Resources

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

This resource describes the Great Plains Senior Services Collaborative, an initiative to improve health and quality of life for rural seniors.

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

This study compared health services use and costs depending on whether the primary care provider was a physician, NP, or PA.

This resource describes and analyzes the different professional compositions of care management programs.

This resource used national survey data from physician practices and ACOs, paired with qualitative interviews, to learn about home visiting programs.

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

This resource describes a national survey of ACOs about initiatives to address serious illness, as well as follow-up case studies.

At Northwestern Medical Group in Chicago, a patient-centered transitional care intervention serving patients with complex health needs that lack a usual source of care was f

This resource identifies challenges faced by older adults from racial and ethnic minorities, and proposes several strategies to address them.

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 describes an effort to apply a learning health systems approach to reducing ED utilization.