Father and son playing on the floor
A Medical Home is an approach to providing comprehensive primary care that facilitates partnerships between patients, clinicians, medical staff, and families.

A Medical Home extends beyond the four walls of a clinical practice. It includes specialty care, educational services, family support, and more.

On this page:

Medical Home Activities, Partners, Stakeholders, National Center for Medical Home Implementation

This resource from the National Center for Medical Home Implementation provides information about pediatric medical home activities, partners, and stakeholders in Pennsylvania. RESOURCE PAGE

Stepping Stones: Sizing Up Your Medical Home

A PEAL Center created tool to help families understand “Medical Home.” Just like there are different types of health insurance plans, different size hospitals, and different levels of care, there are different styles of medical practices. Learn the features of Medical Home to help you get the type of care that you are looking for.

Stepping Stones- Medical Home: Tips for Parents

PA Medical Home Program

The PA Medical Home Program (PA MHP) is a project of the PA Department of Health in partnership with the PA Chapter of the American Academy of Pediatrics designed to improve care for CYSHCN. Visit the PA Medical Home Program.

Standards for Systems of Care for CYSHCN

The National Standards for Systems of Care for CYSHCN are guided by the following essential principles. These four principles are the foundation for all standards in each domain, and should be in place to ensure a comprehensive, quality system of care for children and youth with special health care needs.

Standards for Systems of Care for CYSHCN 2.0

Health & Wellness

Health and wellness issues include:

  • — Nutrition
  • — Health Weight
  • — Physical Activity
  • — Sexuality
  • — Immunizations/Vaccines
  • — Medical Tests/Assessments
  • — Medications/Prescriptions
  • — Durable Medical Equipment (DME)
  • — Medical Supplies
  • — Oral and Dental Health
  • — Vision Health
  • — Assistive Technology


National Center on Early Childhood Health and Wellness (NCECHW)

  • — NCECHW advances best practices for linking health and early childhood education systems, health care professionals, and families.
  • — NCECW provides information, resources, materials, training, and implementation support on topics such as: medical and dental home access; health promotion and disease prevention; emergency preparedness and environmental safety; trauma and toxic stress; developmental, behavioral, vision, and hearing screening; and nutrition.


Resources from the American Academy of Pediatrics

  • — Physical, mental, and social health resources for infants, children, adolescents, and young adults.

LifeCourse Tools

LifeCourse Toolscreated by Missouri Family to Family

  • — Resources for individual, families, and professionals to create a vision for a good life and how to achieve it. The framework is designed for people of all abilities, ages, and stages of life.
  • Toolkit in Español

Care Notebooks & Record Keeping

Care notebooks enable families to keep important information about their CYSHCN in one place for quick and easy access. Keeping documents organized is helpful in tracking and managing appointments, condition, medications, treatment, health history, and provider contact information.

Organize Your Child’s Health Information, Seattle Children’s Hospital 

Create a Care Notebook, Family Voices