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Community Resources

2018 Michigan County Health Rankings

Provides actionable data and strategies to communities to make it easier for people to be healthy in their homes, schools, workplaces, and neighborhoods.


Creating Patient Centered Team Based Primary Care

From the Agency for Healthcare Research and Quality.

Guides and Policies

Safety Net Medical Home Initiative Implementation Guide

Safety Net Medical Home Initiative, May 2013


American Medical Association Steps Forward

Provides tools and resources to help build quality teams in the primary care setting.


Barriers and Facilitators to Expanding Roles of Medical Assistants in Patient-Centered Medical Homes

Many primary care practices are expanding the work role of their Medical Assistants


Jul 9 2014

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Peg Nelson, RN-BC, MSN, NP, ACHPN, St. Joseph Hospital Ann Arbor


eLearning Courses

The online eLearning series* is open to all care managers and physician office team members at no cost. Each lesson is stand-alone and may be completed at a time that works for you! The Basic Care Management Program consists of a series of online, interactive modules.  Each module has brief 15-30 minute lessons; ideal for the busy learner. The following eLearning courses are available:

  1. Role of the Care Manager
  2. Care Planning
  3. Medication Management
  4. Introduction to Advance Care Planning & Palliaitve Care
  5. Transitions of Care in the Primary Care Setting
  6. 5 Step Process
  7. Patient Family Engagement

*Qualifies for Longitudinal Learning Credits


SIM PCMH Care Management and Care Coordination Tracking Codes

To access the SIM PCMH Care Management and Care Coordination Tracking Codes Click Here

To access the SIM PCMH Initiative Care Management and Coordination Tracking Codes Questions and Answers. Once you click on the link then scroll down the page, click on "Resources".  Click Here


Primary Care team Guide

The Primary Care Team Guide, developed by staff at the MacColl Center for Health Care Innovation, offers practical advice, resources, and models to help leaders and staff engaged in or considering practice transformation build more effective care teams and deploy them to optimize patient care.


Spotlight On: Depression

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Spotlight On: Depression