This resource describes a new model that moves high-need patients out of the emergency department and into a network of social supports.
This resource provides an example of an approach to caring for different subpopulations of people with dementia.
This resource is a series of four videos (each roughly 12 minutes long) about how to transform care for people with involved disabilities according to the “independent living” mod
This resource offers a variety of materials about “personas” for different segments of the high-need patient population.
This resource curates resources from experts across the country in the field of trauma-informed care.
This resource describes successful Canadian programs working with inner-city communities to achieve the Triple Aim.
This resource offers tools that can support the efforts of behavioral health providers to deliver integrated and coordinated care.
This resource describes the author’s changed understanding of the role of the health system in helping people with complex needs, sparked by an encounter with a vulnerable patient
The Massachusetts Health Policy Commission's Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program has engaged 25 community hospitals to a
This resource describes a program in New Mexico that employs community health workers (CHWs) to address social determinants of health, as well as how that program was implemented and spread.
This resource contains profiles of nearly a hundred programs that target complex patients across 36 states and territories, including Puerto Rico and Washington, DC.
This resource is a case study of CareMore, a Medicare Advantage plan and medical provider based in Cerritos, California, that serves 130,000 enrollees in Medicare and Medicaid managed care plans ac
Find curated resources about promising approaches to improving care for people with complex needs.
22 Practical Plays