The CHF or Children’s Health Fund supports, develops, and implements a network of national outlook of 22 programs, as well as two affiliates in 17 to 15 states in the Columbia District and the United States. The CHF mission was comprehensively providing health care to nation that has mainly medically underserved children, given from the birth to 24 years of age. Teams of nutritionists, social workers, psychologists, dentists, nurses, and doctors delivered in-person oral health, mental health, and primary health care services at additional 200 service sites in the entire United States in collaboration with Federally Qualified Health Centers (FQHC) or specialists in affiliated medical academic centers and pediatric departments (Stenberg,1994).
The integrated CHF approach in line with health care play to be consistent with the known concept of enhanced medical home for the continuity of care tend to be ensured through coordination of multiple providers of healthcare and specialties. In America, the concept of Medical Home is adopted as a major aspect of reform of health care in ensuring quality standards of care (that are high) that seeks the increase of efficiencies and reducing costs for care acute. The integrated health care delivery type is enabled by the HIT or health information technology, and not solely on computer software, but with the aide of communications networks. Founded by Redlener and a cofounder Paul Simon, its initial engagement was primarily on pediatric care, specifically for homeless kids. Paul Simon, under the USA for Africa established a grant office that was in New York City (Stenberg, 1994).
The Children Health Projects or CHIP, deals with delivering health care via other professionals, nurses and doctors in a sized mobile RV medical clinic or MMC that is taken to locations that are in need of it like the homeless families. The program had expanded to deep rural areas and cities within the CHF’s ever-growing national system of clinics. The concept of medical home bases on the premise having a returning patient, supported by trusted healthcare team, who has pertinent information and having access on the patient documentation in line to health history. Another consideration is having overall cost for individual mobile clinic with inclusion of MMC state of art and continuing operating cost (Stenberg, 1994).
The paper environment has considerably reduced with the sophisticated HIS or healthcare information system solutions that integrate reports of electronic test results together with patients’ record to enable physician quickly access appropriate data with similar patient record interface (Stenberg, 1994).
There are new and more affordable solutions to network communications that should be tried given the prevailing challenges in the sector. The ever-increasing trend in the communication sector suggests an inclination that technology needs to be updated to avoid obsolete problems in the network communications, with cost minimization measures put into focus. The PMS or Practice Management Systems tend to support tasks of administrative nature like revenue cycle and patient workflow, with data containing information on patient insurance plan, appointment scheduling and patient contract information. The EMR or Electronic Medical Record systems tend to support clinicians on matters on physician orders, treatment, and patient diagnosis with data containing documentation of clinical diagnoses, medications, treatments, allergies, family history information, patient demographics, specialty referrals and prior outcomes visits (Wager, 2009).
The HITECH stimulus funds and the Meaningful Use Standards initiated by the federal government would result to better solutions of software integration given that the merit of computerized systems of health information recognized by the DHIF. Jeb Weisman joined the organization prior to implementation of MMC to drive the efforts to providing the state-of-the-art aide for MMCs. The partnership of CHF with eClinical Works, a software vendor, led to the establishment of a data collection ability that was together used with commercial software package (Wager, 2009).
The increase adoptions of software at physician offices would primarily depend on the design of environment that hold to be consistent and support clinic processes and standard physician office. This is the inclusion of the requisite space and medical apparatus to aide high delivery quality of primary care. It would also depend if it supports a mobile unit that operates at sites, multiple, primary urban that each comprises unique environmental factors. The two factors would depend on the level of the training the physician gets specifically a high-level skilled clinical provider for him or her to retain the staff (Wager, 2009).
The conditions that could emerge that render the model of mobile medical clinic obsolete are first, there should be network reliability and availability, and the remote access to data while still people availability. Secondly, data security where HIPAA requires that security for should be met. Thirdly, easy application with absolutely zero or low on-site support, the network technologies should support pediatric primary care. Fourth, inexpensive to operate and deploy, the network installed equipment hold not to be adding significant expenses to cost of MMC. Lastly, network throughout and latency, the rate of data should support transfer of patient and text-based files (Wager, 2009).