Chen, Rui Heng Chan, Brian Lari, Jonathan Mitchell, Matthew

complex care socially complexed high-need high-cost primary care innovation Outcome Assessment, Health Care Social Work Primary Health Care Intensive Care Units Pharmacy Health Expenditures 2022 2022 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). Oregon Health and Science University Scholarly project capstone (M.D.) 10.6083/qr46r162g https://digitalcollections.ohsu.edu/record/9611/files/Chen.RuiHeng.CaptionWeek.2022.pdf