Regional solutions for regional environments!
While testing its statewide model of healthcare delivery transformation, Idaho relied on primary care providers to practice patient-centered and effectively coordinated care. This coordination of care was impossible without mobilizing the complete medical-health neighborhood in which patients reside including-specialists, hospitals, behavioral health professionals, long-term care providers, pharmacists, social service agencies, and community-based organizations, just to name a few. At the local level, Idaho’s seven Public Health Districts served as the main facilitators of the regional effort to address the goals and objectives specified by SHIP. They assisted and supported primary care practices (PCPs) in their transformations to patient-centered medical homes (PCMHs), convened and supported Regional Collaboratives and worked with stakeholders to organize and advance greater connections among medical-health neighbors in the regions.
The Regional Collaboratives (RCs) facilitated development of the medical-health neighborhoods to strengthen patient care coordination and convened regional stakeholder advisory groups. The RC stakeholder advisory groups had direct input into the IHC through the PHD directors and RC chairs so regional and local concerns could be addressed at the state level. In the management of RCs, Idaho’s PHDs lead integration of public health and population management into the model, and brought an intimate knowledge of local healthcare resources to developing the medical-health neighborhood. Communities participated in needs-assessments and worked with the RCs to align specific performance metrics for the PCMHs in their regions with identified areas of need.