Implementation Resources Science of Improvement: Establishing Measures Pediatric medical home implementation is a quality improvement process and as such requires the establishment of measures that will guide tests of change to make improvements in practice. The Institute for Healthcare Improvement provides resources for developing outcome, process, and balancing measures. Building Your Medical Home: Assessing Your Practice Created by the National Center for Medical Home Implementation, this online resource guide features self-assessment surveys and checklists to assist pediatric practices with measuring baseline implementation of pediatric medical home. Online Module: Performance Management and Measurement The Health Resources and Services Administration offers an online module that provides evidence-based strategies to manage and measure quality improvement efforts within an organization, including pediatric medical home initiatives. Medical Home Index and Medical Home Family IndexCreated by the Center for Medical Home Improvement, these measurement and self-assessment tools translate the core components of a medical home into tangible and observable behaviors within an office setting as seen through the eyes of the office team or from the perspective of families. The Medical Home Index is validated, used widely, and translated into multiple languages. Visit the National Center for Medical Home implementation "For Practices" Web page to access these tools. Measuring Medical Homes: Tools to Evaluate the Pediatric Patient- and Family- Centered Medical Home Created by the National Center for Medical Home Implementation, this monograph presents a comprehensive list of validated tools to measure primary care services of individual pediatric practices, health care organizations, and clinicians. Family-Centered Care Assessment Tool for Families Created by the National Center for Family/Professional Partnerships, this 24-question validated assessment tool helps families assess the family centeredness of their child's clinician. An accompanying user's guide and Spanish-language version are available. Care Coordination Measurement Tool Created with support from the Maternal and Child Health Bureau, the Care Coordination Measurement Tool tracks care coordination activities conducted by a wide variety of personnel within a health care organization to determine the true cost of care. Cultural Competence Self-Assessment Tools for Practices and Clinicians Created by the National Center for Cultural Competence, this collection of tools and resources is available for pediatric practices, clinicians, and larger health care organizations to assess the cultural competence of care provided to children, youth, and families. Consumer Assessment of Health Care Providers and Systems: Patient-Centered Medical Home Survey This survey is designed to measure patient experience related to the core components of a medical home. The survey measures the extent to which a patient received self-management support, care coordination, patient-centered care, and information about obtaining care and appointments from a health care provider. Community Tool Box: Evaluating Community Programs or Initiatives Developed by the University of Kansas, this tool box provides step-by-step instructions on how to evaluate a community program or initiative. Training, Events, and Conferences Webinar Series to Support Title V Action Planning The Association of Maternal and Child Health Programs and the Johns Hopkins University Bloomberg School of Public Health are hosting a webinar series supporting Title V programs as they select evidence-based or evidence-informed strategies to achieve specific National Performance Measures. View more information and upcoming webinar dates Building Family Professional Partnerships: Recorded Webinar The Illinois Chapter of the American Academy of Pediatrics and the University of Illinois, Chicago, Division of Specialized Care for Children hosted a webinar focused on establishing and building family professional partnerships, based on the Standards for Systems of Care for Children and Youth with Special Health Care Needs. View the recorded webinar here Effectively Engaging Families: How Motivational Interviewing can be used to Improve Asthma Management with Patients and their Families December 14, 11 – Noon Central Time Hosted by the American Academy of Pediatrics Medical Home Chapter Champions Program on Asthma, Allergy, and Anaphylaxis, this webinar is designed to educate providers and families on the use and role of motivational interviewing in engaging patients and families in their asthma management. View registration information here National Initiatives Medical Home Data Portal Created in partnership with the National Center for Medical Home Implementation, the Medical Home Data Portal provides state-by-state information related to the number of children and youth—including those with special health care needs—who have access to a medical home in the United States. Care Coordination Measures AtlasCreated by the Agency for Healthcare Research and Quality, this comprehensive document provides a list of existing measures for care coordination and presents a framework for measuring care coordination. The atlas is particularly helpful to evaluators of pediatric medical home programs with a strong care coordination emphasis. Medical Home Recognition and Certification Standards Several national organizations have developed programs that recognize and/or accredit health care organizations as medical homes according to a specified set of standards. The National Center for Medical Home Implementation (NCMHI) does not endorse or support one recognition program over another, but encourages clinicians, practices, and health care organizations to familiarize themselves with various options that exist for receiving recognition or accreditation. View information about these initiatives on the NCMHI Web site. Partners Child and Adolescent Health Measurement Initiative The Child and Adolescent Health Measurement Initiative (CAHMI), is a national initiative focusing on advancing patient-centered child health and health care quality. The Data Resource Center for Child and Adolescent Health, created by CAHMI, presents the results from the National Survey of Children's Health and the National Survey of Children with Special Health Care Needs and makes them readily accessible to families, researchers, clinicians, and state agencies. Through a redesign process, these two National Surveys will become a single annual survey, the National Survey of Children's Health. The first public release of data is scheduled for Spring 2017. Healthy Tomorrows Partnership for Children Program Data Brief The Healthy Tomorrows Partnership for Children Program (HTPCP) supports innovative, community-based projects that improve access to health care and promote preventive health services through the medical home model. An updated HTPCP data brief demonstrates the impact of HTPCP programs based on rigorous evaluation data. From Our Web Site Special Feature: An Interview with Healthy Tomorrows Partnership for Children Program GranteesHospital to Medical Home is a Healthy Tomorrows Partnership for Children Program (HTPCP) in Toledo, Ohio that connects hospitalized pediatric patients in a tertiary care center to primary care pediatric medical homes. The project utilized evaluation results to demonstrate its impact on children and families and expanded to a sustainable statewide program in partnership with the Ohio’s Maternal and Child Health Block Grant program at the Bureau for Children with Medical Handicaps.The program utilizes a hospital based “medical home liaison (MHL)” who builds relationships with families utilizing a strength/respect based communication tool, “Listening with Connection” using precepts of Hand in Hand Parenting. The MHL meets families in the hospital and connects them to primary care providers. The liaison is intimately involved with measurement and evaluation of the program by conducting follow-up with every family both immediately after discharge from the hospital and one year later. Evaluation data shows that 97% of patients kept their first primary care appointment after hospital discharge. At one year, 95% were able to identify their primary care provider and 87% had kept “all or almost all” of their appointments with their primary care provider, subspecialists, and community resources. In a recent interview with the National Center for Medical Home Implementation (NCMHI), project director Pam Oatis, MD, FAAP, explained that being able to quantify the impact of the project allowed hospital leadership to support the program and ensured its sustainability beyond the grant. Additionally, Ohio’s Title V program adapted the initiative on a systems/state level, providing medical home training to over 700 pediatric providers (including physicians, nurses, Head Start teachers and childcare providers). The state utilized questions from the National Survey of Children with Special Health Care Needs to evaluate, at a state level, the number of children and youth with special health care needs receiving care within a medical home as a result of the Hospital to Medical Home program. The state is currently collecting data and results will be available in the future.The Hospital to Medical Home Program created multiple resources throughout the implementation of its HTPCP grant, including a comprehensive care notebook for families and an e-Learning module. For more information, visit the Ohio state page, Healthy Tomorrows Partnership for Children Program Web site, Hand in Hand Parenting, or contact Dr Oatis directly at Pamela_oatis@mercy.com.