1. Family Medicine and Community Health UMass Family Medicine and Community Health Centers Multiple Relationships over 36 Years

2. Family Medicine and Community Health UMass/CHC Relationships Family Health Center of Worcester Community Health Connections Greater Lawrence Family Health Center Start/# of residents1974: 12-15 residents2003: 15-18 residents1995: 24 residents Faculty employerCHCDepartmentCHC Resident employerMed School CHC Faculty malpracticeFTCADepartmentFTCA Resident malpracticeDepartment FTCA FinancesDept pays for teaching time; CHC keeps clinical revenues Dept pays rent for residency; CHC pays for clinical service No $$ change hands between Dept and CHC OtherInpatients; predoc, graduate, dental training, research Predoc, medical leadership, behavioral health, sports medicine Predoc, research; Merrimac Valley AHEC

3. Family Medicine and Community Health Lessons Learned* Mission Scope of Services Governance Leadership Reporting requirements Funding Barriers to Efficiency

4. Family Medicine and Community Health Reasons to Establish Relationships Sincere belief in both missions No better way to prepare physicians for shortage area practice Financial support to transform residency practices that serve underserved populations Good approximation of the Patient-Centered Medical Home Physician recruitment and retention Important research to be done

5. Family Medicine and Community Health Reasons Not to Establish Relationships The residency needs more patients The health center needs more doctors The residency needs more money The health center needs more money Either side looking for an easier way to manage their operation

6. Family Medicine and Community Health Contacts At UMass Dan Lasser, MD Daniel.Lasser@umassmed.edu Daniel.Lasser@umassmed.edu Warren Ferguson, MD Warren.Ferguson@umassmemorial.org Warren.Ferguson@umassmemorial.org Vice Chair for Community Health, former CHC Medical Director Alan Chuman Alan.Chuman@umassmemorial.org Alan.Chuman@umassmemorial.org Department Administrator Fran Anthes Frances.Anthes@umassmed.edu Frances.Anthes@umassmed.edu CEO, Family Health Center of Worcester Mick Huppert MHuppert@chcfhc.org MHuppert@chcfhc.org CEO, Community Health Connections, Fitchburg FTCA: Marty Bree at the Triton Group 772-873-1865 mjbtriton@mac.commjbtriton@mac.com