1. Safety Net Medical Home Initiative Jonathan Sugarman, MD, MPH President & CEO, Qualis Health Principal Investigator, SNMHI July 9, 2013 The Achievements and Contributions of the Safety Net Medical Home Initiative

2. 2 SNMHI 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

3. 3 SNMHI RegionExecutive SponsorsMedical Home Facilitators COPolly Anderson, Annette Kowal Victoria Gersuk, Jessica Sanchez IDTom Fronk, (Denise Chuckovich) Teri Barker, Tim Heinze MAJean Carlevale, Ellen Hafer Joanna Kreil, Joan Pernice ORLaurie Francis, Craig Hostetler, David Labby Jillian Currey, Irma Murauskas, Sally Retecki, Ariel Singer PABruce Block, Karen Wolk Feinstein, Nancy Zionts Kay Brewer, Jenn Condel, Tina Hahn, Maureen Saxon- Gioia Regional Coordinating Center Leadership

4. 4 SNMHI 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

5. 5 SNMHI 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.

6. 6 SNMHI SNMHI Results: Evidence of effective practice redesign and external recognition

7. 7 SNMHI

8. 8 As of June 30, 2013: 81% achieved Projection through September 30, 2013: 86% achieved 81% of Sites Achieved PCMH Recognition Goal line

9. 9 SNMHI 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

10. 10 SNMHI www.safetynetmedicalhome.org

11. 11 SNMHI PCMH Implementation Resources Patient-Centered Medical Home Assessment (PCMH-A)Patient-Centered Medical Home Assessment (PCMH-A) 13 Implementation Guides provide implementation strategies, tools and case studiesImplementation Guides 23 tools that can be used to test or apply the key changes, including an NCQA PMCH Recognition CrosswalkNCQA PMCH Recognition Crosswalk Downloadable registry of tools and resourcesregistry of tools and resources 38 webinars 3 policy briefs on medical home payment and health reform