One-year health outcomes of a nurse-managed chronic disease care coordination model in homeless populations

Poor disease management can be both the cause and result of homelessness. Homeless people consistently experience higher incidences than the general population of many chronic health conditions and frequently utilize emergency rooms as their primary source for disease management. Here we present the results from a one-year, multi-faceted clinical management program designed to improve health outcomes and decrease ER utilization in homeless populations with one or more of the following conditions: hypertension, diabetes, and asthma.