Displaying 101 - 120 of 141

Integrating Community Health Workers on Quality Improvement Teams: Lessons from the Field

Tips on integrating community health workers into quality improvement teams to address patients’ social needs.

Implementation Tool

January 2020

A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

Peer-Reviewed Article

January 2020

ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients

Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

Peer-Reviewed Article

January 2020

Medication-Assisted Treatment (MAT) for Opioid Use Disorder in Jails and Prisons: A Planning and Implementation Toolkit

Describes how health care providers and their correctional agency partners can design medications for addiction treatment programs for people with opioid use disorder in jails and prisons.

Implementation Tool

January 2020

Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations

The value of community health workers in advancing health equity.

Brief/Report

November 2019

Effects of a Population Health Community-Based Palliative Care Program on Cost and Utilization

A community-based palliative care program reduced medical costs, intensive care unit (ICU) admissions, hospital admissions, and days spent in the hospital for Medicare Advantage members with serious illness.

Peer-Reviewed Article

September 2019

Inpatient Addiction Medicine Consultation and Post-Hospital Substance Use Disorder Treatment Engagement: A Propensity-Matched Analysis

An interdisciplinary, hospital-based addiction medicine consultation team improved substance use disorder treatment engagement after hospitalization.

Peer-Reviewed Article

August 2019

Effect of Intensive Interdisciplinary Transitional Care for High-Need, High-Cost Patients on Quality, Outcomes, and Costs: A Quasi-Experimental Study

The benefits of a transitional care program.

Peer-Reviewed Article

July 2019

Care Management for Older Adults: The Roles of Nurses, Social Workers, and Physicians

How staff composition affects care delivery for older adults.

Peer-Reviewed Article

June 2019

Impact of Physicians, Nurse Practitioners, and Physician Assistants on Utilization and Costs for Complex Patients

Nurse practitioners and physician assistants are associated with lower costs.

Peer-Reviewed Article

June 2019

Including Family Caregivers in Seriously Ill Veterans’ Care: A Mixed-Methods Study

This study sought to develop recommendations for how to better integrate family caregivers into the health care team.

Peer-Reviewed Article

June 2019

In Support of Family Caregivers: A Snapshot of Five States

Family caregivers are an integral part of health care and the economy, and they need states’ support.

Brief/Report

June 2019

Time and Effort in Care Coordination for Patients with Complex Health and Social Needs: Lessons From a Community-Based Intervention

Staff time effort in complex care coordination programs is highly variable depending on patients’ health and social needs.

Peer-Reviewed Article

June 2019

Serious Illness Approaches by ACOs: Facey Medical Group

This case study analyzes a successful example of a medical group partnering with a home health agency to provide community-based palliative care for high-risk members of their accountable care organization.

Case Example

May 2019

Tools to Support Hospital-Based Addiction Care: Core Components, Values, and Activities of the Improving Addiction Care Team

Details the main elements of a hospital-based addiction care consultation team.

Case Example

March 2019

The Impact of a Community-Based Serious Illness Care Program on Healthcare Utilization and Patient Care Experience

Care model that integrates home-based primary care and palliative care for patients with serious illness reports reduced health care utilization and improved patient care experience.

Peer-Reviewed Article

February 2019

Integrating Nurses into Complex Care Teams

Explored how nurses can be integrated into complex care teams. This interactive online discussion provided opportunities to share ideas and ask questions.

Webinar

January 2019

Dedicated to the Mission: Strategies US Department of Veterans Affairs Home-Based Primary Care Teams Apply to Keep Veterans at Home

Fostering a culture of caring for veterans takes interdisciplinary teams focused on comprehensive, trusting and reliable relationships through open and frequent communication and ongoing education.

Peer-Reviewed Article

January 2019

Integrating Social Workers Into Primary Care Teams

Outlines key opportunities for integrating social workers through a standardized approach derived from evidence-based and promising practices.

Play

October 2018

Geisinger Health System Deploys Community Health Workers to Address Social Determinants of Health

Looks at how the Keystone ACO partnership, serving residents of 41 primarily rural Pennsylvania counties as well as parts of New York, New Jersey and Maryland, is using community health workers to improve the quality and cultural competence of service delivery.

Blog

October 2018

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Integrating Community Health Workers on Quality Improvement Teams: Lessons from the Field

A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care

ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients

Medication-Assisted Treatment (MAT) for Opioid Use Disorder in Jails and Prisons: A Planning and Implementation Toolkit

Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations

Effects of a Population Health Community-Based Palliative Care Program on Cost and Utilization

Inpatient Addiction Medicine Consultation and Post-Hospital Substance Use Disorder Treatment Engagement: A Propensity-Matched Analysis

Effect of Intensive Interdisciplinary Transitional Care for High-Need, High-Cost Patients on Quality, Outcomes, and Costs: A Quasi-Experimental Study

Care Management for Older Adults: The Roles of Nurses, Social Workers, and Physicians

Impact of Physicians, Nurse Practitioners, and Physician Assistants on Utilization and Costs for Complex Patients

Including Family Caregivers in Seriously Ill Veterans’ Care: A Mixed-Methods Study

In Support of Family Caregivers: A Snapshot of Five States

Time and Effort in Care Coordination for Patients with Complex Health and Social Needs: Lessons From a Community-Based Intervention

Serious Illness Approaches by ACOs: Facey Medical Group

Tools to Support Hospital-Based Addiction Care: Core Components, Values, and Activities of the Improving Addiction Care Team

The Impact of a Community-Based Serious Illness Care Program on Healthcare Utilization and Patient Care Experience

Integrating Nurses into Complex Care Teams

Dedicated to the Mission: Strategies US Department of Veterans Affairs Home-Based Primary Care Teams Apply to Keep Veterans at Home

Integrating Social Workers Into Primary Care Teams

Geisinger Health System Deploys Community Health Workers to Address Social Determinants of Health