Building the Value Case for Complex Care Toolkit
This toolkit can support health care organizations in creating the business case for complex care programs.
Implementation Tool
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Displaying 141 - 160 of 337
How a Medical Respite Care Program Offers a Pathway to Health and Housing for People Experiencing Homelessness
A medical respite program for people experiencing homelessness shows evidence of reduced hospital readmissions and emergency department revisits.
Case Example
How an Interdisciplinary Care Team Reduces Prolonged Admissions Among Older Patients with Complex Needs
An interdisciplinary team approach can improve care coordination and reduce length of hospital stays for older adults with complex health and social needs.
Case Example
Measuring What Matters in Complex Care: New Options to Assess Patient and Staff Perspectives
Features Karla Silverman, MS, RN, CNM, Associate Director for Complex Care Delivery at the Center for Health Care Strategies, who highlights the need to expand what measures are used to assess the quality of care delivery.
Blog
August 2021
A Simple Way to Identify Patients Who Need Tech Support for Telemedicine
Describes electronic health record system functionality that automatically identifies patients likely to need technical assistance prior to telehealth visits.
Case Example
Health Information Technology to Improve Care for People with Multiple Chronic Conditions
Systematic review finds mixed results for health information technology in enhancing coordinated care and improving health outcomes for people with multiple chronic conditions.
Peer-Reviewed Article
Duration of Medical Home Participation and Quality of Care for Patients with Chronic Conditions
Longer participation in a patient-centered medical home is associated with better mental health care for people enrolled in Medicaid with major depressive disorder and multiple chronic conditions.
Peer-Reviewed Article
Cleveland Clinic Paramedic Telehealth Program: Incorporating In-Home Acute Care to Meet the Needs of Homebound Older Adults
Highlights Cleveland Clinic's Paramedic Telehealth Program that provides urgent and transitional care for home-based primary care patients.
Blog
July 2021
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
CAPABLE Program Improves Disability in Multiple Randomized Trials
CAPABLE, a home-based care program that provides interdisciplinary services for older adults, leads to reductions in disability as well as cost savings.
Peer-Reviewed Article
Details of Developing and Implementing an Intensive Interdisciplinary Care Program for High Need, High Cost Patients
Case study of interdisciplinary primary care program for high-risk patients based at an academic health system offers lessons on program design and implementation.
Case Example
Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders
This guide offers resources to improve telehealth interventions for individuals at risk for, experiencing, or recovering from serious mental illness and/or substance use disorder.
Implementation Tool
Telemedicine for Health Equity Toolkit
Offers practical recommendations to improve telemedicine interventions to be more equitable for diverse populations, particularly those with low incomes.
Implementation Tool
Rush@Home: Meeting People with Complex Needs Where They Are
Details the elements of Rush@Home’s care model and shares the impact and insights from implementing this home-based primary care program.
Blog
June 2021
Home-Based Primary Care
Curates recent evidence behind home-based primary care models and explores practical tools and case studies on effective strategies for implementing these programs.
Collection
June 2021
Keeping Veterans Healthy at Home: Lessons from the VA’s Home-Based Primary Care Program
Describes the Department of Veterans Affairs' successful approach to home-based primary care.
Blog
June 2021
Substance Use Disorders and Diabetes Care: Lessons From New York Health Homes
A Medicaid health home care management program led to improved diabetes care, benefitting people with co-occurring substance use disorders and diabetes.
Peer-Reviewed Article
Implementing and Sustaining Rural Community Paramedicine
Strategies, challenges, and opportunities in supporting the implementation and sustainability of community paramedicine programs in rural communities.
Implementation Tool
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
Integrated Care Teams Playbook
Toolkit can help guide implementation of integrated care teams into primary care settings.
Implementation Tool