Pediatric Patient-Centered Medical Homes
In 2012, the
Tennessee Chapter of the American Academy of Pediatrics (TNAAP) partnered with the state to launch the
Tennessee Medical Home Project, a three-year education and training initiative designed to increase the following:
Provision of care within the medical home model
Provider capacity to coordinate care for children and youth with special health care needs
Throughout the partnership, TNAAP achieved the following items:
Identified barriers to PCMH implementation for pediatricians
Evaluated successful pilot projects
Provided education and technical assistance to practices working to transform into a PCMH
As part of the SIM work, the
Tennessee Division of Health Care Finance & Administration is building on the Tennessee Medical Home Project by partnering with TNAAP to address identified barriers to PCMH implementation and meet the distinct needs of infants, children, and adolescents. The TNAAP will provide quality improvement training and PCMH implementation support to participating pediatricians.
To further support implementation of the PCMH model, Tennessee is developing a shared care coordination tool to alert participating providers when a patient has been admitted, discharged or transferred from a hospital or emergency room. The tool will also show patient risk scores, thereby helping care coordinators identify and connect with higher risk patients. The care coordination tool will be piloted in 2016, and, pending evaluation and feedback, will be made available widely to providers participating in SIM quality improvement efforts.