Measuring Medical Homes: Tools to Evaluate the Pediatric Patient-and Family-Centered Medical Home Rebecca Malouin, PhD,

1. Measuring Medical Homes: Tools to Evaluate the Pediatric Patient-and Family-Centered Medical Home Rebecca Malouin, PhD, MPH Michigan State University

2. 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

3. 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

4. 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.

5. 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)

6. 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

7. 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

8. 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

9. 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 cpierce@aap.org or 847/434-7605.

10. 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: Rebecca.Malouin@hc.msu.edu

12. 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:

13. Website

18. 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

31. 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 atobin@aap.orgwww.medicalhomeinfo.org