Table 2: Proposed outcomes of the project based on national performance measures for children with special health care needs [1] as operationalized by the Omaha System Problem Classification Scheme [4].

NPM: children are screened early and continuously for special health care needs
(Growth and development)*
 Developmental screening results are within normal limits or
 referrals are made

NPM: child has a medical home
(Health care supervision)*
 Caregiver knows when and how to seek emergency, chronic,
 and acute illness and preventive care
 Caregiver follows prescribed/recommended treatment plan
 and preventive care
 Consistently uses medical home and health care resources
 appropriately
 Child receives appropriate timely health care in a medical
 home

NPM: community resources are organized so families can use them easily
(Communication with community resources)*
 Caregiver is aware of community resources as needed and
 knows how to access them
 Caregiver uses resources/services consistently
 Caregiver uses resources/services appropriately

NPM: families have adequate private and/or public insurance to pay for the services they need
(Income)*
 Caregiver knows how to navigate resources
 Caregiver completes financial paperwork accurately and on
 time for medical care
 Health care expenses are covered or paid for

NPM: families are decision makers in their child’s care and are satisfied with the services they receive
(Caretaking/parenting)*
 Caregiver knows how to contact CSHCN program as needed.

NPM: National Performance Measure.
*(Omaha System problems corresponding to each NPM noted in parentheses).