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Back to Medical Home American Academy of Pediatrics
  • Introduction
  • Transformation Process
    • Form a Medical Home Improvement Team
    • Assess Your Practice
    • Understand Quality Improvement
  • Key Functions
    • Family-Centered Care
    • Coordinated Care
    • Managing Your Patient Population
  • Sustain Your
    Medical Home

Building Your Medical Home

An Introduction to Pediatric Primary Care Transformation

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Sustain Your Medical Home
 

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  • Introduction
  • Transformation Process
    • Form a Medical Home Improvement Team
    • Assess Your Practice
    • Understand Quality Improvement
  • Key Functions
    • Family-Centered Care
    • Coordinated Care
    • Managing Your Patient Population
  • Sustain Your
    Medical Home
Skip Navigation LinksIntroduction > Sustain Your Medical Home

Sustain Your Medical Home

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​​​​​​​​​​​​​​​​​​​​​​​​​​Sustaining medical home transformation is equally as important as the transformation process itself.

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Something that is “sustainable” is defined as being able to continue for a long time without depleting all available resources. In a pediatric practice this can include:

  • Financial resources (eg, being able to continue medical home activities after funding for the transformation process ends; securing new financial resources)
  • Human resources (eg, avoiding staff and/or clinician burn out; making sure that one person is not doing all the work; orienting new staff to the medical home)
  • Material resources (eg, continuous distribution of educational materials and information to patients and families)
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"We’ve been advocating for the medical home approach because we think it is one of the most promising models for delivering true patient-centered care.”
Lee Partridge

National Partnership for Women and Families

Parent and Family Advocate
National Partnership for Women and Families

Fundamental Principles of Medical Home Sustainability

  • Creation of a well-developed, clear vision for medical home transformation, implementation, and sustainability. Communication about this vision to the entire practice team
  • Presence of written, formal processes and protocols related to specific medical home activities enacted before or during the transformation process
  • Clear and regular communication of processes and protocols to all staff, clinicians, families/caregivers, and patients
  • Clear and regular communication about the practice’s progress towards transforming into a medical home to all staff, clinicians, families/caregivers, and patients
  • Ongoing collection and analysis of data related to a practice’s transformation processes. This data can be used to justify sustaining a patient-centered medical home
  • Active workforce buy-in and engagement in the patient-centered medical home concept
  • Adequate payment for activities conducted and services offered through a patient-centered medical home
  • Continuous investigation of current events and policies specific to medical home implementation which could improve health care delivery as well as patient, and clinician experiences

Tools and Resources

APEX Digital Navigator
Provides examples of policies and procedures implemented by pediatric practices undergoing the medical home transformation process.

Selling Quality to Management: How to Get Management Buy-In to New Quality Initiatives
Provides strategies to encourage engagement and buy-in from executive and managerial staff.

Strategies for Achieving Whole-Practice Engagement and Buy-in to the Patient-Centered Medical Home
Includes strategies for obtaining organizational buy-in and whole-staff engagement.

Tips for Sustaining the Success of a Quality Improvement Project
Provides four tips for pediatric practices to assist with sustainability of quality improvement projects, such as medical home implementation.

Medical Home Coding Fact Sheet
Includes a collection of Current Procedural Terminology Codes for medical home practices.

Bright Futures and Preventive Coding Fact Sheet
Provides a comprehensive listing of preventive medicine service codes frequently used in pediatric medical homes.

EQIPP: Medical Home
The American Academy of Pediatrics offers an EQIPP course, Medical Home, which guides users through the detailed quality improvement process necessary to undergo the pediatric medical home transformation.

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