National Center for Medical Home Implementation Overview

About AAP NCMHI

The National Center for Medical Home Implementation (NCMHI) is a cooperative agreement between the Maternal and Child Health Bureau (MCHB) and the American Academy of Pediatrics (AAP). The NCMHI is housed in the AAP Division of Children with Special Needs.

Mission

The mission of the NCMHI is to work in cooperation with federal agencies, particularly the MCHB, and other partners and stakeholders to ensure that all children and youth, including children with special needs, have access to a medical home.

Goal
The overarching goal of the NCMHI is to ensure that all children and youth, including children with special needs, have a medical home where health care services are accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally competent. 

The NCMHI works to ensure that all children and youth have access to a medical home by:

  • Enhancing policies and operational standards that guide implementation of the medical home through partnerships at the national level.
  • Providing resources and tools that increase implementation of the medical home at the practice level.
  • Enhancing the collaboration for medical home system change at the state and community levels
  • Leveraging the AAP structure—chapters, committees, councils, and sections—to further maximize medical home implementation at all levels from local to national.

In support of its goal, the NCMHI provides medical home resources and advocacy materials, technical assistance, and tools to physicians, families, and other medical and non-medical providers who care for children. You can find information related to all of the activities of the NCMHI on this Web site, including the training initiatives, implementation activities, and a variety of resources developed by the AAP and/or other collaborating organizations.

The July 2013 report entitled "A Retrospective Look at Programs and Initiatives Toward a Family-Centered Medical Home for Every Child and Youth: 2008-2013" highlights some of the most important and impactful NCMHI activities and accomplishments.Throughout the report, readers will also get the perspectives and experiences of some of the many partners, stakeholders, and thought leaders who have been so much a part of building family-centered medical home and the NCMHI.

For more information, please view the NCMHI Fact Sheet PDF.

NCMHI Overview Video

This video, developed by the NCMHI, describes the services and support available through the NCMHI and an overview of the medical home concept of care.

Project Advisory Committee

The NCMHI is honored to have the following medical home leaders serving on its Project Advisory Committee (PAC):

Chair
William Carl Cooley, MD, FAAP

PAC Members
Richard C. Antonelli, MD, MS, FAAP
Joan Jeung, MD, FAAP
Beverly Johnson
Thomas S. Klitzner, MD, PhD, FAAP
Jennifer L. Lail, MD, FAAP
Linda L. Lindeke, PhD, RN, CNP
Amy Mullins, MD
Lee Partridge
William Schwab, MD
Christopher Stille, MD, MPH, FAAP
Debra Waldron, MD, MPH, FAAP
Nora Wells, MEd

Member Emeritus
Carl Sia, MD, FAAP

AAP Liaisons
Colleen A. Kraft, MD, FAAP - AAP Council on Community Pediatrics
Thomas F. Long, MD, FAAP - AAP Committee on Child Health Financing

MCHB Liaisons
Marie Y. Mann, MD, MPH, FAAP
Bonnie Stickland, PhD

History of Medical Home at the AAP

1967

  • The first known documentation of the term “medical home” appeared in Standards of Child Health Care, a book published by the AAP in 1967. It was written by the AAP Council on Pediatric Practice. 
  • The book defined a medical home as one central source of a child’s pediatric records and emphasized the importance of centralized medical records to children with special health care needs.

1970s

  • The AAP began to address the policy implications of the term “medical home.” 
    • “Fragmentation of Health Care Services for Children” (1977) clarified for third parties the concept of a single medical home for every child.
    • “Children Having Care from Multiple Sources” (1979) reiterated the importance of the concept.

1980s

  • The medical home concept began to evolve from a centralized medical record to a method of providing primary care from a community level, recognizing the importance of addressing the needs of the total child and family in relationship to health, education, family support, and the social environment.
  • Hawaii pediatrician, Dr Cal Sia, successfully led a campaign to have the medical home concept adopted in that state. This was the birth of the medical home concept as we know it today.

1990s

  • In 1992, AAP published its first policy statement defining the medical home.
  • In 1993, AAP established the Division of Community Pediatrics; CATCH program which embraces medical home concept as its core.
  • In 1994, AAP received a five-year MCHB grant for the Medical Home Program for Children With Special Needs.
  • In 1999, AAP was awarded a five-year cooperative agreement with MCHB to establish and operate National Center of Medical Home Initiatives for Children With Special Needs.

2000s  

  • In 2000, Future Of Pediatric Education II recommends all children should receive primary care services through a consistent medical home.
  • In 2002, the AAP publishes an updated medical home policy which expands on the definition of medical home described in the original 1992 policy statement; it retains the original seven components of a medical home (accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective), and describes the services that should be provided within this framework; it explains further the medical home modes of care by providing an operational definition that lists 37 specific activities that should occur within the medical home; it describes medical home as an approach to care that is family-centered, and that is fundamentally quality improvement.
  • In 2004, Pediatrics published special supplement on The Medical Home and the AAP collaborated with the AAFP on the Future of Family Medicine project. Further, the AAP received another five-year cooperative agreement from MCHB to continue the National Center for Medical Home Initiatives for Children with Special Needs.
  • In 2007, the AAP partnered on Patient-Centered Medical Home Joint Principles pdf with:
  • In 2008, the AAP received a five-year cooperative agreement from MCHB for the NCMHI, with a focus on medical homes for ALL children and youth, including those with special needs. The AAP reaffirmed its 2002 medical home policy and joined the Patient-Centered Primary Care Collaborative as an executive member.
  • In 2013, the AAP renewed a five-year cooperative agreement from the MCHB for the NCMHI, with a focus on medical homes for all children and youth, including those with special needs. This new, five-year cooperative agreement places special emphasis on children faced with health disparities.

 


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