Medical Home Transformation (OC³)

Optimizing Comprehensive Clinical Care (OC³)

Healthcare is undergoing a great transformation as patients, providers and payors prioritize the whole scope of care, rather than individual, disconnected services. No longer is the focus limited to a single visit with a single patient. Instead, with the passage of the Affordable Care Act of 2010, healthcare providers, including safety net health centers, are tasked to be accountable for the care they provide their entire population of patients.

Optimizing Comprehensive Clinical Care (OC³) is a year-long curriculum designed to help health centers facilitate a culture of continuous improvement and communication. OC3 faculty include TACHC staff, outside consultants and current health center staff who share their knowledge and facilitate each cohort’s mastery of the concepts of access, office efficiency and team-based care.

What Does OC³ Mean?

The OC³ culture values data for improvement and institutes organization-wide processes to enable all staff to be active participants in performance improvement activities. Health centers that participate in OC³ use the program to work toward the Institute for Healthcare Improvement’s Triple Aim to improve patient experience, improve population health and reduce per capita costs.  

How Can (OC³) Help?
Each health center develops different goals for OC3 and draws on different elements of the curriculum to inform their individual work. Teams often choose to work toward the National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home recognition or The Joint Commission’s Primary Care Medical Home accreditation. The concepts and material in OC3 support both of these recognition programs. Health centers also set goals to improve access to appointments, improve productivity of administrative or clinical staff or refine performance in meeting clinical quality standards. OC3 begins with sessions on crafting specific goals and the faculty are available during the application process to help health centers identify where OC3 can benefit the center.

The OC³ Learning Year

The OC³ and Medical Home Transformation program brings together interdisciplinary teams from ten to fifteen health centers to work intensively for 12 months. Successful teams include clinical and administrative staff and leaders. Some health centers choose to have their entire quality improvement team participate in OC³ while others designate a subset of people to join the program and share their knowledge with colleagues.

During the year, teams participate in face-to-face learning sessions, semi-monthly webcasts and conference calls. Each team is matched with a faculty coach who provides individualized guidance and feedback throughout the year. Finally, teams have access to an email listserv to share ideas, resources and questions with teams from other health centers. After completing the curriculum, teams remain in touch through an active alumni listserv.   

  •  Applications for OC3 are accepted beginning in January each year.
  • The OC3 learning year begins in the spring. The curriculum is built around a series of 60 or 90-minute interactive webcasts taking place roughly every other week.
  • Teams submit monthly reports to their coaches who provide constructive feedback throughout the year.
  • Three face-to-face learning sessions take place in June, September and late March. These two-day learning sessions allow teams and faculty to connect with each other and focus on material that is best taught live. At least 3-5 people from each team are expected to travel to face-to-face learning sessions.
  • Tier 1, which provides the most teaching and support, is strongly recommended for all teams, especially those who have not been in OC3 before. Returning teams may choose to join in Tier 1, 2 or 3, depending on their goals and available resources.
  • For more information about the program application, costs or curriculum, please contact the clinical team at