Displaying 1 - 20 of 63

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

Clinicians and Promotores Teaming to Provide In-Home Primary Care to Frail Older Adults

Pairing promotores with clinicians increased in-home visits and reduced acute care use and health care costs for homebound older adults.

Case Example

July 2023

Bridges to Elders: A Program to Improve Outcomes for Older Women Experiencing Homelessness

Program led by a nurse practitioner and community health worker improved housing stability, access to primary care, and chronic disease management among older women experiencing homelessness.

Peer-Reviewed Article

January 2025

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

Diabetes Management Among Underserved Older Adults Through Telemedicine and Community Health Workers

Research review finds that incorporating community health workers into primary care reduced A1c levels and improved self-management and satisfaction among older adults with diabetes.

Peer-Reviewed Article

January 2022

Building Healthy Communities: Community Health Worker Impact on Older Adults in Texas

Evaluation shares health, social, emotional, and financial outcomes resulting from community health worker programs for older adults in Texas.

Brief/Report

August 2024

Understanding the Medicare Physician Fee Schedule Billing Codes For: Community Health Integration, Principal Illness Navigation, and Principal Illness Navigation-Peer Support Services

This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.

Implementation Tool

March 2024

Addressing Social Isolation and Loneliness Among Older Dually Eligible Individuals

Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.

Implementation Tool

November 2022

Best Programs for Caregiving: Dementia Care Programs for Family Caregivers and Program Providers

National database offers free information on dementia care programs for family caregivers.

Website/Resource Center

March 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

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

Long-Term Care Equality Index 2023

The Long-Term Care Equality Index advocates for LGBTQ+ inclusive policies and procedures in long-term care settings.

Implementation Tool

December 2023

Evaluating the Program of All-Inclusive Care for the Elderly (PACE)

Case studies and evidence on how PACE organizations adapted to challenges during the COVID-19 pandemic.

Brief/Report

March 2022

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

Lifting the Veil How Networks Form Operate Struggle and Succeed

This report highlights challenges of network-based contracting between health care entities and community-based organizations and shares tips for successful implementation.

Brief/Report

April 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

August 2023

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

The People Say

Clinicians and Promotores Teaming to Provide In-Home Primary Care to Frail Older Adults

Bridges to Elders: A Program to Improve Outcomes for Older Women Experiencing Homelessness

Cost-Effective Care Coordination for People with Dementia at Home

Diabetes Management Among Underserved Older Adults Through Telemedicine and Community Health Workers

Building Healthy Communities: Community Health Worker Impact on Older Adults in Texas

Understanding the Medicare Physician Fee Schedule Billing Codes For: Community Health Integration, Principal Illness Navigation, and Principal Illness Navigation-Peer Support Services

Addressing Social Isolation and Loneliness Among Older Dually Eligible Individuals

Best Programs for Caregiving: Dementia Care Programs for Family Caregivers and Program Providers

Community Engagement Interventions to Improve Outcomes

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

Long-Term Care Equality Index 2023

Evaluating the Program of All-Inclusive Care for the Elderly (PACE)

Improving Nursing Home Care Quality

Lifting the Veil How Networks Form Operate Struggle and Succeed

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program