Program Name: Montgomery Cares Patient Centered Medical Homes Program
Grant Amount: $599,514/3 years
The goal of this Montgomery Cares Patient Centered Medical Homes Pilot Project is to transform two participating safety-net clinics into patient-centered medical homes. Holy Cross Health Centers provide primary care to uninsured adults in Silver Spring and the surrounding areas at three clinic locations. HCH Clinics will implement a meaningful use compliant EHR (NextGen) during 2012 and plans are underway to participate in Medicaid 2012-2013.
The program will create a network of PCMHs, with physician-directed patient care and care continuity using a care team model. Care managers will anchor clinical teams to provide enhanced service to a medically and socially complex population. Specialty care services will be provided on-site at clinics and through organized networks of private providers. MCPCC would hire a clinical project director (.5 FTE) responsible for project oversight and two RN clinical care managers (1.5 FTE). Clinic staffing will include physicians, specialists and mid-level practitioners and will vary across clinics.