Healthy Howard’s Advanced Primary Care Collaborative worked to improve primary care delivery for Howard County residents by helping providers work toward Patient Centered Medical Home (PCMH) standards. The principles of PCMH, which were developed by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Physicians and the American Osteopathic Association, focus on providing comprehensive, team-based, coordinated care in a culturally and linguistically appropriate manner.
The Advanced Primary Care Collaborative was modeled after the statewide Maryland Learning Collaborative and provided assistance to medical practices in three ways:
- Gather adult primary care providers for collaborative learning events with speakers and topics that have been identified by project consultants and participating practices
- Provide coaching with individual practices to assess PCMH-readiness and address areas where the practices would like assistance
- Work with practices to identify high-utilizer patients and make referrals to Healthy Howard’s Community Care Team for a 90-day, home-based intervention that provides assistance with appointment follow-up, medication reconciliation, connections to community health resources and chronic disease self-management education.
This program is inactive as of July 1, 2016 and will merge with HCGH’s Primary Care Advisory Council in FY17.