• Educational outreach through disease-specific and Healthy Beginnings classes for new parents.
  • Participation in community health fairs.
  • Self-Management Education classes for patients with chronic health conditions”
  • Self-management support, patient engagement and motivational interviewing approach.
  • Palliative care referral and partnerships; self-management support integrative care pilot.
  • Emergency Department (ED) Innovation for Frequent Users – Community CareBridge.