkb o o k: SE L PA’ s E lig ib ility fo r pa rtic ipa ting a g e nc ie s wa s c o mb ine d into a wo rkb o o k, a ssuming tha t c ha ng e s a re re la tive ly ra re . Me dic a l pro fe ssio na ls, c o mmunity b a se d o rg a niza tio ns, sc ho o ls a nd spe c ia lists c a n use the wo rkb o o k a s a re fe re nc e fo r re fe rra l to se rvic e s.
Pa ye r o f L a st Re so rt
T ra nspo rta tio n Guide fo r CSHCN All SJC 5Cs de live ra b le s a re a t the F irst 5 we b site : sjc kids.o rg / He lp Me Gro w Sa n Jo a q uin unde r Syste m Na vig a tio n Suppo rt I nfo rma tio n
He a lth F o rum 2016 Ag e nda A ve ry impa c tful a g e nda wa s se le c te d b y 5Cs Co lla b o ra tive me mb e rs a nd de sig ne d to info rm the me dic a l c o mmunity o f c o mmunity-b a se d re so urc e s fo r Childre n with Spe c ia l He a lth Ca re Ne e ds.
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