Medical Home Competencies


Describing the Medical Home

The American Academy of Pediatrics (AAP) developed the medical home as a model of delivering primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective to every child and adolescent. A pediatric medical home is a family-centered partnership within a community-based system that provides uninterrupted care with appropriate payment to support and sustain optimal health outcomes. Medical homes address preventative, acute, and chronic care from birth through transition to adulthood. A medical home facilitates an integrated health system with an interdisciplinary team of patients and families, primary care physicians, specialists and subspecialists, hospitals and healthcare facilities, public health and the community.


Medical Home Resources


  1. A Review of the Evidence for the Medical Home for Children With Special Health Care Needs pdf document, 476 KB
    Homer et. al; Pediatrics 2008
  2. Building a Medical Neighborhood for the Medical Home pdf document, 102 KB
    Fisher; NEJM 2008
  3. Care Coordination for Children and Youth with Special Health Care Needs: A Descriptive, Multisite Study of Activities, Personnel Costs, and Outcomes pdf document, 313 KB
    Antonelli, Stille & Antonelli; Pediatrics 2008
  4. Patient- and Family-Centered Care Coordination: A Framework for Integrating Care for Children and Youth Across Multiple Systems, AAP Policy Statement; May 2014
  5. How is a Shortage of Primary Care Physicians Affecting the Quality and Cost of Medical Care? pdf document, 527 KB
    American College of Physicians White Paper; Pediatrics 2008
  6. Identifying Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening pdf document, 900 KB
  7. AAP Council on Children with Disabilities Policy Statement; July 2006
  8. Joint Principles of the Patient-Centered Medical Home
    AAP 2007
  9. Measuring the Medical Home Infrastructure in Large Medical Groups pdf document, 197 KB
    Rittenhouse; Health Affairs 2008
  10. Medical Home Index pdf document, 843 KB
    Center for Medical Home Improvement
  11. No Place Like Home - Testing a New Model of Care Delivery pdf document, 102 KB
    Iglehart; NEJM 2008
  12. Organizing Principles to Guide and Define the Child Health Care System and/or Improve the Health of All Children pdf document, 48KB
    AAP Medical Home Initiatives for Children With Special Needs Project Advisory Committee; Pediatrics 2002
  13. Physician Practice Connections Patient-Centered Medical Home
    National Committee for Quality Assurance
    PPC-PCMH Fact Sheet pdf document, 145 KB
    PPC-PCMH Summary of Content and Scoring pdf document, 37 KB
  14. Practice Improvements in Medical Homes
    Smith; Presentation at the Child Health Policy Research Symposium pdf, 108KB
  15. Primary Care: Can It Solve Employers' Health Care Dilemma pdf document, 109 KB
    Sepulveda et. al; Health Affairs 2008
  16. Primary Care - Will It Survive? pdf document, 225 KB
    Bodenheimer; NEJM 2008
  17. Role of the Medical Home in Family-Centered Early Intervention Services pdf document, 105 KB
  18. AAP Council on Children with Disabilities Policy Statement; November 2007
  19. Side-by-Side Summary of State Medical Home Programs pdf document, 78 KB
    National Partnership for Women & Families 2008
  20. The Medical Home, Access to Care, and Insurance: A Review of the Evidence pdf document, 249 KB 
National Center for Medical Home Implementation (NCHMI):
  • This website provides pediatric medical home information, tools, and resources for practices, clinicians, families, and state agencies. It includes education and training opportunities, evidence supporting the pediatric medical home model, information about medical home initiatives by state, and information about promising practices throughout the country.




Medical Home Competencies for LEND Trainees

The ultimate goal of a medical home is to ensure better coordination of care, via participation of an interdisciplinary team, within the medical home. It is essential for LEND trainees to understand the core tenets of medical home and how they apply to their respective fields of expertise to ensure high-quality work as part of the medical home team.