Safety Net Medical Home Initiativesnmhi-brief

The objective of the Safety Net Medical Home Initiative (SNMHI) is to develop and demonstrate a replicable and sustainable implementation model to transform primary care safety net practices into patient-centered medical homes (PCMH) with benchmark performance in quality, efficiency, and patient experience. The Initiative is administered by Qualis Health and conducted in partnership with the MacColl Institute for Healthcare Innovation at the Group Health Research Institute. Five regions are participating in the initiative: Colorado, Idaho, Massachusetts, Oregon, and Pittsburgh — where PRHI's work is focused. Together the regions represent 65 safety net practices across the U.S.

The Initiative is supported by The Commonwealth Fund, a national, private foundation based in New York City that supports independent research on healthcare issues and makes grants to improve healthcare practice policy. The Initiative also receives support from the Colorado Health Foundation, Jewish Healthcare Foundation, Northwest Health Foundation, The Boston Foundation, Blue Cross Blue Shield of Massachusetts Foundation, Partners Community Benefit Fund, Blue Cross of Idaho, and the Beth Israel Deaconess Medical Center.

Goals for the Initiative

At the clinic level, the primary goal of PRHI and our partner health centers is to realize improved patient outcomes, quality of care delivery and patient and staff satisfaction via practice transformation to patient-centered medical homes. To that end, health centers will strive to:

  • Improve partnerships between patients and care teams
  • Improve clinical outcome measures for patients with chronic diseases
  • Increase knowledge of how to “mine” data to inform quality improvement efforts
  • Improve teamwork to yield enhanced staff morale and patient care delivery
  • Reduce avoidable hospital readmissions, yielding improved patient care and a demonstrated return on investment
  • Improve efficiency of care delivery processes
  • Improve knowledge and skills related to quality improvement to decrease no-show rates, improve patient access and reduce non-value added work

At the policy level, we are challenging existing reimbursement and policy barriers to implementation and sustainability of the patient-centered medical home model. The stakeholder advisory group, consisting of representatives from local and state government, Medicaid and commercial insurers, consumer health organizations and other key groups, work together to identify and implement reimbursement and policy strategies to support the sustainability of high-performing medical homes.

Partner Clinics

Key Contact

Bruce Block, MD
Chief Learning and Medical Informatics Officer
This email address is being protected from spambots. You need JavaScript enabled to view it.

For additional information about the Safety Net Medical Home Initiative, refer to