Community Health Centers and the Safety Net

By providing care for individuals at free or reduced-free rates, safety net primary care providers are critically important to ensuring the availability and quality of health care for those in need. Federally-funded community health centers comprise a significant component of the safety net, caring for over 20 million Americans each year. CCDTR investigators have performed key clinical, economic, and organizational studies examining community health centers. In particular, CCDTR investigators led a major evaluation of the effect of the Health Resources and Services Administration’s Health Disparities Collaborative effort (rapid quality improvement, Chronic Care Model, and regional/national learning sessions) on diabetes care and outcomes in health centers across the country. Community health center and safety net research continues to be a core area of study for the center.

Diabetes MESSAGES: Implementing Diabetes Group Visits and Text Messaging in Community Health Centers to Improve Outcomes Among Disadvantaged Patients

In a recent pilot study, “Implementing Diabetes Group Visits in Community Health Centers,” researchers from CCDTR and Midwest Clinicians’ Network (MWCN) tested an innovative way to care for patients with diabetes through group visits and a text messaging program. The purpose of the pilot was to develop and evaluate a staff training program, identify barriers […] Learn more

Behavioral Health and Diabetes Care in Community Health Centers

Patients who receive care at community health centers suffer disproportionately from diabetes and mental health disorders. To date, little research has examined how patients with comorbid diabetes and behavioral health problems are cared for in community health centers. In collaboration with Midwest Clinicians’ Network, we are surveying behavioral health leaders and primary care providers at […] Learn more

Do Performance Incentives Improve Healthcare Quality for Vulnerable Populations?

We are evaluating the impact of a P4P program aimed at improving diabetes care quality within our nation’s largest federally qualified health center, ACCESS Community Health Network. Learn more

The Health Center Value Study: Bureau of Primary Health Care Program Cost Analyses

The purpose of this study is to assess the value of care provided at community health centers by analyzing differences in cost, utilization, and quality of care among health center and non-health center patients. Learn more

Implementing Diabetes Group Visits in Community Health Centers

Findings from preliminary research we conducted as part of the study “Community Health Center Experiences with Diabetes Group Visits” have been used to develop and pilot test a diabetes group visit intervention in the community health center setting for six community health centers across the Midwest. Learn more

Transforming Safety Net Clinics into Patient-Centered Medical Homes Evaluation Project

The evaluation of the Safety Net Medical Home Initiative aims to make important practical contributions towards elucidating and measuring the PCMH, and answering key questions on attainment of the PCMH, outcomes, efficiency, and implementation. Learn more