This page provides information on past questions posted on the Medical Home LISTSERV. Responses are provided by physicians, allied health professionals and parents of children with special needs.

The inclusion of any resource or link in these pages does not imply endorsement. As information changes rapidly, please check with each sponsoring organization as to whether the information you are receiving on their web site is current. If you have information or resources to add to this request, please e-mail us at medical home@aap.org.

Posted June 20, 2003

Request: Looking for Medical Home measures/assessment tools that assess physicians and/or residents knowledge of Medical Home concepts, principles, and practices.

Responses:

Organizations/Resources that have helped develop Medical Home measures/assessment tools:

• The Center for Medical Home Improvement, in Lebannon NH has developed the Medical Home Index. The tool provides a quantitative self-assessment of the degree to which physicians have implemented the Medical Home model in their office. The tool does not really examine knowledge of Medical Home concepts, but rather more their translation into tangible activities and behaviors in a practice setting. The tool has undergone a validation process and was published in the July/August issue of Ambulatory Pediatrics. The companion Medical Home Family Index is also included on their site. The Center has also surveyed primary care physicians in Vermont and New Hampshire with a questionnaire which does get more at knowledge of Medical Home concepts. For more information on the survey and downloadable tools, visit their web site www.medicalhomeimprovement.org
  
  
• The Oregon Medical Home Team has developed and implemented a measure called the Probed T provider survey. The tool was developed to evaluate physician knowledge of Medical Home concepts. They use the form when they present on Medical Home topics to medical groups. For more information on this tool, please contact Patricia Tangeman, MEd, MA, PT, Coordinator, Oregon Medical Home Project at tangeman@ohsu.edu
  
  
• The South Carolina Medical Home Team created Medical Home assessment questionnaires, these assess medical homeness as it relates to each of the 7 medical home elements. They offer assessment tools for both the office staff and the health care professional. They have also included a plan for measuring medical home outcomes, recommending primary and secondary data sources, and improvement measures/comparison information. For more information Click Here.
  
  
• Medical Home Assessment Surveys - Los Angeles Medical Home Project for CSHCN.
  In order to gather information about key components of care in a Medical Home for CSHCN and barriers to this care, the LA Medical Home Project conducted (2) surveys: One for providers and the other for families.
  
  
• First Connections, Training and Resource Project in Rhode Island, focused on a system improvement project resulting in improved experiences and outcomes for infants and children
  0-5 with hearing loss and their families. They conducted a state-wide survey of all primary care pediatricians and family practitioners to assess their knowledge, practices, and beliefs in relation to newborn hearing screening, intervention and follow-up. The survey included multiple questions addressing Medical Home practices and beliefs in relation to this population. The results are in final analysis at this time but if you would like to know more about the results of this survey, please contact Carol Dorros, MD cdorros@pol.net
  
  General Publications on Measurement/Assessment Tools:
  Emily J. Davidson, MD, Thomas J. Silva, MD, Lisa A. Sofis, MPA, Michael L. Ganz, PhD, and Judith S. Palfrey, MD The Doctor's Dilemma: Challenges for the Primary Care Physician Caring for the Child With Special Health Care Needs Ambulatory Pediatrics: Vol. 2, No. 3, pp. 218–223.
  
  This article describes the results of a survey of physicians who care for children with special health care needs and who have ungone an intervention to enhance their primary care services to these children.
  
  
• Additional Measurement/Assessment Tools are:
  
  The CHILD HEALTH TOOLBOX - This tool can be used for measuring performance in child health programs access, quality, and health service delivery. We also have posted different Surveys for office use which can help evaluate whether needs are being met in an office setting.
  
  Our tools page on our web site includes a variety of resources to help provide Medical Homes for children with special needs.