Primary Care Transition to Population Health Management (System Learning focus)

  • We are rolling out a series of rapid improvement learning collaboratives
    • Medical Home Clinic Workflow and Operations (CMS Practice Transformation Initiative)
    • Addressing Psychosocial Disparities (CCHHS Integrated Behavioral Health Project)
    • Chronic Disease/Med Management (CCHHS Care Coordination/Clinical Pharmacy Projects)

Health Disparity focused Maternal Child Health Service Line

  • Collaborate with OB, Peds, Nursing, Behavioral Health, Care Coordination
  • Build Volume and Community Engagement
  • Achieve Equity by Reducing MCH Disparities

Inter-disciplinary Training, Investigation and Research for Population Health

  • Define Common, Shared Strategic Goals and Objectives for Training/Research
  • Build Synergy and Alignment in Effort and Output
  • Measure and Track Performance