Chronic Care Management


To develop and evaluate innovative chronic illness management initiatives, particularly related to diabetes, hypertension, and integrated behavioral health.

DFCM Research Team

  • Amy Cunningham, PhD, MPH (Lead)
  • Cynthia Cheng, MD, PhD
  • Victor Diaz, MD
  • Geoffrey Mills, MD, PhD
  • Randa Sifri, MD

Recent Projects

  • The effectiveness of a student-run motivational interviewing/meal-replacement dietary program with melatonin for weight loss and cardiovascular risk factor reduction in patients with mild OSA (Provost’s Award)
  • Pre-diabetes and diabetes self-management (Funder: DERC)
  • Primary Care Training and Enhancement: Training Primary Care Champions (Jeff) (Funder: HRSA)
  • The Philly Difference: Connections for Better Chronic Illness Care (Funder: CDC)
  • JeffBe Well: Whole Health Integration (Funder: HRSA)
  • Accelerating Primary Care Transformation at Jefferson (JeffAPCT) (Funder: HRSA)