Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.

Community health worker-led advance care planning and symptom screening program reduced acute care use for patients with advanced stages of cancer.

A home-based collaborative care model using community health workers shows reductions in depression and increased connection to services for older adults.

Medicaid health plan-led community health worker program showed moderate evidence for increased outpatient care and primary care use.

Featured presenters with on-the-ground experience implementing the CA Bridge model for individuals with substance use disorder.

Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.

Examined the challenges associated with randomized controlled trials in complex care and how the Distillation Method can help address these challenges.

Recommended set of evidence-based measures for high-quality care for patients with complex needs based on systematic review of relevant measures.

Analytical approach for randomized controlled trials may be valuable for understanding the impact of complex care interventions and the subpopulations that may benefit from them.

Community-based care management programs for patients with complex health and social needs have the potential to reduce hospitalizations and inpatient costs.

Literature review examines the roles and contributions of community health workers in improving dementia care.

Telehealth interventions had similar outcomes to in-person care for different services and populations, but did not consistently impact utilization such as physician or emergency department visits.

Explored how complex care stakeholders can incorporate a multi-factor approach to measure and demonstrate the value of complex care programs for diverse stakeholders.

This toolkit can support health care organizations in creating the business case for complex care programs.

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.

Contains practical guides, tools, and other resources for developing complex care programs.

Includes patient- and staff-reported measures to help complex care programs better understand the impacts of interventions.

Health care organizations can use population-level data sources about the experiences of people with disabilities to improve care.

Downloadable tools, tip sheets, sample forms, and how-to guides on home-based primary care, with a focus on clinical and operational best practices.

A home-based primary care program led to reduced medical costs for frail elderly patients, primarily due to lower spending at end-of-life.