Vermont's Blueprint for Medical Homes, Community Health Teams, and Better Health at Lower Cost

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The Issue

Patients in primary care practices need additional support to manage chronic conditions and overcome obstacles to better self-care.


The Innovation

Community health teams—comprising nurse coordinators, behavioral health counselors, and social workers—help primary care practices assess patients' needs, coordinate community-based support services, and provide multidisciplinary care, through a program organized by the Vermont Blueprint for Health, a public–private partnership. The cost of teams, which offer individual care coordination and health and wellness coaching among other services, is shared by three major commercial insurers and state's Medicaid program.


Results 

The statewide program led to significant year-over-year decreases in hospital admissions (21%) and emergency department visits (31%). Objective assessments suggest early improvements in clinical quality and use, such as better control of hypertension.


Publication Details

Publication Date: March 8, 2011
Summary Writer: Sarah Klein
Citation:
"Vermont's Blueprint for Medical Homes, Community Health Teams, and Better Health at Lower Cost," Health Affairs, March 2011 30(3):383–86.
Related Topics
Health Care Delivery

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