Expanding Access to Care and Improving Quality in the Mid-Atlantic States Safety-Net Clinics: Kaiser Permanente's Community Ambassador Program

Perm J. 2015 Spring;19(2):22-7. doi: 10.7812/TPP/14-109. Epub 2015 Mar 1.


The Community Ambassador Program (CAP) in the Mid-Atlantic States Region places Kaiser Permanente-employed nurse practitioners, midwives, and physician assistants to work in the safety-net clinics and share best practices through a long-term community collaboration. The authors conducted an evaluation of 18 safety-net clinics that participated in the CAP in 2012. The Community Ambassadors provided an estimated 32,249 encounters to 11,988 patients. Performance was at or near 90% for 2 adult quality measures (weight screening and tobacco use assessment). For breast cancer screenings, however, performance among the Community Ambassadors was much lower (48%). The program expanded access and improved quality of care.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Evidence-Based Practice
  • Female
  • Health Services Accessibility / organization & administration*
  • Humans
  • Infant
  • Infant, Newborn
  • Mid-Atlantic Region
  • Middle Aged
  • Quality Improvement
  • Referral and Consultation / organization & administration*
  • Safety-net Providers / organization & administration*
  • Young Adult