Palo Alto Medical Foundation Newsroom

Advanced Illness Management Care Program Added in San Mateo County

Reduced Hospitalizations and Health Care Costs a Key Goal

Sutter Health’s innovative Advanced Illness Management (AIM)® program is now available to San Mateo County patients with late-stage chronic illness, marking a major expansion of these services in Northern California. The expansion extends access to eligible patients of Palo Alto Medical Foundation in San Mateo County, as well as, Mills-Peninsula Health Services, Mills-Peninsula Medical Group and Sutter Care at Home.

Sutter Health’s Dr. Brad Stuart (right) participating in a successful aging seminar hosted by the PAMF David Druker Center for Health Care Innovation.

“AIM uses a nurse-led interdisciplinary team to bridge the gaps between the hospital, the community physician’s office, and home for our sickest patients,” said Brad Stuart, M.D., Senior Medical Director for Sutter Care at Home, an affiliate of Sutter Health. “Quality, affordable care for all of our patients is a priority and the expansion of AIM systemwide complements our mission and values. AIM supports giving the right care, at the right time, at the right level of care for the patient’s goals.”

The AIM program provides nurse-led care management, palliative care, and advance care planning for patients with late-stage chronic illness. With a pilot in Sutter Health’s Sacramento Sierra Region showing positive outcomes, the Center for Medicare & Medicaid Innovation (CMMI) awarded Sutter Health a three-year, $13-million Health Care Innovation Award to support the expansion of AIM throughout Northern California.

The Sacramento Sierra Region pilot showed reduced hospitalizations and improved care transitions, contributing to an improved quality of life for patients enrolled in AIM.

Together, the Palo Alto Medical Foundation and Mills-Peninsula Health Services comprise Sutter Health’s Peninsula Coastal Region.


Margie O’Clair, 650.934.6970;