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Current Initiatives

Our current programs and initiatives include:

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


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.

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.

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.

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

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

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

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

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

Practice Transformation Network: Provides technical assistance and innovative tools to equip clinicians in North Carolina to deliver high-quality, value-based care.

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

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: At the heart of our network are quality improvement and care management initiative-targeted, physician created programs that help health professionals provide excellent care at a reasonable cost. 

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.

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