Medical Home State Data Pages

The Data Resource Center—funded by the Maternal and Child Health Bureau, Health Resources and Services Administration—partnered with the American Academy of Pediatrics to create this page to allow state and family leaders quick access to data on how children and youth in each state experience receiving care within a medical home. Read more

Hover over the blue US map (below left) to see your state’s medical home performance profile for all children or children with special health care needs. Hover over the green US map (below right) to compare across all states or view state ranking maps for medical home data.

Select below for more information about measuring medical home and creating your own personalized medical home data search using the Data Resource Center!

Search for More Medical Home Data
Learn about the Medical Home
Medical Home Measurement in States
Medical Home Measurement in Practices
Medical Home: New Opportunities for Implementation Through Health Care Reform
Medical Home: Data in Action!
Medical Home Measurement for Families

Search for More Medical Home Data

More Medical Home Data: Link to more medical home data for all children (using data from the 2007 National Survey of Children’s Health) and for CSHCN (using data from the 2009/10 National Survey of Children with Special Health Care Needs).

Learn About Medical Home

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Family-Centered Care Medical Home Overview: This page on the National Center for Medical Home Implementation Web site provides brief videos on the medical home concept, as well as links to key references from the American Academy of Pediatrics.

History of the Medical Home Concept: Sia C, Tonniges TF, Osterhus E, Taba S. History of the Medical Home Concept. Pediatrics. 2004;113:1473-1478.

American Academy of Pediatrics (AAP) Policy Statement on Medical Home: American Academy of Pediatrics, Medical Home Initiatives for Children With Special Needs Project Advisory Committee . The medical home. Pediatrics. 2002, reaffirmed 2008; 110:184-187. PDF: 44.8 KB

Joint Principles of the Patient-Centered Medical Home: Published in 2007 by the four primary care societies, the Joint Principles of the Patient-Centered Medical Home (PCMH) outlines comprehensive primary care for adults, children and families. PDF: 40KB

The Patient-Centered Medical Home Resource Center: The Agency for Healthcare Research and Quality (AHRQ) hosts this site to provide an archive of federal PCMH activities.

Measuring Medical Home: This manual compiled by the Child and Adolescent Health Measurement Initiative (CAHMI) takes a look at the medical home concept and components. The link provides the Medical Home Manual. For a copy of the manual with complete appendices, you can click here. PDF: 768KB; PDF with Appendices: 4.36MB

Medical Home for Children with Special Health Care Needs - A Review of the Evidence: This issue brief provides an introduction to the medical home concept and highlights important outcomes from interventional and associational studies. This is a collaboration of the MGH Center for Child and Adolescent Health Policy, National Initiative for Children's Healthcare Quality (NICHQ), and the Child and Adolescent Health Measurement Initiative (CAHMI), on behalf of the Maternal and Child Health Bureau (MCHB). PDF: 156 KB

Medical Home Literature: This literature page on the AAP National Center for Medical Home Implementation (NCMHI) Web site houses links to articles, policy statements, and reports about the medical home in general and its associated elements.

Medical Home Measurement in States

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State Measurement in National Child Health Surveys: This manual compiled by the CAHMI takes a look at the medical home concept and components in the National Survey of Children's Health and National Survey of Children with Special Health Care Needs. PDF: 768KB

Quantifying the Medical Home Concept: Excerpt from the Medical Home Manual: Read about how the Medical Home Concept is derived. PDF: 616KB

Methodology for Medical Home in the 2007 NSCH: Excerpt from Medical Home Manual: Read about the methodology for Medical Home, including calculation for each subcomponent. PDF: 460KB

Influence of Survey Design on Medical Home Prevalence: Excerpt from Medical Home Manual: Read about how the design of national surveys impacts the prevalence of Medical Home. PDF: 656KB

Ohio Medical Home Focus Group Report: The medical home measure was tested using focus groups with parents. Learn more about parent understanding and interpretation of the items in this summary report of Medical Home Focus Groups in Ohio.

