Displaying 81 - 100 of 104

Home-Based Primary Care Fall Prevention and Management Toolkit

Shares best practices and screening tool options to identify and care for home-based primary care patients with potential fall risks.

Implementation Tool

April 2019

Re-envisioning Care for People with Involved Disabilities

Video series details how health systems can redesign primary care, including through home-based primary care programs, to better meet the needs of people with disabilities.

Implementation Tool

February 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

Outcomes of a Citywide Campaign to Reduce Medicaid Hospital Readmissions with Connection to Primary Care Within 7 Days of Hospital Discharge

The importance of timely primary care follow-up.

Peer-Reviewed Article

January 2019

PACE 2.0: A Prime Opportunity for Delivery Systems and Payers

The Program of All-Inclusive Care for the Elderly provides comprehensive, compassionate medical care and long-term services and supports to older adults with persistent complex needs who are eligible for nursing home care. Yet, PACE reaches less than two percent of those who could benefit from its services.

Blog

September 2018

Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study

The psychological benefits of case management.

Peer-Reviewed Article

May 2018

Impact of a Complex Chronic Care Patient Case Conference on Quality and Utilization

The case conference approach to caring for complex patients.

Peer-Reviewed Article

May 2018

Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare and Medicaid Beneficiaries

Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.

Peer-Reviewed Article

April 2018

The Effects of Home-Based Primary Care on Medicare Costs at Spectrum Health/Priority Health from 2012-Present: A Matched Cohort Study

A home-based primary care program led to reduced medical costs for frail elderly patients, primarily due to lower spending at end-of-life.

Peer-Reviewed Article

March 2018

Operation and Challenges of Home-Based Medical Practices in the US: Findings from Six Aggregated Case Studies

Strategies for home-based primary care practices to improve efficiency and support program growth based on qualitative research.

Peer-Reviewed Article

January 2018

Community Health Worker Support for Disadvantaged Patients with Multiple Chronic Diseases: A Randomized Clinical Trial

This resource describes the benefits of community health workers for people with multiple chronic conditions.

Peer-Reviewed Article

October 2017

Care Management Plus: Strengthening Primary Care for Patients with Multiple Chronic Conditions

A program to help clinics deliver comprehensive care may decrease mortality and hospitalization rates.

Case Example

December 2016

Reduced Emergency Room and Hospital Utilization in Persons with Multiple Chronic Conditions and Disability Receiving Home-Based Primary Care

People with multiple chronic conditions and disabilities enrolled in home-based primary care experienced persistent reduced acute care utilization.

Peer-Reviewed Article

October 2016

Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries

By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.

Case Example

October 2016

New Models of Primary Care Workforce and Financing: Case Example #1: Stanford Coordinated Care

Stanford Coordinated Care provides university employees with complex health needs better care at a lower cost

Case Example

October 2016

Guided Care: A Structured Approach to Providing Comprehensive Primary Care for Complex Patients

Guided Care is designed to strike a balance between telephone-based and interdisciplinary team-based care management programs.

Case Example

October 2016

Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community

Reviews lessons from the Program of All-Inclusive Care for the Elderly on serving high-need populations in community settings.

Case Example

August 2016

Project ECHO’s Complex Care Initiative: Building Capacity to Help “Superutilizers”

Interdisciplinary teams provide support for Medicaid beneficiaries with mental illnesses, addictions, and other needs.

Case Example

August 2016

Bringing Primary Care Home: The Medical House Call Program at MedStar Washington Hospital Center

A home-based primary care program decreases costs and utilization for high-risk Medicare enrollees in Washington D.C.

Case Example

July 2016

Home-Based Primary Care Interventions

Systematic review demonstrates the potential of home-based primary care interventions for improving heath, cost, and patient experience outcomes for adults with multiple chronic conditions and serious disabilities.

Peer-Reviewed Article

February 2016

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Home-Based Primary Care Fall Prevention and Management Toolkit

Re-envisioning Care for People with Involved Disabilities

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

Outcomes of a Citywide Campaign to Reduce Medicaid Hospital Readmissions with Connection to Primary Care Within 7 Days of Hospital Discharge

PACE 2.0: A Prime Opportunity for Delivery Systems and Payers

Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study

Impact of a Complex Chronic Care Patient Case Conference on Quality and Utilization

Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare and Medicaid Beneficiaries

The Effects of Home-Based Primary Care on Medicare Costs at Spectrum Health/Priority Health from 2012-Present: A Matched Cohort Study

Operation and Challenges of Home-Based Medical Practices in the US: Findings from Six Aggregated Case Studies

Community Health Worker Support for Disadvantaged Patients with Multiple Chronic Diseases: A Randomized Clinical Trial

Care Management Plus: Strengthening Primary Care for Patients with Multiple Chronic Conditions

Reduced Emergency Room and Hospital Utilization in Persons with Multiple Chronic Conditions and Disability Receiving Home-Based Primary Care

Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries

New Models of Primary Care Workforce and Financing: Case Example #1: Stanford Coordinated Care

Guided Care: A Structured Approach to Providing Comprehensive Primary Care for Complex Patients

Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community

Project ECHO’s Complex Care Initiative: Building Capacity to Help “Superutilizers”

Bringing Primary Care Home: The Medical House Call Program at MedStar Washington Hospital Center

Home-Based Primary Care Interventions