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Health Care Homes

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Health Care Homes

  • Health Care Homes - Homepage
  • Patient Information
  • Sustainability Roadmap
  • Minnesota Care Coordination Effectiveness Study
  • Learning
  • Strategic Planning
  • News & Announcements
  • Background Information

Related Topics

  • DHS Behavioral Health Home Service
  • MDH Disabilities and Special Health Needs
  • MDH Health Care Facilities, Providers and Insurance
  • MDH Health Equity
Contact Info
Health Care Homes
651-201-5421
health.healthcarehomes@state.mn.us

Contact Info

Health Care Homes
651-201-5421
health.healthcarehomes@state.mn.us

Health Care Homes Learning Collaborative
The Juniper Solution - Resources


Juniper, Network Programs and Providers

  • Juniper: Your Health. Your Community. A program of TRELLIS. For a list of Juniper network provider partners or to join the network as a provider of evidence-based programs email Juniper.

Implementing Health Care Provider Referrals to SME

  • Connecting Primary Care to Community-Based Education: Michigan Physicians' Familiarity with Extension Programs This article examines clinical-community linkages to enhance health care delivery. (NIH)
  • Increasing Referrals to Community-Based Programs and Services: An Electronic Health Record Referral Process, National Recreation and Park Association Provides a step-by-step guide to set up an EHR patient identification and community-based program referral process. (NRPA)

Minnesota Evidence-Based Self-Management Education Providers University of Minnesota Extension Programs

  • Nutrition and University of Minnesota Extension improves food literacy, physical activity, food safety and healthy food access for Minnesotans. (UMN)

Self-Management and Support Research

  • Patient Self-management of Chronic Disease in Primary Care (JAMA)
  • Self-management education: History, definition, outcomes, and mechanisms (NIH)
  • Self-Management Support Resource Library offers articles, guides, patient materials, clinician tools and training on patient self-management, National Center for Excellence in Primary Care Research (AHRQ)

Self-Management Resource Center Self-Management Programs

  • Fidelity Manual is used to guide fidelity for any self-management program. Self-Management Program Resource Center (SMRC)

Self-Management Program Impact and Outcomes

  • Evaluation of a Diabetes Self-Management Program: Claims Analysis on Comorbid Illnesses, Health Care Utilization, and Cost (NIH)
  • The impact of chronic disease self-management programs: Healthcare savings through a community-based intervention (BMC)

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Last Updated: 12/03/2025
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