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

2. Federal Health Research NIH—What is True? NIH—What is True? CDC—What is Happening? CDC—What is Happening? AHRQ—What Works? AHRQ—What Works? Major emphasis upon technology tools to improve safety, consistency, affordability of care. 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 Expand a highly functional diabetes registry to all patients, all providers, all payors in Santa Cruz County Core: Decision support for providers Core: Decision support for providers Connect people with care Connect people with care Spread best practices Spread best practices Share with others Share with others

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

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

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