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Abstract
A large percentage of the total health care expenditure lies in a small percentage of the total population. The SUMMIT team, an ?ambulatory ICU? intensive primary care intervention of physician, nursing, social work, pharmacy, and care coordinator with low patient-to-staff ratios, was created to improve utilization and patient experience at a Federally Qualified Health Center (FQHC) in Portland Oregon. This study assessed improvements in cardiovascular health markers in patients in the SUMMIT compared to traditional care (TC).