Medical Home

medical home - ElliotEvery child deserves a medical home.

The Medical Home is a process for achieving pediatric primary care excellence that is delivered in the right place, at the right time, and in the manner that best meets the patient’s needs. This team-based approach promotes prevention, wellness and chronic care management while fostering strong and trusting relationships between families and providers. Above all, the medical home is a place and process where families know care for their child is accessible, coordinated, culturally sensitive, and where parents and caregivers are integral partners of the health care team.

The Chapter offers a Medical Home program, in partnership with the New Jersey Department of Health, to assist pediatric and family practices in learning and implementing effective strategies for improving and strengthening their patient-centered medical home. This program provides the training and technical support necessary to advance participating practices toward attainment of NCQA Recognition as a Patient Centered Medical Home.

Systems Integration Academy

The New Jersey Department of Health (NJDOH) was awarded a Systems Integration Grant (SIG) through September 30, 2017, funded by the Health Resources and Services Administration’s Maternal Child Health Bureau (HRSA/MCHB).

The primary goal of this grant is to increase by 20% the number of children and youth with special health care needs (CYSHCN) who have a primary centered care medical home by 2017. HRSA/MCHB has prescribed three (3) strategies and respective objectives for each strategy that we will tailor to fit the needs of New Jersey’s CYSHCN.

1. Care Coordination: By October 2017, states will increase by 20% over baseline, the % of targeted CYSHCN who have a Shared Plan of Care

2. Care Integration: By October 2017, an agency-level written agreement will be developed between two or more state or regional-level entities to improve the timely receipt of information following the initial referral of a CYSHCN by a medical home

3. Shared Resource: By October 2017, 50% of families and medical home providers of CYSHCN contacting a shared resource for a needed specialist, support, or service will obtain a needed specialist support or service.

As part of this SIG project, NJDOH is collaborating with the New Jersey Chapter of the American Academy of Pediatrics (NJAAP), the Statewide Parent Advocacy Network (SPAN), and a subset of our county-level Special Child Health Services Case Management Units (SCHS CMU).

Click here for additional resources about this project.

NCQA Patient-Centered Medical Home Recognition “Warm Line”, call 609-842-0014 and ask for Judie Grandjean, PCMH CCE

Call the Warm Line anytime for technical Assistance with:

  • NCQA PCMH Recognition website navigation, tools and resources
  • Eligibility and readiness assessment
  • PCMH Standards and Guideline questions
  • Document Review