How Are States and Evaluators Measuring Medical Homeness in the CHIPRA Quality Demonstration Grant Program?

Many State Medicaid and CHIP programs and private health plans are pursuing medical home initiatives in an effort to improve the quality of care for children and adults, but varying conceptual definitions and measurement goals have led to the development of a number of different medical home measurement tools. This Evaluation Highlight examines the measurement of medical homeness in selected CHIPRA Quality Demonstration Grant Program projects. It also describes the development of the Medical Home Index-Revised Short Form (MHI-RSF), an adaptation of the short version of the Medical Home Index (MHI), for use in evaluating the demonstration projects. Using baseline MHI-RSF data, we present preliminary statistics on medical homeness for demonstration practices in six states.