Programs & Initiatives

To achieve our objective of improving health outcomes and reducing health care costs for Medicaid enrollees, Community Care of Southern Piedmont has a variety of evidence-based programs and initiatives to reach out to the population.

Our programs and initiatives include:

(Find out more detailed information on each program by clicking the appropriate link.)

Care Management:  Utilizes evidence-based, best practices in coordinated care in the delivery of case and disease management services.

Patient Centered Medical Home:  Emphasizes a long-term patient-physician relationship that results in continuity of care, lower costs and improved health outcomes.

Transitional Care:  Utilizes structured interventions to ensure coordination and continuity of health care as patients transfer between different locations or different levels of care.

Chronic Disease Management:  Utilizes established standards of management for chronic disease patients across our network to reduce health care costs and improve health outcomes.

Pharmacy:  Coordinates pharmacy activities that assure safe, effective, appropriate, and economical use of medications.

Palliative Care Initiative:  Improves quality of life and access to care for incurably ill patients and their families.

Behavioral Health Integration Initiative:  Helps to bridge relationships between primary care and behavioral health providers as they work together to treat the overall healthcare needs of patients that they share.

Project Lazarus:  Strives to reduce unintentional opioid overdoses, promote education about safe and responsible prescribing, and how to provide the best and safest care to patients who suffer from chronic pain.

Quality Improvement:  Utilizes rapid-cycle quality improvement within the medical home to enhance treatment and contain cost.

Health Check Program:  Assists children and youth with early detection of childhood diseases, understanding insurance benefits and community resources.

Pregnancy Medical Home:  Increases access to care and improved birth outcomes using pregnancy care managers and the medical home model.

CC4C:  Utilizes a comprehensive health assessment for at-risk children from birth to 5 years of age to develop plan of care and frequency of contacts with medical home.

Innovative Approaches:  Improves community-based, family-focused systems of care for children and youth with special needs up to age 21.

Assuring Better Child Health and Development:  Improving the quality of child development services in the medical home by providing education, resources, screening tools, as well as support to monitor and improve developmental screening and referral rates for children birth-5 yrs.

Reach Out and Read:  Promotes early literacy and school readiness during well-child checks by integrating children's books and advice to parents about the importance of reading aloud.

Community Focused Eliminating Health Disparities Initiative:  Provides care management and pharmacy services to decrease the rate of heart disease among African Americans and Hispanic/Latinos.

Beacon Community:  Utilizes a U.S. Department of Health and Human Services $15.9 million grant to strengthen our community's health IT infrastructure and health information exchange capabilities.

CHIPRA:  Establishes comprehensive medical homes for children and youth who have special health care needs.

Child Health Accountable Care Collaborative:  Assists children with complex, chronic illnesses who have been in a neonatal intensive care or pediatric intensive care unit and are at risk for readmission because of their fragile and complex medical state, technology dependence, and the potential for technology malfunction.