Advancing the Medical Home Model for Children and Youth State Profiles - State Updates:The National Academy for State Health Policy (NASHP) is collaborating with the National Center for Medical Home Implementation (NCMHI) on the development of state profiles designed to highlight how public health programs are implementing and advancing the medical home model in pediatric populations. These updates are part of a formal partnership between NASHP and the NCMHI that will focus on exchanging information to improve medical home access for children and youth in medically underserved populations.

State Implementation of Medical Home & Patient-Centered Care: The National Academy for State and Health Policy (NASHP) has a database of information on all 50 states policies and programs regarding medical home implementation. This site provides an interactive map in which you can view detailed information on each state’s current laws, partnerships, method of defining a medical home, financing structure, and measurement of quality improvement. Additionally, strategies for state implementation, archived webinars, and publications provide in-depth analysis of state-level policy on medical home implementation.

New Tactics for Building Medical Homes in State Medicaid and CHIP Programs: The National Academy for State Health Policy (NASHP) has worked with a group of eight states to develop medical home programs. This December 2011 report highlights a variety of their achievements in the areas of forming partnerships, defining and recognizing medical homes, reforming payment, supporting practices, and measuring progress.

Measurement of Medical Home Initiatives: Use of Claims-Based Data for Quality and Cost Evaluation: Evaluation of the impact of medical home implementation, on quality of care and cost of care delivery, is essential to quality improvement and future funding opportunities. NASHP examined the usefulness of claims-based data to evaluate medical home implementation in Oklahoma and Rhode Island. Examination of claims-based data, in conjunction with patient and provider surveys was used to provide a comprehensive evaluation quality and cost of care. Recommendations, including strengths and limitations of each method of evaluation, are included to guide future evaluation criteria in this report.

Collaboration of Medicaid, CHIP and Title V Programs to Support Medical Home Initiatives: Interagency collaboration to support systems of care for all individuals is essential to improving the quality of care and reducing health care costs. Collaboration between Medicaid, CHIP, and Title V programs provides evidence for building partnerships across multiple agencies and engaging patient-provider partnerships. Best practices and policy considerations are outlined in this NASHP report.

Role of Federally Qualified Health Centers in State-led Medical Home Collaboratives: This publication by the National Academy for State Health Policy (NASHP) looks into the role of health centers in PCMH collaboratives led by each state. PDF: 362 KB

Medical Home State Pages: This section of the AAP NCMHI Web site includes information on state pediatric medical home initiatives, key contacts, partners, and related grant activities and initiatives.

 Pilots and Demonstrations: The Patient-Centered Primary Care Collaborative has a database of self-reported information from public and private entities facilitating medical home demonstration projects across the country.

Benefits of Implementing the Primary Care Patient-Centered Medical Home. Cost and Quality Results, 2012: View this report put together by the Patient-Centered Primary Care Collaborative that provides a summary of PCMH initiatives across the country, including cost and quality outcomes data,

Medical Home Measurement in Practices

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2013 Medical Home Webinar Series Summary: The American Academy of Pediatrics (AAP) and its National Center for Medical Home Implementation (NCMHI) hosted a free four-part webinar series February through May 2013 on how to effectively deliver care through the medical home model. The NCMHI provided engaging educational presentations focused on several facets of pediatric care delivery, including empowering youth, reducing health disparities, using data to improve quality, and employing best practices in family-centered care. The webinars featured expert faculty and provided targeted information and tools, including new resources from the NCMHI.

How to Incorporate the Best Pracitces in Family Centered Care in your Practice: (Description from the medicalhomeinfo.org website) This webinar will provide participants with a clear description of family-centered care and highlight case studies that showcase effective strategies in delivering that care through practice improvements such as greater use of health information technology, enhanced access to medical professional staff outside regular office hours, feedback mechanisms capturing patient/family experience with care, and including families on advisory boards and as staff. A recently published monograph by the NCMHI will also be highlighted, which features case studies focusing on 17 pediatric practices nominated by their peers or patients as exemplary patient- and family-centered medical homes.

