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Working with Intermountain and redesigning their methods of care represents a considerable shift for RFL and leaders have been deliberate about how these changes are introduced to doctors, nurses and others who provide care. Click the following URL which is the closest match we can find to the one you entered: Use the left navigation or the tabs above to browse the site, Perform a search using the search box at the top of the page.
PingID. The partnership between Intermountain and RFL involves teams from each organisation visiting the other to observe and attend workshops and monthly teleconferencing so that Intermountain can provide remote support to RFL as the Trust implements clinical practice groups (CPGs), RFLs version of CPMs. 0000014981 00000 n
Intermountain Healthcare in Salt Lake City, Utah, recognised the link between variance, quality and cost early on thanks in part to Dr Brent James. 0000011998 00000 n
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Improving care quality and reducing cost are two of the highest priority goals for healthcare leaders.
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The FSI Academy is focused on the onboarding of new hires who will be trained as interface engineers; responsible for implementing the technical mechanisms that allow the exchange of information between solutions and external systems. 0000049258 00000 n
We are also working with the Point of Care Foundation, which facilitates us working with patients and families in the design phase of all our clinical pathways.. 0000225797 00000 n
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We recommend that child or caregiver complete the child traumatic stress screener while in the waiting room, prior to their appointment. 0000010599 00000 n
Providers and caregivers around the country are using the model to measure and improve key diabetic metrics, including A1C results, blood pressure control, and kidney . 0000010167 00000 n
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. CPMs are meant to provide an evidence-based and standardised way to address the core clinical processes that matter most to their patients and clinicians. 0000009981 00000 n
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Franklin G. Miller, Ph.D., and Ezekiel J. Emanuel, M.D., Ph.D. Choose a state from the dropdown to add local service providers. 0000087852 00000 n
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In primary care settings, you can evaluate the response to services using the Pediatric Traumatic Stress Screening Tool at follow up visits. 0000000016 00000 n
Mild range scores (0 10) protective approach, Moderate range (11 20) resilient approach, Severe range (21 or higher) restorative approach. 0000034112 00000 n
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For many children, belly breathing or mindfulness training (teens) will be able to slow down a racing heart or mind at bedtime to fall asleep easier or reduce the intensity of anxious / fearful or angry feelings. 0000004300 00000 n
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Published February 21, 2008, Harming Through Protection. 0000063087 00000 n
Lean Healthcare: 6 Methodologies for Improvement Addressing unwarranted variance in care protocols and embedding those processes in the electronic health record (EHR) can be an effective way for healthcare leaders to impact both quality outcomes and their bottom lines.
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It has three main hospitals the Royal Free Hospital (founded in 1828 with the direct mission of providing free, quality care to patients with little or no means), Barnet Hospital and Chase Farm Hospital. *(N}L{{./ +A C C9p:nY)-({ ~U
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Deming, who trained as an electrical engineer, believed that quality and cost are inextricably linked, and creating efficiencies in any process would lead to reduced costs and increased quality. Modified Medical Research Council Breathleness Scale (mMRC) 0000016606 00000 n
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This care process model (CPM) was developed by Intermountain Healthcare's Antibiotic Stewardship and Community-Based Care teams. 0000073493 00000 n
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Intermountain monitors use of the Information Systems resources. The partnership with Intermountain has allowed us to learn the positive things, and the things theyve found difficult, the pitfalls and bear traps theyve discovered, and thats made it easier to be open to the perspective of people that have walked the journey before us.. Critical to the relationships success is that Intermountain leaders visit RFL and can provide guidance and feedback in real time and on-site. 0000014285 00000 n
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Choose a skill that you are comfortable teaching and share your knowledge with the families you see in clinic. 0000045274 00000 n
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Joining forces to create a standard of care - cerner.com H\j0EY&
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SALT LAKE CITY, March 19, 2015 (GLOBE NEWSWIRE) -- Cerner Corp. and Intermountain Healthcare announced today the implementation of iCentra, a model electronic health record (EHR), practice management and revenue cycle system, at two Intermountain hospitals and 24 clinics across northern Utah. 0000006529 00000 n
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Deming was also an advocate of considering systems as a whole, not as disparate smaller component parts that could be changed without influencing an entire operation. 0000170459 00000 n
Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device.Learn More. 0000006077 00000 n
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Cerner Intermountain Healthcare Implement iCentra EHR - Health IT Outcomes Additionally, the PIPS team has clinicians available for consultation when needed. 0000004060 00000 n
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(2) removing Intermountain data from any Intermountain information system; or 0000088156 00000 n
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When should the child or caregiver complete the traumatic stress screener?
