CHIPRA Massachusetts Medical Home Initiative
The Project
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During the course of this 5-year initiative, thirteen pediatric practices across the state will implement a medical home model of care. To support improved quality of care, the medical home creates a comprehensive and collaborative working relationship between clinicians, their patients, and the patients’ families. Ideally, the medical home will create an infrastructure in which care is coordinated; community resources and specialty, behavioral, and oral health providers are integrated; and children and their families are supported as decision makers.
To implement a medical home model of care, NICHQ is leading a 29-month Learning Collaborative. Thirteen practices from across Massachusetts were selected to participate in the Collaborative. Each site will have its own Practice TransformationFacilitator to lead the adoption of medical home characteristics accompanied by the help of a Massachusetts Department of Public Health Care Coordinator. Over the course of the transformation process, the thirteen practice teams will convene six times in learning sessions, which will provide an opportunity to learn from experts and each other and to share best practices regarding the medical home transformation process.
The project is funded by a grant from the Centers for Medicare and Medicaid Services made available through the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). NICHQ is one of several partners to lead the project, which include MassHealth, Children’s Hospital Boston, Massachusetts Health Quality Partners, and University of Massachusetts Medical School.
There are three components to the CHIPRA Massachusetts Medical Home Initiative:
- Administer and test the set of 24 core measures of pediatric healthcare endorsed by the Agency for Health Care Quality;
- Convene a Statewide Child Health Coalition to provide advice and guidance to the State;
- Support the implementation of a “medical home” model of care at pediatric practices across the Massachusetts.
Project Goals
- Demonstrate significant improvements in care and outcomes for children;
- Establish effective models for tracking data to measure improvements and determine priority changes;
- Improve team development;
- Establish a basis for widespread dissemination and uptake of improved approach to care;
- Measureable improvements in comprehensive well care, developmental health, mental and oral health, clinical outcomes, patient safety, care planning, transition to adulthood, efficiency, and medical home transformation.
Timeline and Milestones
The CHIPRA Massachusetts Medical Home Learning Collaborative will take place over 29 months and will include six Learning Sessions.
February 2010: Five-year CMS CHIPRA Quality Demonstration grant awarded.
Summer 2011: Thirteen practices were selected.
August 2011: The pre-work phase of the project began.
October 2011: First Learning Session held in Shrewsbury, Massachusetts.
January 2012: Second Learning Session held in Shrewsbury, Massachusetts.
May 2012: Third Learning Session to be held in Shrewsbury, Massachusetts.
November 2012: Fourth Learning Session to be held in Shrewsbury, Massachusetts.
February/March 2013: Fifth Learning Session to be held in Shrewsbury, Massachusetts.
September 2013: Sixth Learning Session to be held in Shrewsbury, Massachusetts.
December 2013: Conclusion of Collaborative
Related Resources
NICHQ's Spread of the Medical Home Concept
NICHQ's Medical Home Toolkit
CHIPRA project summary
Read Cristin Lind's Story about a Parent Partner in the Massachusetts Medical Home Initiative.
