Identifying Children and Youth with Special Health Care Needs (CYSHCN)

September 13, 2016 PCPCI

The concept of medical home was first introduced in 1967 by the American Academy of Pediatrics (AAP) as a model specifically designed for children and youth with special healthcare needs (CYSHCN).

Given the need to control health care spending and to address social factors that impact the lifelong health of children and costs, there is a need to identify WHICH children would most benefit from complex care management. Secondly, there is a need to identify WHAT team will best meet the needs of child and family.

The purpose of this webinar is to provide an overview of work that the Oregon Pediatric Improvement Partnership (OPIP) has collaborated on with health systems and primary care practices to identify children that would benefit from care coordination, methods to understand their care coordination needs, and processes by which the best care coordination team and processes by child and family centered care coordination can occur.

Webinar participants will:

  • Learn how and why identifying CYSHCN is different than identifying adults with special health care needs.
  • Learn about specific methods that can be used at the system-level to identifying CYSHCN that can benefit from complex care management
  • Learn about specific methods that can be used at primary care practice-level to identifying CYSHCN that can benefit from complex care management
  • Learn about child and family centered complex care management teams and care coordination processes.

Presented By:

Colleen Reuland, MS
Director, Oregon Pediatric Improvement Partnership
Instructor, Department of Pediatrics @ OHSU

Ms. Reuland has over 19 years working with primary care practices and health systems to improve the quality of care provided to children and adolescents. She also has extensive experience with developing and implementing reliable and valid quality measures based on claims and electronic medical record data. A key component of Ms. Reuland’s work has been focused on adolescent preventive services and implementation of Bright Futures Recommendations. Over the last three years OPIP has worked with numerous practices to implement depression and substance abuse screening and follow-up. Through this work OPIP has identified a number of policy barriers and opportunities for improvements. More information about OPIP can be found at