Patient & Family-Centered Medical Home 

CHF can help provide practices the tools, measurement, and change management capabilities to achieve their “Medical Home” classification. The practice might be trying to achieve NCQA Medical Home Certification, its own “Medical Home” goals, or the requirements for the Oregon Primary Care Patient-Centered Home (PCPCH). Whatever the requirements or documentation needed, CHF can help practices assess their current level of functioning, their current change capacity, and the measures necessary to demonstrate their completion of various requirements for medical home certification.

The medical home, which originated in pediatrics in 1967, is now the model for 21st century primary care, with the goal of addressing and integrating high quality health promotion, acute care and chronic condition management in a planned, coordinated, and family-centered manner. The exact definition of “Medical Home” may vary amongst providers, health plans, consumers, and purchasers, but all tend to agree that it is a health care setting that is the main hub for a patient and a setting that takes accountability for helping patients to improve their health, promotes partnerships between providers and families, coordinates patient care, and continually strives to improve the capacity to deliver high quality health care to patients. Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when they need it and to allow the practice to be a proactive partner in the patient’s health care.

 PCPCH Attributes Home Graphic

BENEFITS

CHF can help provide practices the tools, measurement, and change management capabilities to achieve their “Medical Home” classification. The practice might be trying to achieve NCQA Medical Home Certification, their own “Medical Home” goals, or the requirements for the Oregon Primary Care Patient-Centered Home (PCPCH). Whatever the requirements or documentation needed, CHF can help practices assess their current level of functioning, their current change capacity, and the measures necessary to demonstrate their completion of various requirements for medical home certification.

 

RESULTS/OUTCOMES

Many participating practices within the Children’s Health Foundation have achieved NCQA Medical Home certification and/or Oregon’s Patient Centered Primary Care Home certification. In some cases this can allow for enhanced reimbursement for the delivery of patient care. The CHF is developing means to collect other measures which are critical to this effort. These include: Total Cost of Care, ER Utilization, Family Functioning, Kindergarten Readiness, and other childhood outcome measures.

 

PARTICIPATION INFORMATION

The “Medical Home” is not one specific initiative within Children’s Health Foundation, and we do not promote one particular “certification”. The goal is to provide high quality, patient and family-centered, proactive, coordinated health care to all children. All of the CHF’s Quality Improvement initiatives are building blocks for this goal. All participants of CHF are continuously working to improve their capabilities and capacities to achieve this goal.

 

For more information on CHF’s quality programs or participation, please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it. or 503-222-5703.

 

 RESOURCES

Click here for the presentation by Rich Antonelli at OHSU Grand Rounds, October 15, 2015

NCQA Patient-Centered Medical Home: Program information and instructions

American Academy of Pediatrics Medical Home Toolkit