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Nemours Dupont Pediatrics, Jessup Street Earns Level 3 Patient-Centered Medical Home Status

Wednesday, Jan 7, 2015


Nemours DuPont Pediatrics, Jessup Street is the second pediatric practice in Delaware to meet highest standards for enhanced care through patient-clinician partnership.

The National Committee for Quality Assurance (NCQA) announced that Nemours duPont Pediatrics, Jessup Street (Wilmington) has received NCQA Level 3 Patient-Centered Medical Home (PCMH) recognition for using processes that focus on highly coordinated care and long‐term, participative relationships. The Jessup Street practice is the second pediatric practice in Delaware (following Nemours’ Seaford site) to achieve this distinction.

The NCQA Patient-Centered Medical Home is a model of primary care that combines teamwork and information technology to improve care, improve patients’ experience of care and improve health outcomes. Medical homes foster ongoing partnerships between patients and their personal clinicians, instead of approaching care as the sum of episodic office visits. Each patient’s care is overseen by clinician-led care teams that coordinate treatment across the health care system. Research shows that medical homes can lead to higher quality and lower costs, and can improve experiences of care for both patients and providers.

To earn recognition, which is valid for three years, Nemours duPont Pediatrics-Jessup Street demonstrated the ability to meet the NCQA program’s key elements, embodying characteristics of the medical home.  Under the leadership of Physician-in-Charge Hal Byck, MD and Office Manager Cynthia Lewis the practice underwent major quality improvement work along the way, focusing specifically on patients with asthma, chronic otitis media (ear infection) and ADHD.

Jessup Street’s two-year progression towards Level 3 designation, the highest level achievable under NCQA, included improved continuity of care (i.e., families seeing the same providers at every visit); establishing and communicating clear treatment goals; using the electronic medical record to flag compliance issues (e.g., follow up with specialty care); reducing office waiting time and improving communication between staff members and patients/families during office visits (e.g., informing them when there are delays and when they can expect to be seen). Goals and results were documented along the way, opening the window to better care and greater satisfaction for all patients in the practice. Feedback from families demonstrates a high degree of approval with the new processes.

Michael DiSalvo, LCSW, Jessup St.’s Care Coordinator said, “The entire team got behind the goal of getting to Level 3 designation, recognizing where there was room for improvement and working hard to address areas like communication and compliance. This recognition was earned by group effort and is very meaningful for the whole team. Outstanding care is always the ultimate goal.”   

“NCQA recognition shows that Nemours Pediatrics has the tools, systems and resources to provide its patients with the right care, at the right time,” said NCQA president Margaret E. O’Kane. Nemours/Alfred I. duPont Hospital for Children CEO Roy Proujansky, MD, added:  “Throughout the Nemours Children’s Health System, we are working comprehensively with patients and families to ensure their medical and non-medical needs are met.  Nemours has embraced family-centered care, it defines who we are. So we are particularly proud that the Seaford and Jessup Street practices exemplify this core value and in doing so have garnered recognition.”

Kevin Sheahan, MD, Chief, Nemours duPont Pediatrics, added:  “Our belief is that the Family-Centered Medical Home and NCQA certification will strengthen our ability to not only provide more comprehensive, coordinated care that meets the needs of our families, but will also position us in a big-picture way as we move away from episodic ‘sick’ care and towards holistic and preventive care. We’re very proud of the accomplishments of everyone at the Jessup St. practice.”

About Nemours

Nemours is an internationally recognized children's health system that owns and operates the two free-standing children’s hospitals: the Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., and Nemours Children's Hospital in Orlando, Fla., along with outpatient facilities in five states, delivering pediatric primary, specialty and urgent care. Nemours also powers the world’s most-visited website for information on the health of children and teens,, and offers on-demand, online video patient visits through Nemours CareConnect. Nemours is a program dedicated to preventing reading failure in young children, grounded in Nemours’ understanding that child health and learning are inextricably linked, and that reading level is a strong predictor of adult health.

Established as The Nemours Foundation through the legacy and philanthropy of Alfred I. duPont, Nemours provides pediatric clinical care, research, education, advocacy and prevention programs to families in the communities it serves.