Increase the proportion of children and adolescents who receive care in a medical home — MICH‑19 Data Methodology and Measurement

About the National Data

Data

Baseline: 48.6 percent of children and adolescents under 18 years received care in a medical home in 2016-17

Target: 53.6 percent

Numerator
Number of children and adolescents under 18 years receiving care in medical homes.
Denominator
Number of children and adolescents under 18 years.
Target-setting method

Percentage point improvement

Target-setting method details
Percentage point improvement from the baseline using Cohen's h effect size of 0.10.
1
Target-setting method justification
Trend data were not available for this objective. A percentage point improvement was calculated using Cohen's h effect size of 0.1. This method was used because it was a statistically significant improvement from the baseline.

Methodology

Methodology notes

The measurement of medical home access in the 2016 National Survey of Children's Health has been described in detail elsewhere. In brief, the overall medical home measure from the 2016 NSCH is a composite of five sub-component topics assessing whether the child had/received the following based on parent/caregiver report: had a usual doctor or nurse, had a usual source of sick care (other than the emergency room); received needed referrals, received needed care coordination, and received family-centered care.

History

Comparable HP2020 objective
Modified, which includes core objectives that are continuing from Healthy People 2020 but underwent a change in measurement.
Changes between HP2020 and HP2030
This objective differs from Healthy People 2020 objective MICH-30.1 in that objective MICH-30.1 tracked children and adolescents who have access to a medical home, while this objective tracks children and adolescents who receive care in a medical home. The wording change resulted from revisions in the data source.

1. Effect size h=0.1 was chosen to correspond with 10% improvement from a baseline of 50%.