The goal of this EQIPP: Medical Home course is to help you create plans for improvement to address gaps you identify in key activities of the medical home. Using EQIPP, you will collect baseline and follow-up data. You will work to improve care and processes delivered by your medical home through Plan, Do, Study, and Act (PDSA) cycles.

Learning Objectives
By the end of this course, you will:

1. Develop your practice’s “medical homeness” in the following ways:

• Form a team for medical home improvement.
• Develop a system such as a registry to identify and manage your patient population or one or more subpopulations.
• Cultivate a personal and ongoing relationship with each patient to provide first-contact, continuous, and comprehensive care; enhance access to care to ensure care is delivered when, where, and how it is needed and wanted.
• Develop family-centered partnerships with families, respecting that they are the constant in their child’s life; apply principles of family-centered care.
• Identify ways to plan, manage, document, and follow up on patients’ preventive, acute, and chronic health care needs, while also addressing their educational, developmental, and behavioral/psychological needs.
• Develop processes to coordinate care across care settings to ensure shared goals of care and timely and optimal communication and information exchange.

2. Measure and improve care delivery and processes in your medical home by doing the following:

• Collect and analyze baseline data to establish a starting point for medical home improvement.
• Identify one or more performance gaps in one or more key activities of the medical home.
• Create an improvement plan for closing the performance gap(s) you identified by clarifying the improvement idea to be tested:

• Aim: What are we trying to improve or accomplish?
• Measures: How will we know that a change made is an improvement?
• Changes: What changes can we make that will result in improvement?

• Test your ideas quickly, on a small scale, so you can determine if the change leads to improvement.
• Collect and analyze follow-up data to measure the results of your test.
• Determine how to sustain successful changes and how to systematically integrate them into the culture, process, and workflow of your medical home.
• Create additional improvement plans and repeat the change-improvement cycle until you reach your maximum potential of being a high-quality, effective medical home.

Create additional improvement plans and repeat PDSA cycles until you reach the maximum potential of providing optimal care in your practice.