Ambulatory Intensive, Multidisciplinary Telehealth for High-Risk Discharges Program Development, Implementation, and Early Impact

Telehealth-enabled hospital discharge care program using a multidisciplinary team reduces 30-day readmissions.

Peer-Reviewed Article

March 2023

Transition to Home: Rapid Scaling of a Multistate Readmission Prevention Program for Advanced Alternative Payment Model Participants

A "virtual-first" transitional care program with an interdisciplinary care team can support reduced readmissions.

Case Example

June 2022

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

August 2021

House Calls: California Program For Homebound Patients Reduces Monthly Spending, Delivers Meaningful Care

A novel approach to home visiting delivers cost reduction and better care

Peer-Reviewed Article

January 2016

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Ambulatory Intensive, Multidisciplinary Telehealth for High-Risk Discharges Program Development, Implementation, and Early Impact

Transition to Home: Rapid Scaling of a Multistate Readmission Prevention Program for Advanced Alternative Payment Model Participants

How an Interdisciplinary Care Team Reduces Prolonged Admissions Among Older Patients with Complex Needs

House Calls: California Program For Homebound Patients Reduces Monthly Spending, Delivers Meaningful Care