Article Figures & Data
Tables
Measure NCQAa Threshold % CCNC Patients % CCNC = Community Care of North Carolina; DBP = diastolic blood pressure; DPRP = Diabetes Physician Recognition Program; HbA1c = glycated hemoglobin; LDL = low-density lipoprotein cholesterol; NCQA = National Committee for Quality Assurance; SBP = systolic blood pressure. a Threshold from NCQA DPRP 2006 used for comparison purposes only. b Meets threshold. HbA1c control <7.0% 40 47b HbA1c control >9.0% ≤15 21 Blood pressure control ≥ 140/90 mm Hg (SBP ≥ 140 or DBP ≥ 90) ≤35 34b Blood pressure control <130/80 mm Hg (SBP <130 and DBP <80) 25 37b LDL control ≥ 130 mg/dL ≤37 19b LDL control <100 mg/dL 36 5b
Additional Files
Supplemental Figure
Supplemental Figure 1. Map of the expansion of Community Care of North Carolina Networks.
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- Supplemental data: Figure - PDF file, 1 page, 179 KB
In Brief
Community Care of North Carolina: Improving Care Through Community Health Networks
Beat D. Steiner , and colleagues
Background The United States leads the world in health care costs but ranks low in quality of care. This article describes Community Care of North Carolina, a partnership between practicing community doctors, hospitals, health departments, social services departments, and Medicaid to increase health care quality and reduce costs.
What This Study Found Community Care of North Carolina has improved health care quality and reduced costs since it began 10 years ago. The program is now saving the State of North Carolina at least $160 million per year.
Implications
- This program provides a model of care that could be implemented across the United States.
- Lessons learned from the North Carolina experience can be useful to others seeking to establish effective systems of care for patients with chronic illness.
Correction
Correction to Steiner BD, Denham AC, Askin E,Newton WP, Wroth, Dobson LA Jr: Community Care of North Carolina: improving care through community health networks. Ann Fam Med. 2008;6(4):361-367.
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