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Transforming Family Medicine Practices

 

The Colorado Family Medicine Residency Patient Centered Medical Home (PCMH) Project facilitated the transformation of the family medicine residency practices into PCMHs and spurred the redesign of residency’s curricula to train physicians in the core competencies of PCMH care delivery. Residency practices made progress in several key areas, such as leadership realignment, team-based care, and resident involvement in the quality-improvement process.

  • High Quality

    High Quality

    IMPROVEMENT IN CARDIOVASCULAR HEALTH IN COLORADO & NEW MEXICO 

    BP improvement 48

    HgbA1c >9 reduction by 28

    Tobacco use screening increase by 15

  • High Quality

    High Quality

    HealthTeamWorks has demonstrated success in clinical quality improvement measures:

  • Provider & Team Vitality

    Provider & Team Vitality

    Improvements In Leadership & Staff Engagement Measures

  • High Quality

    High Quality

    Reduction In Chronic Disease In Colorado

    Providing a comprehensive approach that focuses on prevention, early detection, and treatment. 

  • Low Total Cost

    Low Total Cost

    Colorado All-Payer Claims Database showed the Total Cost of Care for the 3 largest PCP Practices in a Denver Metro independent practice association (IPA):

    "cost savings"

  • Patient Experience

    Patient Experience

    HealthTeamWorks Supported CPC practices reported 

    of patients getting timely appointments, care and information

  • High Quality

    High Quality

    Pediatric Measures Improved Across The Board

  • Low Total Cost

    Low Total Cost

  • Provider & Team Vitality

    Provider & Team Vitality

    Redesigned curricula to train physicians in the core competencies of PCMH care delivery resulting in...

    Population management measures
    Quality Improvement (QI) processes
    Continuity of Care
    Self-management Support follow-up
    Patient Centered Care
  • Low Total Cost

    Low Total Cost

    COLORADO MULTI-STAKEHOLDER PCMH PILOT 

    Sought to increase communication between the patient & caregiver, and improve coordination of care within a medical neighborhood. Resulted in: 

  • Low Total Cost

    Low Total Cost

  • Provider & Team Vitality

    Provider & Team Vitality

  • High Quality

    High Quality

    IMPROVEMENT IN CARDIOVASCULAR HEALTH IN COLORADO & NEW MEXICO 

    BP improvement 48

    HgbA1c >9 reduction by 28

    Tobacco use screening increase by 15

  • Low Total Cost

    Low Total Cost

    Colorado All-Payer Claims Database showed the Total Cost of Care for the 3 largest PCP Practices in a Denver Metro independent practice association (IPA):

    "cost savings"

  • Patient Experience

    Patient Experience

    HealthTeamWorks Supported CPC practices reported 

    of patients getting timely appointments, care and information

  • Provider & Team Vitality

    Provider & Team Vitality

    Improvements In Leadership & Staff Engagement Measures

  • Provider & Team Vitality

    Provider & Team Vitality

  • Provider & Team Vitality

    Provider & Team Vitality

    Redesigned curricula to train physicians in the core competencies of PCMH care delivery resulting in...

    Population management measures
    Quality Improvement (QI) processes
    Continuity of Care
    Self-management Support follow-up
    Patient Centered Care
  • Low Total Cost

    Low Total Cost

  • Low Total Cost

    Low Total Cost

    COLORADO MULTI-STAKEHOLDER PCMH PILOT 

    Sought to increase communication between the patient & caregiver, and improve coordination of care within a medical neighborhood. Resulted in: 

  • High Quality

    High Quality

    Pediatric Measures Improved Across The Board

  • Low Total Cost

    Low Total Cost

  • High Quality

    High Quality

    Reduction In Chronic Disease In Colorado

    Providing a comprehensive approach that focuses on prevention, early detection, and treatment. 

  • High Quality

    High Quality

    HealthTeamWorks has demonstrated success in clinical quality improvement measures:

Project Details

Location

Statewide, CO
United States

Payer Type
Grant
Practices
11
Duration
2015-2017