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Wisconsin Medical Home Learning Collaborative: a model for implementing practice change

Sharon Fleischfresser1

  • 1Title V Children with Special Health Care Needs Program, Bureau of Community Health Promotion, Wisconsin Division of Public Health, Madison, WI 53701-2659, USA. fleissa@dhfs.state.wi.us

WMJ : Official Publication of the State Medical Society of Wisconsin
|November 24, 2004
PubMed

Insights

Wisconsin implemented a Medical Home Learning Collaborative to improve access to continuous, comprehensive pediatric care for children with special health care needs. This initiative aimed to develop practical strategies for medical home implementation in clinical practice.

Area of Science:

  • Pediatric Health Services
  • Healthcare Delivery Systems
  • Child Health Policy

Background:

  • Children with special health care needs (CSHCN) require services beyond those typically needed by children.
  • Nearly 14% of Wisconsin children are identified as CSHCN or at increased risk.
  • Federal initiatives challenge states to ensure CSHCN have access to a medical home.

Purpose of the Study:

  • To discuss Wisconsin's participation in a national Medical Home Learning Collaborative.
  • To describe Wisconsin's replication of the Collaborative.
  • To develop practical strategies for implementing the medical home model in clinical practice.

Main Methods:

  • Participation in a national learning collaborative focused on medical home implementation.
  • Replication of the collaborative model within Wisconsin.
  • Development of practical strategies for clinical practice.

Main Results:

  • Wisconsin engaged in collaborative learning to address CSHCN care.
  • The state replicated a collaborative model to foster practical implementation.
  • Strategies were developed to translate medical home concepts into clinical practice.

Conclusions:

  • Collaborative learning approaches can facilitate the implementation of medical home models.
  • Wisconsin's efforts focused on developing actionable strategies for improving pediatric primary care for CSHCN.
  • Translating the medical home concept into clinical practice is a key goal for states.

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