I3 PCMH Academic Collaborative
The I3 PCMH Collaborative is a practice transformation collaborative of 25 academic primary care teaching programs in NC, SC, and Virginia. Modeled after the IHI Breakthrough Series Collaborative methodology, teams from each of these sites participate in monthly Webinars, electronic Blackboard web site data posting and information sharing, and in four face-to-face meetings (2-days each) in order to share and learn from each other and from invited keynote speakers. Topics generally follow the NCQA Standards for PCMH Recognition, but also include additional topics such as behavioral integration, health literacy, transitions of care, etc.
The goals of this collaborative are:
1.) To provide a forum to propel practice transformation to PCMH models in teaching practices which train primary care physicians who will populate practices in the community.
2.) To assist each of the participating practices in achieving NCQA recognition for their teaching practices
3.) To develop and study methods of curricular innovation and integration for the purpose of enhancing medical education around training for the PCMH
4.) To study the outcomes of practice transformation in academic teaching programs
5.) To work with payers and other stakeholder to improve the ability to sustain the practice transformation that is underway
UNC Family Medicine
University of South Carolina Family and Preventive Medicine
Cabarrus Family Medicine
East Carolina University Family Medicine
Hendersonville Family Medicine residency
Asheville Family Medicine residency
SE AHEC Family Medicine residency
Wake Forest University Family Medicine residency
Southern Regional AHEC Family Medicine residency
Moses Cone Internal Medicine
East Carolina Internal Medicine
Wake Forest Internal Medicine
Carolinas Health System Pediatrics
UNC Pediatrics
AnMed Family Medicine residency
Greenville, SC, Family Medicine residency
McLeod Health System Family Medicine residency
Medical University of South Carolina Family Medicine
Spartanburg Regional Health System Family Medicine
Carilion/Roanoke Family Medicine residency
Fairfax Family Medicine residency
Eastern Virginia Medical Center Family Medicine
Lynchburg Family Medicine
University of Virginia Family Medicine
NC AHEC
All practices had EHRs at the start of the pilot
Very small number (<5) had active e-prescribing, web portals or highly functional registries
No consumer involvement to date (using patients as consumers)
SIgnificant involvement of residents as consumers of the educational programs related to this Collaborative
Variable - mostly FFS, but with state-specific enhancements based on payers
Mid-way through:
- 2 teams have received PCMH recognition
- 1 team has submitted NCQA application
- 2 teams are finalizing their application
- 8 teams are preparing their application
- 3 teams plan to submit before July 2010
- 7 teams plans to submit between July-Dec 2010
Four completed national meeting presentations
Three manuscripts under preparation
Early learnings and critical success factors have been determined
- State_Pilots:

