Table 1.
Disease Focus | Innovation Program | Intervention Type | Organization Running the Program | Central Staff |
---|---|---|---|---|
Asthma | Health Resources in Action, Inc. | Chronic disease management | Not‐for‐profit community health and medical foundation with seven sites | CHWs |
Le Bonheur Community Health and Well‐Being | Chronic disease management | Not‐for‐profit hospital | Physician, RN/RT, CHWs | |
Nemours Foundation | Chronic disease management | Not‐for‐profit integrated health system | CHWs | |
Cancer | Innovative Oncology Business Solutions, Inc. | Symptom management and care coordination | Entity created for HCIA, partnering with seven private community oncology practices | Triage RNs |
University of Alabama at Birmingham | CHW navigation for all cancer stages | Not‐for‐profit hospital system with partners across five states | CHWs | |
University of Virginia | Symptom management for advanced cancer | Private university health system | RNs | |
Cardiovascular disease | Christiana Care Health Services, Inc. | Postacute care and long‐term care coordination | Not‐for‐profit private hospital system | Care coordinators (RN) |
St. Francis Healthcare Foundation of Hawaii | Postacute care and telehealth intervention | Not‐for‐profit hospital system | RNs | |
Chronic pain | Mountain Area Health Education Center, Inc. | Case management and care coordination for chronic condition | Not‐for‐profit integrated health center with four sites | NP |
CHF, COPD, AMI | Pittsburgh Regional Health Initiative | Intensive coordination and disease management | Not‐for‐profit regional health improvement collaborative in six participating hospitals | RN, pharmacist, and care manager |
Dementia | University of California, Los Angeles | Comprehensive dementia care | Not‐for‐profit medical clinic part of university system | Care coordinator (NP) |
Diabetes | Southeastern Diabetes Initiative | Chronic disease management | Federally qualified health centers | Nurses (RNs) and CHWs |
Multiple chronic conditions | North Carolina Community Network | Care coordination for high‐risk pediatrics | Not‐for‐profit Medicaid vendor | Care coordinators (RN) |
Palliative Care Consultants of Santa Barbara | In‐home emergency department diversion program | Small for‐profit private practice | Care coordinators (RN) | |
Providence Portland | Comprehensive care management | Not‐for‐profit managed care organization serving three counties | Licensed clinical social workers | |
Sutter Health | End‐of‐life care coordination intervention | Not‐for‐profit hospital system | RNs | |
University Emergency Medical Services | Emergency department diversion program using CHWs | Not‐for‐profit medical clinic | CHWs | |
University of Iowa | Comprehensive care coordination | Private hospital system with 10 critical access hospitals | RNs | |
University of New Mexico | Specialist care comanagement | Public university health system | Care coordinators (NP/PA) and CHWs | |
Vanderbilt University Medical Center | Coordination of care transitions and longitudinal care management | Not‐for‐profit university hospital system with three affiliated practices | Care coordinators (RN) | |
Courage Kenny Rehabilitation Institute | Comprehensive care planning, patient education | Private not‐for‐profit hospital system (rehabilitation institute) | Care coordinators (RN) |
Credentials in parentheses denote education levels of care coordinators.
AMI, acute myocardial infarction; CHF, congestive heart failure; CHW, community health worker; COPD, chronic obstructive pulmonary disease; NP, nurse practitioner; PA, physician assistant; RN, registered nurse; RT, respiratory therapist.