1 Appendix 26 CCS Stakeholder Potential Priorities CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Increase family access to educational
information and information about accessing CCS
services, including what services are covered by
CCS, availability of and access to services offered
by health plans, and family support groups
Priority: Increase family partnership in decision
making and improving satisfaction with services
Priority: Establish a state-funded CCS parent
advisory committee to provide ongoing input for
continuous quality improvement
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Increase number of family-centered medical homes for CSCHN and the number/% of CCS children who have a designated medical home, and have CCS develop standard/regulations for certifying medical homes for CSHCN
Priority: Increase reimbursement rates for Medi-Cal and CCS services
Priority: Reassess which conditions should be CCS eligible
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Increase access of CCS children to 24-7 medical consultation and urgent care services from the child’s usual sources of primary and specialty care to decrease unnecessary ER visits and hospitalizations
Priority: Increase the use of technology (i.e.
telehealth) to expand access to CCS paneled providers
Priority: Increase timely access of CCS children to
durable medical equipment
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Expand the number of qualified providers participating in the CCS program, e.g., medical specialists, primary care physicians, audiologists, occupational and physical therapists, and nutritionists
Priority: Increase access of CCS children to
preventive health care services (primary care, well child care, immunizations, screening) as recommended by the AAP and develop data system to track
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Increase access to CCS services by
increasing the financial eligibility limit ($40,000
limit)
Priority: Implement a system of standards of
service delivery for all children with CCS medically
eligible conditions regardless of insurance
coverage.
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Develop and implement strategies to facilitate reimbursing providers in a more timely fashion.
Priority: Develop and implement to identify/create IT and other solutions to facilitate more rapid determinations of eligibility and authorizations and communication between CCS and providers
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Work with Medi-Cal at the state level to establish more efficient policies and procedures for how Medi-Cal managed care plans work the CCS program (i.e. need from denials from CCS) to reduce ‘ping ponging’ between providers and payors
Priority: With adequate funding, have CCS cover the whole child instead of just care for the child’s CCS eligible medical condition
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Increase the capacity of the State CCS program to more quickly panel providers and make eligibility and authorization determinations, to update and enforce CCS standards, and to work with Counties to adopt strategies and best practices to reduce variation between Counties and implement administrative efficiencies.
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Priority: Increase access to transition services for CCS
youth, 17-21 years of age, including help with finding
adult primary and specialty care providers
Priority: Work with medical providers to identify
methods, materials and protocols to increase
transition planning services provided to CCS youth
Priority: Expand CCS eligibility for certain conditions
(i.e. sickle cell anemia) until age 25
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Develop strategies to ensure the availability of
translation services for all CCS clients when
needed
Establish dedicated funding for counties to employ
a parent liaison to help CCS families navigate the
system, with a particular focus on non-English
speaking families
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
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Physician
Supply
Access to Care
Cost of care
Budget cuts, Reduced staff, delays in paneling
Lack of Primary Care/ Medical
Home
Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Select recorder to enter info into the laptop
Select recorder for butcher block
Select presenter to report back for the group
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Review draft list of priorities and:
◦ Add priorities if needed
◦ Delete priorities if not needed
◦ Reword listed priorities
GOAL: Manageable list of priorities
for Stakeholder’s to rank
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
Additional analyses of data for top priority areas
Inclusion and sharing of additional data – i.e. CA
AAP survey on caring for CSHCN
Continued involvement of stakeholders and state
and local CCS staff in the development of action
plans
Establish performance measures to evaluate
implementation of action plans
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project
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Appendix 26 CCS Stakeholder Potential Priorities
CCS Stakeholder Potential Priorities, 1/6/15 UCSF Family Health Outcomes Project