About CCPGM and Our Healthcare Model

Since 2002 Community Care Partners of Greater Mecklenburg (CCPGM) has been providing team-based care management for Medicaid ACCESS II patients in Anson, Mecklenburg and Union counties.  Care management is an outcome-focused health care approach with the following five components:

1.     Patient identification and comprehensive assessment
2.     Individualized care plans
3.     Care coordination
4.     Reassessment and monitoring of goals
5.     Outcomes and evaluation

CCPGM is one of 14 networks within the state of North Carolina that are a part of Community Care of North Carolina’s (CCNC) public healthcare initiative. Using a population health management approach based on the “Triple Aim” (improve patient experience, improve population health and reduce costs),  CCNC’s networks  implement evidenced-based practices and targeted case management strategies.

It involves not only the delivery of physical health care services but also requires addressing social, mental and community issues. Central to CCNC’s health care model is matching each consumer with a medical home and utilizing a team-based care concept for:

  • Promoting self-management through a health coaching model  to foster a sense of responsibility for personal health.
  • Helping consumers to reduce and prevent hospitalizations.
  • Coordinating the care of consumers  with high-risk or chronic conditions such as diabetes or asthma to improve health outcomes.
  • Applying best practices for disease management initiatives.
  • Advocating on behalf of consumers and their families
  • Click here for CCPGM’s 2015 Program and Projects Overview to learn more about our health care model and initiatives
  • Click HERE for the overview of our history to display in your browser.

CMC Carolina Access II

21,000 Enrollees, 26 Practices, 7 Employees
Other key elements of CCNC’s care management model include:

  • A pharmacy team to assist with Medicaid medication policies and act as resources for patient medication and general drug information.
  • Specially trained coordinators for hospital-to-home transitions and palliative care.
  • Integrative behavioral health specialists to ensure behavioral health needs are met, along with physical needs as well.
  • Social workers who can link patients to community resources.
  • Initiatives to improve pediatric outcomes.
  • Click HERE  to learn more about CCNC.

 

Mission and Vision

Community Care Partners of Greater Mecklenburg Mission and Vision.

Mission Statement

We are dedicated to improving the health and quality of life of the people of North Carolina by supporting effective and evidenced-based health care delivery systems grounded in patient-centered medical homes.We do this through financial stewardship and respectful, proactive collaboration with patients, families, providers and other stakeholders in our community who seek to improve outcomes and enhance the wellbeing of those we serve.

Vision Statement

To be the nationally recognized leader in promoting high quality, value-driven, integrated community-based health care through patient empowerment, care management and medical home collaboration.