Successful Integration of Pediatrics Into State Health Care Reform Efforts

Health care reform in Vermont promotes patient-centered medical home (PCMH) and multi-disciplinary community health teams (CHTs) to support population health.

This qualitative study describes the expansion of Vermont's health care reform efforts, initially focused on adult primary care, to pediatrics through interviews with project managers and practice facilitators, CHT members, pediatric practitioners, care coordinators, and community-based providers.

Respondents shared three main challenges with health care reform efforts: achieving PCMH recognition, adapting community health teams for pediatric patients and families, and defining roles for care coordinators.

For health care reform efforts to support pediatric patients and be family-centered, states may need additional resources to understand how pediatric and adult primary care differ and how best to support pediatrics during health care reform efforts.

Findings from this project were reported in an article published in the Journal of Pediatric Health Care.

Shaw, J.S., Varni, S.E., Cheng Tolmie, E., Mohlman, M.K., Harder, V.S. (2018). Successful Integration of Pediatrics into State Health Care Reform Efforts. Journal of Pediatric Health Care, 32(1) e1-e8. https://doi.org/10.1016/j.pedhc.2017.07.008