A Clinical Pathway to Well-Being: Putting Patient Priorities at the Center of Care A care management model designed to center patients’ health priorities shows promising results. Peer-Reviewed Article October 2023
The Association Between Primary Care Practices’ Structural Capabilities and Hospitalizations Among Persons Living with Dementia Care coordination services in primary care clinics are shown to reduce avoidable hospitalizations among persons living with dementia. Peer-Reviewed Article July 2023
Integrating Bridge Clinics into Emergency Departments to Facilitate Access to Opioid Use Disorder Care Featured presenters with on-the-ground experience implementing the CA Bridge model for individuals with substance use disorder. Webinar December 2022
From the Hospital to the Streets: Bringing Care to the Unsheltered Homeless in Los Angeles A street medicine program increased post-hospitalization follow-up care for unsheltered individuals experiencing homelessness in Los Angeles. Case Example September 2021
Providing Primary Care to Homebound Patients: UCSF Health's Care at Home Program This case study highlights an accountable care organization’s home-based primary care program for homebound older adults, with early analysis of outcomes showing reduced acute care utilization. Case Example August 2020
Building Complex Care Programs: A Road Map for States This guide for state leaders offers lessons about state-level approaches to complex care. Implementation Tool October 2017
Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use Home visits can reach patients with complex needs before a higher level of care is needed Peer-Reviewed Article March 2017
Engaging Individuals Recently Released From Prison Into Primary Care: A Randomized Trial Primary care-based community health worker program reduced emergency department use among people recently released from prison. Peer-Reviewed Article September 2012