Counseling and Care Coordination for Patients With Advanced Illness Lead to More Patients Completing Advance Directives and Less Use of Inpatient Care
Counseling and care coordination for patients with advanced illnesses improved patient–provider communication and the quality of medical care and decisionmaking support, leading to more patients completing advance directives and lower inpatient care requirements.
Community-Based Oncology Practice Redesigns Processes Based on Patient-Centered Medical Home Model To Enhance Access, Improve Quality, and Reduce Costs
A community-based oncology practice's patient-centered medical home model features oncology-specific information technology, a standardized assessment, multidisciplinary care plan, patient navigators, telephone triage line, patient education and engagement, and ongoing performance monitoring, leading to improvements in access, quality, and costs.
Intensivists Make Placement Decisions and Manage Critically Ill Patients Throughout Hospital, Leading to Lower Mortality and Better Management of Intensive Care Unit Capacity
Working as part of an “intensive care unit without walls,” critical care physicians (called intensivists) decide which patients require intensive care unit admission and oversee the care of all critically ill patients throughout the hospital, leading to declines in hospital and intensive care unit mortality, improved management of intensive care unit bed capacity, and low intensive care unit length of stay for terminally ill patients.
Medical Outreach to HIV Patients in Unstable Housing Increases Use of Care and HIV-Related Medications and Improves Patient Perceptions of Quality
The Medical Outreach Program enhanced services provided to unstably housed, minority individuals with human immunodeficiency virus by including physicians on the community outreach team who provide general medical consultation, triage, acute care, evaluation, and prescriptions for needed medications.
Palliative Care Nurses in Primary Care Clinics Reduce Hospital Admissions, Increase Use of Hospice and Home Care for Patients Nearing End of Life
A partnership between a hospice organization and an 11-location multispecialty group practice places palliative care nurses in primary care clinics to monitor dying patients' medical and social care needs, coordinate community services, and discuss end-of-life issues.
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Improving the Quality of Home and Community Based Services and Supports, Work Book
This workbook helps States improve the quality of home- and community-based programs and supports (HCBS) programs. It will help users understand, design, implement, document, and monitor the components of a quality improvement process for HCBS programs.
Physician Orders for Life-Sustaining Treatment (POLST) Sample Forms
The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm program, designed to improve the quality of care people receive at the end of life, promotes the use of a POLST form to document medical orders such as pain management, resuscitation orders, feeding procedures, and other medical interventions.
Caring Connections: Brochures
Caring Connections provides brochures to help people make informed decisions about end-of-life care and services.
Advance Care Planning: Preferences for Care at the End of Life
This report, which presents findings from research funded by the Agency for Healthcare Research and Quality, can help health care professionals offer end-of-life care based on preferences held by the majority of patients under similar circumstances.
Dialysis Facility Compare
This Web site enables users to find and compare information about the services and quality of care provided at dialysis facilities in any State. It also provides a wide range of other information to help patients, their families, and providers learn more about chronic kidney disease and dialysis.