Recommended Readings

This hand-selected group of articles and commentaries are NICHQ’s recommended readings for those interested in the medical home model of care.

Not Just Little Adults: Policies to Support Medical Home Transformation in Pediatric Practice
This is the first of two commentaries addressing the needs of children and families in the emerging, rapidly evolving medical home model of care. This commentary discusses policies that are needed to provide better pediatric care.
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Source: US Department of Health and Human Services/Agency for Healthcare Quality
Published: 2014

Not Just Little Adults: Considerations for Quality Measures of Child Health Care
This is the second of two commentaries addressing the needs of children and families in the emerging, rapidly evolving medical home model of care. This commentary discusses priorities for quality measurement in pediatric care.
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Source: US Department of Health and Human Services/Agency for Healthcare Quality
Published: 2014

Medical Home Transformation in Pediatric Primary Care—What Drives Change?
The aim of this study was to characterize essential factors to the medical home transformation of high-performing pediatric primary care practices 6-to-7 years after their participation in a national medical home learning collaborative.
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Source: Annals of Family Medicine
Published: 2013

Facilitating Improvement in Primary Care: The Promise of Practice Coaching
This issue brief clarifies the essential features of practice coaching and offers guidance for health system leaders, public and private insurers, and federal and state policymakers on how best to structure and design these programs in primary care settings.
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Source: Commonwealth Fund
Published: 2012

A Primary Care Quality Improvement Approach to Health Care Transition
This article discusses the six core elements of healthcare transition, quality improvement approaches to implementing healthcare transition supports in practice settings, as well as tools to start and support improvements in healthcare transition.
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Source: Pediatric Annals
Published: 2012

Core Value, Community Connections: Care Coordination in the Medical Home
This report offers best practices for evaluating the role and function of care coordination, as well as tools for implementation, and measurement and monitoring of its effectiveness in the medical home.
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Source: Patient Centered Primary Care Collaborative
Published: 2011

Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home
This clinical report represents expert opinion and consensus on the practice-based implementation of transition for all youth beginning in early adolescence. It provides a structure for training and continuing education to further understanding of the nature of adolescent transition and how best to support it.
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Source: Pediatrics
Published: 2011

The Medical Home—Improving Quality of Primary Care for Children
This article provides an overview of the challenges faced in United States health care delivery systems that affect child health, explains how the medical home might address them, describes methods for measuring quality in medical homes, and identifies barriers to implementation of the model.
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Source: Pediatric Clinics of North America
Published: 2009

Medical Home 2009: What It Is, Where We Were, and Where We Are Today
This articles delineates the changing epidemiology of disease states in children and describe model systems for chronic illness care and prevention; identifies some of the controversies surrounding the medical home model and the critical components necessary for successful transformation to the medical home model; and explains how state and federal policy must change in order for the medical home model to flourish and succeed in the near future.
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Source: Pediatric Annals
Published: 2009

Improved Outcomes Associated With Medical Home Implementation in Pediatric Primary Care
The medical home model with its emphasis on planned care, care coordination, family-centered approaches, and quality provides an attractive concept construct for primary care redesign. Studies of medical home components have shown increased quality and reduced costs, but the medical home model as a whole has not been studied systematically. This study tested the hypothesis that increased medical homeness in primary care practice is associated with decreased utilization of health services and increased patient satisfaction.
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Source: Pediatrics
Published: 2009