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Achieving IHI's Triple Aim by Utilizing Core Health Program With Community Health Workers in Rural Communities.
Fam Community Health
January 2019
Spectrum Health Healthier Communities, Spectrum Health Hospital Group, Grand Rapids, Michigan (Drs Fawcett and Neff); Spectrum Health, Grand Rapids, Michigan (Ms Freese Decker); and Spectrum Health Hospital Group, Greenville, Michigan (Ms Faber).
Utilizing a nurse/community health worker team model, a Midwest institution's community health care division developed a 12-month managed care program for underserved individuals diagnosed with heart failure and/or diabetes. A study of 277 patients was conducted to determine whether this model could be utilized in rural settings. The program was evaluated using the Institute for Healthcare Improvement's Triple Aim criteria; HEDIS measures and other health indicators quantified each patient's performance.
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