Chronic Disease
Evidence-based chronic disease self-management programs work — but only if people can find them, enroll and stick with them. And only if the organizations delivering them have the infrastructure to grow and sustain that work: funding cycles end, staff turn over and referral pathways fragment. Comagine Health® builds and operates the infrastructure that lets evidence-based chronic disease programs reach people and keep them engaged over time.
How We Help
Building the infrastructure that helps evidence-based programs reach and stay with people
Our work spans statewide network development, shared data infrastructure and direct program delivery support, from initial partner onboarding through referral pathways, training and long-term sustainability planning. We’ve built this expertise through sustained funding relationships with the CDC and the Administration for Community Living — which require the same discipline any state or community partner needs: proving program value, managing multi-partner networks and adapting infrastructure as funding cycles shift. Every engagement emphasizes networks and data systems designed to outlast any single grant.
Building sustainable community infrastructure
Builds community infrastructure to address health-related social needs and expand access to evidence-based health education and prevention — through community health worker training, community care hub development and cross-sector coalitions.
Embedding new care models in daily practice
Helps organizations implement new or redesigned care models to improve outcomes, quality, safety and performance.
Building capacity through education
Develops practical, engaging, evidence-based education programs to build capacity and improve outcomes.
Selected Work
Recent engagements
Sustaining a statewide chronic disease network across three states
We built and now operate the Community Integrated Network of Oregon and the Wellness Integrated Network of Nevada, engaging more than 70 partners and supporting over 22,500 program enrollments through our Compass Data Portal.
Reaching underserved communities with diabetes prevention
As a CDC 1705 recipient, we helped 13 affiliates establish CDC-recognized National Diabetes Prevention Programs in underserved areas, enrolling more than 2,000 participants.
Building culturally responsive diabetes programming
We developed Spanish-language diabetes self-management programming and Promotora de Salud training, connecting Spanish-speaking communities to diabetes prevention and management resources.
Related Practices
Explore the practices behind this work
Let's build chronic disease infrastructure that lasts.
Looking to grow statewide networks, strengthen data infrastructure or reach communities traditional models miss?