Smaller Indiana

Making people and ideas findable

One of the things that I find most frustrating (of course I am OLD so take this for what it's worth) is that with all of the awesomely talented/creative/highly intelligent people in Indiana, we haven't seemed to be able to solve some low hanging fruit in the health care field.

Whenever I talk with those in the field, I get a lot of pushback - and mostly what I perceive as "excuses". (And I apologize for offending any of you out there who do not react this way when this subject comes up.)

Believe me, I do understand the bureacracy of insurance and the federal and state governments however, I don't think that you have to let those three entities paralyze you from making a huge/significant change in the life of hoosiers.

I'll admit that a lot of my passion for this topic involves my own personal and unexpected health crisis which went on for two years. If you ever want to know what it's like to lose two years of your life, let me know :).

Rhetorical questions...

1) Why are there not closer partnerships between Indiana pharmacies and Indiana local health care groups? The whole process of getting a prescription filled can sometimes be a major event.

2) Why can't we have more holistic centers? I don't mean that in a new-age way. I mean this in a more one-stop shop way. For example, wouldn't it be great if there were practices that were set up to take care of the entire person - gynecological, neurological, endocronological, mental, etc...? I think that people can spend so much time, going back and forth between specialists (and weeks and weeks pass too). And then there's the passing of the records, the back and forth phone calls, etc...

Wouldn't it be great if a team of health care folks could solve the patient's challenges - TOGETHER instead of from the piece-meal approach? My personal belief is that there is SO much waste - in time and in money on the part of insurance companies and patients - and that doing something different has to be an improvement (says the optimistic side of me).

I see a lot of buildings going up - but maybe there are initiatives like this that are going on - and I (and others) just don't know about it.

Thoughts?

Kristina

Tags: change, hospitals, ideas, indiana, innovation, insurance, patients, pharmacies

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Thanks Kristina. I have been up late working on a revision of my website.

I need to go to bed!!!

Charles

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OK.. there is innovation, growing steadily. Indiana might be ranked at the “Back of the Pack” in overall well-being in the Gallup survey, but a unique collaboration between two local organizations provides improved healthcare and lower costs for low-income Indiana families.

A partnership between About Special Kids (ASK) a Parent to Parent organization, and MDwise, a Medicaid managed care organization, has created a model for other states to follow. Recently asked to speak at a national conference in Washington D.C., ASK and MDwise were applauded as innovators in family involvement healthcare.

ASK helps families of children with special needs navigate complex systems to access what they need to better care for their child. MDwise manages Indiana Medicaid programs for low income families and for children and persons with disabilities. MDwise refers children with special needs directly to ASK parent liaisons as a quality initiative. Through ASK, families gain valuable knowledge about systems, resources and options and receive peer support from parents of children with special needs.

A case manager stated, “Whenever I have a child that seems to just be lost in the system, and their family or the social workers at the hospital are just not sure what to do, I have found that ASK has always been able to help, and I have heard more than once from social workers, and case managers that you made the difference in the quality of life that the special kids in our state have.” Karla, LPN Case Manager.

Both ASK and MDwise were involved with legislation for the State Children’s Health Insurance Program (SCHIP) and understood how complicated the system is for families who often don’t know where to begin or what to ask. They formed their partnership in 2002 and have served over 1,400 families. ASK has trained over 400 MDwise professionals on complex topics such as health care financing programs for children with special needs, special educational rules and regulations, child care options, and community resources.

MDwise and ASK also have partnered to develop a tool to improve communication between the school system and a student’s primary care physician. Rebecca Anderson, a parent of two adopted children with significant mental health needs said, “It was great knowing I had someone who understood what we are going through. I wish I would have known about it a long time ago!”
Because of the information she obtained from ASK, one of her children is now enrolled in a new state mental health program that provides a team of mental health professionals that Anderson says is “absolutely wonderful”. The family is now getting more intensive support at home, instead of the child being institutionalized, such as respite care, therapy, and coordination between school and community based personnel.

This partnership has also benefited MDwise case managers in what they do. MDwise case manager Karen Rogers said, “The staff at ASK has been an invaluable resource to me, as a nurse case manager! They act as advocates at school case conferences. They provide contact names and numbers when patients have social needs, such as help with rent or utilities, illiteracy, food, clothing or furniture, parenting skills, support groups for uncommon conditions, and programs for obtaining a GED, only to mention a few.

In addition, ASK provides educational/informational in-services throughout the year to help us understand the available programs as well as providing a peek into the harried and multifaceted lives of the parents caring for special needs children. I don't know that I could be as effective in my position without them.”

Nancy Stone, Project Director for ASK said, “This partnership between ASK and MDwise is a great example of how much we care about Indiana families and their children. Our only agenda is helping them find the best possible care.”

Visit www.aboutspecialkids.org

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