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Its important for them to see what were doing in action somewhere else.. At the end of March 2022, the Cerner European Collaboration Forum brought together 300+ attendees from over 16 countries. 0000062915 00000 n
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Key Points All pregnant patients at 20 weeks of gestation require a Labor and . 0000072266 00000 n
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It helps primary care providers identify areas of potential high risk for the child and provide relevant information and support to the parents / caregivers. 0000033569 00000 n
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Intermountain Health Care (IHC), an integrated delivery system based in Utah, has adopted a new strategy for managing health care delivery. 0000033986 00000 n
Lifestyle and Weight Management for Children and Adolescents
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The CPM also guides family decision making, links at-risk children to evidence-based trauma therapy, and encourages providers' use of in . 0000072789 00000 n
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One of the best features of the child traumatic stress care process model is that it can be administered by people who don't have a clinical background. 0000004309 00000 n
SALT LAKE CITY, March 19, 2015 (GLOBE NEWSWIRE) -- Cerner Corp. and Intermountain Healthcare announced today the implementation of iCentra, a model electronic health record (EHR), practice. Each visit is centred around a single theme to allow for a focused deep dive into that specialty. 0000050231 00000 n
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Published August 9, 2007, Quality- Improvement Research and Informed Consent. The EHR data from every patient treated by CPMs offer further points to improve the next application of the CPM through a nearly real-time feedback loop. 0000081400 00000 n
Its okay to answer their questions. 0000129774 00000 n
Care Process Model JUNE 2019 2019 Update GOALS & MEASUREMENTS The goal of this CPM is to improve the . Intermountain has also noted value in the partnership. 0000003817 00000 n
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Part of the partnership has been learning that it is not a one-to-one process of dropping in methodology from Intermountain to RFL, and that the Trust has adapted the ideas to their own circumstances. Of all the approaches leaders can leverage to address these issues, reducing unwarranted clinical variance is receiving increased attention. Click for details. At two of our sites, we were immediately able to capture data-driven outcomes from the newly digitised pathways, said Dr Streather. 0000004256 00000 n
In the 5 phase III alvimopan efficacy trials, a simple standardized accelerated postoperative care pathway was used rather than a comprehensive, multidisciplinary colon surgery care process model that is used by Intermountain Healthcare. 0000176512 00000 n
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Based on national guidelines and emerging evidence and shaped by local expert opinion, this CPM provides practical strategies . 7 September 2022
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How old does a child need to be to complete the traumatic stress screener? 0000072478 00000 n
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Administers screening tests to . If this is an emergency please go to the nearest emergency room or call 911. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. 0000041140 00000 n
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Additional assistance with risk assessment: iCentra order algorithm, Score Line 801-50-SCORE ( providers only ), and Connect Care 801-442-4457. 0000002388 00000 n
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Intermountain will use a regional deployment strategy to bring all acute care facilities, ambulatory . The clinical leadership for the digitisation programme is divided into RFLs four clinical divisions: Medicine, Surgery, Specialist Services, and Womens, Childrens and Diagnostics. 1 KEY POINTS The focal points discussed in this CPM include: Treating asymptomatic bacteriuria with antibiotics offers no benefit 0000075636 00000 n
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It takes humility to recognise that you dont have all the answers and seek out people who are leaders in their field, he said. 0000020693 00000 n
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Intermountain Healthcare: Towards an integrated, value-based model Intermountain (US) UH Bristol (UK) TTSH (Singapore) VCHI (US) Show sources Briefing paper Tackling waste is a difficult but. 0000071068 00000 n
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The Child Traumatic Stress Care Process Model (CPM) was developed through a collaboration of the Department of Pediatrics at the University of Utah and the Center for Safe and Healthy Families at Intermountain Healthcare's Primary Children's Hospital. 3 September 2021
For more information about Perspectives, gohere. 0000002368 00000 n
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This CPM includes two processes to address child traumatic stress across the pediatric lifespan.
