South County Community Health Center (Ravenswood Family Health Center) in partnership with Health Plan of San Mateo, San Mateo County Health System, and Nuestra Casa, is receiving a CMS Health Care Innovation Award to create a health disparities collaborative for over 19 thousand people with diabetes in a multi-cultural, high-risk, high-cost population in southeast San Mateo County, California. This project will train a multi-cultural staff that will, in a responsive and culturally appropriate manner, support and motivate patients to follow and adhere to evidence-based care plans. These care managers will also provide assistance in overcoming barriers to obtaining services with estimated savings of over $6 million. Over the three-year period, South County Community Health Center program will train an estimated 60 health care workers and create an estimated 28.8 new jobs. These trained, multi-cultural workers will support patient-center medical teams by coordinating care for patients.
