Enhanced Care Planning Study

The Enhanced Care Planning (ECP) Study is a five-year R01 funded by the Agency for Healthcare Research and Quality (AHRQ) to test whether care planning helps patients to manage multiple chronic conditions. Care planning involves linking patients with a patient navigation and community health worker to access resources needed to reach their health goals. We have over 60 clinicians enrolled in the study throughout the Commonwealth of Virginia.

The study aims to help patients with uncontrolled chronic conditions, including behavioral needs, mental health needs, and social needs.

Contact Us

acorn@vcuhealth.org
(804) 828-9625

ATTN: Enhanced Care Planning
Department of Family Medicine and Population Health
Virginia Commonwealth University
Box 980101
Richmond, VA 23298-0101

Why this matters

Behavioral factors, mental health conditions, and social needs can all affect chronic conditions, yet may not be adequately addressed by traditional medical care.

Enhanced care planning may augment traditional medical care and help improve management of chronic conditions.

This study researched an intervention to link patients with multiple uncontrolled chronic conditions with enhanced care planning.

Participating primary care practices

Bon Secours St. Francis Family Medicine Center

Charles City Medical Group

Downtown Family Health Care

Fairfax Family Practice

Family Care of Williamsburg

Family Medicine of Clifton/Centreville

Front Royal Family Practice

Inova Cares Clinic for Families - Alexandria

Inova Cares Clinic for Families - Annandale

Inova Cares Clinic for Families - Manassas

Inova Cares Clinic for Families - Sterling

Inova Primary Care - Gainesville

Lei S. Charlton, MD, PC

Mechanicsville Medical Center Family Practice

Prince William Family Medicine - Gainesville

Prince William Family Medicine - Manassas

Riverside Brentwood Family Medicine Clinic

SDHS - Dinwiddie Medical Center

Town Center Family Medicine

Vienna Family Practice

VCU Center for Advanced Health Management

VCU Family Medicine at Nelson Clinic

VCU Hayes E. Willis Health Center

VCU Health MOTIVATE Clinic

VCU Internal Medicine - Faculty Practice

VCU Primary Care at Mayland Medical Center

“I felt like the patient navigator after a period of time became my friend. I would look forward to her interactions with me. You know, so she was my biggest cheerleader over the last year.”

– Patient