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Next Steps: A Practitioner's Guide For Themed Follow-up Visits For Their Patients to Achieve a Healthy Weight
Next Steps: A Practitioner's Guide For Themed Follow-up
Visits For Their Patients to Achieve a Healthy Weight

Medical Home

The Medical Home

A key strategy to address the needs of CYSHCN is a model of family-centered, community-based care termed “the Medical Home.”  The attributes of a medical home are that such a care environment is  “accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally competent.”  

The medical home is the organizational setting that integrates preventive services, acute illness management, and chronic condition management.  An effective medical home seeks to identify the broad spectrum of a child and family’s needs at a given point in time (including preventive care and psychosocial items), as well as to anticipate and design care to address future needs.  The medical home coordinates among agencies and services in the child’s community (termed “horizontal coordination”) and within the health care system (“vertical coordination”) to address current health needs. It also provides continuity over time to address future health needs; care in a medical home spans childhood through adolescence and facilitates a smooth transition to adult services. The medical home fosters competence in patients and families as its key strategy to achieve positive results.

Medical Home Learning Collaboratives

With support from the US Maternal and Child Health Bureau, NICHQ has conducted two learning collaboratives to accelerate spread of the medical home across the US. In each collaborative, faculty and staff worked with state Title V leaders and with practice teams to both implement the medical home in those practices and to train Title V staff in how to support practice improvement.                                                                                                                               Click here for more information

For information on Medical Home Index tools, see Toolkits and Publications


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