Bilingual Community-Based Chronic Care Project

Project Overview (PDF)

1st Funding Cycle Implementation Award
Project Start Date: April 1, 2005
Project End Date: March 31, 2008 - No Cost Extension Through: August 31, 2008
Award Amount: $450,000

Project Goal Statement: This project aims to develop a model of care that will reduce the adverse health effects of the chronic conditions (asthma, diabetes and obesity) most prevalent in Sixteenth Street Community Health Center's patient population, an inner city Hispanic community. The program will educate the community about chronic disease risks and management, test new solutions for treating chronic diseases, evaluate interventions, establish community partnerships that will help deal more effectively with these problems, and train staff (many of whom are community members) in the new delivery procedures. The project will also use integrated electronic databases that can be linked to local, state, and national public health data to monitor patient progress, coordinate provider efforts, maintain quality assurance, and evaluate program effectiveness.

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  Community Partners:

Primary Community Partner: Sixteenth Street Community Health Center
Additional Community Partner Organization Name: Centro de la Comunidad Unida - United Community Center (UCC)

  Academic Partners:

Primary Academic Partner: Christine Cronk, ScD, Department of Pediatrics
Additional Academic Partners:

  • Asriani Chiu, MD, Department of Pediatrics
  • Jennifer Cohn, Department of Pediatrics
  • Ray Hoffmann, PhD, Health Policy Institute
  • Paul Knudson, MD, Department of Medicine
  Project Progress Summary Reports:
  Affiliated Web Pages:
  Project Dissemination Efforts (as reported by project partners)
  • Articles
    • Article in the Midwest Clinicians’ Network. Network News. April 2005.
    • Featured in the Sixteenth Street Community Health Center Annual Report, 2004-2005 and 2007-2008.
    • Featured in the Milwaukee Journal Sentinel Food Section about the Health Center Garden. August 6, 2008.
  • Outreach Materials/Events
    • Developed a one-page project profile describing the project
    • Healthy Foods Flyer
  • Poster
    • Poster presentation at the Community-Campus Partnerships for Health Conference. Minneapolis, MN. May 31-June 3, 2006.
  • Presentations
    • Presentation at a breakout session at the Midwest Phase II Summit, Health Disparities Collaboratives –Success with Implementing the Chronic Care Model. Midwest Phase II Summit, Health Disparities Collaboratives. Milwaukee, WI. June 3, 2005.
    • Presentation at the Next Step Conference – Healthy and Active Families: A Pilot Intervention for Overweight Latino Children. Next Step Conference. October 10, 2008.
    • Presentation at the Urban Agriculture Conference – Health Center Garden: Sharing Our Story 2007.Urban Agriculture Conference. Milwaukee, WI. March 2008.
    • Tabletop display about Familias Sanas y Activas, the Stoplight Nutrition materials and the Health Center Garden at the Wisconsin Dietetic Association Annual Conference. April 2008.
Contact Us

Advancing a Healthier Wisconsin Endowment Healthier Wisconsin Partnership Program (HWPP)
(414) 955-4350 |