System-Based Projects

We conduct projects about the structure of health care delivery and how that shapes the experience of patients and providers.


This 2014 Hennepin Health Reinvestment Initiative aimed to establish care team huddles comprised of: a primary care provider, medical assistant, nurse, community health worker and social worker, in the HCMC Medicine Clinic. Huddles met monthly to review patients at risk for health inequities and develop a care plan for them. Evaluation of the program is underway to examine if patients who were discussed had fewer hospitalizations and Emergency visits.