Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
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.
Intensive Case Management Reduces Inpatient Admissions and Emergency Department Visits Among Costly, Medically Complex Patients Without Insurance
Intensive case management and care coordination significantly reduces inpatient admissions and emergency department visits for costly, medically complex patients who lack insurance.
Multidisciplinary Family Clinic Increases Access to Care for Inner-City Residents, Leading to Improved Outcomes and High Patient Satisfaction
To meet the needs of the surrounding community, 11th Street Family Health Services of Drexel University employs a multidisciplinary model of care, offering residents a wide variety of health and wellness services regardless of their ability to pay.
Overnight "Day Care" Offers Safe and Stimulating Environment to Those With Severe Dementia, Respite to Overburdened Caregivers
An overnight "daycare" program offers a safe, stimulating environment to those with severe dementia who face challenges at night, providing respite to overburdened caregivers and delaying the need for nursing home placement.
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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.
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.
Oral Health Exam
This educational video for health professionals demonstrates how to conduct oral health exams sensitively with survivors of torture.
Transforming Care at the Bedside How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure
Transforming Care at the Bedside is a national program designed to improve the quality and safety of patient care on medical and surgical units, to increase the vitality and retention of nurses, and to improve the effectiveness of the entire care team.
Health Shack assists in the development of independent and emancipated youth by providing an electronic personal health information system (PHIS) designed for and with these youth. It offers informational resources, as well as safe keeping and accessibility for important life documents.