IMPaCT (Individualized Management for Patient-Centered Targets)

This database is no longer actively maintained and is here for archival purposes only

Organization Type: 
Not For Profit
Program Type: 
Standing Program
Education Level: 
Technical certificate programs or certificate training programs
Educational Elements: 
Program Description: 

Penn Center for Community Health Workers offers an evidence-based model for Community Health Worker recruitment, training, care and integration with health care teams. This program, called IMPaCT (Individualized Management for Patient-Centered Targets) is an innovative model of care in which community health workers (CHWs) provide tailored support to help high-risk patients achieve individualized health goals.  IMPaCT has been adopted by the University of Pennsylvania Health System as part of routine care for over 3,000 high risk patients. IMPaCT was built in response to the question: "What do patients want?" After conducting hundreds of interviews with patients and analyzing data collected, the IMPaCT program was created - recruitment, training, care, and integration systems were then built in order to address challenges reported by patients, using their suggestions.

Program Results: 

IMPaCT was tested in a randomized controlled trial of 446 socioeconomically vulnerable inpatients. Results of the study, published in JAMA Internal Medicine, showed that the intervention group was more likely to obtain timely post-hospital primary care (60.0 percent versus 47.9 percent); report high-quality discharge communication (91.3 percent versus 78.7 percent); and show greater improvements in mental health (6.7 percent versus 4.5 percent) and patient activation (3.4 percent versus 1.6 percent). While the groups had similar rates of at least one hospital readmission (15 percent versus 13.6 percent), the IMPaCT group was less likely to have multiple readmissions (2 percent versus 6 percent).

Researchers at the University of Pennsylvania are currently conducting a clinical trial on the "Effectiveness of Patient-centered Community Health Worker Support to Help Patients Control Chronic Disease" with the study ending in July 2015. 

Targeted Professions
Community Health Workers
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Cultural sensitivity and competence in culturally appropriate practice
Comprehensive Care Competencies: 
Population-based approaches to health care delivery
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Accessible Care Competencies: 
Promotion of appropriate access to care (e.g., group appointments, open scheduling)
Last updated July 21, 2014

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.


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