Resources

A telephone-based social needs screening, referral, and navigation program that focused on patients with predicted high utilization within the Kaiser Permanente Southern Cal

This resource describes a quasi-experimental study evaluating the effect of a transitional care program that involved rapid primary care follow-up

Family caregivers are a critical part of the home- and community-based workforce for people with serious illness.

This resource describes and evaluates a new specialist pharmacy service, called the integrated care clinical pharmacist.

This resource describes a randomized controlled trial to evaluate the effects of a case management intervention called V1SAGES (Vulnerable Patients in Primary Care: Nurse Ca

This resource provides an overview of a quality-improvement intervention focused on communication with patients with advanced cancer. 

This resource describes the 7-Day Pledge program to reduce readmissions by increasing access to timely primary care appointments after hospitalization.

This resource evaluates the impact of an interprofessional case conference approach in an academic primary care clinic.

This resource identifies features of intensive outpatient programs that increase patient engagement.

This resource reviews interventions for frequently hospitalized patients and assesses the effectiveness of these interventions.

This resource describes a study of how health care providers and social services providers coordinate their work in communities that achieve relatively low health care utili

This resource reviews the literature on case management programs published over the past 17 years, arguing that application of two theories (agency and street-level bureaucratic t