MICH-30.1 Increase the proportion of children who have access to a medical home

National Data Source
National Survey of Children's Health (NSCH); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
57.5 (2007)
Target
63.3
Target-Setting Method
10 percent improvement
Numerator
Number of children under 18 years of age receiving care in medical homes
Denominator
Number of children under 18 years of age
Questions Used to Obtain the National Baseline Data

From the 2007 National Survey of Children's Health:

[NUMERATOR:]

Child has one or more health care providers considered to be personal doctor or nurse (PDN)

During past 12 months, how often did all child's doctors and other health providers:

Spend enough time with child?

Listen carefully to parent?

Provide needed information?

Help parents feel like partner in child's care?

Referrals for specialist care

During past 12 months:

Needed a referral to see any doctors or receive any services?

  1. Yes
  2. No

IF yes, any problems getting the referral that was needed?

  1. Yes
  2. No

Usual sources for care

Is there a place child usually goes when he/she is sick?

  1. Yes
  2. No

IF yes: What kind of place is it?

  1. Doctor's office
  2. Emergency room
  3. Hospital outpatient department
  4. Clinic
  5. Some other place

Help with care coordination

Does anyone help family to arrange or coordinate child's care?

  1. Yes
  2. No

Did family need extra help arranging or coordinating child's health care?

  1. Yes
  2. No

IF yes, how often got as much help as needed arranging or coordinating child's health care?

Provider communication

How satisfied with communication between child's doctors and other providers?

Needed doctors or other providers to communicate with child's school or other programs?

  1. Yes
  2. No

IF yes, how satisfied with that communication?

Respect for diversity

During past 12 months, how often were child's doctors and other health providers:

Sensitive to family's values and customs?

Language services

During past 12 months:

Needed an interpreter to help speak with child's doctors or nurses?

  1. Yes
  2. No

IF yes, how often able to get someone other than a family member to help speak with child's doctors or nurses?

Comparable Healthy People 2010 Objective
Not applicable

Comments

Methodology Notes

The measurement of medical home access in the 2007 National Survey of Children’s Health has been described in detail elsewhere. In brief, the overall medical home measure from the 2007 NSCH is a composite of five different sub-component topics assessing the following: Child has at least one personal doctor or nurse, Family-centered care, Getting needed referral, Usual source(s) for care Effective care coordination.