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The Achievements and Contributions of the Safety Net Medical Home Initiative. Jonathan Sugarman, MD, MPH President & CEO, Qualis Health Principal Investigator, SNMHI July 9, 2013. 65 Primary Care Practice Sites Supported by 5 Regional Coordinating Centers.
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The Achievements and Contributions of the Safety Net Medical Home Initiative Jonathan Sugarman, MD, MPH President & CEO, Qualis Health Principal Investigator, SNMHI July 9, 2013
65 Primary Care Practice Sites Supported by 5 Regional Coordinating Centers • Colorado Community Health Network • Idaho Primary Care Association • Massachusetts League for Community Health Centers and Massachusetts Executive Office of HHS • Oregon Primary Care Association & CareOregon • Pittsburgh Regional Health Initiative Five Regional Coordinating Centers (orange) were selected from 42 applicants (blue) to participate
Technical Assistance • National Program Office: • Development of curriculum and training materials • National learning community support • Regional site visits • Assessment and feedback • Regional Coordinating Centers: • Medical Home Facilitators provided direct practice coaching • Regional learning community support • Coordination of regional stakeholder groups
The SNMHI Framework:The Change Concepts for Practice Transformation Wagner EH, Coleman K, Reid RJ, Phillips K, Abrams MK, Sugarman JR. The Changes Involved in Patient-Centered Medical Home Transformation. Primary Care: Clinics in Office Practice. 2012; 39:241-259.
SNMHI Results:Evidence of effective practice redesign and external recognition
81% of Sites Achieved PCMH Recognition Goal line As of June 30, 2013: 81% achieved Projection through September 30, 2013: 86% achieved
Enduring Contributions • Created and implemented a durable framework to guide effective transformation within and beyond the safety net • Facilitated significant changes in health care delivery and practice culture among participating practices • Developed a cohort of safety net sites to serve as exemplars and leaders in medical home transformation • Developed a comprehensive library of public domain resources and tools created by and for primary care practices
PCMH Implementation Resources • Patient-Centered Medical Home Assessment (PCMH-A) • 13 Implementation Guides provide implementation strategies, tools and case studies • 23 tools that can be used to test or apply the key changes, including an NCQA PMCH Recognition Crosswalk • Downloadable registry of tools and resources • 38 webinars • 3 policy briefs on medical home payment and health reform