Publications: Safety Net Medical Home Initiative

The Safety Net Medical Home Initiative announced three new supplements to the SNMHI implementation guides:

• Care Coordination: Strategies to Reduce Avoidable Emergency Department Use (February 2012)
  Provides strategies and interventions practices can use to reduce avoidable ED visits, including educating patients on appropriate use, enhancing access to the primary care practice, and improving care coordination and care transitions.

• Continuous and Team-Based Healing Relationships: Redefining Staff Roles: Where to Start (February 2012)
  Intended to be used by line, site, and organization-level leadership interested in redesigning staff roles for PCMH transformation. It includes recommendations on how to begin the process of redesigning roles and how to avoid pitfalls.

• Organized, Evidence-Based Care: Improving Care for Complex Patients: The Role of the RN Care Manager (January 2012)
  Defines care management and provides practical recommendations about how to provide care management services to high-risk patients. It encompasses both efforts to coordinate care and to deliver clinical services such as monitoring, self-management support and medication review and adjustment.