Lighthouse Foster Clinic at Billings Clinic Pediatrics
Lighthouse Foster Clinic (LFC) at Billings Clinic Pediatrics is a dedicated medical home for children in foster care that is compassionate, accessible, and family centered.
What is a dedicated medical home for foster children?
Children in foster care benefit from a specialized medical model and clinical experience. A dedicated medical home practices trauma informed care and becomes the child’s persistent primary care location, regardless of multiple foster placements. This creates continuity in care and additional benefits including:
• Accessible and prompt post placement medical evaluations to address immediate needs
• Follow-up comprehensive visits 30-60 days after placement
• Well checks throughout the child’s life
• Care coordination of needs (e.g. subspecialty and therapeutic referrals, dental, vision, community support)
• Streamlined access to community partners
The Lighthouse Foster Clinic Team
Our collaborative team is led by Matt McDonald, MD, FAAP. Dr. McDonald is a physician on our general pediatrics team and a member of the American Academy of Pediatrics Council on Foster Care, Adoption and Kinship Care. His primary career focus is improving the health of children in foster care. Our team also includes pediatric social worker, Sarah Blackburn, MS, registered nurse and pediatric care manager, Michelle Kautz, BSN, RN, and dedicated LFC pediatric nurse, Carrie Gleason, RN.
How is the Lighthouse Foster Clinic Structured?
LFC occurs on a weekly basis at the Billings Clinic Pediatrics downtown location. Visit length is determined by the type of visit and will range from 20 to 45 minutes. Each visit involves an extended physician visit, a meeting with the pediatric social worker, and a meeting with the pediatric care manager when needed. A key component of our clinic structure is care coordination. At the end of each clinic day our team dedicates time to talk through each visit, identify needs, make necessary referrals, and schedule appointments. Within three business days of the visit, the team will create a one page visit summary and care plan. The visit summary will be shared with the caregivers as well as assigned child protection specialists/case workers. This ensures high quality communication regarding the child’s developmental and medical needs.
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