500 University Avenue West, Minot, ND

Medical Home ECHO

Target Audience:
Primary Care Providers, Medical Providers, Nurse Practitioners, Families with children who have special health needs

Every other Wednesday:
January 11th – April 5th, 2023

Echo Resources
View Participant Guide
Case Presentation

What is Medical Home?

The Medical Home ECHO is a partnership between Minot State University and the Department of Health’s Newborn Screening Program to provide information on the Medical Home Model. Medical Home is defined by the AAP as an approach to providing comprehensive, high-quality primary care. To include accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective. Medical Home is not a building or place. It builds partnerships with clinical specialists, families, and community resources.

Session TitleDate
Session 1: Intro to Medical Home model and Coordinated Treatment Clinics
The family is recognized and acknowledged as the primary caregiver and support for the child, ensuring that all medical decisions are made in true partnership with the family
Session Objectives:
- Introduction to the Medical Home Model
- How to provide family-centered care
- Health Literacy – meet the family where they are
January 11, 2023
Session 2: Partnerships Between Payer and Providers: Key to Improved Quality Outcomes for Patients and Families within a Patient-Centered Medical Home
Care is easy for the child and family to obtain, including geographic access and insurance accommodation
Session Objectives:
- Access to needed treatments (medications, formulas, supplements), insurance,
providers and specialists. Increase access to services.
- Access to treatments was highest on the priority for the survey, then PCP accessibility
- Understanding barriers for the American Indian population

January 25, 2023
Session 3: Providing Continuous Care from Infancy to Adult Care
The same primary care clinician cares for the child from infancy through young adulthood, providing assistance and support to transition to adult care
Session Objectives:
- Continuous care from birth to transition ages, including transitions to preschool and adulthood.
- How providers can empower patients to take control of their own health
February 8, 2023
Session 4: Comprehensive Care for Children and Families
Preventive, primary, and specialty care are provided to the child and family.

Session Objectives:
- Strategies for working across disciplinaries (specialists and PCP, information sharing)
- Examples of children getting early intervention and those who don’t.
- What providers can do to ensure children are receiving necessary services
- Using NDHIN to help coordinate care
February 22, 2023
Session 5: Coordinated Care Plans with All Health Care Clinicians
A care plan is created in partnership with the family and communicated with all health care clinicians and necessary community agencies and organizations.

Session Objectives:
- Strategies for coordinated care, including NDHIN, patient navigator
- Mandated reporting for CCHD and how to work with the Health Department
- Working with Hospital Social workers for coordinated care, especially for patients living in rural areas
March 8, 2023
Session 6: Compassionate Care: Strategies for How to Have Difficult Conversations
Genuine concern for the well-being of a child and family are emphasized and addressed.

Session Objectives:
- How to have difficult conversations with patients
- Trauma-informed care delivery
March 22, 2023
Session 7: Health Equity and Providing Culturally Effective Car
The family and child's culture, language, beliefs, and traditions are recognized, valued, and respected.

Session Objectives:
- Understand the foundations of Health Equity
- Barriers NFI communities may face
April 5, 2023