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Innovations
Advanced Practice Nurse-Mental Health Provider Partnership Enhances Access and Improves Health Outcomes for Those With Severe Mental Illness 4/9/2014
Advanced practice nurses provide primary, preventive, and mental health care to individuals with severe mental illness, leading to improvements in health outcomes.
Advocacy Firm Assists Patients in Choosing Providers/Treatments and Coordinating Care, Leading to Quick Access to Services and High Satisfaction 4/9/2014
PinnacleCare provides individualized care management services that include an initial health assessment, an annual health plan/consultation, round-the-clock access to medical advocates and advisers, facilitated access to top specialists and medical institutions, and management of electronic medical records.
At-Home Palliative Care for Veterans Enhances Medication Adherence and Connections With Families and Providers, While Also Lowering Costs
4/9/2014
The Advanced Illness Palliative Care program is a multidisciplinary initiative that provides care management and palliative care to chronically or terminally ill veterans in their homes via telehealth technology.
Case Managers Remotely Monitor Chronically Ill Medicare Beneficiaries Each Day, Reducing Mortality and Costs 4/9/2014
Case managers remotely monitor Medicare beneficiaries with chronic conditions via a messaging device that asks and records answers to disease-specific and general health questions each day, leading to lower mortality and costs.
Community Liaisons Facilitate Access to Culturally Competent Care for Orthodox Jewish, Chinese, and Arab Patients 4/9/2014
Culturally competent community liaisons help members of the Orthodox Jewish, Arab, and Chinese communities access health care and community-based services, leading to a better patient experience.
QualityTools
A Guide to Primary Care of People with HIV/AIDS, 2004 Edition 4/9/2014
This 180-page guide addresses several important aspects of primary care and treatment for patients with HIV/AIDS.
Eat Better & Move More: A Guidebook for Community Programs 4/9/2014
This 36-page guidebook, part of the You Can! Steps to Healthier Aging Campaign, will help community organizations increase the number of older people who stay active and healthy by implementing a simple 12-week nutrition and walking program.
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.
The Community Health Worker's Sourcebook: A Training Manual for Preventing Heart Disease and Stroke 4/9/2014
This sourcebook serves as an instruction manual for training community health workers and as a reference and a resource for community health workers working with community members in preventing heart disease and stroke.
Transitioning Newborns From NICU to Home: A Resource Toolkit 4/9/2014
This toolkit for hospitals provides information and resources to improve safety when newborns transition home from the neonatal intensive care unit.
Other Related Results
ARTICLES
States Turn to Managed Care To Constrain Medicaid Long-Term Care Costs 4/9/2014
Challenges Facing Rural Health Care 3/26/2014
Chronic Disease Management Can Reduce Readmissions 3/26/2014
Connecting Underserved Patients to Primary Care After Emergency Department Visits 3/26/2014
Delivering Preventive Services Through Clinical-Community Linkages 3/26/2014
Improving Access to Specialty Care for Medicaid Patients 3/26/2014
Moving an Innovative Depression Care Model from Research to Practice 3/26/2014
Public- and Private-Sector Initiatives Are Reducing Health Disparities Among Children 3/26/2014
The State of Accountable Care Organizations 3/26/2014
Formalization of the Pathways Model Facilitates Standards and Certification 2/26/2014
New Recognition Standards for Specialty Practices Emphasize Coordination With Primary Care 4/17/2013
ISSUES
Strategies To Address Frequent Emergency Department Use 10/23/2013
Improving Health Through Clinical–Community Collaboration 7/31/2013
Access to Specialty Care in Federally Qualified Health Centers 7/17/2013
Integrating Behavioral Health and Primary Care 6/19/2013
Accountable Care Organizations 5/8/2013
Clinical-Community Linkages to Improve Chronic Disease Care 7/3/2012
Mental Health Care for Underserved Populations 2/15/2012
Partnerships to Improve Care Coordination 12/7/2011
Health IT in Care Coordination 7/20/2011
Mental Illness Care 2/2/2011
Integrated Primary Care 8/18/2010
Connecting Health Care and Social Services 6/9/2010
Care Coordination 2/3/2010
Linking Clinical Practices and the Community 12/8/2008
VIDEOS
Care Management Plus Program: Can This Innovation Be Scaled?
Essentia Heart Failure Program: Can This Innovation Be Scaled?
EVENTS
Chats on Change: Creating a Successful Health Information Exchange
12/3/2013
Clinical-Community Relationships as a Pathway To Improve Health: Tools for Research and Evaluation
8/7/2013
Building Health Information Exchanges To Support ACOs and Medical Homes: Delaware's Experience
6/5/2013
A Close Look at Care Coordination Within Patient-Centered Medical Homes: West Virginia’s Experience
5/9/2013
Vermont Blueprint for Health: Working Together for Better Care
9/25/2012
Chats on Change: Integrating Behavioral Health and Primary Care
8/29/2012
Connecting Those At-Risk to Care: A Guide to Building a Community "HUB"
9/16/2010
Roller Coaster: Implementation of the Arizona Medical Information Exchange (AMIE)
8/1/2009
GUIDES
Connecting Those at Risk to Care: A Guide to Building a Community "HUB" to Promote a System of Collaboration, Accountability, and Improved Outcomes

Last updated: April 09, 2014.