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Research ArticleSpecial Reports

Community Care of North Carolina: Improving Care Through Community Health Networks

Beat D. Steiner, Amy C. Denham, Evan Ashkin, Warren P. Newton, Thomas Wroth and L. Allen Dobson
The Annals of Family Medicine July 2008, 6 (4) 361-367; DOI: https://doi.org/10.1370/afm.866
Beat D. Steiner
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Amy C. Denham
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Evan Ashkin
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Warren P. Newton
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Thomas Wroth
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L. Allen Dobson Jr
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    Table 1.

    2006 Community Care of North Carolina Diabetes Audit (n = 9,012)

    MeasureNCQAa 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%4047b
    HbA1c control >9.0%≤1521
    Blood pressure control ≥ 140/90 mm Hg (SBP ≥ 140 or DBP ≥ 90)≤3534b
    Blood pressure control <130/80 mm Hg (SBP <130 and DBP <80)2537b
    LDL control ≥ 130 mg/dL≤3719b
    LDL control <100 mg/dL365b

Additional Files

  • Tables
  • Supplemental Figure

    Supplemental Figure 1. Map of the expansion of Community Care of North Carolina Networks.

    Files in this Data Supplement:

    • 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.

    Files in this Data Supplement:

    • Correction
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The Annals of Family Medicine: 6 (4)
The Annals of Family Medicine: 6 (4)
Vol. 6, Issue 4
1 Jul 2008
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Community Care of North Carolina: Improving Care Through Community Health Networks
Beat D. Steiner, Amy C. Denham, Evan Ashkin, Warren P. Newton, Thomas Wroth, L. Allen Dobson
The Annals of Family Medicine Jul 2008, 6 (4) 361-367; DOI: 10.1370/afm.866

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Community Care of North Carolina: Improving Care Through Community Health Networks
Beat D. Steiner, Amy C. Denham, Evan Ashkin, Warren P. Newton, Thomas Wroth, L. Allen Dobson
The Annals of Family Medicine Jul 2008, 6 (4) 361-367; DOI: 10.1370/afm.866
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    • Abstract
    • INTRODUCTION
    • THE STRUCTURE OF CCNC
    • FUNDING CCNC
    • MEASURING THE SUCCESS OF CCNC
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