1. Add Support: Technical Medication Behavioral Dental Office Rural Health & Community Care Recruit Providers Build Rural Clinics Medicaid CCNC Networks Focused on Quality Assist the Safety Net Division of Medical Assistance Safety Net & Private Primary Care Providers with assigned beneficiaries Forty Years of State Infrastructure Recruit Providers Assist the Safety Net Build Rural Clinics Safety Net & Private Primary Care Providers with assigned beneficiaries Safety Net & Private Primary Care Providers with assigned beneficiaries Safety Net & Private Primary Care Providers with assigned beneficiaries Safety Net & Private Primary Care Providers with assigned beneficiaries Safety Net & Private Primary Care Providers with assigned beneficiaries Safety Net & Private Primary Care Providers with assigned beneficiaries Safety Net & Private Primary Care Providers with assigned beneficiaries Safety Net & Private Primary Care Providers with assigned beneficiaries Safety Net & Private Primary Care Providers with assigned beneficiaries

2. CCNC Population Health Care Management Informatics Center Rural Health Health Net & MARP (uninsured) & AHRQ Medicaid Public Health HHS Payers ABD & Dual & Meaningful Use Pregnancy Home & At Risk Children Transformation Mental Health AHRQ MAPCPMAPCP BEACON & CHACC CCNC’s Perspective Business First in Health CCNC’s 1500+ Primary Care Practices CCNC’s 14 Regional Networks CHIPRA

3. What collaboration looks like from the ground floor perspective Rural practice New community health center Rural track residency program Integrated health HCAP Near Miss project Bridges to Health ORH—recruiting asst. ORH—financial support CCNC—care manager, QI support pharmacist, BH, mini-grants Health Net AHRQ grant

4. If this is possible for complex uninsured Imagine what is possible for individuals with coverage https://www.communitycarenc.org/quality-improvement/

5. Lessons on sustainability Develop and maintain rich collegial relationships  Relationships matter.  Building on trust, seeking win-win solutions to common problems, regular contact.  Build a shared vision that is grounded in quality Structures to allow, support, and encourage collaboration  Complex collaborations require a formal structure Aligned interests  Organizations each need to find some benefit in the collaboration; has the ability to leverage existing infrastructure to achieve positive outcomes.  Regular comparison of interests and goals are needed to make sure projects do not drift off into the weeds.