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State Resources

Other pages on this website with tools to help MHLN team and community outreach to improve medical homes for children and youth with special health care needs and their families include:

Brochures, sample presentations, Child Health Notes on a variety of topics, and contacting MHLN staff or individual county teams and coalitions.

Medical Home Materials

Coordination/Communication Between Primary Care and Other Medical Home Partners

Communication and Marketing

National Resources

Medical Home Articles

  • Medical Home endorsements and policy statements from national organizations. (link)
  • The Safety Net Medical Home Initiative
    The Commonwealth Fund, Qualis Health and the MacColl Institute for Healthcare Innovation at the Group Health Research Institute have launched an initiative to help primary care safety net clinics become high-performing patient-centered medical homes. The goal of the Safety Net Medical Home Initiative is to develop a replicable and sustainable implementation model for medical home transformation. Visit the website information about what a medical home is and how to transform your clinic into a medical home.
  • The American Academy of Pediatrics’ National Center of Medical Home Initiatives for Children with Special Needs

Coordination/Communication Between Primary Care and Other Medical Home Partners

Additional resources are given for the more complex steps of improving collaboration and developing shared leadership.

  • Enhancing Collaboration Between Primary and Subspeciality Care Providers for Children and Youth with Special Health Care Needs
    by Richard Antonelli, M.D., Christorper Stille, M.D. and Linda Freeman, M.S. (2005)This guide discusses the complementary roles of generalist and subspecialist physicians in providing coordinated and effective care for CYSHCN through a Medical Home. It emphasizes the centrality of family-professional partnerships and describes various models for collaboration among generalist and subspecialist physicians and families. This guide can serve as a framework for discussion about how primary and subspecialty care physicians can work collaboratively to enhance the quality of care that CYSHCN and their families receive
  • Tracking, Referral and Assessment Center for Excellence (TRACE)
    Excellent resource. The major goal of TRACE is to identify and promote the use of evidence-based practices and models for improving child find, referral, early identification, and eligibility determination for infants, toddlers, and young children with developmental delays or disabilities who are eligible for early intervention or preschool special education.

    • Endpoints are are non-technical, user-friendly summaries of research syntheses. Recent articles include:
      • “Providing regular feedback to primary referral sources is more likely to result in sustained referrals”
      • “Formalizing informed clinical opinion assessment procedures is more likely to yield accurate results”
      • Tailoring printed materials can help improve child find and increase referrals from primary referral sources”
      • ” Keeping Physician Contact Simple and Focused Increases Referrals to Early Intervention” (upcoming article)
    • TRACE Practice Guides include descriptions of methods and procedures for implementing evidence-based child find, referral, early identification, and eligibility determination practices. Recent articles include:
      • “Improving Outreach to Primary Referral Sources”
      • “Providing Feedback to Primary Referral Sources”