Measuring Medical Homes: Tools to Evaluate the Pediatric Patient-and Family-Centered Medical Home Rebecca Malouin, PhD

1. Measuring Medical Homes: Tools to Evaluate the Pediatric Patient-and Family-Centered Medical Home Rebecca Malouin, PhD, MPH Michigan State University

2. Monograph: Purpose Presents various tools available and in use to identify, recognize, and evaluate a practice as a pediatric medical home  Reviews the relative merits of existing tools to inform purchasers, payers, providers, and patients in evaluating pediatric practices

3. Monograph: Framework Section I: The Patient- and Family-Centered Medical Home Section II: Measurement of the Pediatric Medical Home Section III: Tools to Measure the Pediatric Medical Home  Section IV: Future Directions in Measurement of the Pediatric Medical Home

4. Desirable Characteristics of a Medical Home* Accessible Family-Centered Continuous Comprehensive Coordinated Compassionate Culturally Effective

5. Tools Reviewed Consumer Assessment of Healthcare Providers and Systems (CAHPS) Child Primary Care Questionnaire 2.0 (beta) Components of Primary Care Instrument (CPCI) 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)

6. Review Sections Background Purpose Description date, # of items, # pages, length to complete, languages, type of respondent, formats, response set, cost for use Development Example of Uses Obtaining a Copy

7. Recommendations Reach consensus on specific elements within each attribute of a pediatric medical home (same for adults and children?) Develop new or expanded tools to incorporate appropriate constructs for evaluating pediatric medical home

8. Recommendations Develop new or expand existing tools for parallel formats to incorporate multiple perspectives Greater inclusion of pediatric practices in medical home pilot and demonstration projects

9. Where to find National Center Web sitehttp://www.medicalhomeinfo.org/how/performance_management.aspx A limited number of hard copies of the monograph are available at no charge. Please contact Corrie Pierce at cpierce@aap.org or 847/434-7605.

10. Thank you Rebecca A. Malouin, Ph.D., M.P.H. Director, Primary Care Research and Evaluation Program Assistant Professor Department of Family Medicine and Department of Pediatrics and Human Development Michigan State University e-mail: Rebecca.Malouin@hc.msu.edu

12. Goal of the National Center Accessible Family-centered Continuous Comprehensive Coordinated Compassionate Culturally-competent

13. Website

18. Building Your Medical Home Toolkit www.pediatricmedhome.org Launched June 2009 More than 2000 user accounts Tools crosswalk with ‘must pass’ elements of NCQA PPC-PCMH Six building blocks toward implementation; progress tracking functionality

31. Thank You! Angela Tobin, AM, LSW Medical Home Policy and Education Analyst National Center for Medical Home Implementation American Academy of Pediatrics Elk Grove Village, IL 847-434-7621 atobin@aap.orgwww.medicalhomeinfo.org