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Medical Home Materials

The basic components of a medical home, as defined by the American Academy of Pediatrics, include care that is:

  • care that is accessible
  • family-centered
  • continuous
  • comprehensive
  • coordinated
  • compassionate
  • culturally competent

CRISS believes that all children with special health care needs should have a medical home.  To that end, we have developed materials for our member counties to assist CCS programs, families, and pediatric providers in ensuring that children in the CCS program have a medical home. A list of downloadable medical home materials is provided below.


Medical Home Index

The Medical Home Index is a nationally validated self-assessment tool designed to quantify the "medical homeness" of a primary care practice. The MHI-SV contains ten indicators which have been derived from the Center for Medical Home Improvement's original Medical Home Index. MHI indicators detail excellent, pro-active, comprehensive pediatric primary care. It functions both as a quality improvement tool and as a self education medium relevant to the medical home. MHI-SV

The full 25-item Medical Home Index can be downloaded from the CMHI website.


The Alameda County Medical Home Project (ACMHP) Binder

This binder of materials was developed specifically for Alameda County by the Alameda County Medical Home Project for Children with Special Health Care Needs to aid providers and their staff and agencies serving children to make appropriate referrals by providing a "snapshot" of major programs used by these children and their families.  The information in the binder on each program includes eligibility requirements, services provided, application procedures, and contact information for each resource.

While we do not have binders specific to each CRISS county, counties and others are welcome to adapt the Alameda County Medical Home binder to their own needs. ACMHP Binder 2016


The Alameda County Medical Home Project: Resources for Children with Special Health Care Needs and their Families PowerPoint

This PowerPoint is used for outreach to pediatric and family practices in order to familiarize the staff with the resources available for children with special health care needs and the routes for successful referrals. ACMHP PowerPoint 2007


CRISS County Resource Materials

CRISS has developed the following materials with resources specific to each of our larger counties. These materials can be downloaded and copied for use at the local level. The materials include:

Quick Reference Guide: a one page list of the major services that providers and agencies serving children with special needs typically use, with up-to-date contact information to simplify referrals.

Resource Referral Pads: pocket-sized sheets with agencies and services to which families commonly are referred and their contact information. These sheets can be printed in prescription pad-sized blocks that providers can keep handy in pockets or exam rooms.

Multi-Agency Spreadsheet: a chart with quick information on the major service systems used by children with special health care needs and their families, including basic information such as eligibility criteria, services provided, and contact information.




The Child Health Record

The Child Health Record is a comprehensive, portable medical record developed by physicians and parents with special health care needs. The CHR is an easy way to collect and organize a child's health, developmental, and other records and provides a useful tool to assist a parent or guardian to accurately communicate information with health care providers.

CHR 2005 English

CHR 2005 Spanish

Transition Materials

Alameda County Medical Home Project Transition Guide: This guide provides information on transition from pediatric to adult services. It includes resources from the Adolescent Health Transition Project, Department of Rehabilitation, Disabled Students Programs and Services, Regional Occupational Centers and Programs, and WorkAbility Programs.

It's Time for Transition: A Workbook for Young Adults, Families, and Medical Providers: The goal of this workbook is to organize the medical transition process into a smooth, successful move from pediatric focused to adult focused health care.

CCS Adolescent Transition Care Plan

CCS Adolescent Transition Review

CMS Transition Materials

CMS Youth/Young Adult Transition Worksheet

Emergency Preparedness Resources for CSHCN

The American Academy of Pediatrics (AAP) and other child-focused organizations strongly recommend that parents, caregivers and providers plan ahead for the care of children with special health care needs in the event of an emergency or natural or other disaster.  Materials are available to help families and providers with this planning.  Below are several examples of helpful materials:

Policy statement from the American Academy of Pediatrics on emergency preparedness for children with special health care needs.

Handy tip sheets on how to plan ahead for the care of children, particularly children with special health care needs, in emergencies and disasters. (Click here for the Spanish version)

Keeping Safe from Injury: A Guide for Children with Special Needs This guide was created by Bonnie Lovette RN MS PNP, Injury Prevention Coordinator, Trauma service, Children's Hospital & Research Center Oakland, with funding from The Kiwanis Cal-Nev-Ha Foundation. The guide includes recommendations on such issues as keeping your child safe from falls, choking, and fire; car safety and car seat options; emergency preparedness, and how to obtain a Letter of Necessity. (Click here for the Spanish version)

Epilepsy and Seizure Disorders: A Resource Guide for Parents

This guide was created for parents in order to give them basic information on epilepsy. The guide includes an introduction to epilepsy and seizure disorders for parents and provides them with additional resources.

Epilepsy and Seizure Disorders Guide 2010

Epilepsy and Seizure Disorders Guide Order Form in English

Epilepsy and Seizure Disorders Guide Order Form in Spanish

Regional Center of the East Bay: A Guide to Health Insurance

This guide will explain how the 2009 change to California Early Intervention Services Act affect how infant and toddlers receive services. This guide outlines how to work with your child's doctors and providers, health plans and the Regional Center to obtain services for infant and toddlers (birth to three years) who have developmental delays.

Regional Center of the East Bay: A Guide to Health Insurance: English

Regional Center of the East Bay: A Guide to Health Insurance: Spanish