About: Mission
The Community Chronic Care Network will ensure that all people with chronic conditions in Santa Cruz County receive consistent and continually improving medical support by employing modern electronic tools and sharing clinical practice innovations among our diverse providers of care. This mission is based on the premise that health care should be safe, effective, patient-centered, timely, efficient and equitable.
Project Goals
The Community Chronic Care Network has received grant funding from the Agency for Healthcare Research and Quality for the period October, 2004 to September, 2007 to implement an electronic registry tool for diabetes care in support of this mission. The goals of the Community Chronic Care Network during this 3-year grant period are:
COLLABORATION: Build upon the existing maturing collaborations of healthcare providers in Santa Cruz County to support the sharing, adoption, and spread of best practices in chronic care management starting with diabetes care. The supporting collaborations include the Health Improvement Partnership, the Safety Net Clinic Coalition, and the Regional Diabetes Collaborative. (patient-centered; equitable)
ADOPTION: Promulgate and apply nationally approved diabetes care guidelines through a widely deployed point of service electronic registry tool and to support and coordinate with the development of electronic health records in Santa Cruz County. (safe, timely, efficient)
DECREASE COMPLICATIONS: Reduce the incidence of complications for persons with diabetes in Santa Cruz County along with the suffering that accompanies these complications. (safe. effective, patient-centered; timely)
EQUITY: Reduce and eventually eliminate disparities in diabetes care in Santa Cruz County through clinical practice innovation, patient activation, cultural responsiveness, and use of community resources across all sites of care. (patient-centered; equitable)
SUSTAINABILITY: Demonstrate overall economic savings to parallel improved clinical outcomes to create a business case to preserve and extend the use of modern electronic practice supports for the diversely funded local healthcare systems. (efficient, effective)