Montgomery Cares has expanded from 5 to 12 organizations, enhancing patient capacity from 8,000 to 23,000 uninsured patients and implementing various health care programs, including a web-based electronic medical record and automated referral processes. Key initiatives included mental health assessments and services for homeless adults, providing support to almost 2,000 callers and servicing 3,000 referrals in fiscal year 2008. The Primary Care Coalition aims to provide equitable health services to low-income residents through collaboration with local governments, clinics, and hospitals.

1. Montgomery Cares Introduction HRSA 7-County Safety Net Summit June 23, 2009 Steve Galen, CEO

2. Montgomery Cares: Key Accomplishments System Development and Integration (Montgomery Cares) Developed system from 5 primary care clinic organizations to 12 organizations with 16 fixed locations and 20 + mobile van sites. (2 FQHC) Increased capacity from 8,000 patients (FY02) to 23,000 uninsured patients (FY09). CHLCare Web-based, Open Source, shared, electronic medical record in 7 clinics+; connect to ED Medicine Access Point of service (32) generic medicine; (30) PAP. $82/person/year. Specialty Care Access Programs Automated referral process, volunteer specialist networks, hub clinics, hospital-based services, and informal relationships. 3,000 referrals in FY 2008 Behavioral Health Care Collaborative care model, providing on-site mental health assessments, medication management, short-term therapy and referrals at three Montgomery Cares clinics. 490 patients in FY 2008 Oral Health Care Linked dental care to primary health care through direct referrals from all Montgomery Cares clinics to dental services at 2 sites. 625 patients in FY 2008 Health Care Services for Homeless Adults Primary care and supports services for homeless adults. 756 patients in FY08. Information & Referral Program I &R program providing assistance to nearly 2,000 callers in FY08. Population health activities IHI Triple Aim; reduce avoidable ED visits at the 5 hospitals; breast cancer screening; Financial support $11 million annual County; $20 million grants since 2001.

3. Primary Care Coalition of Montgomery County, MD The Primary Care Coalition is an independent, non-profit organization that strives to provide access to high-quality, accessible, equitable, evidence-based, cost-effective comprehensive health services to low income, uninsured County residents. The PCC vision is that Montgomery County will be the healthiest community in the nation. This is achieved through partnerships and collaborations with: Montgomery County government; 12 independent, nonprofit clinic organizations; Montgomery County Hospitals(5); Community-based organizations; Private medical community; and Foundations Contact: Steve Galen President & CEO Primary Care Coalition of Montgomery County, Maryland 301-628-3410 [email_address] www.primarycarecoalition.org