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Medical
Home Collaborative
Project
Participant Login
Infant
Jesus Children’s Clinic Teams: Colonial Heights, Petersburg and
Hopewell
Partners: Medical Home Plus, VA Chapter AAP, VDH,
Title V, Care Connection for
Children, and Family Voices of Virginia
Practice Team: Infant Jesus Children’s
Clinic Teams: Colonial Heights, Petersburg and Hopewell
Resource Team: Colleen Kraft, MD, Fran
Gallagher, MEd, Barbara Harding, RN
A project in Virginia designed to improve health care for
children with special health care needs.
• Participants: 13 community based pediatric practices and 1
pediatric group practice (residency program)
• Pilot Locations: Central, Southwest, and Northern Virginia
• Approach: practice teams include physicians, service
coordinators, and a parent/family member of a child with
special health care needs
• A model for improvement called PDSA – plan, do, study, act
cycles help to implement small changes that foster
improvements
• Medical Home Resource Team supports practice teams…
• conducts onsite visits
• share point portal
• conference calls
• community partnerships and resources
Mountain View Pediatrics, Marion, Virginia
Medical Home Collaborative
Submitted by: Fran Gallagher, MEd; Colleen Kraft, MD
Families of children with special health
care needs
will partner in decision making at all levels
and will be satisfied with the services they receive.
All children with
special health care needs
will receive coordinated, ongoing,
comprehensive care within a medical home.
Healthy People 2010 (Goals 1&2)
U.S. Department of Health and Human Services
Maternal and Child Health Bureau
December 2001
Medical
Home Plus (MHP, (a 501 C 3 non-profit
agency) and collaborative partner of the VA AAP, received a
second year contract to continue to assist Virginia’s primary
care practices to move forward with Healthy People 2010,
the above Goals 1 and 2. In central, northern and southwest
regions, 13 community based pediatric practices in Virginia are
participating in the Medical Home Collaborative Project
designed to improve care for children with special health care
needs and strengthen physician and parent partnerships. Each
practice has formed a team including a physician, a service
coordinator, and a parent of a child with special health care
needs. For many practices, having a parent at the table is a
new experience. As team members, parents “tell it like it is”.
It is through their experience that the areas for change are
identified and the PDSA cycle begins.
Team
members learn about the necessary components of medical home and
how to assist pediatric practices in implementing a change
process by using a model for improvement called “PDSA” – plan,
do, study, act. The PDSA process is a way to implement small
changes while evaluating whether they are workable and realistic
for full practice wide implementation.
The Medical Home Resource Team |
Medical Home 
