The Rural Health Care Coordination Network Partnership Program: Avera St. Mary's Completing the Circle Project

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Describes and examines the impact of a care coordination program developed by Avera St. Mary's located in Pierre, South Dakota. Used a Patient Centered Medical Home (PCMH) model, providing services to patients with type 2 diabetes, one-third of whom were American Indian. The program's care team connected patients to resources and coordinated the patient's primary care providers, medications, specialists, other health care services, and a variety of social services. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.

2020

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NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center

American Indian or Alaska Native · Care coordination · Diabetes · Medical homes · Pharmacy and prescription drugs · Wellness, health promotion, and disease prevention · South Dakota