The Florida Department of Health in Osceola County (OCHD) is a state governmental agency that operates the Primary Care Medical Services of Poinciana Federally Qualified Health Center (FQHC). Osceola County, Florida is federally designated as a Medically Underserved Area/Population and a Health Professional Shortage Area (primary medical, dental, and mental health). Their Practice Transformative Model seeks to integrate their current public health HIV/AIDS clinical services program into their FQHC network’s primary care services, using the Primary Care Medical Home (PCMH) model. This team-based approach will increase their capacity to serve more patients, sharing patient care responsibilities among members of an inter-professional care team.

OCHD seeks to transform the limited practice capability of its current HIV program into a systematic, comprehensive, inter-professional health care system that improves capacity and quality of primary care for its patients. The PCMH model has been shown to provide better care, because it is provided not by isolated clinicians but by well-organized teams that collectively have the skill and time to meet the comprehensive needs of patients, to address health disparities, and to improve health outcomes.