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Community Engagement Toolkit: A Participatory Action Approach Towards Health Equity and Justice

A set of resources and strategies to help health care stakeholders foster authentic, effective community engagement that drives local policy and program change.

Implementation Tool

January 2020

The People Say

Website offers a qualitative database of personal narratives to support providers and policymakers in designing policies that better reflect the lived experience, needs, and priorities of older adults.

Implementation Tool

August 2025

Health Equity in Hospital at Home: Outcomes for Economically Disadvantaged and Non-Disadvantaged Patients

Hospital at home services show similar or better outcomes when compared with traditional inpatient care for Medicaid enrollees.

Peer-Reviewed Article

April 2022

Acute Hospital Care at Home in The United States: The Early National Experience

Preliminary analysis shows that mortality and readmission rates for disabled and Medicare-Medicaid dually eligible individuals receiving hospital at home services are similar to outcomes for overall Medicare population.

Peer-Reviewed Article

January 2024

Report on the Study of the Acute Hospital Care at Home Initiative

Comprehensive report on patient outcomes and implementation information from national hospital at home initiative.

Peer-Reviewed Article

September 2024

Home-Based Primary Care: A Systematic Review of the Literature, 2010-2020

Literature review of nearly 90 articles on home-based primary care identifies themes for enhancing care quality.

Peer-Reviewed Article

October 2021

Cost-Effective Care Coordination for People with Dementia at Home

A multidisciplinary care coordination program for older adults with dementia demonstrated a positive return on investment and Medicaid cost savings.

Peer-Reviewed Article

January 2020

Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage

A post-hospitalization supplemental home-delivered meals benefit saw significant uptake and high satisfaction among Medicare Advantage members with greater financial or food insecurity.

Peer-Reviewed Article

March 2024

Effect of Discharge Readiness on 30-Day Readmissions Among Older Adults Living with Chronic Conditions

Nurse assessments of discharge readiness for older patients with multiple chronic conditions can help identify patients at high risk for hospital readmission.

Peer-Reviewed Article

January 2024

Bridging the Home-Based Primary Care Gap in Rural Areas

Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.

Brief/Report

February 2024

Community Engagement Interventions to Improve Outcomes

Understand emerging evidence and best practices for implementing community engagement interventions to better meet community needs and improve health equity.

Collection

March 2024

Telehealth Outcomes and Impact on Care Delivery: A Review of Evidence

Report summarizes the evidence on outcomes for patients participating in various telehealth delivered services, including different modalities, such as telephone and video.

Brief/Report

November 2023

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

June 2020

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

February 2023

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

January 2021

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

Adoption of the Household Model Improves Nursing Home Quality

Case study on nursing home adoption of the household model shows positive impacts on quality and resident satisfaction.

Case Example

September 2022

The Relationship Between Nursing Home Quality and Costs: Evidence from the VA

Analysis of Veterans Health Administration nursing home cost and quality data shows association between higher quality of care and greater overall patient costs.

Peer-Reviewed Article

April 2018

Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths

The Green House model for longer term care residents was associated with reduced COVID-19 death rates compared to traditional nursing homes.

Peer-Reviewed Article

January 2021

Does Private Equity Investment in Healthcare Benefit Patients? Evidence from Nursing Homes

Study finds that private equity ownership of skilled nursing facilities leads to a significantly higher average mortality rate for residents.

Brief/Report

November 2020

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Community Engagement Toolkit: A Participatory Action Approach Towards Health Equity and Justice

The People Say

Health Equity in Hospital at Home: Outcomes for Economically Disadvantaged and Non-Disadvantaged Patients

Acute Hospital Care at Home in The United States: The Early National Experience

Report on the Study of the Acute Hospital Care at Home Initiative

Home-Based Primary Care: A Systematic Review of the Literature, 2010-2020

Cost-Effective Care Coordination for People with Dementia at Home

Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage

Effect of Discharge Readiness on 30-Day Readmissions Among Older Adults Living with Chronic Conditions

Bridging the Home-Based Primary Care Gap in Rural Areas

Community Engagement Interventions to Improve Outcomes

Telehealth Outcomes and Impact on Care Delivery: A Review of Evidence

Rural Community Paramedicine Toolkit

The Role of Community Health Workers in the Health and Well-Being of Vulnerable Older Adults During the COVID-19 Pandemic

A Housing and Health Collaboration: Mount Rubidoux Manor and Inland Empire Health Plan

Medicare-Medicaid Integrated Care Programs

Adoption of the Household Model Improves Nursing Home Quality

The Relationship Between Nursing Home Quality and Costs: Evidence from the VA

Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths

Does Private Equity Investment in Healthcare Benefit Patients? Evidence from Nursing Homes