"Building Your Medical Home" Toolkit: Brought to you by the AAP/MCHB/NCMHI, the Building Your Medical Home Toolkit supports the primary care pediatrician's development and improvement of a pediatric Medical Home. It also prepares a pediatric office to apply for and potentially meet the NCQA medical home recognition program requirements.

The Patient-Centered Medical Home (PCMH) Measurement at Patient Level: The Agency for Healthcare Research and Quality (AHRQ) has developed a patient-level survey module—Patient-Centered Medical Home Module for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. This survey asks parents to evaluate their experiences at their most recent office visit.

Measuring Medical Homes: Tools to Evaluate the Pediatric Patient and Family-Centered Medical Home: This monograph developed by the AAP/NCMHI presents various tools available and in use to identify, recognize, and evaluate a practice as a pediatric medical home. Because no one tool is recognized as the de facto tool to assess pediatric practices, a review of the relative merits of existing tools will help inform purchasers, payers, providers, and patients in evaluating pediatric practices. Many of the multistakeholder and single-payer medical home demonstration projects focus on adult populations and adult outcomes. An understanding of tools to assess pediatric practices may assist such pilots in incorporating and evaluating pediatric practices in both practice transformation and payment reform. The tools reviewed in the monograph include: Consumer Assessment of Healthcare Providers and Systems (CAHPS) Child Primary Care Questionnaire 2.0 (beta). The tools reviewed in the monograph include:
          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)

Center for Medical Home Improvement (CMHI): This website provides information and resources for children, youth, adults, families, physicians and other health care providers in support of raising children, parenting, caring for oneself or a loved one, and providing comprehensive coordinated primary care. Of particular interest are the Pediatric Medical Home Index and Medical Home Family Index both found on the Measurement Section of the website.

Medical Home Recognition Programs: Several organizations have developed or in the process of developing programs that recognize and/or accredit various health care organizations as medical homes according to specified sets of standards.
          National Committee for Quality Assurance (NCQA)
          Utilization Review Accreditation Commission (URAC)
          Joint Commission
          Accreditation Association for Ambulatory Health Care (AAAHC)

Medical Home: New Opportunities for Implementation Through
Health Care Reform

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AAP Advocacy and Policy Brief: Children and the Medical Home: With the 2010 Affordable Care Act, medical home implementation for individuals with chronic health conditions, and federal grants to support community and state-led initiatives to support teams of primary care providers.

Health Care Reform & Medical Home: Health care reform has created new possibilities for the advancement of medical home. This page of the AAP/NCMHI Web site provides information and resources related to health care reform—the Affordable Care Act (ACA)—and its relationship to medical home.

State Strategies to Implement the Medical Home State Option: The 2010 Affordable Care provides additional funding opportunities for medical home implementation for individuals with chronic conditions, but individual states are responsible for defining, regulating and coordinating medical home implementation. To assist with state development and implementation, The National Academy of State Health Policy (NASHP) outlined key strategies for states to consider. Focus is placed on coordinating with existing programs, financing structures, integration of physical and behavioral health care, and evaluation methodologies.

Implementation of Medicaid Medical Homes for Children and Youth with Special Health Care Needs: Within the Affordable Care Act, Section 2703 offers a new Medicaid State Plan Option that will help provide funding for a comprehensive system of care coordination for Medicaid enrollees with chronic conditions. This archived webinar provides detailed information on the new “health homes” and the potential impact on CYSHCN.

Brief on Medicaid Medical Homes Eligibility Requirements, Implementation, and Quality Measurement: The Kaiser Family Foundation released this brief outlining the eligibility requirements for individuals to received Medicaid Medical Home benefits. Additionally, information is included on the implementation process and evaluation of the medical home to ensure quality measurement and accountability.

Health Care Reform Integrates Primary and Behavioral Health Care: The Substance Abuse and Mental Health Services Administration (SAMHSA) is currently providing consultation in the development, implementation and quality monitoring of medical homes. Individuals can qualify for medical home services for a severe mental health condition, or if they have two or more chronic conditions (including mental health conditions and substance abuse). SAHMSA’s focus is on the integration of primary and behavioral health services to provide continuity of care for individuals with substance abuse or mental health needs. SAMHSA has also released a guidance document that outlines key questions that need to be addressed by states implementing medical homes under the ACA Section 2703.

