Offering a variety of perspectives from patients, care team, and facility staff, this webinar will highlight a medical home model from Seasons of Maplewood in Minnesota that provides team-based, relationship-centered, on-site primary care for over 3,000 high-risk patients. The model emphasizes the coordination of care among primary care practices, assisted living, and group home facilities, and their use of an innovative communication portal to enhance workflows, order entry, and open communication.