Practice Transformation

In our region

Part of a national movement, health care innovation is well underway in 65 medical offices in Rochester and the Finger Lakes. Through the nation's largest 2012 Center for Medicare and Medicaid Innovation award, Common Ground Health provided these practices with an on-site care manager, a new type of health care professional who helps patients with complex medical conditions. The organization also brings training in team building, motivational interviewing and the use of electronic medical records for tracking practice-wide health outcomes. For details, download the award overview.


Find CMMI award practices


Click the image above for an interactive Google map with the names and locations of primary care practices that are part of the practice transformation initiative funded by the Center for Medicare and Medicaid Innovation.

Going forward

Common Ground Health is partnering with New York eHealth Collaborative to co-lead a $48.5 million effort to help medical practices in our region and around the state transition to team-based, data-informed care. Called the New York State Practice Transformation Network, the project aims to support more than 11,000 clinicians. With the transition from fee-for-service to value-based care, providers are struggling to meet a plethora of new demands. The Practice Transformation Network will provide the critical support needed to realize the full potential of this new model of care for improving health, both for individuals and populations.


Initiatives - Advaned Primary Care - Articles Featured

Initiatives - Advaned Primary Care - Articles

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    Succeed in the new world of value-based payments

    May 22, 2017

    From MACRA and MIPS to SIM and SHIP, federal and state programs have made the primary care landscape more complex than ever before. That’s where our expert consultants can help. Common Ground Health can provide no-cost assistance to practices looking to participate in the state’s Advanced Primary Care model or prepare for new quality reporting requirements.

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    The Finger Lakes region embraces primary care 2.0

    July 13, 2016

    For the past four years, sixty five primary care practices—about a third of the region’s primary care providers—have partnered with Finger Lakes Health Systems Agency on an uncharted journey to make our medical system as good at preventing medical emergencies as it is at treating them. The $26.6 million experiment in primary care innovation is showing how teamwork and smart data can improve patient care and reduce costs.

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    Network offers medical practices a running start on new value-based payments

    June 14, 2016

    To get ahead of a shift from volume to value-based payments for medical services, Finger Lakes Health Systems Agency and the New York eHealth Collaborative are recruiting primary care, pediatrics and specialty care providers to take part in New York State’s new Practice Transformation Network.

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    Aging expert calls for 'all hands on deck' to meet seniors' care needs

    April 19, 2016

    Recognizing that there will be too few geriatricians to meet the needs of our growing senior population, the medical community needs to train and make use of the talents all those who come into contact with seniors, including family caregivers and non-medical professionals, said renowned geriatrics expert Jennie Chin Hansen.

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    Care managers get training in crisis response

    April 15, 2016

    To address upticks in mental health visits and a dramatic increase in heroin overdoses, FLHSA is offering Mental Health First Aid Training to care managers in its practice transformation initiative. The free two-day course prepares clinicians to “recognize the signs, symptoms and risk factors” for mental illness, said trainer Jay Roscup, grants administrator for Eastern Wayne County schools.

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    Care management gives patient 'new life'

    October 05, 2015

    Ronald Secor was so compromised from pulmonary fibrosis he was slowly suffocating. Then he started working with Kathleen Hoven, a new type of medical professional called a care manager.

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    Patient support leads to 'phenomenal' results

    October 05, 2015

    So much of medicine in the last century has been focused on technological miracles. But as this video reveals, treating many of today’s chronic illnesses calls for old fashioned human caring and professional support.