Best Practices Applied

Smiling medical professionals with patientThe health care landscape is complex, crowded, and constantly changing. The PCC is committed to ensuring that
the health care safety-net in our community remains strong in this transforming environment. We have a track
record of delivering credible, high quality services to prepare our partner organizations to evolve with the system.

Coalition Building — The PCC builds relationships across provider boundaries, across systems of care, and across
industry sectors. We bring stakeholders together to share innovative ideas, evaluate systems, identify areas for
improvement, and enhance communication for positive change in the entire community.

Quality Improvement — Every year the PCC monitors the quality of care provided by safety-net clinics operating
in Montgomery County and implements grant-funded programs and initiatives that raise the standard of care.
From improving cancer screening rates to establishing patient centered medical homes and preparing clinics to
become Medicaid providers, the PCC provides technical assistance to help our partners apply best practices at
their clinic sites.

Process Improvement — Multiple people and processes work on behalf of every patient from clinic staff to
laboratory and medical imaging professionals to hospitalists. Safety-net care also extends beyond the medical
system to include social service agencies, community health promoters, and even the patient’s family. The PCC
works with all these groups to improve patient care and outcomes by facilitating programs to streamline the
systems and processes using a data driven approach and continuous process improvement techniques.

Health IT — The PCC has a dedicated health informatics team working on a variety of projects to improve access
to information and data capture and analysis. In 2013, the PCC oversaw the implementation of a shared electronic
medical record in eight safety-net clinics. The PCC has also worked with experts to develop customized IT tools
like Care2Care, a scalable care coordination module that is used to keep track of patients who see more than one
provider in the Montgomery Cares Behavioral Health Program, Montgomery County MedBank, and Project Access.

Data Collection and Analysis —The PCC works primarily with direct patient data representing an ethnically
diverse, low-income segment of the county population. This population is likely to experience the greatest
disparities in access to care and health care outcomes as well as the greatest disease burden among subsets of the
county population. Through data collection and analysis the PCC measures population health, identifies trends,
and supports local health planning and improvement activities.