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The Multicultural Health Foundation's Patient Health Improvement Initiative |
California |
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The Multicultural Health Foundation's Patient Health Improvement Initiative (PHII) began as a 3-year pilot program that uses a multidisciplinary team to improve health outcomes for complex patients. The care team works closely with patients for up to 1 year to stabilize persistent health conditions, address underlying social determinants of health and develop sustainable treatment plans to achieve the best long-term health outcomes possible. Doctors specialize in meeting the unique needs of African American, Latino, Asian and Middle Eastern patients. |
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Partner Organizations |
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Target Population |
Chronically ill people living mainly in the medically underserved communities of Southeast San Diego, City Heights and National City who are high utilizers of emergency rooms and are frequently hospitalized |
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Care Team |
Physicians, social worker, RN, community health workers, nurse case manager |
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Timeframe |
2012 - present |
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Results/ Studies |
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Funding |
Federal and private grants, donations |
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Resources |
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