Developed by the MacColl Center for the Safety Net Medical Home Initiative, the PCMH-A (Patient-Centered Medical Home-Assessment) self-assessment tool gives clinical practices a method for gauging progress in the medical home implementation process. Please contact us if you are seeking to use the PCMH-A in your work.
Change Concepts for Practice Transformation
Five Healthcare Systems
The Care Coordination Model
Reducing Care Fragmentation
To help clinical teams lift the quality of patient transitions and referrals, The Commonwealth Fund supported MacColl via Reducing Care Fragmentation to author a complementary set of materials aimed towards patient-centered medical home transformation.
Reducing Care Fragmentation: A Toolkit for Coordinating Care
Team Up for Health
The 42-month Team Up for Health initiative, funded by The California HealthCare Foundation, brought patients, their families and clinical teams together to define and test processes leading to better self-management of chronic conditions.
Building Teams in Primary Care
Building Teams in Primary Care, by Tom Bodenheimer, is a report to the California Healthcare Foundation with case studies of 15 diverse practice environments. Dr. Bodenheimer is the Chair of LEAP’s National Advisory Committee.
Partnering in Self-Management Support: A Toolkit for Clinicians
MacColl Senior Researcher Judith Schaefer, MPH is co-author of “Partnering in Self-Management Support: A Toolkit for Clinicians”, an introduction to supporting and collaborating with patients and their families in the daily management of chronic conditions.
The Primary Care Team: Learning from Effective Ambulatory Practices (the LEAP Project)
The Primary Care Team: Learning from Effective Ambulatory Practices (the LEAP Project) visited 30 primary care practices that use health professionals and other staff in ways that maximize access to their services, and is cataloging the results. Funding is provided by the Robert Wood Johnson Foundation.