Program areas at PCC
Montgomery cares provides health Care to adults who live in Montgomery County, Maryland and have incomes below 250% of the federal poverty level. In fiscal year 2023, 22,693 patients received services through Montgomery cares, including Primary and preventive health visits, behavioral health services, referrals for specialty Care, and access to medications. Montgomery cares is a public-private partnership composed of independent safety-net Primary Care organizations, six hospitals, the Montgomery County department of health and human services, and the Primary Care Coalition, as well as volunteer health practitioners and other community-based organizations. The Primary Care Coalition administers Montgomery cares and is responsible for coordinating the services of the participating health Care partners to provide high-quality, efficient, accessible, and equitable health services to low-income, uninsured adults in Montgomery County.
Nexus Montgomery is a collaboration among Montgomery County, Maryland's six hospitals and community partners to promote health, reduce hospital utilization and manage total cost of Care for the shared community in ways that no single hospital could achieve on its own. The Primary Care Coalition has served as the management entity for nexus Montgomery since its inception in 2015, providing organizational infrastructure, staffing, data analytics, evaluation and program implementation. Programs include:- snf alliance: a learning collaborative with the hospitals and 30+ skilled nursing facilities (snfs) to improve snf capacity for quality Care, reduce readmissions to hospitals, and decrease total cost of Care.- behavioral health crisis systems: build community capacity (crisis beds, medical respite Care program for homeless), and facilitate collaborative efforts to set strategy and improve processes across entities for enhanced behavioral health crisis response.
Latino health initiative: por nuestra salud y bienestar (lhi-pnsb) began in fiscal year 2021 in response to the inequities many latinos faced in Montgomery County with covid-19, including having essential jobs, higher poverty rates, reliance on public transportation, tight living conditions, lack of health insurance, and a greater incidence of preexisting health conditions like diabetes. Pcc administers this multi-partner County health equity program for the hispanic/ latino community on behalf of the Montgomery County latino health initiative. The program includes an award-winning communications campaign, health promoters, case management, covid testing, and vaccine outreach.
Care for kids provides affordable Primary, specialty, behavioral health, and dental Care for children of low-income families in Montgomery County who are not eligible for other state or federal health programs. In fiscal year 2023, 8,648 children participated in the program, which provides access to services ranging from well child visits to case management for children with complex medical needs. Care for kids is a public-private partnership composed of the Montgomery County department of health and human services, Montgomery County school based health centers, private health Care providers and safety-net clinics, kaiser permanente of the mid-atlantic states and the Primary Care Coalition.
Other programs and services the Primary Care Coalition works on many levels to increase access to health Care and improve the health and lives of our neighbors who are experiencing vulnerability. We connect people to services. We support health Care providers with technical assistance in areas including quality assurance, data analysis and health informatics, and process improvement. We build systems by engaging diverse stakeholders to discuss shared challenges and develop systems of Care that meet the needs of our community. Examples of additional pcc programs designed to improve systems of Care for vulnerable residents:- connecting to health coverage. The Primary Care Coalition serves as the performance manager for the capital south region connector program, which assists prince george's County residents in enrolling in medicaid and private health insurance coverage through the Maryland health connection the state-based insurance marketplace.- point of entry project (pep). Working with Montgomery County public schools international admissions, a pcc client navigator connects newly immigrant families with Care for kids and social services.- healthy communities for asian americans and pacific islanders (aapi) pcc supports local aapi-serving community-based organizations to provide linguistically and culturally appropriate services to the diverse asian american community, including health and social services, senior wellness, mental health, and racial justice activities. Pcc is also providing technical assistance and capacity building for these cbos to improve data collection, which will further define the needs of the diverse aapi community