Community-Created Programs: Can They Be the Basis of Innovative Transformations in Our Health Care Practice? Implications from 15 Years of Testing, Translating, and Implementing Community-Based, Culturally Tailored Diabetes Management Programs.

The article discusses the benefits of community-created programs such as the Chronic Care Model (CCM) developed by Ed Wagner and colleagues, which recognizes that a major portion of chronic care management takes place outside of formal health delivery settings. Project Dulce was developed in San Diego, California to meet the American Diabetes Association (ADA) Standards of Medical Care and achieve improvements in A1C, blood pressure, and lipid parameters, and has been quite successful.