School of Public Health

How Alaska Coordinates the Medical Home

December 2016

Section of Women's, Children's & Family Health

Two strategies to promote integrated care through a patient-centered medical home are underway in Alaska. The two pilot projects approach cross-system collaboration from different perspectives.


In 2016, Alaska implemented a project that expanded the medical home for children and youth with special health care needs. School nurses from five elementary schools in the Anchorage School District partnered with Alaska Center for Pediatrics (ACP), a private practice clinic.

The project granted nurses access to the electronic medical records of participating students, who are established patients at ACP. This opened a line of communication between healthcare providers, parents, and schools to develop a shared plan of care that supports better health and educational outcomes for children. In response to requests from other families and pediatric clinics, Alaska plans to develop a toolkit to guide replication in other Alaskan communities, with the long-term goal of sharing the toolkit nationwide.

In response to requests from other families, clinics, schools, and healthcare systems, Alaska plans to develop a toolkit to guide replication in other Alaskan communities and eventually nationwide.


In early 2017, Alaska will launch another project that supports cross-system care coordination in the medical home. This project focuses on all children in Alaska those with and without special health care needs. Based on the national Help Me Grow (HMG) model, HMG-Alaska will be a shared resource for community members and healthcare providers. This shared resource includes support for early detection and intervention, a call center that connects children and their families to community services, and data collection and monitoring to analyze and address access barriers.

The pilot phase will focus on children from birth through 8 years in three Alaska regions, the Matanuska-Susitna Borough, Norton Sound, and Kodiak, which are home to many rural communities and Alaska Native populations. Partners from the state’s Early Childhood Comprehensive System will work with the regional and tribal health organizations to support initial development of the resource database, outreach activities, and to help inform decisions about call center functions.

Alaska plans a long-term statewide expansion for HMG-Alaska that will support integrated care coordination for children and families from birth through young adulthood.

For more information about Alaska's medical homes strategies, please contact Jimael Johnson at