Silow-Carroll - 2009 - Rhode Island's Pediatric Practice Enhancement Project: Parents Helping Parents and Practitioners

Last modified by Hendrick Guerra on 2019/04/11 18:28


Shaw et al.





United States




Case study of Rhode Island’s Pediatric Practice Enhancement Project (PPEP), which provides a coordinated system of care and medical home enhancement for children and youth with special healthcare needs

Key Notes/Findings:

Lessons learned:

  • Partnerships between the public and private sectors are critical from the start; a state agency on its own cannot make this type of program successful.
  • Even with an initial grant, it was helpful to require medical practices to support a small portion of the program
  • It is important to be flexible and tweak the program along the way

Identified the following key elements of a successful model:

  • Incorporating the philosophy and practice of the medical home
  • Using the peer-to-peer support model and family networks to increase family use of lower-cost community services and more directly address family concerns;
  • Linking to the state’s managed care health plan
  • Incorporating integrated care management
  • Using partnerships as opportunities for innovation


Silow-Carroll S. Rhode Island’s Pediatric Practice Enhancement Project: Parents Helping Parents and Practitioners [Internet]. Commonwealth Fund; 2009 [cited 2016 Oct 19]. Available from:

Created by Hendrick Guerra on 2018/08/17 20:29

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