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Innovations
Navy Medical Home Clinics, Staffed by Integrated Primary Care Teams and Supported by Web-Based Systems, Improve Screening Rates, Access to Care, and Patient-Provider Communication 7/16/2014
Integrated primary care teams in medical home clinics, supported by a Web-based portal and personal health records, provide proactive, coordinated care, leading to higher screening rates, better access to care, and improved patient–provider communication.
Policy Major Health Systems Collaborate on Organizational Structures and Policies, Enhancing Access to Care and Reducing Uncompensated Care Costs for the Uninsured 7/2/2014
Large health care systems in Detroit came together to develop an organizational structure and common goals and policies designed to strengthen the safety net for uninsured residents, leading to increased enrollment in public insurance, enhanced access to primary and specialty care, and lower uncompensated care costs.
Medical Home Features Small Panels, Long Visits, Outreach, and Caregiver Collaboration, Leading to Less Staff Burnout, Better Access and Quality, and Lower Utilization 7/2/2014
A patient-centered medical home features smaller panel sizes and longer visits, pre- and postvisit outreach and care management, close communication and collaboration between physicians and other caregivers, upgrades to and better use of existing technology, and the elimination of productivity-based bonuses, leading to less staff burnout, fewer ambulatory sensitive admissions and emergency department visits, higher physician satisfaction, and improvements in access to and quality of care.
Teaching Clinic Offers Medical Home for Children With Complex Conditions, Leading to Fewer Emergency Department Visits and Highly Satisfied Families 7/2/2014
A resident education clinic implemented a multifaceted medical home for children with complex chronic conditions, leading to a significant reduction in emergency department visits and high levels of patient/family satisfaction.
Policy State Medicaid Program Pays Additional Capitated Fee to Integrated Primary Care and Mental Health Homes, Leading to Better Outcomes and Lower Costs 7/2/2014
The Missouri Medicaid Health Home program provides capitated payments to primary care and mental health medical homes that adopt an integrated staffing model that allows patients to receive both medical and mental health care, leading to better health outcomes and lower utilization and costs.
QualityTools
A Family Guide: Integrating Mental Health and Pediatric Primary Care 7/16/2014
This guide for families provides practical information about the integrated care movement and how this approach can improve the quality of care children receive in pediatric primary care settings.
Safety Net Medical Home Initiative: Resources and Tools 7/2/2014
This library of publicly available resources and tools can help safety net providers understand and implement the patient-centered medical home model of care.
Maximizing Health Care for Colorado’s Underserved 2/12/2014
This operational handbook for safety-net medical homes describes the experience of Doctors Care, a community-funded, nonprofit organization that helps underserved children, adults, and families receive the medical attention they need.
National Center of Medical Home Initiatives for Children With Special Needs Tools/Resources 12/18/2013
This Web site includes a variety of tools for families, youth, providers, insurers, communities, and States working to provide medical homes for children with special needs.
Practice Facilitation Handbook: Training Modules for New Facilitators and Their Trainers 11/20/2013
The Practice Facilitation Handbook is designed to assist in the training of new practice facilitators as they begin to develop the knowledge and skills needed to support meaningful improvement in primary care practices.

Last updated: July 16, 2014.