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Innovations
Community-Based Volunteer Program Postpones or Avoids Nursing Home Admissions Among Neighborhood Seniors, Saving Millions of Dollars 7/30/2014
The Payne-Phalen Living at Home/Block Nurse Program is a community-based program that provides medical and social services to neighborhood seniors, enabling them to live at home rather than in a nursing home.
Comprehensive, Multilingual Social Services Program Brings Valuable Support to the Elderly, Disabled, and Those With Limited English Proficiency 7/30/2014
Bi-Lingual International Assistant Services provides psychotherapy, counseling, social support, and citizenship assistance services to frail and disabled elderly who speak little or no English and have no other means of accessing such services.
Peer Coaching Combined With Nurse Outreach Improves Adherence to Medical Recommendations Among Elderly Cardiac Patients Who Live Alone Following Discharge 7/30/2014
A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.
Policy Statewide Policy and Practice Changes in Childcare Settings Promote Healthy Eating and More Physical Activity in Children 7/30/2014
As part of a larger statewide, collaborative initiative targeting four key settings, a pediatric health system promotes policy and practice changes in childcare settings, leading to enhanced provider knowledge, policy changes within childcare centers, and improved health-related behaviors in children.
Community-Based Health Coaches and Care Coordinators Reduce Readmissions Using Information Technology To Identify and Support At-Risk Medicare Patients After Discharge 7/30/2014
Supported by mobile technology, trained health coaches and nurse care coordinators use home visits and telephone-based monitoring to identify and address declines in health status in recently discharged Medicare patients, leading to a significant reduction in readmissions and associated cost savings.
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QualityTools
Caregivers Count Too!: A Toolkit to Help Practitioners Assess the Needs of Family Caregivers 4/9/2014
This toolkit is a step-by-step resource filled with practical information and resources to assess caregiver needs in service delivery settings.
National Multiple Sclerosis Society: A Guide for Caregivers 4/9/2014
This guide presents an overview of the issues faced by people who act as caregivers for people with multiple sclerosis.
The Massachusetts Department of Public Health Opioid Overdose Education and Naloxone Distribution 3/12/2014
This guide describes the knowledge and core competencies necessary for potential overdose responders trained as part of the Massachusetts Department of Public Health opioid overdose prevention pilot program to respond to an opioid overdose event.
Aquí para Tí/Here for You: Teen Parenting Toolkit 1/15/2014
The Teen Parenting Toolkit provides parents with relevant information and tips on how to relate to teens and guide them to adulthood.
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.
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Last updated: July 30, 2014.