1. Affiliated with Children’s Medical Services Affiliated with Children’s Medical Services Introduction to the Medical Home Part 4 How Can Assessment Tools be Used to Quantify and Support a Practice’s Quality Improvement Process? Webinar Presentation ~ June 2010 ~

2. Affiliated with Children’s Medical Services Affiliated with Children’s Medical Services E-mail Questions to: admin@partnershipforchildhealth.org

3. 1 - What is the Medical Home Model? 2 - -What Tools Can We use to Assess the Medical Home Qualities of our Practice? 4 - How Can Assessment Tools be Used to Quantify and Support a Practice’s Quality Improvement Process? 1 - What is the Medical Home Model? 2 - How does a Practice adopt the Medical Home Model?  3 - What Tools Can We use to Assess the Medical Home Qualities of our Practice?  4 - How Can Assessment Tools be Used to Quantify and Support a Practice’s Quality Improvement Process? Introduction to the Medical Home ~ 4 Part Webinar Presentation Series ~

4. Objectives for Today… Explain – how to use a scoring system to quantify Medical Home Index and Medical Home Family Index data Describe – how these tools help support a quality improvement process

5. Let’s Review Your Progress!   Step # 1. Educate and engage all physicians and practice staff   Step # 2. Identify the children with special health care needs in the practice   Step # 3. Unite the medical home team and assess the current medical home qualities of the practice Step # 4. Implement a quality improvement process

6. Identify lead physician Engage staff person for role of medical home facilitator Identify and involve a “Parent Partner” Establish protocol for communication to work closely with CMS nurse care coordinator Step # 3. Unite the medical home team and assess the current medical home qualities of the practice

7. Medical Home Index

8. How to Score For each level selected in the Index, a point system is applied For each level selected in the Index, a point system is applied 1 2 3 4 5 6 7 8

9. How to Score Calculate the mean (average) score per Domain. For example…. For example…. Domain 1 Average Score for the Practice # 1.1 4.2 # 1.2 2.6 # 1.3 4.8 # 1.4 5.9 # 1.5 3.8 # 1.6 4.5 # 1.7 6.2. Total 32 7 = 4.6 (Mean Score for Domain 1 )

10. Benchmarking http://www.medicalhomeimprovement.org/knowledge/mhi-fv_instructions.html

11. The scoring serves to: quantify a baseline quantify a baseline identify strengths and weaknesses identify strengths and weaknesses select areas for quality improvement select areas for quality improvement track progress track progress

12. Medical Home Family Index

13. Scoring 2.Score each item of the completed surveys on a range of 1 through 4 on a range of 1 through 4 1 2 3 4 1 2 3 4

14. Scoring Average the scores per survey item for all completed surveys for a mean score per item. surveys for a mean score per item.

15. The scoring serves to: quantify a baseline quantify a baseline identify strengths and weaknesses identify strengths and weaknesses select areas for quality improvement select areas for quality improvement track progress track progress

16. NCQA Recognition

17.  Access and Communication  Patient Tracking and Registry Functions  Care Management  Patient Self-Management Support  Electronic Prescribing  Test Tracking  Referral Tracking Standard  Performance Reporting NCQA Standards

18. Standards Element AElement BElement C 0% -- 100% 0% -- 100%0% -- 100% Working Toward Recognition

20. One Step at a Time….

21. Please send us your questions and comments! admin@partnershipforchildhealth.org And return to the project website: http://www.partnershipforchildhealth.org/mhip_tools_and_resources.htm and click on the to take a brief survey Q & A