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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

monograph purpose
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
monograph framework
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
desirable characteristics of a medical home
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.

tools reviewed
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)
review sections
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
recommendations
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
recommendations8
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
where to find
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.
thank you
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

goal of the national center
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:

building your medical home toolkit
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
thank you31
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