Humboldt Del-Norte Practice Environment in Humboldt 25 primary care practices in various sizes, types and stages of transformation (all in the Humboldt IPA) –2/3 of patients receive care in either FQHCs or Rural Health Clinics –5 community health centers, Mobile Medical Clinic, United Indian Health –Many rural health clinics (small practices) –Many 1-3 clinician practices in private practices (one 17 MD Internal Medicine practice) –No large integrated multispecialty group –Managed care covering 5% of population How to rapidly improve chronic disease care in the community
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