Yes! A cornerstone of the Collaboratives is measurement. The over 65,000 patients are enrolled in a national registry, and have outcomes tracked on a regular basis. We can say with confidence that care and outcomes are improving: self-management, specialty referrals, medication access, and indicators such as HgbA1c are all better for enrolled patients than for pre-enrollment data. Patients with diabetes enrolled in the Collaborative are actually healthier than their white insured counterparts in the private sector! (Bodenheimer, T, MD; Lorig,K RN, DrPH; Holman, H, MD; and Grumbach, K, MD: “Patient Self-Management of Chronic Disease in Primary Care”: JAMA. 2002;288:2469-2475)

The National Agricultural Workers Survey (NAWS) is an employment-based, random survey of the demographic, employment, and health characteristics of the U.S. crop labor force. The information is obtained directly from farm workers through face-to-face interviews. Since 1988, when the survey began, over 53,000 workers have been interviewed.  The survey is funded by the United States Department of Labor. 

The figures show that immigration trends are forming a unique generational divide: those immigrants over 40 are largely white, while those under 40 are increasingly Hispanic, Asian and from other minority groups.