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Mary Ann Baily, Ph.D.
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View wait times and save your place in line at an Intermountain InstaCare location near you. Because of its unique size and scope, Royal Free London was concerned with reducing variation across its venues of care while increasing quality and decreasing costs.
This care process model (CPM), produced by Intermountain Healthcare's Antibiotic Stewardship team, Community-Based Care, and Intermountain Pediatrics, is based on the American Academy of Pediatrics (AAP) Clinical Practice Guidelines. startxref
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He brought with him a background in medical research, having previously held positions at the National Cancer Institute and the Harvard School of Public Health, as well as an interest in the theory and methods of W. Edwards Deming. by Cerner UK
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Salt Lake City, UT/Broomfield, CO (April 5, 2022) - Intermountain Healthcare and SCL Health, two leading nonprofit healthcare organizations, have completed their merger, creating a model health system that provides high-quality, accessible, and affordable healthcare to more patients and . The FSI Academy is focused on the onboarding of new hires who will be trained as interface engineers; responsible for implementing the technical mechanisms that allow the exchange of information between solutions and external systems.
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For children 6 18 years who report a potentially traumatic experience on the Pediatric Traumatic Stress Screening Tool (more information on this screening tool available in full CPM), the process of responding effectively to child traumatic stress involves three steps: Based on screening tool results, a brief in-office intervention targeting their most prominent symptom(s) has been shown to make a big difference for many children. 0000020531 00000 n
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We are segmenting clinicians into clinical themes and having them evaluate pathways of care and look at the data that informs those pathways to determine how we can improve them in a systematic way. 0000179788 00000 n
See the Intermountain care process model Non-surgical Management of Ectopic Pregnancy DEVELOPMENT AND DESIGN OF Care Process Models Care Process Model MONTH 2015 2015 Update 0000017260 00000 n
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Second, primary care providers and care teams can intervene with children (6 18 years) who have experienced a potentially traumatic experience through the use of the Pediatric Traumatic Stress Screening Tool and Road Map of Care for Pediatric Traumatic Stress (see image below). Intermountain Healthcare is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. 0000059943 00000 n
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Cerner Corp. and Intermountain Healthcare announced recently the implementation of iCentra, a model electronic health record (EHR), practice management and revenue cycle system, at two Intermountain hospitals and 24 clinics across northern Utah. D dL :G=%C>[wgG5wvorb$j9u>~U'/795}[ucCwOxEQ\hzAR>9d)oHH,YIPxM. %PDF-1.7
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Special attention is also paid to who attends each visit to ensure all stakeholders are involved. 0000005795 00000 n
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Its purpose is to summarize and promote evidencebased approaches to lifestyle and weight management, and to facilitate implementation in routine .
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At Intermountain Healthcare, we are looking for Medical Assistants who are patient-focused and engaged. Although realigning care at RFL is still a work in progress, the introduction of the CPG concept and its adaptation to the Trusts culture and needs is having an impact. %PDF-1.7
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First, primary care providers and care teams can meaningfully respond to family needs that may prevent trauma exposure in children (0 5 years) through the use of the SEEK questionnaire and Road Map of Care for Pediatric Trauma Prevention. 0000011615 00000 n
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We didnt want to take a standardised cookbook approach to medicine, but we wanted to ensure that care was more predictable and evidence-based so that we could deliver it in a more cost-effective way..
