NICHQ's Internal PTF Model Proves a ‘Promising Practice’ in Medical Home Transformation

Posted February 25, 2016 by Cindy Hutter

The National Center for Medical Home Implementation has named NICHQ’s CHIPRA Massachusetts Medical Home Initiative an “innovative and promising practice” in pediatric medical home implementation.


Medical Home Transformation Resources

Learn more about the CHIPRA Massachusetts Medical Home Initiative, read success stories and find the free resources below on the NICHQ website.
  • Practice Transformation Facilitator Paper
  • Care Coordination Paper
  • Creating a Patient and Family Advisory Council: A Toolkit for Pediatric Practices
  • Family Engagement Guide
  • Care Team Role Builder
  • Care Plan Template
  • NCQA-NICHQ Medical Home Transformation Crosswalk
The initiative focused on helping 13 pediatric practices in Massachusetts successfully implement a medical home model of care. Unique to the project was the use of an internal practice transformation facilitator (PTF)—a motivated individual currently employed within the practice—to manage the day-to-day implementation needs of the pediatric medical home transformation.

“The PTF model is a tested approach that accelerates progress towards medical home implementation, however the majority of programs use PTFs who are external to the practices, employed by a central hub organization that provides training and support,” says NICHQ Interim Director of Programs Meghan Johnson. “We’re excited to see that a prestigious agency like the National Center for Medical Home Implementation recognized our approach of internal PTFs as a promising practice to aid in medical home transformation.”

There were two drivers for the internal PTF approach. The first was related to sustainability and cost. Internal PTFs are often less expensive than hiring an external consultant. Additionally, since the PTF works within the organization, s/he remains there beyond the grant period as a permanent resource, improving the likelihood of sustaining the transformation. The second driver was related to internal knowledge and understanding. Internal PTFs have a deeper understanding of the practice culture, dynamics and key influencers of change and the surrounding community context than an external consultant.

“Having a PTF curriculum that included improvement science, with special attention on data collection, team-building, leadership development and innovation harvesting helped to support PTFs through the transformation process,” says NICHQ Senior Project Manager Emma Smizik. “The NICHQ-led learning collaborative saw PTFs emerge as powerful, durable change agents who were sustainable leaders of their practices.”

Approximately 239,000 children were served through the Massachusetts CHIPRA Medical Home initiative.

To learn about all 12 Promising Practices visit the National Center for Medical Home Implementation website.



Learn more about NICHQ’s medical home experience and how you can partner with NICHQ to transform your pediatric practice into a medical home.


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