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CART Center in Developmental Primary Care The CART Center in Developmental Primary Care is a hub of experts in developmental primary care that provide clinical service, policy advocacy, research, training and technical assistance. It will provide clinical consultation through phone, email, telemedicine and mobile clinical consultation team services. The CART Center will also provide primary care services for some of the most medically fragile and behaviorally complex individuals with developmental disabilities. It will disseminate best practices and assist the State with implementing recommendations from the Developmental Services Task Force. Yearly Nurse Health Assessments A yearly nurse health assessment of all seniors and persons with disabilities is currently a requirement for health plans. The CART Center will work with health plans to develop and implement coordinated, comprehensive, and standardized assessments for individuals with developmental disabilities. With the individual’s permission, the results will be relayed back to caregivers, doctors, and care coordinators to help improve health outcomes for individuals with developmental disabilities.3,4,5 Enhanced Primary Care and Multidisciplinary Services Home care and clinic‐based enhanced primary care services for individuals served by regional centers with complex needs will be coordinated with health plans. Ideally, these clinical services will integrate care coordination; dental services; mental and behavioral health; and specialty therapies such as speech therapy,
- ccupational therapy, and physical therapy. Enhancements can include features such as home visits, longer
appointment times, specially trained staff and clinicians, physical and programmatic accessibility, and enhanced care coordination. Health Advocacy Services Health advocacy services are the direct support to help people partner effectively with their health care providers—going to appointments, supporting communication, and following through on the health care plan. Several models of health advocacy services will be established including supported decision making models, training for supporters, professional health advocacy, and nurse case coordination.
3 Robertson, J., et al. (2014). "The impact of health checks for people with intellectual disabilities: an updated systematic review of
evidence." Res Dev Disabil 35(10): 2450‐2462.
4 Felce, D., Baxter, H., Lowe, K., Dunstan, F., Houston, H. Jones, G., Grey, J. Felce, J. Kerr, M. (2008). "The Impact of Repeated Health
Checks for Adults with Intellectual Disabilities." Journal of Applied Research in Intellectual Disabilities 21: 585‐596.
5 Romeo, R., et al. (2009). "Cost estimation of a health‐check intervention for adults with intellectual disabilities in the UK." J Intellect
Disabil Res 53(5): 426‐439.
