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Hilopa‘a Family to Family Health Information Center

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Family Voices of Hawai‘i and the Hilopa‘a Family to Family Health Information Center have had the honor to work very closely with the American Academy of Pediatrics Hawai‘i Chapter.

 

Ka Huliau is the name of the Chapter's PCMH Initiative.  Project templates, worksheets and information briefs are archived below.

 

 

Templates

 

 

New 2015 PDSA Template - 3 Cycles 

 

PDSA- 3 Cycle 2015.docx

 

New 2015 QI Template - 1 Cycle

 

PDSA- 1 Cycle 2015.docx

 

 

CARE PLAN - Portrait Template Handwritten

CARE PLAN - Portrait Template Form - Fillable

 

CARE PLAN - Landscape Template Handwritten

CARE PLAN - Landscape TEmplate Form - Fillable

 

 

Care Coordination Tools


 Click on the picture below to open the form of your choice.

Ka Huliau Specialty Referral Form

PCMH Transition Checklist ASD Referral for Transition of Care Portable Health Summary 
   

For specific care coordination with your participating health plan, please click on this link Health Plan Info to get specific forms and phone numbers.

 

Information Briefs & Resource Materials


 Click on the topic below to open the implementation guidelines.

    CSHCN Screener

    Pediatric Weight Assessment

    Physical Activity and Nutrition Counseling