TY - JOUR KW - behavioral care integration KW - chronic care coordination KW - population management KW - Diabetes KW - Lean workflow KW - Empirical Study KW - Longitudinal Study KW - Prospective Study KW - Quantitative Study KW - Human KW - Male KW - Female KW - Adulthood (18 yrs & older) KW - Health Care Services KW - Chronic Illness KW - article KW - 3370:Health & Mental Health Services KW - Prospective Studies KW - Delivery of Health Care, Integrated KW - Humans KW - Middle Aged KW - Patient Care Team KW - Pilot Projects KW - Algorithms KW - Nurses, Community Health KW - Glycated Hemoglobin A KW - Biomarkers KW - Behavioral Medicine KW - Diabetes Mellitus, Type 2 KW - Disease Management KW - Primary Health Care KW - Chronic Disease AU - Constance O. van Eeghen AU - Benjamin Littenberg AU - Rodger Kessler A1 - AD - Department of Medicine, Robert Larner College of Medicine, University of Vermont, Burlington, VT, US cvaneegh@med.uvm.edu; Behavioral Health Program, College of Healthcare Solutions, Arizona State University, Phoenix, AZ, US ; van Eeghen, Constance O.,Burlington,US,05405,Department of Medicine, Robert Larner College of Medicine, University of Vermont,cvaneegh@med.uvm.edu BT - Translational Behavioral Medicine C5 - Education & Workforce; Healthcare Disparities CP - 3 DO - 10.1093/tbm/ibx073 IS - 3 JF - Translational Behavioral Medicine LA - English M1 - Journal Article PB - Oxford University Press Springer PY - 2018 SN - 1869-6716, 1869-6716 SP - 468 EP - 480 EP - T1 - Chronic care coordination by integrating care through a team-based, population-driven approach: A case study T2 - Translational Behavioral Medicine TI - Chronic care coordination by integrating care through a team-based, population-driven approach: A case study U1 - Education & Workforce; Healthcare Disparities U3 - 10.1093/tbm/ibx073 VL - 8 VO - 1869-6716, 1869-6716 Y1 - 2018 Y2 - 06 ER -