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When we visit Intermountain, we bring senior-level executives, but we also take people who are directly involved in care, said Dr Streather. 0000007939 00000 n
Clinical Management - Intermountain Healthcare Members of each clinical programme regularly review the core care processes within it using evidence from literature and data from Intermountains own EHR.
Intermountain Health hiring Medical Assistant Allergy Clinic in 0000226257 00000 n
Treesa Carter and James Hitter share their experiences of working on the transformation of health and social care integration at Suffolk County Council. @G trailer
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Only authorized users with an appropriate business need and legal right may use these resources.
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Through our advanced training programme in clinical process improvement, we train senior leaders, middle management and front-line health professionals in the theory and application of cost and quality control. 0000015893 00000 n
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Although physicians are encouraged to follow the CPM to help focus on and measure quality, deviations are a means for discovering improvements in patient care and expanding the knowledge base. 0000176241 00000 n
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Partnering with and adapting the methodology of an internationally recognised leader like Intermountain signalled to staff that RFL was serious about improving care and has helped create buy in, Dr Streather believes. 0000022254 00000 n
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Send us an email or give us a call if you have questions. This article originally appeared inPerspectives, a thought leadership publication dedicated to rising trends and issues in the healthcare and IT industry.
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CPM - Utah PIPS Pierre-Henri Brchat, Pascal Briot, Lucy Savitz, Ross Fulton. We already have resource guides developed for many counties in Utah. Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. 0000048275 00000 n
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Care Process Models Acute Sinusitis in Adults and Children Intermountain Healthcare and Royal Free London are working toward a common goal of reduced clinical variance. 0000073354 00000 n
Ive rarely seen in the NHS such buy-in from the clinical community, he said. 0000007639 00000 n
This care process model (CPM) is maintained by Intermountain Healthcare's Lower Respiratory Tract Infection Team, . 0000044721 00000 n
Using a theoretical framework of eight stages of change[18], the authors described the imple-mentation of the care process model in the RICU.
Pediatric Acute Otitis Media (Ear Infection) 2019 Update 0000005227 00000 n
Once we understood the science of process management techniques as derived and applied in the business world could be brought into healthcare, we had our secret sauce and we knew we needed to teach that science to our teams, said Dr Todd Allen, senior executive medical director for the Healthcare Delivery Institute at Intermountain. 0000009925 00000 n
The really great benefits of the relationship between Intermountain and Royal Free are in the future of working together to apply what we already know in newer and better ways., Senior executive medical director for the Healthcare Delivery Institute, Vice president at Cerner and medical executive for iCentra development at Intermountain Healthcare. 0000017688 00000 n
under the leadership of Intermountain Healthcare's Behavioral Health Clinical Program. 0000045385 00000 n
Amy Bowen and Kaye Coholan share their thoughts on how North Central London (NCL) has taken a different approach to managing NHS waiting lists for their Integrated Care System (ICS). They then work to continually refine and improve each care process. It is not a prescription for every physician or every patient, nor does it replace clinical judgment. 0000079777 00000 n
