
Evidence Tools
MCHbest. Developmental Screening.

Strategy. Medical Homes
Approach. Support the implementation of a quality improvement initiative to establish a medical home system of care within pediatric primary care clinics

Overview. Medical homes provide continuous, comprehensive, whole person primary care. (NCQA-PCMH, AHRQ-PCMH). In this model of care, primary care providers and their teams coordinate care across the healthcare system, working with patients to address all their preventive, acute, and chronic health care needs, and arranging care with other qualified health professionals as needed. Medical homes offer enhanced access, including expanded hours and easy communication options for patients. They also practice evidence-based medicine, measure performance, and strive to improve care quality. (AHRQ-PCMH).
Evidence. Scientifically Rigorous Evidence. Strategies with this rating are most likely to be effective. These strategies have been tested in multiple robust studies in a variety of populations and settings with consistently positive results, both on their own and in combination with other strategies. (Clarifying Note: The WWFH database calls this "scientifically supported evidence").
Access the peer-reviewed evidence through the MCH Digital Library or related evidence source. (Read more about understanding evidence ratings).
Source. What Works for Health (WWFH) Database (County Health Rankings and Roadmaps)
Outcome Components. This strategy has shown to have impact on the following outcomes (Read more about these categories):
- Quality of Care. This strategy promotes the degree to which healthcare services meet established standards aimed at achieving optimal health outcomes.
- Patient Experience of Care. This study improves individuals' perceptions, feelings, and satisfaction with the healthcare services they receive.
- Utilization. This strategy improves the extent to which individuals and communities use available healthcare services.
Detailed Outcomes. For specific outcomes related to each study supporting this strategy, access the peer-reviewed evidence and read the Intervention Results for each study.
Intervention Type. Direct Care (Read more about intervention types and levels as defined by the Public Health Intervention Wheel).
Intervention Level. Community-Focused
Examples from the Field. Access descriptions of ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Here are sample ESMs to use as models for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies).
Quadrant 1: PROCESS MEASURES:
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Quadrant 2: PROCESS MEASURES:
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Quadrant 3: PROCESS MEASURES:
OUTCOME MEASURES:
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Quadrant 4: PROCESS MEASURES:
OUTCOME MEASURES:
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Note. When looking at your ESMs, SPMs, or other strategies:
- Move from measuring quantity to quality.
- Move from measuring effort to effect.
- Quadrant 1 strategies should be used sparingly, when no other data exists.
- The most effective measurement combines strategies in all levels, with most in Quadrants 2 and 4.
Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.