safety net medical home initiative jonathan sugarman, md, mph president & ceo, qualis health...
TRANSCRIPT
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