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AAP Agenda for Children: Medical Home

Every child and youth deserves a medical home.

The American Academy of Pediatrics (AAP) developed the medical home as a model of delivering primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective to every child and adolescent. A pediatric medical home is a family-centered partnership within a community-based system that provides uninterrupted care with appropriate payment to support and sustain optimal health outcomes. Medical homes address preventative, acute, and chronic care from birth through transition to adulthood. A medical home facilitates an integrated health system with an interdisciplinary team of patients and families, primary care physicians, specialists and subspecialists, hospitals and healthcare facilities, public health and the community.

In March 2007, a consensus statement on medical home principles was developed and jointly endorsed by American College of Physicians (ACP), American Academy of Family Physicians (AAFP), American Osteopathic Association (AOA), and AAP. Understanding the unique needs of children, youth, and families, the AAP wishes to highlight certain critical pediatric medical home principles:

Patient and Family-centered partnership
  • Trusting, collaborative, working partnership with families, respecting their diversity and recognizing that they are the constant in a child’s life
Community-based system 
  • Family centered- coordinated network designed to promote the healthy development and well being of children and their families
Transitions 
  • Provision of high-quality, developmentally appropriate, health care services that continue uninterrupted as the individual moves along and within systems of services and from adolescence to adulthood
Value
  • Appropriate financing to support and sustain medical homes that promote system-wide quality care with optimal health outcomes, family satisfaction, and cost efficiency
Current Activity

Interest in the medical home model has grown exponentially of late across many spectrums of the health care system. By its very nature, the medical home is a model that can be used to curb the rising cost of health care. The concept of medical home promulgates the promotion of information exchange, enhancing the quality of care, and minimizing fragmentation that often leads to poor outcomes, decreased satisfaction, and higher costs. The Academy will continue to play a pivotal role in ensuring the interests of children, families and pediatricians are “front and center” as the medical home model continues to evolve. Concrete activities include the following:
  • Promote the joint principles and the accompanying preamble that qualifies the pediatric attributes of family-centered medical home
  • Develop and disseminate resources and tools that increase implementation of the medical home at the practice and state levels as well as in medical school and residency training
  • Leverage the AAP structure—chapters, committees, councils, and sections—to further maximize medical home implementation at all levels from local to national
  • Continue collaborations with the organizations that have developed or are developing medical home recognition programs and the primary care medical specialty societies in identifying markets and pediatric practices to pilot projects focused on the measurement of and support for medical home implementation in practices
  • Develop a strategic plan related to heightening the level of awareness and acceptance of the patient/family experience in practice-based and other medical home efforts
  • Continue to work with major health plans, including Medicaid, interested in  the medical home model 
  • Foster an initiative focused on the interface between primary and subspecialty care in the context of the pediatric family-centered medical home
  • Continue participation as an active member of the Board of Directors for the Patient Centered Primary Care Collaborative (PCPCC) and its related centers
Commonly Requested Resources

AAP Policy Statements:
The Medical Home
The Medical Home Supplement to Pediatrics

Visit the Medical Home Literature page of the National Center for Medical Home Implementation Web site for more policies and publications about medical home.

Other:

The Building Your Medical Home: An Introduction to Pediatric Primary Care Transformation is a free online resource that provides a comprehensive introduction to the basics of the medical home model in the pediatric setting.

The National Center for Medical Home Implementation Web site is a clearinghouse of practical implementation tools and updated information on medical home activities across the country, including:
  • A section devoted to Care Delivery Management tools, including care coordination resources and co-management strategies.

  • A National Initiatives page that highlights various education and implementation initiatives occurring across the nation related to medical home, including state demonstration projects and recognition/accreditation programs.
  • The Building Your Care Notebook pages provide a variety of templates for patients, families, and providers to use towards the development of a child’s care plan.

The Medical Homes @ Work e-Newsletter  is distributed monthly, in addition to quarterly "spotlight issues" that focus on specific child health issues. Subscribe to the Medical Homes @ Work e-Newsletter by visiting the Contact Us page on the National Center for Medical Home Implementation Web site.

The National Center for Medical Home Implementation Facebook Page includes weekly announcements on upcoming webinars, new tools, and more.

The National Center for Medical Home Implementation YouTube Channel features a set of video interviews of medical home experts from across the country who provide practical ways to implement medical home in practice.


For more information, please contact the National Center for Medical Home Implementation via the Contact Us page on its Web site or call 847-434-4902.
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