Displaying 541 - 560 of 989

How a Medical Respite Care Program Offers a Pathway to Health and Housing for People Experiencing Homelessness

A medical respite program for people experiencing homelessness shows evidence of reduced hospital readmissions and emergency department revisits.

Case Example

August 2021

Building the Value Case for Complex Care Toolkit

This toolkit can support health care organizations in creating the business case for complex care programs.

Implementation Tool

September 2021

Optimal Staffing Models To Care For Frail Older Adults In Primary Care And Geriatrics Practices In The US

Care team models with more nurse practitioners and physician assistants than physicians are associated with increased primary care and geriatrics services provision and reduced labor costs.

Peer-Reviewed Article

September 2021

Medication Management for Complex Patients in Primary Care: Application of a Remote, Asynchronous Clinical Pharmacist Model

A Comprehensive Medication Management program that employs a remote clinical pharmacist effectively addresses most drug therapy problems in a complex care population.

Peer-Reviewed Article

June 2021

Care Plans, Care Teams, and Quality of Life for People with Disabilities

For people with disabilities, familiarity with their care teams and care plans, and increased access to long-term services and supports can improve their perceptions of quality of life and health care.

Peer-Reviewed Article

August 2020

High-Need, High-Cost Segmentation Framework

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

Implementation Tool

October 2021

Using Patient Segmentation and Data on Health-Related Social Needs to Identify People with Complex Needs

Explored how health care organizations can incorporate a segmentation framework into population health management using simple algorithms.

Webinar

October 2021

Advancing Health Equity for People Who Are Homebound

Explores the epidemiology and characteristics of homebound older adults, inequities they face, and reimagines care delivery for this population.

Blog

September 2021

Aligning Care with the Personal Values of Patients with Complex Care Needs

Understanding the values of patients with complex health and social needs can help providers improve care.

Peer-Reviewed Article

August 2021

Racial Inequity in Medication Treatment for Opioid Use Disorder: Exploring Potential Facilitators and Barriers to Use

Black Medicaid enrollees who spent more days in the emergency department or county jail were less likely than white enrollees to receive medications for opioid use disorder.

Peer-Reviewed Article

July 2021

CAPABLE Program Improves Disability in Multiple Randomized Trials

CAPABLE, a home-based care program that provides interdisciplinary services for older adults, leads to reductions in disability as well as cost savings.

Peer-Reviewed Article

July 2021

The Association of Advance Care Planning Documentation and End-of-Life Healthcare Use Among Patients with Multimorbidity

Advance care planning more than one month prior to death is associated with decreased acute care utilization at the end of life and in-hospital death for people with serious illness.

Peer-Reviewed Article

August 2021

Listening to Dually Eligible Individuals: Person-Centered Enrollment Strategies for Integrated Care

Person-centered integrated care models designed to respond to the priorities of people dually eligible for Medicare and Medicaid are more likely to increase and sustain enrollment.

Brief/Report

June 2021

Strengthening the Payer-Provider Relationship for Value-Based Success in Home- and Community-Based Palliative Care

Looked at the provider and payer relationship and discussed how successful partnerships between these two stakeholders can create sustainable and efficacious home and community based palliative care programs.

Webinar

September 2021

Housecall Providers: Caring for People with Serious Illness Wherever They Call Home

Features Housecall Providers, a non-profit medical provider serving Portland, Oregon, offering comprehensive home- and community-based programs that incorporate palliative care services and provide patient-driven, high-touch support wherever patients call home.

Blog

September 2021

Home- and Community-Based Palliative Care

Curates evidence behind home- and community-based palliative care and explores practical tools and case studies on effective strategies for implementing these programs.

Collection

August 2021

A Community Partnership to House and Care for Complex Patients

A cross-sector partnership to enroll older adults experiencing homelessness in permanent supportive housing led to meaningful reductions in health care costs.

Peer-Reviewed Article

August 2021

Racial Inequality in Prescription Opioid Receipt — Role of Individual Health Systems

Analysis of 310 health systems showed gaps in opioid receipt between Black and white patients, especially on dosage, which may be related to racial bias among clinicians.

Peer-Reviewed Article

July 2021

Complex Care Startup Toolkit

Contains practical guides, tools, and other resources for developing complex care programs.

Implementation Tool

June 2021

Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults

Randomized controlled trial of a care management intervention shows significant improvement in patient activation and self-rated health and decreased symptoms of depression in patients with complex needs.

Peer-Reviewed Article

May 2021

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How a Medical Respite Care Program Offers a Pathway to Health and Housing for People Experiencing Homelessness

Building the Value Case for Complex Care Toolkit

Optimal Staffing Models To Care For Frail Older Adults In Primary Care And Geriatrics Practices In The US

Medication Management for Complex Patients in Primary Care: Application of a Remote, Asynchronous Clinical Pharmacist Model

Care Plans, Care Teams, and Quality of Life for People with Disabilities

High-Need, High-Cost Segmentation Framework

Using Patient Segmentation and Data on Health-Related Social Needs to Identify People with Complex Needs

Advancing Health Equity for People Who Are Homebound

Aligning Care with the Personal Values of Patients with Complex Care Needs

Racial Inequity in Medication Treatment for Opioid Use Disorder: Exploring Potential Facilitators and Barriers to Use

CAPABLE Program Improves Disability in Multiple Randomized Trials

The Association of Advance Care Planning Documentation and End-of-Life Healthcare Use Among Patients with Multimorbidity

Listening to Dually Eligible Individuals: Person-Centered Enrollment Strategies for Integrated Care

Strengthening the Payer-Provider Relationship for Value-Based Success in Home- and Community-Based Palliative Care

Housecall Providers: Caring for People with Serious Illness Wherever They Call Home

Home- and Community-Based Palliative Care

A Community Partnership to House and Care for Complex Patients

Racial Inequality in Prescription Opioid Receipt — Role of Individual Health Systems

Complex Care Startup Toolkit

Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults