Displaying 21 - 40 of 122

Queen Anne's County Mobile Integrated Community Health (MICH) Program

An integrated community health program demonstrated a cost savings of over three million dollars.

Case Example

February 2021

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

Care Ecosystem Collaborative Model and Health Care Costs in Medicare Beneficiaries with Dementia

Randomized controlled trial shows that a collaborative dementia care model leads to reduction in costs among a sample of Medicare patients.

Peer-Reviewed Article

September 2023

Bending Evaluation Orthodoxy in Complex Care

Explores how looking more deeply at the results of an underpowered randomized controlled trial using alternative analysis methods can uncover nuanced results or inform a program redesign.

Blog

December 2023

Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?

An interdisciplinary care management program for Medicare patients at increased risk of hospitalization demonstrates a positive return on investment.

Peer-Reviewed Article

September 2023

A Clinical Pathway to Well-Being: Putting Patient Priorities at the Center of Care

A care management model designed to center patients’ health priorities shows promising results.

Peer-Reviewed Article

October 2023

HOUSED BEDS: A Clinical Tool for Taking a History on an Unsheltered Homeless Patient

A tool helps providers capture essential information when interviewing people experiencing unsheltered homelessness to support effective treatment planning.

Implementation Tool

July 2019

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

Dementia Care Navigation: Building Toward a Common Definition, Key Principles, and Outcomes

An expert panel proposed key principles for designing care navigation programs for persons living with dementia and their caregivers.

Peer-Reviewed Article

April 2023

Quality of Depression Care for Veterans Affairs Primary Care Patients with Experiences of Homelessness

Homeless-tailored primary care clinics within Veterans Affairs facilities improved depression care for people experiencing homelessness.

Peer-Reviewed Article

February 2023

Trade-Offs in Locational Choices for Care Coordination Resources in Accountable Care Organizations

Having onsite care coordinators may significantly improve the quality of patient care, while centralized coordination is associated with increased information sharing.

Peer-Reviewed Article

July 2023

Estimating the Workload of a Multi-Disciplinary Care Team Using Patient-Level Encounter Histories

Insights from patient-level encounter histories can support optimizing care coordination team staffing for high-need patients.

Peer-Reviewed Article

June 2023

Analysis Explores Nuanced Impact of Camden Coalition Care Management Intervention: Takeaways for the Field

Dawn Wiest, PhD, Director for Research and Evaluation at the Camden Coalition, discusses findings from an analysis of Camden Coalition’s care management program, which found that the program led to a significant reduction in hospital readmissions among engaged program participants.

Blog

September 2023

Hospital Readmissions by Variation in Engagement in the Health Care Hotspotting Trial: A Secondary Analysis of a Randomized Controlled Trial

Secondary analysis of Camden Coalition randomized controlled data found that care management participants who were the most likely to engage with the intervention had significantly lower readmission rates.

Peer-Reviewed Article

September 2023

The Association Between Primary Care Practices’ Structural Capabilities and Hospitalizations Among Persons Living with Dementia

Care coordination services in primary care clinics are shown to reduce avoidable hospitalizations among persons living with dementia.

Peer-Reviewed Article

July 2023

A Novel Pharmacy Liaison Program to Address Health-Related Social Needs at an Urban Safety-Net Hospital

Pharmacy liaison-patient navigator programs offer a promising approach to streamline screening and system navigation efforts related to health-related social needs.

Peer-Reviewed Article

August 2023

Community Paramedicine in Central Oregon: A Promising Model to Reduce Non-Urgent Emergency Department Utilization Among Medically Complex Medicaid Beneficiaries

Randomized controlled trial measuring the impact of a community paramedicine model implemented in two rural counties shows reduction in emergency department visits.

Peer-Reviewed Article

May 2023

Dosage and Outcomes in a Complex Care Intervention

Implementation of a high-dose care management intervention for patients with complex health and social needs can reduce hospitalization rates.

Peer-Reviewed Article

June 2023

Complex Community Health and Social Care Interventions – Which Features Lead to Reductions in Hospitalizations for Ambulatory Care Sensitive Conditions? A Systematic Literature Review

Primary care-based interventions that integrate community health and social care services can reduce the rate of avoidable hospitalizations.

Peer-Reviewed Article

December 2022

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

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Queen Anne's County Mobile Integrated Community Health (MICH) Program

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

Care Ecosystem Collaborative Model and Health Care Costs in Medicare Beneficiaries with Dementia

Bending Evaluation Orthodoxy in Complex Care

Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?

A Clinical Pathway to Well-Being: Putting Patient Priorities at the Center of Care

HOUSED BEDS: A Clinical Tool for Taking a History on an Unsheltered Homeless Patient

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

Dementia Care Navigation: Building Toward a Common Definition, Key Principles, and Outcomes

Quality of Depression Care for Veterans Affairs Primary Care Patients with Experiences of Homelessness

Trade-Offs in Locational Choices for Care Coordination Resources in Accountable Care Organizations

Estimating the Workload of a Multi-Disciplinary Care Team Using Patient-Level Encounter Histories

Analysis Explores Nuanced Impact of Camden Coalition Care Management Intervention: Takeaways for the Field

Hospital Readmissions by Variation in Engagement in the Health Care Hotspotting Trial: A Secondary Analysis of a Randomized Controlled Trial

The Association Between Primary Care Practices’ Structural Capabilities and Hospitalizations Among Persons Living with Dementia

A Novel Pharmacy Liaison Program to Address Health-Related Social Needs at an Urban Safety-Net Hospital

Community Paramedicine in Central Oregon: A Promising Model to Reduce Non-Urgent Emergency Department Utilization Among Medically Complex Medicaid Beneficiaries

Dosage and Outcomes in a Complex Care Intervention

Complex Community Health and Social Care Interventions – Which Features Lead to Reductions in Hospitalizations for Ambulatory Care Sensitive Conditions? A Systematic Literature Review

Community Health Worker Programs in Primary Care