At-Home Palliative Care for Veterans Enhances Medication Adherence and Connections With Families and Providers, While Also Lowering Costs
The Advanced Illness Palliative Care program is a multidisciplinary initiative that provides care management and palliative care to chronically or terminally ill veterans in their homes via telehealth technology.
Community Collaborative Improves Accuracy of Medication Lists for Elderly Patients in Outpatient Clinic Setting
Aurora Health Care spearheaded a community-wide medication reconciliation initiative, involving health care consumers, providers, pharmacists, and community stakeholders, to improve the accuracy of elderly patients' medication lists.
Computerized, Multilingual Visual Medication Schedule and Teach-Back Protocols Improve Anticoagulation Control for Low-Literacy Patients
A randomized clinical trial at San Francisco General Hospital used visual medication schedules and brief teach-back protocols in English, Spanish, and Cantonese to improve anticoagulant control among low-literacy patients in the public hospital's anticoagulation clinic.
Electronic Health Record–Facilitated Care Process Redesign Enhances Access to Care, Reduces Hospitalizations and Costs for Patients With Chronic Illnesses
The Marshfield Clinic is using electronic tools to facilitate care process redesign for patients with chronic illnesses, leading to enhanced quality and access to care, fewer hospitalizations and adverse events, and lower costs.
Heart Failure Disease Management Improves Outcomes and Reduces Costs
Essentia Health Heart and Vascular Center created a heart failure program combining chronic care and disease management principles to improve outcomes and reduce costs associated with heart failure care.
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Toolkit for the Follow-Up Care of the Premature Infant
This toolkit for health care professionals provides information and resources to help facilitate the care of premature infants and improve their outcomes.
Young Child Risk Calculator
The Young Child Risk Calculator shows how many young children in a State face selected risk factors associated with poor health, school, and developmental outcomes.
Adherence Readiness Assessment
This tool is used to help a patient/client be more adherent to their HIV medications by identifying possible barriers and helping the client overcome them.
Dementia Capability Toolkit
The Dementia Capability Toolkit identifies resources that States and communities can use to design initiatives to ensure that programs are dementia-capable.
National Center of Medical Home Initiatives for Children With Special Needs Tools/Resources
This Web site includes a variety of tools for families, youth, providers, insurers, communities, and States working to provide medical homes for children with special needs.