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Measuring Medical Homes: Tools to Evaluate the Pediatric Patient-and Family-Centered Medical Home Rebecca Malouin, PhD, MPH Michigan State University. Monograph: Purpose. Presents various tools available and in use to identify, recognize, and evaluate a practice as a pediatric medical home

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Measuring Medical Homes: Tools to Evaluate the Pediatric Patient-and Family-Centered Medical Home

Rebecca Malouin, PhD, MPH

Michigan State University


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Monograph: Purpose

  • Presents various tools available and in use to identify, recognize, and evaluate a practice as a pediatric medical home

  • Reviews the relative merits of existing tools to inform purchasers, payers, providers, and patients in evaluating pediatric practices


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Monograph: Framework

  • Section I: The Patient- and Family-Centered Medical Home

  • Section II: Measurement of the Pediatric Medical Home

  • Section III: Tools to Measure the Pediatric Medical Home

  • Section IV: Future Directions in Measurement of the Pediatric Medical Home


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Desirable Characteristics of a Medical Home*

  • Accessible

  • Family-Centered

  • Continuous

  • Comprehensive

  • Coordinated

  • Compassionate

  • Culturally Effective

*AAP, Medical Home for Children with Special Needs Project Advisory Committee, The medical home, Pediatrics. 2002; 110: 184-186.


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Tools Reviewed

  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) Child Primary Care Questionnaire 2.0 (beta)

  • Components of Primary Care Instrument (CPCI)

  • Family-Centered Care Self-Assessment Tool

  • Medical Home Index (MHI) and Medical Home Family Index (MHFI)

  • Medical Home Implementation Quotient (MHIQ)

  • Measure of Processes of Care (MPOC)

  • Primary Care Assessment Survey (PCAS)

  • Primary Care Assessment Tools (PCAT)

  • Promoting Healthy Development Survey (PHDS)

  • Physicians Practice Connections – Patient-Centered Medical Home (PPC-PCMH)

  • Parent’s Perceptions of Primary care (P3C)

  • Young Adult Health Care Survey (YAHCS)


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Review Sections

  • Background

  • Purpose

  • Description

    • date, # of items, # pages, length to complete, languages, type of respondent, formats, response set, cost for use

  • Development

  • Example of Uses

  • Obtaining a Copy


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    Recommendations

    • Reach consensus on specific elements within each attribute of a pediatric medical home (same for adults and children?)

    • Develop new or expanded tools to incorporate appropriate constructs for evaluating pediatric medical home


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    Recommendations

    • Develop new or expand existing tools for parallel formats to incorporate multiple perspectives

    • Greater inclusion of pediatric practices in medical home pilot and demonstration projects


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    Where to find

    • National Center Web sitehttp://www.medicalhomeinfo.org/how/performance_management.aspx

    • A limited number of hard copies of the monograph are available at no charge. Please contact Corrie Pierce at [email protected] or 847/434-7605.


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    Thank you

    Rebecca A. Malouin, Ph.D., M.P.H.

    Director, Primary Care Research and Evaluation Program

    Assistant Professor

    Department of Family Medicine and Department of Pediatrics and Human Development

    Michigan State University

    e-mail: [email protected]


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    Accessible

    Family-centered

    Continuous

    Comprehensive

    Coordinated

    Compassionate

    Culturally-competent

    Goal of the National Center

    To ensure that all children and youth, including children with special needs, have a medical home where health care services are:



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    Building Your Medical Home Toolkit

    • www.pediatricmedhome.org

    • Launched June 2009

    • More than 2000 user accounts

    • Tools crosswalk with ‘must pass’ elements of NCQA PPC-PCMH

    • Six building blocks toward implementation; progress tracking functionality


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    Thank You!

    Angela Tobin, AM, LSW

    Medical Home Policy and Education Analyst

    National Center for Medical Home Implementation

    American Academy of Pediatrics

    Elk Grove Village, IL

    847-434-7621

    [email protected]


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