Transition Home Program Reduces Readmissions for Heart Failure Patients
The Transition Home program incorporates a number of components to ensure patients a safe transition to home or another health care setting, leading to fewer readmissions.
Behavioral Health Clinic Offers Onsite Primary Care to Low-Income Asians With Severe Mental Illness, Enhancing Access and Facilitating Improvements in Physical Health
A behavioral health clinic maintains an onsite primary care clinic that provides culturally competent care to low-income Asian Americans with serious mental illness, enhancing access to such care and facilitating modest improvements in physical health.
Bilingual, Bicultural Asthma Intervention Program Significantly Improves Outcomes for Poor, Inner-City Youth
The El Rio Inner-City Asthma Intervention Program is a comprehensive bilingual, bicultural program that primarily serves low-income, inner-city Latino children with moderate or severe persistent asthma.
Culturally Competent Self-Management Program Increases Confidence and Knowledge for African Americans With or at Risk for Diabetes
The Center for African American Health Focus on Diabetes project offered a culturally competent diabetes self-management course and related services to people with or at risk for diabetes and their caregivers.
Hospital-Based Program Proactively Identifies, Addresses Delirium Risk Factors in Elderly, Leading to Less Cognitive/Functional Decline and Lower Nursing Home Costs
The Hospital Elder Life Program screens all patients aged 70 years and older at admission for the presence of six risk factors for delirium, and then implements targeted interventions to reduce these risks, leading to less cognitive and functional decline and lower costs.
Show Innovation Attempts
Show Policy Profiles
IMPaCT™ Model Tool Kit
The IMPaCT™ model is an evidence-based system for community health worker recruitment, training, and care. This toolkit is designed to help other organizations adapt and implement this model.
Envisioning My Future: A Young Person's Guide to Health Care Transition
This guide, written for youth with special health care needs, helps them prepare for their transition from pediatric health care or service to adult care or service.
2013 National Healthcare Disparities Report
The purpose of the National Healthcare Disparities Report (NHDR) is to identify the differences or gaps through which some populations receive poor or worse care than others and to track how these gaps are changing over time.
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.