School of Public Health

The Medical Home

What are the National Performance Measures (NPMs)? The Maternal and Child Health Bureau (MCHB) developed this set of metrics to monitor key health indicators in the populations of the 59 states and jurisdictions that receive Title V MCH Block Grant funds. These measures are just one part of a larger effort to support state-wide improvement activities. You can read more about the history of the NPMs and the MCH Block Grant in our Spring 2015 issue or on the MCHB website.

About The Medical Home

Alaska, Idaho, Oregon and Washington chose National Performance Measure (NPM) 11, the 'Medical Home',  as a state priority in 2015. It was among the most frequently selected NPMs by State Title V Programs.  Over the next few months we will explore the 'Medical Home' and its role in maternal and child health. We will continue to update this volume with new articles and insight. When you subscribe to the Northwest Bulletin you will recieve an email each time we add new content.


In Part I, we provide a brief overview on the origin, meaning and significance of pediatric medical homes. We look at how Oregon will modify the medical neighborhood for children and youth with special healthcare needs and outline three lessons learned from the Idaho Medical Homes Demonstration.

Our Medical Home webinar expands on the Idaho state report by highlighting ways that clinics and other MCH programs can take a 'Learning Collaborative' approach to quality improvement projects.

The Medical Home Resources page is a collection of links to tools for clinicians, families, advocates and other MCH stakeholders.


In Part II, we look at the care coordination aspect of the medical home, the integrating component that can also be one of the most challenging to achieve. We describe the two different approaches Alaska has taken to care coordination, and the parent of a child with special health care needs shares her experience as a partner in the medical home.

Part III

We conclude our volume on The Medical Home with two examples of innovative approaches to the complex issue of providing medical homes to underserved populations. We speak with providers and care coordinators in rural Alaska to find out how they adapt the patient-centered medical home for families in rural villages. We also look at how Washington state will improve care coordination for Medicaid-enrolled children and youth with special health care needs through a change in data capturing.

Next volume: Breastfeeding