Of the four Community Health Partners (CHP) clinics in rural Southwestern Montana, three have Level III PCMH certification and one has Level I certification. In total, CHP serves about 12,400 patients in an area larger than the entire state of Connecticut.

In the early stages of PCMH transformation, the CHP site in Livingston, MT, used a patient-centered interaction self-assessment tool developed by the Safety Net Medical Home Initiative (http://nchealthliteracy.org/toolkit/) and identified a significant issue with phone call access for patients.