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Community Chronic Care Network

Community Chronic Care Network. Wells Shoemaker MD Medical Director, PMG Principal Investigator. Federal Health Research. NIH—What is True? CDC—What is Happening? AHRQ—What Works? Major emphasis upon technology tools to improve safety, consistency, affordability of care. The Project.

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Community Chronic Care Network

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  1. Community Chronic Care Network Wells Shoemaker MD Medical Director, PMG Principal Investigator

  2. Federal Health Research • NIH—What is True? • CDC—What is Happening? • AHRQ—What Works? • Major emphasis upon technology tools to improve safety, consistency, affordability of care.

  3. The Project • Expand a highly functional diabetes registry to all patients, all providers, all payors in Santa Cruz County • Core: Decision support for providers • Connect people with care • Spread best practices • Share with others

  4. Health Disparities • Solution is NOT to put band-aid over most disadvantaged, but rather: • Raise performance and consistency for all community members with diabetes • “Cultural challenge” for patients and their families, but also • “Cultural challenge” for professional change

  5. Challenges • Create technical linkages • Support trust and collaboration • Adoption of something new in practice • Scrupulously protect privacy • Embrace evolving electronic systems • Create a sustainable model

  6. Partners in CCCN • PMG and SCMF • Safety Net Coalition • The Alliance • Public Health Department • Cabrillo College • Pajaro Valley Community Health Trust • RDC • HIP-C

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