University of Michigan School of Nursing (UMSN) will expand its partnership with Community Health and Social Services (CHASS) Center by implementing a new program for Registered Nurse Chronic Care Coordinators to lead interdisciplinary teams, which include MDs, pharmacists, support staff, and social workers.
“The nurse leaders will work with the teams to develop a sustainable model of interprofessional care that improve chronic care outcomes,” says UMSN Clinical Associate Professor Donna Marvicsin, PhD, PNP-BC, CDE, who will serve as the project director.
CHASS is located in Southwest Detroit and serves one of the poorest areas of the city, with 68% of the residents living 200% below the federal poverty level. CHASS has identified chronic disease care management as a key area needed to address high levels of health disparities such as diabetes, cardiovascular disease, asthma, poor birth outcomes, poor immunization rates, and mental health issues in their patients.
With a $1.5 million dollar grant from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA), UMSN and CHASS will implement the new program using a Patient Centered Care Medical Home (PCMH) model. Read more