CMHI Medical Home TAPPP(Gap) Analysis
CMHI has developed and tested a medical home assessment & gap analysis process called TAPPP (Team, Access, Population, Planned and Patient/family centered care) or CMHI Medical Home TAPPP™ (Gap) Analysis. The TAPPP™ AnalysisAnalysis has been explicitly designed to guide primary care practices towards high leverage changes; those associated with positive lasting medical home improvements. These change strategies are designed to simultaneously help a practice satisfy requirements leading to the National Committee for Quality Assurance: Patient Centered Medical Home Recognition (www.ncqa.org).
CMHI's Medical Home TAPPP™ (Gap) Analysis links generalizable knowledge – gleaned from literature review, conference participation, and 15 years of practice improvement experience – with the local context of a primary care practice to help them create their own medical home improvement work plan. We study the local context by a multi-method assessment process including the use of our Medical Home Index– Pediatric and Medical Home Index (adult); use an NCQA related assessment tool and a practice improvement capacity survey; and make individual practice site visits.
We combine these data gathered with regional and national knowledge about implementing the medical home to create a customized practice report that summarizes strengths and weakness and recommends short and long term improvements including next steps. We then provide a portfolio of tools and activities to assist practices with these recommendations.
{Contact the CMHI Coordinator, leah.reed@crotchedmountain.org for more information}.
