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This project focuses on expanding a diabetes registry to improve care consistency and affordability, emphasizing technology tools. The goal is to connect people with care, spread best practices, and address health disparities by raising performance for all community members with diabetes. Challenges include creating technical linkages, supporting collaboration, ensuring privacy, and adopting new practices. Partner organizations include PMG, Safety Net Coalition, Public Health Department, and others.
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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 • 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
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
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
Partners in CCCN • PMG and SCMF • Safety Net Coalition • The Alliance • Public Health Department • Cabrillo College • Pajaro Valley Community Health Trust • RDC • HIP-C