Displaying 1 - 20 of 45

Racial Inequality in Prescription Opioid Receipt — Role of Individual Health Systems

Analysis of 310 health systems showed gaps in opioid receipt between Black and white patients, especially on dosage, which may be related to racial bias among clinicians.

Peer-Reviewed Article

July 2021

HCCIntelligence: Tools and Tip Sheets

Downloadable tools, tip sheets, sample forms, and how-to guides on home-based primary care, with a focus on clinical and operational best practices.

Implementation Tool

June 2021

Complex Care Startup Toolkit

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

Implementation Tool

June 2021

Assessing the Impact of Complex Care Models: Opportunities to Fill in the Gaps

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

Brief/Report

May 2021

Evidence for the 4Ms: Interactions and Outcomes Across the Care Continuum

The 4Ms approach developed for the Age-Friendly Health System model — what matters, medication, mentation, mobility — has a robust evidence base for providing quality care to older adults.

Peer-Reviewed Article

February 2021

Implementation of Specialist Palliative Care and Outcomes for Hospitalized Patients with Dementia

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

Peer-Reviewed Article

February 2021

Meeting the Challenge of Caring for Persons Living with Dementia and Their Care Partners and Caregivers: A Way Forward

Evaluates the evidence on interventions for people living with dementia, their care partners, and caregivers to help identify what interventions are ready for broad implementation.

Brief/Report

February 2021

Medical Care at Home Comes of Age

Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.

Brief/Report

January 2021

Improving Health Care for Adults with Disabilities: An Overview of Federal Data Sources

Health care organizations can use population-level data sources about the experiences of people with disabilities to improve care.

Implementation Tool

December 2020

Core Competencies for Frontline Complex Care Providers

Describes core competencies that convey the essential knowledge, skills, and attitudes of complex care practitioners and teams to improve care for people with complex needs.

Brief/Report

October 2020

Operational Guide to Identify, Understand, and Treat High-Need Patients

Offers a practical framework for safety-net health systems to better identify and segment patients with complex needs, and tailor care models to meet their needs.

Implementation Tool

September 2020

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

Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults

Step-by-step guide with robust tools for health systems to apply the 4Ms framework to deliver age-friendly, evidence-based care for older adults.

Implementation Tool

July 2020

Measuring Complexity: Moving Toward Standardized Quality Measures for the Field of Complex Care

Effective complex care measures vary widely and need to be standardized to better align the field of complex care.

Brief/Report

May 2020

Health Care Hotspotting — A Randomized, Controlled Trial

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

Peer-Reviewed Article

January 2020

A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

Peer-Reviewed Article

January 2020

ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients

Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

Peer-Reviewed Article

January 2020

Home-Based Primary Care Resources: A Toolkit for Health Partners

This toolkit details the benefits of home-based primary care to help providers demonstrate the need for these programs.

Implementation Tool

June 2019

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

Supplementing primary care with team-based management.

Peer-Reviewed Article

June 2019

Identifying and Designing the Right Care Management Program: Insights from ACOs

Four care management models for ACOs.

Implementation Tool

April 2019

All Resources

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Racial Inequality in Prescription Opioid Receipt — Role of Individual Health Systems

HCCIntelligence: Tools and Tip Sheets

Complex Care Startup Toolkit

Assessing the Impact of Complex Care Models: Opportunities to Fill in the Gaps

Evidence for the 4Ms: Interactions and Outcomes Across the Care Continuum

Implementation of Specialist Palliative Care and Outcomes for Hospitalized Patients with Dementia

Meeting the Challenge of Caring for Persons Living with Dementia and Their Care Partners and Caregivers: A Way Forward

Medical Care at Home Comes of Age

Improving Health Care for Adults with Disabilities: An Overview of Federal Data Sources

Core Competencies for Frontline Complex Care Providers

Operational Guide to Identify, Understand, and Treat High-Need Patients

Providing Primary Care to Homebound Patients: UCSF Health's Care at Home Program

Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults

Measuring Complexity: Moving Toward Standardized Quality Measures for the Field of Complex Care

Health Care Hotspotting — A Randomized, Controlled Trial

A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care

ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients

Home-Based Primary Care Resources: A Toolkit for Health Partners

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

Identifying and Designing the Right Care Management Program: Insights from ACOs