Medical Home: Data in Action!

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Pediatric Medical Homes: Laying the Foundation of a Promising Model of Care: This report by the National Center for Children in Poverty describes the medical home concept and explains how it has been defined, applied to children, and measured. It uses data from the 2007 National Survey of Children's Health to report on the number and characteristics of American children served by medical homes. It also discusses opportunities to leverage medical homes to improve medical care and achieve better health outcomes for young children, with a particular focus on the coordination of care for vulnerable children. PDF: 612 KB

Medical Home for CSHCN in North Dakota: Download a report produced by the CAHMI for Title V in North Dakota which includes an analysis of medical home. PDF: 57 MB

Implementing the Medical Home Model in Minnesota: A Case Study: Implementing the Medical Home Model in Minnesota is the first in a series of maternal and child health (MCH) case studies designed for classroom use by teachers of public health, MCH, health policy, evaluation, and health education in preparing students to serve as effective change agents working within the framework of Title V at national, state, and community levels. PDF: 59.6 KB

Medical Home and Kansas Children: This report brief from the Kansas Health Institute looks at medical home for children in Kansas. PDF: 86.1 KB

Medical Home for CSHCN in Washington: This Health of Washington State report analyzes medical home in Washington for their chapter on children with special health care needs. PDF: 251 KB

Medical Home for CSHCN in Pennsylvania: Download this packet outlining the structure and progress of the Pennsylvania Medical Home Initiative by Educating Practices in Community Integrated Care.

Medical Home Measurement for Families

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Family Voices Family Centered Care Self-Assessment Tool: For Families and User's Guide: Family-centered care is a key aspect of quality in health care for children, youth and their families. This tool and User's Guide, developed by Family Voices, can be used by families to assess their own skills and strengths, the care their children and youth receive, and to engage in discussions within health care settings and with policy makers about ways to improve health care services and supports. See also: Family Voices Family-Centered Self Assessment Tool: For Providers. 

Child Version of the CAHPS Clinician and Group Visit Survey: The Visit Survey asks patients to report on their experiences with providers and office staff at their most recent visit to a doctor's office. The CAHPS Clinician and Group Child Visit Survey 2.0 can be used to assess the experiences of children and their parents during the child’s most recent visit with a provider. To learn more, visit Read about the CAHPS Visit Survey.

National Partnership for Women & Families Medical Home Principles: The National Partnership for Women & Families and broad coalition of more than 25 of the nation's leading consumer, labor and health care advocacy groups developed a set of principles designed to help health care providers, lawmakers, employers, and health plans consider consumer interests as they develop delivery system reforms such as the “medical home."

How Consumer Advocates Can Get Involved: Steps You Can Take to Ensure the Medical Home is Patient-Centered: The National Partnership for Women & Families and a broad coalition of more than 25 of the nation's leading consumer, labor and health care advocacy groups developed a set of principles designed to help health care providers, lawmakers, employers, and health plans consider consumer interests as they develop delivery system reforms such as the "medical home." PDF: 119 KB

Practice Performance Measurement: This section in the Medical Home Toolkit features two important tools to help families advocate for family centered care and medical home: Pediatric Medical Home Family Index and the Pediatric Medical Home Family Survey.

Families Partnering with Providers: A 7-page booklet of tips on communicating with a child's health care providers: Preparing For An Office Visit, Talking With Your Child's Provider, Learning More and Helping Your Provider Help Other Families.

Well-Visit Planner: Engaging Parents as Partners to Customize and Improve Well Child Care for Young Children and their Families: Developed by the Child and Adolescent Health Measurement Initiative (CAHMI) and the Data Resource Center (DRC), this evidence-based tool was designed to customize, tailor and improve the quality of well-child care for young children. It engages parents as proactive partners in planning and conducting well-child visits using a simple three-step process. The Well-Visit Planner also has the capacity to integrate clinically-relevant information directly into and electronic health record (EHR).