CHIPRA Massachusetts Medical Home Initiative

Status: Complete

WHAT: A project to help pediatric practices in Massachusetts successfully implement a medical home model of care.

WHO: The project involved 13 pediatric practices across Massachusetts.

WHEN: February 2010 to May 2015

FUNDER: The project was funded by the Centers for Medicare & Medicaid Services through grant funds issued pursuant to CHIPRA section 401(d), and is in partnership with Boston Children’s Hospital, Massachusetts Health Quality Partners, MassHealth and the University of Massachusetts Medical School.

OUR ROLE: Led a Breakthrough Series learning collaborative to apply quality improvement methodology to implementing a medical home model of care. Provided an environment for rapid-cycle testing and the robust exchange of ideas with the support of world-class medical home and quality improvement experts.


Click on the resources below for a full description.

Final Coordinator Care Report
Care Coordination Paper

Practice Transformation Facilitator
Practice Transformation Facilitator

Family Engagement Guide
Family Engagement Guide

CHIPRA Medical Home Tool Careplan
NICHQ's Care Plan Template

CHIPRA Medical Home Tool Teamplan
NICHQ's Care Team Role Builder

NICHQ NCQA Crosswalk Course
NCQA - NICHQ Medical Home
Transformation Crosswalk

A Toolkit for Pediatric Practices
A Toolkit for Pediatric Practices

Join the Conversation on the NICHQ Collaboratory

The NICHQ Collaboratory provides a unique digital space for people to learn, share, engage and collaborate with each other on a range of child health topics. Come join and participate in our medical home group. There you can collaborate with other professionals doing similar work, uncover useful tips to advance transformation, post and respond to questions, share resources and articles and learn about upcoming events/webinars. This is a great networking opportunity and a way to grow professionally in the medical home industry.

Spreading Medical Home Transformation

Through the CHIPRA Massachusetts Medical Home Initiative, 13 pediatric practices worked to transform their practices and successfully implement a medical home model of care. Explore a compilation of best practices and pediatric-specific approaches to medical home transformation created and used by these teams.



  • NICHQ's Internal PTF Model Proves a 'Promising Practice' in Medical Home Transformation [Read]
  • The Linchpin in Patient-Centered Medical Home Transformation [Read]
  • QI Tips: Is Your Practice Ready for Family Health Partners? [Read]
  • At Zufall Health Center, Quality Improvement Leads to Patient Empowerment [Read]
  • Preventing Tooth Decay in Children Through Quality Improvement [Read]
  • Care Teams Better Support Patients, Pediatric Practices [Read]
  • Why I Participate By Parent Partner Ziva Mann [Read]
  • Dental Care Takes on New Role in Traditional Medical Care Settings [Read]
  • The Seven “R”s to Transforming a Medical Practice into a Medical Home [Read]
  • Outgrowing Pediatrics [Read]
  • Cultural Competency and the Medical Home [Read]
  • Electronic Medical Records Quicken Services, Reduce Errors and Inform Patients [Read]
  • How to Help Your Patients Connect with Community Resources [Read]
  • Why I Participate By Parent Partner Olga Cappas [Read]
  • Transitioning Into a Patient-Centered Medical Home [Read]
  • The Power of Collaboration [Read]
  • Cristin Lind’s Story [Read]


  • NICHQ-NCQA Medical Home Transformation Crosswalk [Read]
  • Family Engagement Guide: The Role of Family Health Partners in Quality Improvement Within a Pediatric Medical Home [Read]
  • Medical Home Change Package [Read]
  • Creating a Patient and Family Advisory Council: A Toolkit for Pediatric Practices [Read]
  • Recommended Readings [Read]
  • MA CHIRPA Medical Home Learning Collaborative Measurement Strategy [Read]
  • Well Visit Resources [Read]
  • Office Operations Resources [Read]
  • Patient and Family Communication Resources [Read]
  • Transitions to Adult Care Resources [Read]
  • Care Planning Resources [Read]