Frequently Asked Questions
- A non-billing service that supports individuals across their lifespan through an integrated, “whole person” approach via the following core services:
- Comprehensive Care Management
- Care Coordination
- Health Promotion
- Comprehensive Transitional Care/Follow-Up
- Patient and Family Support
- Referral to Community and Social Supports
- Health Screening & Health Plan
- Metabolic Screening (MBS)
- Client Centered Conference
- Individualized Health Promotion, Education, & Referrals
- Hospital Follow-Ups & Medications
- Care Coordination
- Care Gap Monitoring
- HRST
- Population Health
- Health Homes work to improve overall health outcomes for individuals and populations
- Lower rates of emergency room use
- Reduce in-patient admissions/re-admissions
- Reduce health care cost
- Improve experience of care, quality of life, and consumer satisfaction
- Improve health outcomes
- The DD Health Home team will serve individuals from the Division of DD with identified health risks and chronic health conditions
- Waiver & Non-Waiver clients (internal and external clients to Firefly)
- Healthcare professionals who will support the client/guardian in:
- Identifying health risks and how to address them
- Promoting management of chronic health conditions
- Promoting accessing preventative services
- Setting health/wellness goals
- Coordinating care between all treatment team members
- Goals/Outcomes
- Improve overall health of individual
- Improve health outcomes of the IDD population served
- System Director
- Director
- Assistant Director
- Nurse Care Manager (NCM)
- Facilitator
- Primary Care Physician Consultant
- Specialized Healthcare Consultant
- Firefly Treatment Team Members
- External Providers (PCP, specialist, dentist, vision providers, Service Coordinator, etc.)
- Research shows:
- Decreased access to preventative services
- Regardless of comorbid condition; die 10-15 years earlier than general population
- Adults with IDD, regardless of severity, have an increased risk of death from pneumonitis, influenza/pneumonia and chocking
- Adults with mild/moderate IDD have increased risk of death from diabetes
- Fatal Five +One
- Conditions that lead to preventable deaths among IDD population
- Aspiration
- Constipation/bowel obstruction
- Seizures
- Dehydration
- Sepsis
- Gastrointestinal reflux disease (GERD)
- Conditions that lead to preventable deaths among IDD population
- Springfield
- Joplin
- Kansas City
Resources