A series of case studies of local areas that stood out in the Commonwealth Fund's 2016 Scorecard on Local Health System Performance.
![pcc5651 riverwalk Pueblo Riverwalk](/sites/default/files/styles/3_2_643x429/public/images/___media_images_publications_case_study_2017_sep__pcc5651_riverwalk.jpg?itok=fUHACRf4)
Health Care Improvement in Pueblo, Colorado: Building on Common Ground
Pueblo, in southeastern Colorado, was one of only 14 out of 306 regions nationally to improve on a majority of performance measures tracked by the Commonwealth Fund’s Scorecard on Local Health System Performance, 2016 Edition. Socioeconomic challenges and geographic isolation have fostered a sense of interdependence among local health care providers, who have leveraged the state’s Medicaid expansion to enhance access to care while improving coordination.