Definition: Percentage of children ages 0-17 with special health care needs who receive coordinated, ongoing, comprehensive care as part of a 'medical home,' by household income level. (E.g., in 2009-2010, 21% of California children with special health care needs living below the Federal Poverty Level (0-99% of FPL) received care within a medical home. In 2010, the FPL was $22,050 for a family of four.)
Data Source: Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health, National Survey of Children with Special Health Care Needs (Dec. 2012).
Footnote: Children with special health care needs are defined as those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally. The American Academy of Pediatrics defines a medical home as a model of delivering primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective. For more information, see http://www.medicalhomeinfo.org. Five of the seven components of medical home and the presence of a personal doctor or nurse are assessed by the National Survey of Children with Special Health Care Needs. To qualify as having a medical home, a child must have a personal doctor or nurse and meet the criteria for adequate care on every needed component. Comparisons between 2000-2001 and 2005-2006 data should not be made due to differences in the sets of questions used to assess some medical home components, and to differences in the reporting of households with unknown income.