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Treatments, Prader-Willi Syndrome & Cognitive & Psychiatric Issues, Prader-Willi Syndrome and Complications from Obesity, Premature Infant and Retinopathy of Prematurity, Attention-Deficit/Hyperactivity Disorder (ADHD), Charcot-Marie-Tooth Disease (Hereditary Motor Sensory Neuropathy), Intellectual Disability & Global Developmental Delay, Postural Orthostatic Tachycardia Syndrome (POTS), Duchenne & Becker Muscular Dystrophy: Cardiomyopathy, MCADD (Medium-Chain Acyl-CoA Dehydrogenase), Somatic Symptom Disorder & Functional Neurologic Disorders, Carnitine Palmitoyltransferase 1A (CPT 1) Deficiency, Citrullinemia Type II & Citrin Deficiency, Guanidinoacetate Methyltransferase (GAMT) Deficiency, Holocarboxylase/Multiple Carboxylase Deficiency, Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD), Short/Branched Chain Acyl-CoA Dehydrogenase (SBCAD) Deficiency, Short-Chain Acyl-CoA Dehydrogenase Deficiency (SCADD), Very Long-Chain Acyl-CoA Dehydrogenase Deficiency (VLCADD), Screening Tests and the Diagnostic Process, After a Diagnosis or Problem is Identified, A New (or Old) Diagnosis - "You Are Not Alone", Building New Hopes and Dreams After a Diagnosis, Caring for Children with Special Health Care Needs, Complementary and Alternative Medicine (CAM), Foster Care of Children with Special Needs, Hospital Admissions, Inpatient Stay, and Discharge, Management and Prevention of Constipation in Children, Safety Precautions for Children with Seizures, Transportation and Travel for People with Disabilities, Choosing a Complementary and Alternative Medicine (CAM) Provider, From Preschool to Kindergarten/Elementary School, Tips for Single Parents of Children with Special Needs, When Parents of Children with Disabilities Divorce, Attention Deficit Hyperactivity Disorder (ADHD) (FAQ), Duchenne & Becker Muscular Dystrophy (FAQ), Intellectual Disability and Global Developmental Delay (FAQ), Mucopolysaccharidosis Type I (MPS I) (FAQ), Neonatal Opioid Withdrawal Syndrome (NOWS) (FAQ), Postural Orthostatic Tachycardia Syndrome (POTS) (FAQ), Transgender and Gender-Diverse Youth (FAQ), Everyday Strategies to Help Improve Wellness, Thoughts From a Single Parent of a Great Kid, A Parent Perspective on Dealing With Ignorance, Services for the Uninsured or Under-Insured, Understanding the Affordable Care Act (ACA) and the Health Insurance Marketplace, Causes of Hearing Loss, with ICD-10 codes, Coding for Developmental & Mental Health Screening, About Children & Youth with Special Health Care Needs (CYSHCN), Questions & Answers about Care Coordination, Children with Short Stature Born Small for Gestational Age, Drooling in Children with Special Health Care Needs, Mild Traumatic Brain Injury (TBI) & Post-concussive Syndrome, Neonatal Opioid Withdrawal Syndrome (NOWS), Pain in Children with Special Health Care Needs, CBD for Neurologic Conditions in Children, Childhood Epilepsy with Centrotemporal Spikes (CECTS), Evaluation & Treatment of a First Unprovoked Seizure, Medical Conditions Affecting Sleep in Children, Sleep Disorders & Parasomnias in Children, Toilet Training Children with Complex Medical Conditions, Attention-Deficit/Hyperactivity Disorder (ADHD) for Educators, Boosting Calories for Babies, Toddlers, and Older Children, Feeding & Swallowing Problems in Children, Feeding Tubes & Gastrostomies in Children, Nutrition & Growth in Children with Complex Conditions, Bilirubin Screening & Testing in Newborns, Clinical Guidelines for Care of Children with Medical Complexity, Evaluation for Suspected Ehlers-Danlos Syndrome, Newborn Differences of Sex Development (DSD) Admission Checklist, Congenital Cytomegalovirus (CMV) Related Hearing Loss, Folic Acid Supplementation & Neural Tube Defects, Infant & Early Childhood Social-Emotional Screening, Mental Health Screening for Children & Teens, https://www.medicalhomeportal.org/clinical-practice/guidelines-and-algorithms, Utah Department of Health & Human Services, Nevada Division of Public and Behavioral Health, Centers for Medicare and Medicaid Services (CMS), Ohio Department of Health, Bureau of Maternal, Child & Family Health, Childrens Medical Services/Children with Special Needs, New Mexico Department of Health, Rhode Island Title V/Maternal and Child Health Program, Check the URL you entered to make sure it is correct.