The Health Care Innovation Award was supported by Funding Opportunity Number CMS-1C1-12-0001 from Centers for Medicare and Medicaid Services Center, Center for Medicare and Medicaid Innovation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the HHS or any of its agencies. Health Care Innovation Challenge (Cooperative Agreement) Opportunity Number CMS-1C1-12-001; CFDA: 93.610

Health Care Innovation Award: Medical Neighborhoods Transform Rural Care Delivery

Wyoming’s health care challenges

Wyoming’s health care delivery system can be difficult to navigate for high-risk patients. The health care system is currently fragmented: Wyoming’s rural landscape makes it difficult for many to recieve the appropiate level of care, and communication between providers could be improved. This makes it difficult for high-risk patients to navigate the health care system, yet many other factors explain why seeking care in the emergency room may be the easiest option for many.

Making primary care the easiest, best option


Medical neighborhoods encourage the flow of information across sites of care and between clinicians and patients, helping coordinate a complex, dispersed health care system.

Leading The Transformation


Building Individualized Patient-Centered Medical Homes Across Wyoming


The HCIA Strategic partners, working with the WYICN members, collaborate to build medical neighborhoods. Patient-Centered Medical Homes (PCMHs) function as the core of medical neighborhoods.


Led by primary care providers, the powerful PCMH care model creates a highly connected, value-driven system focused on comprehensive, individualized patient services including wellness and proactive case management.


Achieving the Three-Part Aim


The HCIA Strategic Partners

The Institute and its partners worked collaboratively to develop the plan promoting the three-part aim. The resulting strategies represent an aggressive, yet achievable, plan to transform care delivery in Wyoming and hard-wire improvements. The HCIA partners are deploying best-practice, consensus-developed innovations supported by the award.