Publication by network researcher Dr. Ricardo Mosquera finds that benefits of medical home for children with medical complexity were long lasting (December 2018)
One of the most disappointing aspects of research is learning that a successful clinical intervention did not have long-lasting effects after the evaluation project ended. Sometimes, interventions just don’t stick. Thankfully, this was not the case for Dr. Ricardo Mosquera and his medical home team at the University of Texas, Houston. Years ago, his team completed one of the first randomized clinical trials that evaluated outpatient, comprehensive care for children with the medical complexity in a medical home. The medical home was successful to improve the health of the children and to reduce their need for emergency department care and hospitalizations. Although their clinical trial ended, their recent study published in the Journal of Pediatrics (with an accompanying editorial by network researcher, Dr. Dennis Kuo) showed that the benefits of their medical home intervention have continued to help children with medical complexity, which is fantastic!
CYSHCNet Advisory Committee member Dr. Jennifer Lail, Asst. Vice President of Chronic Care at Cincinnati Children’s Hospital Medical Center in Ohio, played an integral part in the prestigious certification of their Complex Care Center. Working with her team on the Quality Improvement components of the PCMH certification, they used QI methodologies to measure and improve care for children with medical complexity in the domains of immunization delivery, preventive and chronic care lab screening, and surveillance of behavioral medications. As of October 22, 2018, the program achieved certification in the National Committee on Quality Assurance’s Patient-Centered Medical Home Recognition program.
The Center functions as an outpatient patient-centered medical home within the Division of General and Community Pediatrics at CCHMC for 460 children with medical complexity ranging in age from birth to 22 years. NCQA says, “The patient-centered medical home is a model of care that puts patients at the forefront of care. Practices that earn recognition have made a commitment to continuous quality improvement and a patient-centered approach to care.
Dr. Ricardo Mosquera is a pediatric pulmonologist who treats children with serious disabilities. He’s also the Medical Director of the UT Physicians High Risk Children’s Clinic at McGovern Medical School at UTHealth. Most of his patients come from minority groups and low-income families. Dr. Mosquera’s dedication to what he considers “the most vulnerable” segment of any population and his holistic approach to medical care come from his own family history in Colombia. KPRC Channel 2, Houston, TX.
Watch the interview with Dr. Mosquera here.
Chris Stille, Jay Berry, and Charlene Shelton met in Boston in late September to begin the Network’s year 2 planning. Among the discussion was further refining of the National Research Agenda topics, a new Theory of Change, and plans for research project funding. A musical intermission featured Chris and Jay performing their version of Hamilton’s “You’ll Be Back” after a long, intense session.
Three projects headed by four emerging investigators were chosen to participate in the first Guided Research Program. Their project information and bios are posted here. Mentors were assigned to each project and will work with each EI for 12 months. The mentors are Dennis Kuo, MD, MHS; Meg Comeau, MHA; and Megie Okumura, MD, MAS. Dr. Rishi Agrawal leads the Research Education Team and will be hosting monthly Works-In-Progress sessions that will include education and project updates.