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
Search
Search
Topics
Population
Audiences
Content Type
State
Displaying 381 - 395 of 395
So Many Options, Where Do We Start? An Overview of the Care Transitions Literature
A systemic review of transitional care interventions reporting hospital readmission
Peer-Reviewed Article
Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use
Home visits can reach patients with complex needs before a higher level of care is needed
Peer-Reviewed Article
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
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
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
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
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
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
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
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
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
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
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
Person-Centered Care: A Definition and Essential Elements
This resource provides a definition and essential elements of person-centered care.
Peer-Reviewed Article