Developing a community care team: Lessons learned from the community connections program, a health care home-community care team partnership

Catherine E. Vanderboom, Diane E. Holland, Paul V. Targonski, Elizabeth Madigan

Research output: Contribution to journalArticle

4 Scopus citations


This article describes the development of the Community Connections Program (CCP), a community care team, within a health care home (HCH), as a short-term, intensive, team-based service planning and coordination program for older adults with multiple chronic health conditions. Three proven approaches were combined to support patient's self-management: nurse care coordination, the Wraparound process, and use of community services. Participants' responses to the CCP demonstrated the success of the community care team in connecting patients and nurse care coordinators (NCCs) with community service providers, thus supplying primary care providers with important information regarding the development of a community care team to support patient-centered care within a HCH.

Original languageEnglish (US)
Pages (from-to)150-157
Number of pages8
JournalCare Management Journals
Issue number3
StatePublished - Sep 17 2013



  • Community services
  • Health care home
  • Nurse care coordination
  • Self-management support
  • Wraparound

ASJC Scopus subject areas

  • Health Policy

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