Defining a "Medical Home" for Iowa Children
The medical home is a practice paradigm, a way of providing a child
and his or her family ongoing, effective, trustworthy health care that is:
- The child has access to health care near the child's home, in the community.
- Care is affordable; Medicaid is accepted and changes are accommodated.
- The child has the same primary health care providers from birth through adolescence.
- As a result, a caring relationship exists between the child, family, and care providers.
- The family is recognized as the child's primary source of strength and support.
- The open sharing of unbiased, understandable information provides the foundation for care.
- A qualified physician supervises the many facets of the child's health care.
- Health care is available 24 hours a day, 7 days a week.
- Preventive, primary and tertiary needs are addressed.
- Care includes periodic screenings, evaluation of growth and development, immunizations and health care supervision.
- The physician offers the child and the family guidance on health and psychosocial issues.
- Preparation for transitions -- from newborn nursery to home, home to school, school to adult life -- make transitions easier.
Coordinated, collaborative, compassionate, and culturally competent
- Referrals to and consultations with subspecialties occur as needed; the physician serves as a liaison between the child/family and subspecialty care providers.
- The physician links the child and family to other resources, such as support, education, and community-based services.
- The child and family understand that their well being -- physical, emotional, and social -- is their physician's primary concern.
- The physician recognizes, values, and responds to the culture of the child and family.
- The medical home maintains careful records of all pertinent medical information about the child.
- Information is centralized and accessible, while confidentiality is maintained.