Ed Wagner’s chronic care model has appeared in thousands of Powerpoint presentations, but often to groups that represent traditional healthcare systems of larger governmental bodies. The community side is always mentioned, but details and examples are as frequently available. This study published today in JAMA Internal Medicine is one of the best examples of community impact that I have seen. Impressively, their data collection and reporting was quite rigorous, making their finding of a 20% decrease in the sales of sugar-sweetened beverages even more impressive. This occurred without the use of tax on sugar-sweetened beverages. Hopefully their approach will be replicated by other communities.
Abstract of the article is here.