Displaying 321 - 332 of 332

High-Intensity Telemedicine Decreases Emergency Department Use for Ambulatory Care Sensitive Conditions by Older Adult Senior Living Community Residents

Telemedicine may expand access to acute illness care and reduce emergency department visits for older adults.

Peer-Reviewed Article

December 2015

Characteristics of Hospital and Emergency Care Super-Utilizers with Multiple Chronic Conditions

Patients with a history of high health care utilization may be a good target for a care transition intervention

Peer-Reviewed Article

April 2016

Home-Based Care Program Reduces Disability and Promotes Aging in Place

Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked.

Peer-Reviewed Article

September 2016

Utilization of Hot Spotting to Identify Community Needs and Coordinate Care for Patients in Memphis, TN

The approach identifies patients through chart review and data analytics coupled with the intelligence of community health workers.

Peer-Reviewed Article

February 2014

Improving Population Health Management Strategies: Identifying Likely Users of Avoidable Costly Care

Assessing patients’ activation levels can help identify those at risk for poor health outcomes and utilization of avoidable, costly care.

Peer-Reviewed Article

August 2016

Generating Hypotheses about Care Needs of High Utilizers: Lessons from Patient Interviews

This resource presents promising ideas for more effective modes of care for persons with complex needs.

Peer-Reviewed Article

September 2013

Adding a Measure of Self-Management Capability to Risk Assessment Can Improve Prediction of High Costs

Less “activated” patients are more likely to benefit from care coordination.

Peer-Reviewed Article

March 2016

Six Features of Medicare Coordinated Care Demonstration Programs that Cut Hospital Admissions

A study showed that some programs reduced hospitalizations by 8 to 33 percent.

Peer-Reviewed Article

June 2012

Persistent High Utilization in a Privately Insured Population

This resource takes a close look at individuals with complex needs who are privately insured.

Peer-Reviewed Article

April 2015

The Core of Care Management: The Role of Authentic Relationships in Caring for Patients with Frequent Hospitalizations

This study links “authentic healing relationships” with patient motivation and active health management.

Peer-Reviewed Article

August 2016

Person-Centered Care: A Definition and Essential Elements

This resource provides a definition and essential elements of person-centered care.

Peer-Reviewed Article

December 2015

Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals

Targeting is important, even within the high-need patients enrolled in the program.

Peer-Reviewed Article

November 2015

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High-Intensity Telemedicine Decreases Emergency Department Use for Ambulatory Care Sensitive Conditions by Older Adult Senior Living Community Residents

Characteristics of Hospital and Emergency Care Super-Utilizers with Multiple Chronic Conditions

Home-Based Care Program Reduces Disability and Promotes Aging in Place

Utilization of Hot Spotting to Identify Community Needs and Coordinate Care for Patients in Memphis, TN

Improving Population Health Management Strategies: Identifying Likely Users of Avoidable Costly Care

Generating Hypotheses about Care Needs of High Utilizers: Lessons from Patient Interviews

Adding a Measure of Self-Management Capability to Risk Assessment Can Improve Prediction of High Costs

Six Features of Medicare Coordinated Care Demonstration Programs that Cut Hospital Admissions

Persistent High Utilization in a Privately Insured Population

The Core of Care Management: The Role of Authentic Relationships in Caring for Patients with Frequent Hospitalizations

Person-Centered Care: A Definition and Essential Elements

Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals