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Innovations
Hospital-Based Palliative Care Program Adds Comprehensive Outpatient Services, Leading to Better Access and High Patient and Provider Satisfaction 8/27/2014
A medical center added outpatient palliative services, including symptom management and holistic emotional, psychosocial, and spiritual care, to its comprehensive inpatient palliative care services, leading to improved access and high levels of patient, family, and provider satisfaction.
Membership Program Provides Community-Dwelling Seniors With Access to Wide Array of Health and Social Services, Helping Them Remain in Their Homes 8/27/2014
Beacon Hill Village offers a membership program that provides access to or discounts on a wide array of health care and social support services that are designed to allow people 50 years and older to maintain their health status and independence and thus stay in their own homes as they age (rather than moving to an expensive long-term care facility).
Nurse Home Visitation Program Reduces Readmissions, Emergency Department Visits, Child Abuse, and Foster Home Placements for Medically Fragile Infants 8/27/2014
Bridge to the Future provides nursing home visits to low-income families with medically fragile infants who have been discharged from the neonatal intensive care unit, thus ensuring a smooth transition to long-term care in the home.
Archived Nurse-Led Visits and Care Coordination Promote Self-Care and Improve the Health of Diabetic Adults With Severe Mental Illness 8/27/2014
Psychiatric nurses work intensively with diabetic adults with severe mental illness over a 16-visit intervention to empower them to manage their diabetes more effectively.
Archived Physician–Nurse House Calls Reduce Barriers to Health Care and Social Services for New Refugees 8/27/2014
Physicians and nurses provide in-home routine medical care and assessments to newly arrived refugees, leading to enhanced access to health care and social services and better continuity of care for those with chronic illnesses.
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QualityTools
Forming a Community-Based Network: A Handbook 8/13/2014
This handbook provides information on forming a community-based network for community members who wish to become involved in maintaining their elderly neighbors in their homes. It is also for public health and social service agencies, area agencies on aging, and others who recognize the value of community caring and the potential for neighbors to augment the services that they, as agencies, provide.
Consumer Health Information Technology in the Home: A Guide for Human Factors Design Considerations 6/4/2014
This guide, for designers, developers, and health professionals, provides information to help create and design health information technology (IT) applications that are easy to use by consumers to achieve better health at home.
Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement 5/7/2014
This report explores the topic of effective individual risk management in community-based services among States engaged in risk planning for Medicaid home- and community-based services (HCBS) waiver participants.
Guide to Long Term Care for Veterans 4/9/2014
This guide provides tools and resources for veterans, caregivers and families, and U.S. Department of Veterans Affairs providers and staff to explore long-term care options.
Improving the Quality of Home and Community Based Services and Supports, Work Book 12/18/2013
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.

Last updated: September 10, 2014.