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Advancing Health Equity Using and Integrated Medical-Dental-Behavioral Health Care Model

Improving patient access and outcomes through integrated healthcare for vulnerable Wisconsinites

Full Project Name:Advancing Health Equity Using and Integrated Medical-Dental-Behavioral Health Care ModelPrimary Community Organization:Kenosha Community Health CenterPrimary Academic Partner:Joni Williams, MD, MPH, MedicineAward Amount:$250,000
Award Date
July2024
Project Duration:24 months

Project Summary:


Addressing the coordination of medical, dental, and behavioral health care is crucial for improving health outcomes and reducing disparities, particularly among vulnerable populations in Wisconsin.

This project aims to fully integrate these services at Pillar Health, operated by Kenosha Community Health Center, Inc., to enhance care access and quality. By implementing a fully integrated care team model with common governance, budgets, and incentives, the project seeks to improve patient outcomes such as increased rates of routine medical and dental check-ups, and closure of care gaps.

This approach not only aligns with statewide health improvement priorities, but also serves as a potential model for enhancing community health centers' capacity to deliver comprehensive, equitable care across Wisconsin.

Project Updates:


  • Integrated Behavioral Health Therapy into the primary care practice at Pillar Health, Washington Road
  • Implemented a medical pod within pre-clinic huddles to address pre-visit planning and care gaps with a pilot group at the Pillar Washington Road site, to address care gaps of clinic patients ultimately
  • Evaluated current systems' limitations to begin the process of improving upon care delivery model processes, patient outcomes, and KPIs that will lead to a more integrated consciousness

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