A Statewide Case Management, Surveillance, and Outcome Evaluation System for Children with Special Health Care Needs

Table 2

Proposed outcomes of the project based on national performance measures for children with special health care needs [1] as operationalized by the Omaha System Problem Classification Scheme [4].

NPM: children are screened early and continuously for special health care needs; (Growth and development)*
Developmental screening results are within normal limits or; referrals are made
NPM: child has a medical home; (Health care supervision)*
Caregiver knows when and how to seek emergency, chronic,; and acute illness and preventive care
Caregiver follows prescribed/recommended treatment plan; and preventive care
Consistently uses medical home and health care resources; appropriately
Child receives appropriate timely health care in a medical; home
NPM: community resources are organized so families can use them easily; (Communication with community resources)*
Caregiver is aware of community resources as needed and; knows how to access them
Caregiver uses resources/services consistently
Caregiver uses resources/services appropriately
NPM: families have adequate private and/or public insurance to pay for the services they need; (Income)*
Caregiver knows how to navigate resources
Caregiver completes financial paperwork accurately and on; time for medical care
Health care expenses are covered or paid for
NPM: families are decision makers in their child’s care and are satisfied with the services they receive; (Caretaking/parenting)*
Caregiver knows how to contact CSHCN program as needed.

NPM: National Performance Measure.
*(Omaha System problems corresponding to each NPM noted in parentheses).