Safety Net

Medical Home Initiative

 

Jonathan Sugarman, MD, MPHPresident & CEO, Qualis Health

Principal Investigator, SNMHI

July 9, 2013

The Achievements and Contributions of the Safety Net Medical Home

Initiative

2SNMHI

65 Primary Care Practice Sites Supported by 5 Regional Coordinating Centers

Five Regional Coordinating Centers (orange) were selected from 42 applicants (blue) to participate

1.Colorado Community Health Network

2.Idaho Primary Care Association

3.Massachusetts League for Community Health Centers and Massachusetts Executive Office of HHS

4.Oregon Primary Care Association & CareOregon

5.Pittsburgh Regional Health Initiative

3SNMHI

Region Executive Sponsors Medical Home Facilitators

CO Polly Anderson, Annette Kowal

Victoria Gersuk,Jessica Sanchez

ID Tom Fronk, (Denise Chuckovich)

Teri Barker, Tim Heinze

MA Jean Carlevale,Ellen Hafer

Joanna Kreil, Joan Pernice

OR Laurie Francis, Craig Hostetler, David Labby

Jillian Currey, Irma Murauskas, Sally Retecki, Ariel Singer

PA Bruce Block, Karen Wolk Feinstein, Nancy Zionts

Kay Brewer, Jenn Condel, Tina Hahn, Maureen Saxon-Gioia

Regional Coordinating Center Leadership

4SNMHI

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

Technical Assistance

5SNMHI

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.

6SNMHI

SNMHI Results:Evidence of effective practice redesign and

external recognition

7SNMHI

8SNMHI

As of June 30, 2013: 81% achievedProjection through September 30, 2013: 86% achieved

81% of Sites Achieved PCMH Recognition

Goal line

9SNMHI

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

10SNMHIwww.safetynetmedicalhome.org

11SNMHI

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