Mission

Partners shapes the evolving health system by developing and spreading high value models of community-based care and self-management for diverse populations with chronic conditions.

What We Do

Create, test, adapt, and disseminate evidence-based models of care applied to care management for community living and aging well.

Deliver programs to improve chronic disease self-management, identify and resolve dangerous medication errors, thus preventing falls, averting costly ER use or hospitalizations, and preventing homelessness or nursing home placement through in-home care coordination.

Provide social care management, both brief and long term, as well as consumer empowerment through evidence-based workshops to enhance health self-management skills and behavior changes.