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Innovations
Case Management and Home Assessments Reduce Asthma-Related Admissions, Emergency Visits, and Missed School Days in Diverse Urban Children 4/23/2014
Case management combined with in-home environmental assessment and remediation of environmental triggers reduce asthma-related hospitalizations, emergency department visits, missed school days, and missed parent work days in diverse, low-income urban children with asthma.
Archived Fall Prevention Program Emphasizes Proactive Identification and Addressing of Risk Factors, Leading to Fewer Falls and Fall-Related Injuries Among Seniors Receiving Home Care 4/23/2014
A fall prevention program for seniors who receive home care uses a 12-element assessment tool to identify risk factors for falls and then develops specific interventions designed to reduce these risks; ongoing monitoring of medications and periodic reassessments help to support the effort.
Home Visit for All Newborns To Assess Risk of Child Maltreatment Improves Parenting Skills, Reduces Medical Emergencies, and Generates Positive Return on Investment 4/23/2014
Nurses come to the home of families with newborns to perform a comprehensive assessment of risk factors and provide education and support, leading to better connections to community resources, improved parenting skills, higher quality and safety in the home environment, and significantly fewer infant medical emergencies.
Managed Care Organization and Visiting Nurse Association Offer Standardized Education to Elderly Heart Failure Patients, Improving Self-Management and Reducing Readmissions 4/23/2014
Kaiser Permanente Colorado and the Visiting Nurse Association in Denver jointly offer intense, consistent education to elderly heart failure patients discharged from the hospital in need of home-based skilled nursing care, leading to improved knowledge and self-management skills and fewer readmissions.
Practice-Based Teams of Clinicians and Development Experts Enhance Access to Care and Improve Parenting Skills and Knowledge Among Children and Their Families 4/23/2014
Healthy Steps for Young Children (Healthy Steps) is a national initiative that encourages use of clinician-childhood development expert teams in physician offices to promote the use of timely preventive care; parent education and support; and other interventions to address the physical, emotional, and intellectual development of children from birth to age 3.
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QualityTools
Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement 4/9/2014
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.
Participant Experience Survey (Brain Injury) 12/18/2013
This survey solicits feedback from program participants with brain injury about the services and supports they receive under the Medicaid Home and Community-Based Services waiver program.
Participant Experience Survey: Elderly/Disabled (E/D) Version 12/18/2013
This survey solicits feedback from elderly and disabled program participants about the services and supports they receive under the Medicaid Home and Community-Based Services waiver program.

Last updated: April 23, 2014.