Reports:

Promising State and Regional Approaches for Extending Access to Pediatric Subspecialty Care and Coordination with Primary Care

by Margaret A. McManus, Harriette B. Fox, Stephanie J. Limb, and Alyssa Bell.  Report, 16 pages, November 2006.

This report profiles 13 state and regional pediatric delivery approaches for extending the geographic reach of pediatric subspecialty care and enhancing the capacity of primary care providers to identify and manage chronic conditions. They represent a mix of approaches and sponsoring agencies -- children's hospitals, academic medical centers, military medical centers, managed care programs, foundations, and state and federal Title V programs. The report also identifies key features commonly found in each approach. Contact information for each profile is also included.

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Promising Approaches for Strengthening the Interface Between Primary and Specialty Pediatric Care
by Margaret A. McManus, Harriette B. Fox, Stephanie J. Limb, and Anne Carpinelli. Report, 14 pages, March 2006.

This report profiles 10 promising approaches to improve the interface between primary and specialty care pediatricians. The approaches included in this report address referral (transfer of care), consultation (one-time or limited time), and collaborative management (ongoing shared management and co-located services). They were identified through a variety of methods, including a literature review and solication of examples from various pediatric-focused list servs. Contact information for each approach is also included.

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Pediatric Provider Networks for Children with Special Needs in the Current Health Insurance Market: Report from an Expert Work Group
by Margaret A. McManus, Harriette B. Fox and Paul W. Newacheck. Report, 25 pages, November 2000.

This report summarizes the major barriers experienced by pediatricians serving children with special health care needs in managed care arrangements. The report includes a comprehensive literature review on pediatrician satisfaction with managed care. A set of recommendations to address these problems is also included.

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Pediatric Provider Capacity for Children with Special Health Care Needs: Results from a National Survey of State Title V Directors
by Stephanie J. Limb, Margaret A. McManus, and Harriette B. Fox. Report, 50 pages, March 2001.

This report summarizes the results of a national survey of state Title V directors of programs for children with special health care needs on access to pediatric providers. It addresses Title V directors´ assessments of access to medical homes; pediatric medical and surgical subspecialty care; inpatient hospital care; home health care; occupational, physical, and speech therapies and audiology services; dental care; and mental health care. It also includes an analysis of the most significant causes of access difficulties. Innovative strategies and recommendations to address pediatric provider problems are highlighted. Included in the report are detailed tables documenting each state´s rating of access to the specified services and their assessment of the most important causes of access difficulties.

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