need of services. Ninety four percent of members felt the ASQ helped them better

understand what questions to ask their child's doctor. Select member responses

include:  

 I found it very helpful, because I was ready when I went to the doctor's office to

ask the right questions. 

 I think it is wonderful.  It is a great tool.  This is my first baby and I feel I got

great help.  I am very happy with both [the plan], and my pediatrician. 

 I thought it was a good program.  It helped me better understand my child. 

 I found the pilot program very helpful.  I wish I had this when I had my first

child. 

Network Health's physician group added developmental benchmarks based on the

ASQ screener to its well visit forms that reside permanently in the patient charts.

Network Health is exploring the feasibility of providing additional home visits for

members identified as being at risk during the post partum home visit.

Managed Health Services Home Visit Program

Managed Health Services (MHS) designed a home visit program called

HealthCheck to reach children who were overdue for a well child visit. To set up

the home visit appointment, MHS staff first called the family. If phone contact was

unsuccessful, they sent a postcard requesting that the member call MHS. If a mem 

ber reached by phone declined a home visit (which only occurred twice), then

information on early childhood development was sent by mail and information was

reviewed during a phone call.  This phone call was also used to link members with 

out a provider with a primary care physician.

Initially, MHS tried to collaborate with an ongoing home visitation program at the

City of Milwaukee Health Department. The health department conducted limited

home visits to high risk infants who met specific criteria. MHS developed a referral

form that would be sent to the health department whenever an MHS member met

the city's high risk criteria. After multiple attempts to launch the program, the City

of Milwaukee Health Department withdrew due to limited resources and concerns

regarding the potential volume of home visits.

Due to this barrier, MHS has taken full responsibility to reach members who were

overdue for a well child visit through home visits, telephone contacts, mailing of a

 call us  postcard, and mailing of information on early childhood development.

From December 2003 to May 2004, MHS contacted 88 percent of MHS newborns

who were overdue for a well child visit.  During this period, 72 percent of the mem 

bers reached received HealthCheck home visits as a result of successful outreach.

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