Building Complex Care Programs: A Road Map for States
This guide for state leaders offers lessons about state-level approaches to complex care.
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Displaying 381 - 400 of 425
Home: Perhaps the Most Important “Care Setting”
The program, known as Community Aging in Place — Advancing Better Living for Elders (CAPABLE), is a client-directed home-based intervention to increase mobility, functionality, and capacity to “age in place” for older adults.
Blog
June 2018
Community Health Worker Support for Disadvantaged Patients with Multiple Chronic Diseases: A Randomized Clinical Trial
This resource describes the benefits of community health workers for people with multiple chronic conditions.
Peer-Reviewed Article
Managing Effectively in Complex Chronic Care Markets
This resource provides a road map for health plans to improve Medical Loss Ratio.
Peer-Reviewed Article
Caring for the Whole Person: Two Patient Stories in Complex Care Management
Effective complex care means first understanding the individual and the challenges they face in their day-to-day lives. Here are two stories of patients in the CareMore Touch program for people with institutional special needs.
Blog
May 2018
What Works in Integrated Care Programs for Older Adults with Complex Needs? A Realist Review
A literature review describes the most important success factors for integrated care programs.
Peer-Reviewed Article
Use Human-Centered Design Methods to Develop Your Care Model
Describes how a human-centered design approach can help you develop a complex care program that addresses the realities of the people you serve.
Play
February 2018
Engage Stakeholders with a Storyboard
Describes how to implement, iterate, and sustain a complex care model through the use of storyboards that keep stakeholders engaged.
Play
February 2018
Are You Missing Opportunities to Improve Care for Older Adults?
Four key interventions are essential to create an age-friendly system of care. If care providers consistently do these four things for every older adult, every time, across care settings, we believe we will save lives and avoid harm.
Blog
January 2018
Define the Care Management Team
Outlines how to develop a care team that can help control costs by allowing medical providers to work to the top of their license.
Play
November 2017
Integrate the Complex Care Program with Primary Care
Describes opportunities for how primary care providers and complex care programs can work together as one effective team.
Play
November 2017
Use a Scale-Up Grid to Plan for Implementation
Highlights how scale-up grids can help in identifying steps to take as you move from pilot to scale.
Play
November 2017
Designing a Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers
An international expert group offers ten policy recommendations and profiles of innovative care models.
Brief/Report
Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals
Case studies of two community hospitals show how to advance accountable care.
Case Example
Manage Quality with Daily Huddles
Describes how to use daily huddles to manage the implementation of an enhanced care program.
Play
November 2017
Scale Up Care Design by Multiples of Five
Describes how working with five patients from a population segment then scale up in multiples of five can improve quality.
Play
November 2017
Lessons from Successful Care Models: An Expert Q&A with Drs. Peter Long and Danielle Whicher
Shares insights and guidance on how to use findings from a recently released report from the National Academy of Medicine, which explores the key attributes of patients with complex needs and how to improve care for this patient population.
Blog
August 2017
Bending the Spending Curve: The Role of Care Management in a Pioneer ACO
ACOs have lowered costs for high-need patients through care management programs focused on modifiable spending.
Peer-Reviewed Article
Complex Care Program Development: A New Framework for Design and Evaluation
A new framework outlines four steps to develop care management programs.
Brief/Report
Effective Care for High-Need Patients: Opportunities for Improving Value, Outcomes and Health
The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.
Brief/Report