A website developed as a resource for practice facilitators as they work with practices to improve care quality, using the principles set out in the Safety Net Medical Initiative's Framework for Practice Transformation.
The Safety Net Medical Home Initiative (SNMHI) was a national Patient-Centered Medical Home (PCMH) demonstration to guide 65 primary care safety net sites to become high-performing medical homes and improve quality, efficiency and patient experience.
This resource page from the California Improvement Network (CIN), launched in June 2018, consists of a short list of relevant and timely resources to help health care organizations in this complex endeavor, regardless of the organization’s history of effort and investment.
Some health centers have been using the National Association of Community Health Center (NACHC) Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) tool to document SDH data.
Dr. Thomas Bodenheimer and colleagues propose that the goal embodied in the Triple Aim of improving the health of populations, enhancing the patient experience of care, and reducing the per capita cost of health care be joined by a fourth goal, improving the work life of health care providers, including clinicians and staff as a way to address burnout and coming shortages of personnel.
This toolkit was created for clinics, practices, and health systems focused on improving care coordination by transforming the way they manage patient referrals and transitions. Providing coordinated care is an essential feature of any patient-centered medical home (PCMH)— and one that can be challenging to implement. This toolkit was developed to make it easier.