This brief report offers impressions from leaders in two primary care practices that participated in the Safety Net Medical Home Initiative, contextualizing the experience of practice transformation from the perspective of the medical practice and providing insight on approaches that may support success. One of the papers included in the November 2014 Medical Care Supplement about the SNMHI.
Medical Home Characteristics and the Pediatric Patient Experience
This paper examines the association between SNMHI clinic PCMH characteristics and pediatric patient experience as reported by parents. One of the papers in the November 2014 Medical Care Supplement about the Safety Net Medical Home Initiative.
Associations Between Medical Home Characteristics and Support for Patient Activation in the Safety Net: Understanding Differences by Race, Ethnicity, and Health Status
This paper assesss the association between SNMHI clinic PCMH characteristics and patient perception of clinic support for patient activation, and whether that association varies by patients' self-reported race/ethnicity or health status. One of the papers about our Safety Net Medical Home Initiative included in the November 2014 Med
How 3 Rural Safety Net Clinics Integrate Care for Patients: A Qualitative Case Study
This paper examines challenges to care integration in rural safety net clinics and strategies to address these challenges. One of the papers included in the November 2014 Medical Care Supplement about our work in the Safety Net Medical Home Initiative (SNMHI).
Improving Care Coordination in Primary Care
This paper examines the utility of a newly developed Care Coordination Model in improving care coordination among participating practices in the Safety Net Medical Home Initiative. One of eight papers included in the November 2014 Medical Care Supplement about the SNMHI.
Development of a Facilitation Curriculum to Support Primary Care Transformation: The “Coach Medical Home” Curriculum
This paper describes Coach Medical Home, a publicly available web-based curriculum that provides tools, resources, and guidance for practice transformation support programs, including practice facilitators and learning community organizers. One of the eight SNMHI papers included in the November 2014 Medical Care Supplement.
Practice Transformation in the Safety Net Medical Home Initiative: A Qualitative Look
In this article, Ed Wagner and colleagues describe three diverse SNMHI practices selected based on their improvement as measured by the PCMH-A (Patient-Centered Medical Home Assessment). We interviewed 2-3 leaders from the each of 3 practices seeking information about their motivations for transforming, the methods used to make changes, and challenges and facilitators.
Unlocking the Black Box: Supporting Practices to Become Patient-centered Medical Homes.
This paper describes the multimodal technical assistance approach used by the SNMHI and the participating practices' assessment of its value and helpfulness in supporting their transformation. One of eight papers about the Safety Net Medical Home Initiative included in the November 2014 Medical Care Supplement.
The Safety Net Medical Home Initiative: Transforming care for vulnerable populations.
Included in the November 2014 SNMHI Medical Care Supplement, this paper evaluated implementation of the eight SNMHI change concepts using the Patient-Centered Medical Home-Assessment, and conducted a survey of participating practices to assess perceptions of the impact of the technical assistance.
Safety Net Medical Home Initiative 'Medical Care' Supplement
The nine papers in the special November 2014 supplement to the journal Medical Care describe progress and lessons learned from the Safety Net Medical Home Initiative (SNMHI). Authors include MaColl Center researechers as well as SNMHI staff and contributors across the country.