Improving care management for chronic diseases in community health centers
Official title: DEDICATE: aDvancing carE management aDoption In Community heAlTh cEnters
Funded at Ochin, INC. · NIH-10834669 · Data updated 2026-11-12
This study is all about finding better ways to help low-income and minority patients with chronic diseases by connecting them with local organizations that can support their health needs, using technology to make these connections easier and more effective.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Ochin, INC. NIH-funded |
| Lab location | 1 site (Portland, United States) |
| Project start | September 21, 2023 |
| Project end | August 31, 2026 |
| Funding year | 2023 |
| Award (this year) | $2,122,081 |
| NIH project number | 1R01NR021115-01 |
| Project ID | NIH-10834669 on NIH RePORTER |
Who could benefit from this research
✓Could help
Ideal candidates for this research are low-income individuals and racial/ethnic minorities with chronic diseases who receive care at community health centers.
✕Less likely to help
Patients who do not have chronic diseases or who are not receiving care at community health centers may not benefit from this research.
What this research studies
This research focuses on enhancing care management for low-income and racial/ethnic minority populations suffering from chronic diseases. It aims to improve the connection between patients and community-based organizations (CBOs) to address social risks that affect health outcomes. By utilizing electronic health records (EHR) to facilitate these connections, the project seeks to identify best practices for community health centers (CHCs) to better serve their patients. The approach includes systematic implementation of technology and workflow redesign to operationalize care management effectively.
Why it matters
Potential benefit: If successful, this research could lead to improved health outcomes and reduced health disparities for patients with chronic diseases.
How similar studies have gone: Previous research has shown that linking patients with community resources can improve health outcomes, indicating a promising approach in this area.
Where this research is happening
-
Ochin, INC.
Portland, United States Active
Researchers
- Principal investigator: Cook, Nicole Jill — Ochin, INC.
- Study coordinator: Cook, Nicole Jill
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.