Summarizes research on the prevalence of social screening in health care settings, validity of social screening tools, and patient and provider perspectives on social screening.

Analytical approach for randomized controlled trials may be valuable for understanding the impact of complex care interventions and the subpopulations that may benefit from them.

With the steep increase in use of telehealth and video visits in the last few years, the reliance on technology-enabled medicine may heighten disparities in health care access.

Evidence map of patient and family engagement strategies highlights range of evidence on self-management support and shared decision-making.

Medical notes about Black patients were more than twice as likely to contain stigmatizing language compared to white patients.

Explored how complex care stakeholders can incorporate a multi-factor approach to measure and demonstrate the value of complex care programs for diverse stakeholders.

Differing patterns of care utilization and mortality outcomes within subgroups of a complex patient population can help inform more targeted care interventions.

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

Using segmentation to address clinical and social needs for Medicaid patients with complex needs and costly utilization can improve the effectiveness of complex care programs.

This toolkit can support health care organizations in creating the business case for complex care programs.

A street medicine program increased post-hospitalization follow-up care for unsheltered individuals experiencing homelessness in Los Angeles.

Advance care planning more than one month prior to death is associated with decreased acute care utilization at the end of life and in-hospital death for people with serious illness.

Contains practical guides, tools, and other resources for developing complex care programs.

A novel street psychiatry program offers essential mental health support to unsheltered individuals experiencing homelessness.

Includes patient- and staff-reported measures to help complex care programs better understand the impacts of interventions.

Over 14 years, individuals experiencing chronic homelessness enrolled in a permanent supportive housing program had low housing retention and high mortality.

Creating clinically meaningful profiles of patients with medically complex needs can support the delivery of more tailored interventions.

Literature review examines the roles and contributions of community health workers in improving dementia care.

Medication management interventions that support caregivers of people with dementia at care transitions can help reduce readmissions, caregiver burden, and use of high-risk medication.

Patients with dementia are more likely to be discharged to hospice from hospitals that offer palliative care programs.