CE Credit

Building a Comprehensive and Effective Medical Home


Welcome to the training on Building a Comprehensive and Effective Medical Home provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).

Credit hours: 1.25 CE


The goal of this module is to equip Texas Health Steps providers and others to build comprehensive and effective medical homes that serve children and adolescents with and without special health-care needs, and regardless of their racial, ethnic, socioeconomic and health status.

Target Audience

Texas Health Steps providers and other interested health-care professionals.

Specific Learning Objectives

After completing the activities of this module, you will be able to:

  1. Summarize key outcomes of medical home implementation for health-care providers, patients, and parents and caregivers.
  2. Specify action steps necessary to build a comprehensive and effective medical home that meets the needs of all patients and families in the primary care practice.
  3. Integrate preventive service components into care delivery in a medical home.
  4. Assess the role of specialists, subspecialists and community resources as part of the medical neighborhood.

Please note this module expires on 7/16/2024.

This module was released on 7/16/2021.

Accreditation Statement


Browser Requirements

Agency for Healthcare Research and Quality (AHRQ).

American Academy of Pediatrics:

Center for Medical Home Improvement:

American Academy of Pediatrics, the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP). (2018). Health care transition-planning algorithm for all youth and young adults within a medical home interaction.

American College of Physicians. (n.d.). ACP Practice Advisor.

Centers for Disease Control and Prevention. (2020). Vaccine for HPV.

Centers for Disease Control and Prevention. HPV fact sheets and brochures.

Family Voices. Family Engagement in Systems Toolkit.

National Alliance to Advance Adolescent Health:

National Committee for Quality Assurance (NCQA). (2021). Patient Centered Medical Home (PCMH) Recognition.

National Committee for Quality Assurance. Webinar: Addressing Health Care Disparities with Patient-Centered Medical Homes.

Oral health terms in plain language: Schiavo, J. H. (2011). Oral Health Literacy in the Dental Office: The Unrecognized Patient Risk Factor. Journal of Dental Hygiene, 85(4), pp. 248-255.

Patient-Centered Primary Care Collaborative (PCPCC).

Patient-Centered Primary Care Collaborative (PCPCC). (2017). Behavioral Health Integration in Pediatric Primary Care: Considerations and Opportunities for Policymakers, Planners, and Providers. Sponsored by the Milbank Memorial Fund.

Patient-Centered Primary Care Collaborative (PCPCC). Clinical Practice Transformation Quick Start Guide, with resources about diverse topics. Resources are presented in video learning modules, templates, checklists, webinars, toolkits and other formats.

Standards for Systems of Care for Children and Youth with Special Health Care Needs, a groundbreaking set of national standards designed to build and improve systems of care for children and adolescents with special health-care needs. Sponsored by the Association of Maternal & Child Health Programs and the National Academy for State Health Policy.

Texas Department of State Health Services. Medical Home Learning Collaborative (MHLC).

Texas Health and Human Services Commission:

Texas Health Steps:

Texas Medicaid:

Texas Parent to Parent (TxP2P) is a parent-led statewide nonprofit dedicated to improving the lives of Texas children who have special health-care needs such as disability and chronic illness. TxP2P provides programs and resources for families, and educates medical professionals about the children’s unique needs in order to improve care. The group’s Medical Education Program (MEd) teaches pediatric and family practice residents and other medical professionals the skills needed to partner with the family to provide high-quality care.

U.S. Department of Health and Human Services. Certified Health Information Technology (IT) Product List website lists certified EHR products eligible for use.

U.S. Office of the National Coordinator for Health Information Technology offers Health Information Technology Regional Extension Centers (RECs). These RECs help health-care providers quickly become adept users of EHRs. Find the RECs located in Texas.

American Academy of Pediatrics, Medical Home Initiatives for Children With Special Needs Project Advisory Committee. (2002, Reaffirmed 2008). Policy statement: The medical home. Pediatrics, 110(1), 184-186.

Boudreau, A. A., Goodman, E., Kurowski, D., Perrin, J. M., Cooley, W. C., & Kuhlthau, K. (2014). Care Coordination and Unmet Specialty Care Among Children With Special Health Care Needs. [Abstract]. Pediatrics, 133(6). 1046-1053.

Elliott, V. S. (2012). Can a specialty practice be a patient-centered medical home? American Medical News.

Homer, C. J. & Baron, R. J. (2010). How to Scale Up Primary Care Transformation: What We Know and What We Need to Know? Journal of General Internal Medicine, 25(6), 625-629.

McManus, M. A., Pollack, L. R., Cooley, W. C., McAllister, J. W., Lotstein, D., Strickland, B., & Mann, M. Y. (2013). Current Status of Transition Preparation Among Youth With Special Needs in the United States. Pediatrics, 131(6), 1090-1097.

Mosquera, R. A., Avritscher, E. C., Samuels, C. L., Harris, T. S., Pedroza, C., Evans, P., . . . J. E. (2014). Effect of an Enhanced Medical Home on Serious Illness and Cost of Care Among High-Risk Children With Chronic Illness: A Randomized Clinical Trial. [Abstract.] Journal of the American Medical Association, 312(24). 2640-2648.

Schiavo, J. H. (2011). Oral Health Literacy in the Dental Office: The Unrecognized Patient Risk Factor. Journal of Dental Hygiene, 85(4), pp. 248-255.

Sia, C., Tonniges, T. F., Osterhus, E., & Taba, E. (2004). History of the Medical Home Concept. Pediatrics, 113(5):1473.

Parent Companion First Five Years, a bilingual website focusing on young children with disabilities that was created to comfort, inspire and connect parents to helpful disability resources.

Parent to Parent of New York State. (2013). Tip Sheets for Caregivers of Individuals with Special Health Care Needs.

Texas Health and Human Services Commission. (2021). Services for Caregivers.