Story: Pueblo, Colorado

Pueblo County, Colorado—a community of 160,000 people located two hours south of Denver—is facing serious healthcare challenges. More than 40% of Pueblo’s residents are poor and unemployed, and one in six is uninsured. The county also has some of the worst health outcomes in the state, including high rates of preventable illnesses such as heart disease, Type II diabetes, and sexually transmitted diseases. And health insurance premiums are rising three times faster than wages, depressing the local economy and threatening jobs.

In 2010, a group of Pueblo’s veteran health leaders decided to take action by committing to the Triple Aim of better care for individuals, better health for populations, and lower per capita costs. Rather than seeking incremental change, members of the Pueblo Triple Aim Coalition wanted first to concentrate on the big picture and clarify the group’s governance, structure, and strategy—all critical to sustaining long-term collaborative work. With the goal of creating sustainable improvements, the Coalition’s leaders began working with ReThink Health and our Dynamics Model.

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