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Medical Home

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Health Care for People with Intellectual and Developmental Disabilities across the Lifespan

Abstract

The concept of the “medical home” as a model to define a higher level of coordinated and comprehensive primary care has gained significant attention over the last decade. Medical colleges and national organizations, especially in the United States and Canada, have developed definitions and associated best practice recommendations to encourage adoption of the “patient centered medical home” (PCMH) model as a key to primary care reform. There has been particular enthusiasm for this model for patients with chronic illnesses associated with complex medical and social factors that require continuous and highly integrated care. The last ten years has also seen the creation and promotion of exemplary medical homes solely devoted to care of children and adults with intellectual and/or developmental disability (IDD) across the United States. Two of these centers have published encouraging data on improved health outcomes for people with IDD including reduced emergency department use and hospitalizations, improved preventative care and case coordination as well as increased patient and caregiver satisfaction. PCMHs devoted exclusively to patients with IDD can provide an essential function as care providers for patients who have not been cared for well in regular settings due, for example, to behavioral health conditions, as well as being centers of expertise providing outreach, research and guideline development, mentorship and clinician training. Unique and essential considerations for patients with IDD following the key concepts of PCMHs are outlined and a sample medical home audit tool for ongoing quality assurance evaluation is presented.

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Author information

Authors and Affiliations

  1. Department of Family Medicine, Queen’s University, 309 Alfred St, Kingston, ON, K7L 3S4, Canada

    Liz Grier M.D., CCFP

Authors
  1. Liz Grier M.D., CCFP
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Correspondence to Liz Grier M.D., CCFP .

Editor information

Editors and Affiliations

  1. Innovative Solutions for Disadvantage and Disability and Department of Pediatrics, Morehouse School of Medicine, Atlanta, GA, USA

    I. Leslie Rubin

  2. National Institute of Child Health and Human Development and Medical Services, Division for Developmental and Developmental Disabilities, Ministry of Social Affairs and Social Services, Jerusalem, Israel

    Joav Merrick

  3. Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker MD School of Medicine, Western Michigan University, Kalamazoo, MI, USA

    Donald E. Greydanus  & Dilip R. Patel  & 

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© 2016 Springer International Publishing Switzerland

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Grier, L. (2016). Medical Home. In: Rubin, I.L., Merrick, J., Greydanus, D.E., Patel, D.R. (eds) Health Care for People with Intellectual and Developmental Disabilities across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-18096-0_26

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  • DOI: https://doi.org/10.1007/978-3-319-18096-0_26

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18095-3

  • Online ISBN: 978-3-319-18096-0

  • eBook Packages: MedicineMedicine (R0)

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