Understand emerging evidence and best practices for implementing community engagement interventions to better meet community needs and improve health equity.
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A multidisciplinary care coordination program for older adults with dementia demonstrated a positive return on investment and Medicaid cost savings.
Peer-Reviewed Article
Rural Community Paramedicine Toolkit
Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.
Implementation Tool
The Role of Community Health Workers in the Health and Well-Being of Vulnerable Older Adults During the COVID-19 Pandemic
A telephone-based community health worker program offered critical supports for older adults during the COVID-19 pandemic.
Peer-Reviewed Article
A Housing and Health Collaboration: Mount Rubidoux Manor and Inland Empire Health Plan
Embedding a health navigator in a senior housing community improved residents’ sense of physical, mental, and social well-being.
Case Example
Medicare-Medicaid Integrated Care Programs
Curates evidence behind three fully integrated care program models for people who are dually eligible for Medicare and Medicaid, as well as practical strategies that support effective implementation of these programs.
Collection
December 2023
Improving Nursing Home Care Quality
Curates evidence on improving nursing home care quality and explores practical tools that support effective implementation of care and services that are more person-centered and improve outcomes for nursing home residents.
Collection
November 2023
Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program
An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.
Peer-Reviewed Article
Building an LGBTQ+ Inclusive PACE Program: Key Learnings on How the Program of All-Inclusive Care for the Elderly (PACE) Model Addresses the Needs of LGBTQ+ Older Adults
Lessons for developing LGBTQ+ inclusive Program of All-Inclusive Care (PACE) programs for older adults.
Brief/Report
Community-Based Organization Services Evidence Bank
Curated collection of research studies highlights the efficacy of services provided by community-based organizations, with a focus on outcomes relevant to health care partners.
Website/Resource Center
Community Health Worker Programs in Primary Care
Curates recent evidence behind community health worker programs that support people with complex health and social needs, as well as practical strategies to support effective implementation of these programs.
Collection
April 2023
Association of National Expansion of Insurance Coverage of Medically Tailored Meals with Estimated Hospitalizations and Health Care Expenditures in the US
Simulation model estimates that national implementation of medically tailored meal programs for specific populations would achieve over $13.6 billion in cost savings per year.
Peer-Reviewed Article
The Paramedic Will See You Now: Expanding Access to Community-Based Care for People with Complex Needs
Highlighted two community paramedicine programs in New England and rural North Carolina that serve people with complex needs.
Webinar
A Patient-Centered Complex Care Research Agenda
Recommendations for building a stronger, more coordinated, and patient-centered complex care evidence base.
Brief/Report
Factors Associated with Contracting Between Area Agencies on Aging and Health Care Entities
Partnerships between health care organizations and AAAs can benefit from a clear understanding of internal capabilities and external environmental factors.
Peer-Reviewed Article
Impacts of Community-Based Care Program on Health Care Utilization and Cost
Community-based care management programs for patients with complex health and social needs have the potential to reduce hospitalizations and inpatient costs.
Peer-Reviewed Article
Support and Services at Home Evaluation: SASH Evaluation Findings, 2010-2016
Program based in affordable housing sites for older adults and people with disabilities has favorable impact on Medicare and Medicaid expenditures and helps residents remain in community settings.
Brief/Report
Applying the ROI Calculator for Partnerships to Address Social Determinants of Health
Described how health care organizations and community-based organizations can use the ROI Calculator to explore and plan financial arrangements to fund social services for people with complex needs.
Webinar
Role of Community Health Workers in Addressing Dementia: A Scoping Review and Global Perspective
Literature review examines the roles and contributions of community health workers in improving dementia care.
Peer-Reviewed Article
Aligning Health Care and Social Services for Patients with Complex Needs
Varying structures of cross-sector partnerships between health care organizations, social service agencies, and local government bodies have distinct strengths and serve different functions.
Brief/Report