Pursuing Financial Sustainability of Person-Centered Care Models Setting up data collection systems is important to showing value. Implementation Tool January 2014
Emergency Department Super-Utilizer Programs: Rural Health Systems Analysis and Technical Assistance Project This guide describes how to design, implement, and assess a program to reduce preventable ED use. Implementation Tool October 2013
Generating Hypotheses about Care Needs of High Utilizers: Lessons from Patient Interviews This resource presents promising ideas for more effective modes of care for persons with complex needs. Peer-Reviewed Article September 2013
Medical Respite Programs for Homeless Patients: A Systematic Review Systematic review finds that medical respite programs reduce acute care utilization outcomes for people experiencing homelessness. Peer-Reviewed Article May 2013
Effect of a Community-Based Nursing Intervention on Mortality in Chronically Ill Older Adults: A Randomized Controlled Trial Indicates that a community-based nurse care management model reduced all-cause mortality for older adults with chronic conditions. Peer-Reviewed Article July 2012
Six Features of Medicare Coordinated Care Demonstration Programs that Cut Hospital Admissions A study showed that some programs reduced hospitalizations by 8 to 33 percent. Peer-Reviewed Article June 2012
Complex Care Management Toolkit Lessons learned from eight health care organizations can help you design a successful program. Implementation Tool April 2012