Implementation Resources (Tools and More)

Implementation Resources from the National Center for Medical Home Implementation

Additional Implementation Resources

        • Team-based Care Policy Statement from the American Academy of Pediatrics
          A new policy statement from the American Academy of Pediatrics (AAP) guides health care providers on implementing team-based care within practice. Team-based care, a foundation of the medical home, encourages families to work with their health care providers to develop shared goals that meet the needs of the whole child. Care teams include individuals outside and within the health care system. Communication and collaboration between the care team ensures that goals are aligned and that the child's needs are met.
        • Team-based Care in the Primary Pediatric Practice – Implementation Strategies
          This Web page from the American Academy of Pediatrics provides pediatric clinicians with nine practical steps for implementing team-based care. Implementation resources are also provided.
        • Key Considerations for Improving the Pediatric Primary Care and Specialist Interface
          Published in the Journal of Pediatrics, this article outlines key considerations and solutions for improving and enhancing care provided by pediatric primary care clinicians and subspecialists. The article summarizes key components of the family-centered medical home, including access, communication, coordination, and family-centered care. Solutions for enhancing the pediatric primary care and specialist relationship in the context of these components are also highlighted.
        • The Primary Care Team Guide
          The Primary Care Team Guide presented by the Primary Care Team: Learning from Effective Ambulatory Practices is a comprehensive Web site with resources and tools for all aspects of team-based care. This guide provides learning modules on getting started, building a team, doing the work, and paying for team-based care. Self-assessments for each function of team-based care are provided to help teams target areas for improvement.
        • Team-based Care: Moving from Ideas to Action
          This Institute for Health Care Improvement (IHI) question and answer discussion with IHI Director, Cindy Hupke, provides practices with team-based care implementation strategies. The discussion also links readers to additional IHI team-based care resources.
        • Creating Patient-Centered Team-based Primary Care
          This Mathematica Policy Research publication provides primary care teams with guidance on enhancing both patient-centered and team-based care. Practical step-by-step instructions are included as well as supplementary tools and resources.

Training, Events, and Conferences

Partners and National Initiatives 

Special Feature: An Interview with Healthy Tomorrows Partnership for Children Program Grantee

The Centers for Disease Control and Prevention ranked Nebraska first in asthma deaths preceding the formation of the Asthma Safety Net Network, also known as the Asthma Safety Net. The Asthma Safety Net is a Healthy Tomorrows Partnership for Children Program grantee focused on reducing childhood asthma among youth living in Lincoln, Nebraska and is coordinated by the Catholic Health Initiatives (CHI) St Elizabeth Foundation, a nonprofit regional medical center.

Children with asthma in the Lincoln, Nebraska community have access to collaborative, self-management guidance and support. These services have dramatically reduced asthma related morbidity and mortality in the community.

The Asthma Safety Net engages pediatric clinicians and practices in team-based care strategies by streamlining communication so all team members are informed, trained and have access to resources.

The following strategies are used by the Asthma Safety Net to implement team-based care in their program:

        • Engagement of a diverse, multidisciplinary team through the formation of a coalition made up of clinicians, pharmacists, epidemiologists, child care providers, physical therapist/athletic trainers, community members, state and county health representatives, educators, and respiratory therapists.
              • The coalition was created by a team-based care taskforce which established a leadership committee which oversaw transformation.
        • All care team members use a Web-based electronic health record case management system for efficient and up-to-date communication. All members of the care team are Health Insurance Portability and Accountability Act compliance trained and certified and can update field notes and patient information into the case management system. Community health workers and home visitors are given iPads to update patient charts in real time.

There are only two paid staff members in the Asthma Safety Net, all other team members are volunteers. To ensure sustainability of the project, Asthma Safety Net duties have become integrated into the job descriptions of all team members and have become part of the culture of the CHI St Elizabeth Foundation.

For more information, visit the Healthy Tomorrows Partnership for Children Web site or the National Center for Medical Home Implementation Nebraska State Page.