Community Clinic, Inc. Collaborative Greater Baden Medical Services (Greater Baden)
Program Name: FQHCs as Community Hubs of Care Management
Grant Amount: $1,585,521/3 years
This program is leveraging the CareFirst investment over three FQHC centers in two counties. CCI serves the uninsured, underinsured and Medicaid patients in Montgomery and Prince George’s Counties at seven permanent locations. The Community Hubs of Care Management program will be implemented in the CCI Silver Spring and Takoma Park clinic sites and will serve patients from Montgomery and Prince George’s Counties. Greater Baden Medical Services, Inc. provides primary care services to residents of Southern Maryland and will be implementing the program at their Brandywine location in Prince George’s County.
The program will substantially increase support to high-risk patients and families in self-management and accessing services. Specifically: Integration of community health workers (provided by Casa de Maryland) as part of primary care team, expanding use of EMR, collaborating with external entities, and making sound data collection and evaluation a priority. Grant will support a care management coordinator, nurse care manager, health educator, data analyst, nurse practitioner, IT manager and six community health workers.