What Is CACHE?

Racial inequity in health care results from the interactions between healthcare delivery systems and the communities they serve. Duke is owning the issue of healthcare disparities by looking in the mirror of our own clinical outcomes and viewing these data through the lens of race and ethnicity to address the root causes of disparities.

We believe that Duke Health, in partnership with the patients, families, and communities we serve, is poised to harness these data assets to identify and eliminate racial disparities in health outcomes.

What Does Duke Health’s CACHE Program Do?

At Duke CACHE, a four-step process drives our approach to dismantling inequities in healthcare…

1. We identify clinical outcomes that significantly impact patient health and wellbeing.

2. We evaluate those outcomes for the presence of racial, ethnic & socioeconomic disparities.

3. We work with patient to understand the underlying factors that drive these disparities.

4. We intervene to address root causes of disparities, both inside & outside of the healthcare system.

How CACHE Works

The CACHE model relies on partnerships at Duke Health and across the Durham community to define disparities in outcomes. Then, by leveraging data analytics, predictive modelling, and machine learning, CACHE measures conditions of interest and identifies ways to improve care delivery.


  • Project management
  • Data sourcing
  • Data analytics
  • Measurement development
  • Predictive modeling
  • Data integration
  • Data governance
  • Community implementation
  • Health policy/economics